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Developing a programme theory to explain how primary health care teams learn to respond to intimate partner violence: a realist case-study

Overview of attention for article published in BMC Health Services Research, June 2015
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Title
Developing a programme theory to explain how primary health care teams learn to respond to intimate partner violence: a realist case-study
Published in
BMC Health Services Research, June 2015
DOI 10.1186/s12913-015-0899-8
Pubmed ID
Authors

Isabel Goicolea, Anna-Karin Hurtig, Miguel San Sebastian, Carmen Vives-Cases, Bruno Marchal

Abstract

Despite the progress made on policies and programmes to strengthen primary health care teams' response to Intimate Partner Violence, the literature shows that encounters between women exposed to IPV and health-care providers are not always satisfactory, and a number of barriers that prevent individual health-care providers from responding to IPV have been identified. We carried out a realist case study, for which we developed and tested a programme theory that seeks to explain how, why and under which circumstances a primary health care team in Spain learned to respond to IPV. A realist case study design was chosen to allow for an in-depth exploration of the linkages between context, intervention, mechanisms and outcomes as they happen in their natural setting. The first author collected data at the primary health care center La Virgen (pseudonym) through the review of documents, observation and interviews with health systems' managers, team members, women patients, and members of external services. The quality of the IPV case management was assessed with the PREMIS tool. This study found that the health care team at La Virgen has managed 1) to engage a number of staff members in actively responding to IPV, 2) to establish good coordination, mutual support and continuous learning processes related to IPV, 3) to establish adequate internal referrals within La Virgen, and 4) to establish good coordination and referral systems with other services. Team and individual level factors have triggered the capacity and interest in creating spaces for team leaning, team work and therapeutic responses to IPV in La Virgen, although individual motivation strongly affected this mechanism. Regional interventions did not trigger individual and/ or team responses but legitimated the workings of motivated professionals. The primary health care team of La Virgen is involved in a continuous learning process, even as participation in the process varies between professionals. This process has been supported, but not caused, by a favourable policy for integration of a health care response to IPV. Specific contextual factors of La Virgen facilitated the uptake of the policy. To some extent, the performance of La Virgen has the potential to shape the IPV learning processes of other primary health care teams in Murcia.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 167 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 167 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 26 16%
Student > Ph. D. Student 24 14%
Student > Doctoral Student 15 9%
Student > Bachelor 15 9%
Researcher 10 6%
Other 28 17%
Unknown 49 29%
Readers by discipline Count As %
Medicine and Dentistry 30 18%
Social Sciences 26 16%
Nursing and Health Professions 25 15%
Psychology 17 10%
Computer Science 2 1%
Other 15 9%
Unknown 52 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 June 2015.
All research outputs
#20,281,599
of 22,815,414 outputs
Outputs from BMC Health Services Research
#7,103
of 7,636 outputs
Outputs of similar age
#222,509
of 266,415 outputs
Outputs of similar age from BMC Health Services Research
#86
of 91 outputs
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So far Altmetric has tracked 7,636 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 91 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.