RESUMEN
Domestic abuse is the leading cause of injuries and death among women of childbearing age in the United States. The broad purpose of this research is to discover how pregnant women's psychological and behavioral responses to abuse affect birth outcomes. To select a diverse sample of women, we identified 8 prenatal care sites and completed the human subjects approval process with each. Rates of screening for abuse range from all but 12 women over a 2-1/2-year period at one site to no screening for abuse at another site. In this article, we will review pertinent literature and discuss the supports and barriers we observed when implementing an abuse screening program using the Abuse Assessment Screen, a well-tested and valid clinical instrument. Suggestions will be made for improving the screening rates at those sites where screening is absent or inconsistent.
Asunto(s)
Accesibilidad a los Servicios de Salud/organización & administración , Tamizaje Masivo/organización & administración , Complicaciones del Embarazo/diagnóstico , Atención Prenatal/organización & administración , Maltrato Conyugal/diagnóstico , Actitud del Personal de Salud , Competencia Clínica/normas , Femenino , Conocimientos, Actitudes y Práctica en Salud , Investigación sobre Servicios de Salud , Humanos , Capacitación en Servicio , Evaluación de Necesidades , Embarazo , Resultado del Embarazo , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud , Apoyo SocialRESUMEN
Nurses have served with distinction in wartime since Florence Nightingale went to the Crimea. Women often accompanied their husbands to battle during the Revolutionary and Civil Wars, caring for the sick and wounded. Although not officially given officer status until 1920, Army nurses served in the Spanish-American War and World War I. As officers, thousands of nurses served in subsequent wars, distinguishing themselves by their heroism, devotion to duty, and sheer tenacity of spirit.