TY - JOUR
AU - J. Currie
AU - C. Nelson
AU - L. Papas
AU - T. Quinlan
AU - K. Reddan
AU - O. Hollingdrake
A1 - 
AB - AIM: To explore the perceived impact of a nurse-led domestic and family violence service on access to care. BACKGROUND: Delivered from a metropolitan community based not for profit organisation, this nurse-led service provided a multidisciplinary response to meeting the needs of women, and or women and children experiencing the consequences of domestic and family violence and homelessness. This involved integration of specialist community services to support women's safety planning, housing, and mental health. DESIGN: A mixed methods single-site study was conducted. METHODS: Routine patient attendance data were analysed to identify service use. Semi-structured interviews with service providers and key stakeholders explored perceived service impact on access to care. RESULTS: Data were collected over 2.5 years from n = 233 women experiencing domestic and family violence, of whom 28% (n = 64) identified as First Nations, and 26% (n = 61) had at least one dependent child. The nurse facilitated access through referrals, and care navigation, often driving and accompanying women to their appointments. Person-centered and trauma sensitive approaches were highly effective in gaining trust. Qualitative data themes were, care environment, macro context, care outcomes and person centeredness. CONCLUSION AND IMPLICATIONS: Stakeholders' perspectives highlight the need to improve health professionals' capability to respond effectively when women disclose domestic and family violence. The success of this nurse-led service was its capacity for flexibility, which meant it could address women's unmet health needs in most environments and directly facilitate their access to mainstream healthcare and social supports. IMPACT: Accessing healthcare is extremely challenging for women experiencing domestic violence in Australia. The nurse-led specialist service provided much needed support to women experiencing domestic and family violence and to health professionals within the broader organisation, to improve access to care. Optimising the nurse's scope of practice in terms of authority to refer for investigations and prescribe medications, would further increase access to care. REPORTING METHOD: This study has been reported using the Consensus Reporting Items for Studies in Primary Care (CRISP) checklist. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.
AD - School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia.; Royal Brisbane and Women's Hospital, Queensland, Australia.; Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia.; Micah Projects, Brisbane, Queensland, Australia.
AN - 40167250
BT - J Adv Nurs
C5 - Healthcare Disparities; Education & Workforce
DA - Apr 1
DO - 10.1111/jan.16836
DP - NLM
ET - 20250401
JF - J Adv Nurs
LA - eng
N2 - AIM: To explore the perceived impact of a nurse-led domestic and family violence service on access to care. BACKGROUND: Delivered from a metropolitan community based not for profit organisation, this nurse-led service provided a multidisciplinary response to meeting the needs of women, and or women and children experiencing the consequences of domestic and family violence and homelessness. This involved integration of specialist community services to support women's safety planning, housing, and mental health. DESIGN: A mixed methods single-site study was conducted. METHODS: Routine patient attendance data were analysed to identify service use. Semi-structured interviews with service providers and key stakeholders explored perceived service impact on access to care. RESULTS: Data were collected over 2.5 years from n = 233 women experiencing domestic and family violence, of whom 28% (n = 64) identified as First Nations, and 26% (n = 61) had at least one dependent child. The nurse facilitated access through referrals, and care navigation, often driving and accompanying women to their appointments. Person-centered and trauma sensitive approaches were highly effective in gaining trust. Qualitative data themes were, care environment, macro context, care outcomes and person centeredness. CONCLUSION AND IMPLICATIONS: Stakeholders' perspectives highlight the need to improve health professionals' capability to respond effectively when women disclose domestic and family violence. The success of this nurse-led service was its capacity for flexibility, which meant it could address women's unmet health needs in most environments and directly facilitate their access to mainstream healthcare and social supports. IMPACT: Accessing healthcare is extremely challenging for women experiencing domestic violence in Australia. The nurse-led specialist service provided much needed support to women experiencing domestic and family violence and to health professionals within the broader organisation, to improve access to care. Optimising the nurse's scope of practice in terms of authority to refer for investigations and prescribe medications, would further increase access to care. REPORTING METHOD: This study has been reported using the Consensus Reporting Items for Studies in Primary Care (CRISP) checklist. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.
PY - 2025
SN - 0309-2402
ST - A Mixed Methods Evaluation of a Nurse-Led Domestic and Family Violence Service
T1 - A Mixed Methods Evaluation of a Nurse-Led Domestic and Family Violence Service
T2 - J Adv Nurs
TI - A Mixed Methods Evaluation of a Nurse-Led Domestic and Family Violence Service
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1111/jan.16836
VO - 0309-2402
Y1 - 2025
ER -