Tags

Type your tag names separated by a space and hit enter

When nurses are also patients: Intimate partner violence and the health system as an enabler of women's health and agency in Johannesburg.
Glob Public Health. 2016; 11(1-2):169-83.GP

Abstract

While violence against women is a recognised global health problem, women's agency in marginalised settings is poorly understood, particularly in relation to health systems. We explored agency as a practical and theoretical construct through qualitative research among 20 nurses with direct or indirect experiences of intimate partner violence (IPV) in Johannesburg. Interviews conducted from August 2013 to March 2014 generated rich descriptions from respondents in five health facilities. Nurses' self-reported IPV matched national prevalence of 24-31%. Findings revealed the way in which agency is enacted by nurses, allowing them the economic means to leave abusive partnerships, yet disabling them from agency and health promotion in their workplace. At the same time, nurses expanded agentic possibilities for patients by enabling a national response to IPV within South African health clinics - one that is largely undocumented. We posit that nurses can serve as important agentic actors in public health systems in low- and middle-income country settings by assisting patients to address IPV, even in the absence of targeted training and guidelines. To ensure the health and well-being of women experiencing IPV, nurses should be supported by the health sector to respond skilfully to patients and to safely process their own experiences of violence.

Authors+Show Affiliations

a Department of Conflict Resolution, Human Security & Global Governance, McCormack Graduate School of Policy and Global Studies , University of Massachusetts Boston , Boston , MA , USA. b College of Nursing and Health Sciences , University of Massachusetts Boston , Boston , MA , USA. c Faculty of Health Sciences , Wits Reproductive Health and HIV Institute, University of the Witwatersrand , Hillbrow (Johannesburg) , South Africa.c Faculty of Health Sciences , Wits Reproductive Health and HIV Institute, University of the Witwatersrand , Hillbrow (Johannesburg) , South Africa.a Department of Conflict Resolution, Human Security & Global Governance, McCormack Graduate School of Policy and Global Studies , University of Massachusetts Boston , Boston , MA , USA. d Department of Political Science , Stellenbosch University , Stellenbosch , South Africa.c Faculty of Health Sciences , Wits Reproductive Health and HIV Institute, University of the Witwatersrand , Hillbrow (Johannesburg) , South Africa. e Bixby Center for Global Reproductive Health , University of California San Francisco , San Francisco , CA , USA.a Department of Conflict Resolution, Human Security & Global Governance, McCormack Graduate School of Policy and Global Studies , University of Massachusetts Boston , Boston , MA , USA.a Department of Conflict Resolution, Human Security & Global Governance, McCormack Graduate School of Policy and Global Studies , University of Massachusetts Boston , Boston , MA , USA. f Department of Health Sciences , Boston University , Boston , MA , USA.c Faculty of Health Sciences , Wits Reproductive Health and HIV Institute, University of the Witwatersrand , Hillbrow (Johannesburg) , South Africa.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25833744

Citation

Sprague, Courtenay, et al. "When Nurses Are Also Patients: Intimate Partner Violence and the Health System as an Enabler of Women's Health and Agency in Johannesburg." Global Public Health, vol. 11, no. 1-2, 2016, pp. 169-83.
Sprague C, Woollett N, Parpart J, et al. When nurses are also patients: Intimate partner violence and the health system as an enabler of women's health and agency in Johannesburg. Glob Public Health. 2016;11(1-2):169-83.
Sprague, C., Woollett, N., Parpart, J., Hatcher, A. M., Sommers, T., Brown, S., & Black, V. (2016). When nurses are also patients: Intimate partner violence and the health system as an enabler of women's health and agency in Johannesburg. Global Public Health, 11(1-2), 169-83. https://doi.org/10.1080/17441692.2015.1027248
Sprague C, et al. When Nurses Are Also Patients: Intimate Partner Violence and the Health System as an Enabler of Women's Health and Agency in Johannesburg. Glob Public Health. 2016;11(1-2):169-83. PubMed PMID: 25833744.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - When nurses are also patients: Intimate partner violence and the health system as an enabler of women's health and agency in Johannesburg. AU - Sprague,Courtenay, AU - Woollett,Nataly, AU - Parpart,Jane, AU - Hatcher,Abigail M, AU - Sommers,Theresa, AU - Brown,Shelley, AU - Black,Vivian, Y1 - 2015/04/01/ PY - 2015/4/3/entrez PY - 2015/4/3/pubmed PY - 2016/10/7/medline KW - South Africa KW - agency KW - health systems KW - intimate partner violence KW - nursing SP - 169 EP - 83 JF - Global public health JO - Glob Public Health VL - 11 IS - 1-2 N2 - While violence against women is a recognised global health problem, women's agency in marginalised settings is poorly understood, particularly in relation to health systems. We explored agency as a practical and theoretical construct through qualitative research among 20 nurses with direct or indirect experiences of intimate partner violence (IPV) in Johannesburg. Interviews conducted from August 2013 to March 2014 generated rich descriptions from respondents in five health facilities. Nurses' self-reported IPV matched national prevalence of 24-31%. Findings revealed the way in which agency is enacted by nurses, allowing them the economic means to leave abusive partnerships, yet disabling them from agency and health promotion in their workplace. At the same time, nurses expanded agentic possibilities for patients by enabling a national response to IPV within South African health clinics - one that is largely undocumented. We posit that nurses can serve as important agentic actors in public health systems in low- and middle-income country settings by assisting patients to address IPV, even in the absence of targeted training and guidelines. To ensure the health and well-being of women experiencing IPV, nurses should be supported by the health sector to respond skilfully to patients and to safely process their own experiences of violence. SN - 1744-1706 UR - https://www.unboundmedicine.com/medline/citation/25833744/When_nurses_are_also_patients:_Intimate_partner_violence_and_the_health_system_as_an_enabler_of_women's_health_and_agency_in_Johannesburg_ L2 - http://www.tandfonline.com/doi/full/10.1080/17441692.2015.1027248 DB - PRIME DP - Unbound Medicine ER -