Factors affecting nurses’ attitudes towards the screening and care of battered women in Dublin A&E departments: a literature review

Abstract

The concept of one human being inflicting unnecessary pain and suffering upon another, on a daily basis, is a disturbing and incredulous thought at the very least. This concept also known as domestic violence is all too real for the many victims presently suffering at the hands of their abusive partners. In Ireland, almost one in five women have experienced some form of domestic violence. This phenomenon can also be identified and further clarified as ‘woman battering’

Due to the confidential and accessible service offered to the client the Accident and Emergency department is a vital source of assistance to women who have been beaten by their partners. Battered women frequently present with injuries both visible and non-visible. More often than not however, many women are treated solely for their injuries and pass through the healthcare system unnoticed. Lydon (1996) estimates that of all presenting cases of domestic violence in the A&E department, only 5% are actually detected. Some literature estimates 3% detection rates (Thompson et al. 1998, Hadley, 1992).

The following literature review explores the history behind the phenomenon of violence against women and its extent in Ireland. The literature affirming the important role of the nurse in A&E is reviewed and several themes are explored that affect nurses’ attitudes in the screening and care of battered women.