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Stulz V, Francis L, Naidu A, O'Reilly R. Women escaping domestic violence to achieve safe housing: an integrative review. BMC Womens Health 2024; 24:314. [PMID: 38822284 PMCID: PMC11140925 DOI: 10.1186/s12905-024-03143-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 05/14/2024] [Indexed: 06/02/2024] Open
Abstract
BACKGROUND This integrative review summarises original research that explores women's experiences of escaping domestic violence to achieve safe housing. METHODS Integrative review. A robust search strategy was conducted using the following databases: Scopus, Cumulative Index to Nursing and Allied Health (CINAHL), Cochrane, Medline and PubMed. All articles were assessed for quality using the Mixed Methods Appraisal Tools (MMAT) scoring. Whittemore and Knafl's (2005) five stage approach was used to analyse the primary literature related to women's and stakeholders' experiences of escaping domestic violence to achieve safe housing. RESULTS A total of 41 articles were retrieved and 12 papers were included in this review (six qualitative, one quantitative and five mixed methods) that fulfilled the inclusion criteria. Four overarching themes were identified: 'Experiences of leaving domestic violence', 'Barriers to achieving safe housing', 'Facilitators to achieving safe housing' and 'The road to recovery'. The 'Experiences of leaving domestic violence' theme included two subthemes: 'the losses' and 'ongoing contact with the perpetrator'. The 'Barriers to achieving safe housing' theme included three subthemes: 'financial insecurity', 'being judged by others for leaving and service availability'. The 'Facilitators to achieving safe housing' theme included two sub-themes: 'support, partnership, and collaboration between women and service providers' and 'feeling respected and heard'. The 'Road to recovery' theme included two sub-themes: 'being a good mother' and 'empowerment after leaving domestic violence'. CONCLUSIONS This review has highlighted the need for service and health care providers to work together and collaborate effectively with the woman experiencing and escaping domestic violence, especially in rural and remote areas. This means giving women access to the most suitable educational resources and services that are appropriate for their unique situation. Tailoring support for women is crucial to enable women to achieve safe housing and to be able to live a safe life with their children, away from the perpetrator of the domestic violence.
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Affiliation(s)
- Virginia Stulz
- Faculty of Health, School of Nursing and Midwifery, University of Canberra, Building 10, Office 10B7, 11 Kirinari St, Bruce, Canberra, ACT, 2617, Australia.
| | - Lyn Francis
- Western Sydney University, PO Box 63, Penrith, Sydney, NSW, 2751, Australia
| | - Anshu Naidu
- Western Sydney University, School of Nursing and Midwifery, Sydney, NSW, 2745, Australia
| | - Rebecca O'Reilly
- Faculty of Health Sciences, Australian Catholic University, School of Nursing, Midwifery and Paramedicine, 40 Edward St, North Sydney, Sydney, NSW, 2060, Australia
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Roguski M, Atwool N. Conversion practices in Aotearoa New Zealand: Developing a holistic response to spiritual abuse. PLoS One 2024; 19:e0302163. [PMID: 38691525 PMCID: PMC11062516 DOI: 10.1371/journal.pone.0302163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Accepted: 03/27/2024] [Indexed: 05/03/2024] Open
Abstract
Research arising from conversion practices, also known as conversion therapy and sexual orientation and gender identity change efforts, has generally been underpinned by an emancipatory discourse that has evolved to counter harmful practices by evidencing associated harms and estimating prevalence. Little attention, however, has focused on what is required to support survivors, inclusive of those currently or those having previously experienced conversion efforts. Within a context of Aotearoa New Zealand having recently criminalised conversion practices, this study adopted an in-depth qualitative research design, informed by a dual adherence to life history and an empowerment methodology. Twenty-three religious conversion practice survivors, who had experienced religious conversion practices across a range of Christian identified faith settings, were interviewed. Participants had a median age of 34 and the majority identified as New Zealand European, cisgender, and gay. Participant narratives were discursively analysed. Three primary discourses were identified that inform the needed development of interventions and supports: 1) pervasive framing of conversion practices as harm, rather than spiritual abuse, has minimised the impacts of conversion practices. Rather, conceptualising conversion as spiritual abuse positions conversion practices as requiring urgent intervention and ongoing support, inclusive of the development of policy and operational responses; 2) the coercive nature of spiritual abuse needs to be appreciated in terms of spiritual, social, and structural entrapment; 3) the metaphor of a pipeline was enlisted to encapsulate the need for a multidimensional array of interventions to ensure those entrapped within spiritual abuse have a "pipeline to safety". Holistic survivor-centric conversion-related responses to spiritual abuse are required. These need to be informed by an understanding of entrapment and the associated need for holistic responses, inclusive of extraction pathways and support for those entrenched within abusive religious settings, support immediately after leaving abusive environments, and support throughout the survivors' healing journeys.
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Affiliation(s)
- Michael Roguski
- Kaitiaki Research and Evaluation, Wellington, New Zealand
- Victoria University of Wellington, Wellington, New Zealand
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Raponi MBG, Condeles PC, Azevedo NF, Ruiz MT. Prevalence and risk factors for intimate partner violence and indigenous women: A scoping review. Int J Nurs Pract 2024; 30:e13159. [PMID: 37142278 DOI: 10.1111/ijn.13159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 04/06/2023] [Accepted: 04/13/2023] [Indexed: 05/06/2023]
Abstract
AIM This study aims to map intimate partner violence evidence among indigenous women and explore the prevalence, social and systemic factors contributing to this occurrence. METHODS This is a scoping review following the steps recommended by the JBI. We searched the MEDLINE/PubMed®, Web of Science™, Embase, CINAHL and LILACS databases on March 2023. Studies that addressed the intimate partner violence topic among indigenous women and risk factors, without time and language limitations, were included. Detailed information was extracted, standardized by JBI. RESULTS Twenty studies of different designs were included, all published in English, between 2004 and 2022. A high intimate partner violence prevalence among indigenous women was identified, associated with a great diversity of risk factors. CONCLUSION The great diversity of identified factors associated with its occurrence shows the complexity of this problem and the vulnerability of indigenous women.
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Affiliation(s)
| | - Paulo César Condeles
- Stricto sensu Graduate Program in Health Care, Federal University of Triângulo Mineiro, Uberaba, Brazil
| | - Nayara Freitas Azevedo
- Stricto sensu Graduate Program in Health Care, Federal University of Triângulo Mineiro, Uberaba, Brazil
| | - Mariana Torreglosa Ruiz
- Stricto sensu Graduate Program in Health Care, Federal University of Triângulo Mineiro, Uberaba, Brazil
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Tolmie J, Smith R, Wilson D. Understanding Intimate Partner Violence: Why Coercive Control Requires a Social and Systemic Entrapment Framework. Violence Against Women 2024; 30:54-74. [PMID: 37807727 PMCID: PMC10666472 DOI: 10.1177/10778012231205585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/10/2023]
Abstract
How intimate partner violence (IPV) is conceptualized affects what we see when we look at situations involving IPV and what we think the solutions to the problem of IPV are-either in individual cases or in the development of broader legal and policy responses. In this article, it is suggested that while conceptualizing IPV as coercive control is an improvement over previous understandings, it does not go far enough. Coercive control must be located within a broader conceptualization of IPV as a form of social and systemic entrapment if it is not to operate in a harmful manner for victim-survivors.
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Affiliation(s)
| | - Rachel Smith
- Auckland University of Technology, Auckland, New Zealand
| | - Denise Wilson
- Auckland University of Technology, Auckland, New Zealand
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Fanslow JL, Mellar BM, Gulliver PJ, McIntosh TKD. Ethnic-specific prevalence rates of intimate partner violence against women in New Zealand. Aust N Z J Public Health 2023; 47:100105. [PMID: 38052156 DOI: 10.1016/j.anzjph.2023.100105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Revised: 08/02/2023] [Accepted: 10/23/2023] [Indexed: 12/07/2023] Open
Abstract
OBJECTIVE This study presents age-standardised ethnic-specific prevalence rates of intimate partner violence against women in New Zealand, by physical and/or sexual intimate partner violence, psychological intimate partner violence, controlling behaviours and economic abuse. METHODS Data are from 1,431 ever-partnered women in the representative and cross-sectional He Koiora Matapopore, the 2019 New Zealand Family Violence Study. RESULTS High lifetime prevalence of intimate partner violence is present across all ethnic groups in NZ, with over half of all women reporting any intimate partner violence (55.8%). Substantial ethnic disparities exist in intimate partner violence rates, with Māori women reporting the highest prevalence of intimate partner violence (64.6%), followed by NZ European women (61.6%). CONCLUSIONS Intimate partner violence prevention and intervention services are needed at the population-level, and services must be culturally responsive and attuned to the needs of communities that bear the greatest burden. IMPLICATIONS FOR PUBLIC HEALTH Ethnic differences in intimate partner violence prevalence likely contribute to health disparities at the population-level, reinforcing calls for prevention and necessitating healthcare systems to be culturally informed and mobilised to address intimate partner violence as a priority health issue.
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Affiliation(s)
- Janet L Fanslow
- Social and Community Health, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, New Zealand.
| | - Brooklyn M Mellar
- Social and Community Health, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, New Zealand
| | - Pauline J Gulliver
- Social and Community Health, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, New Zealand
| | - Tracey K D McIntosh
- School of Māori Studies and Pacific Studies, Faculty of Arts, The University of Auckland, Auckland, New Zealand
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Usher K, Jackson D, Fatema SR, Jones R. Domestic violence against women has increased during the COVID-19 pandemic: A perspective paper about the need for change to current and future practice. Int J Ment Health Nurs 2023; 32:1439-1445. [PMID: 37545040 DOI: 10.1111/inm.13200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 07/20/2023] [Accepted: 07/27/2023] [Indexed: 08/08/2023]
Abstract
The COVID-19 outbreak led to widespread disruption and stress to people's lives. Concern about the escalation of domestic violence (DV) rates and related mental health issues soon emerged following the implementation of strategies aimed at curbing the spread of the virus. This perspective paper presents an overview of the issues, argues for greater recognition of the link between DV against women and serious emotional distress, and the need for greater awareness and knowledge about DV among mental health professionals. While we acknowledge that men also experience DV, their rates are much lower than for women and in this paper our focus is on women.
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Affiliation(s)
- Kim Usher
- School of Health, University of New England, Armidale, New South Wales, Australia
| | - Debra Jackson
- Sydney Nursing School, University of Sydney, Sydney, New South Wales, Australia
| | - Syadani Riyad Fatema
- School of Health, University of New England, Armidale, New South Wales, Australia
- Department of Sociology, Noakhali Science and Technology University, Noakhali, Bangladesh
| | - Rikki Jones
- School of Health, University of New England, Armidale, New South Wales, Australia
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McBride-Henry K, Roguski M, Miller C, Van Wissen K, Saravanakumar P. Re-orientating health and nursing care: a qualitative study on indigenous conceptualisations of wellbeing. BMC Nurs 2022; 21:294. [PMID: 36324117 PMCID: PMC9628117 DOI: 10.1186/s12912-022-01063-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 10/07/2022] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND Health systems often fail to address the wellbeing needs of older Indigenous populations; this is attributed to a lack of knowledge of Indigenous health systems arising from a privileging of dominant western biomedical epistemologies. In Aotearoa/New Zealand, there is a dearth of nursing knowledge relating to Māori, which negatively impacts on the provision of holistic nursing care. This research explores insights and perspectives of older Māori adult's (pakeke) perceptions of wellbeing so nurses can provide culturally responsive care and support the wellbeing of Indigenous New Zealanders. METHODS An Indigenous kaupapa Māori methodology underpinned and directed this research project. Audio-recorded interviews were conducted face to face in participants' homes, marae (meeting house) and workplaces. Pakeke over the age of 55 participated in in-depth interviews. A total of 10 pakeke were interviewed and narratives were thematically analysed in accordance with meanings derived from Māori worldviews. RESULTS Wellbeing was attributed to the holistic interconnection and balancing of whānau (wider family), whanaungatanga (social connectedness), hinengaro (mental and emotional wellbeing), taha tinana (physical wellbeing) and wairua (spirituality). CONCLUSION The findings offer unique insights into how wellbeing is constructed for pakeke; the results are unique but consistent with international accounts of older Indigenous peoples. Pakeke wellbeing can be supported by acknowledging existing cultural and spiritual beliefs and peer-support initiatives. Nursing models of care should prioritise Indigenous ways of knowing; this research offers nursing-focused recommendations to improve care.
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Affiliation(s)
- Karen McBride-Henry
- grid.267827.e0000 0001 2292 3111School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | | | - Charissa Miller
- grid.267827.e0000 0001 2292 3111School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | - Kim Van Wissen
- grid.267827.e0000 0001 2292 3111School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | - Padmapriya Saravanakumar
- grid.117476.20000 0004 1936 7611School of Nursing & Midwifery, Faculty of Health, University of Technology Sydney, Ultimo, NSW Australia
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Menzies O, Dudley M, Garrett N, Elder H, Daniels P, Wilson D. He Tūhononga Whaiaro: A Kaupapa Māori Approach to Mate Wareware (Dementia) and Cognitive Assessment of Older Māori. J Appl Gerontol 2021; 41:1066-1073. [PMID: 34365859 DOI: 10.1177/07334648211037504] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
AIM The aim of this study is to investigate Māori (Indigenous peoples of Aotearoa New Zealand) understandings of dementia (mate wareware) and develop a framework to inform assessment of cognitive impairment. METHOD Qualitative, kaupapa Māori (Māori approach) research with 241 older Māori (kaumātua) involving 17 focus groups across Aotearoa New Zealand (NZ) and eight families (whānau) from one region. We thematically analyzed transcribed data from audio-recorded interviews. RESULTS Two overarching themes, namely, connection (Tūhononga) and self (Whaiaro), and eight subthemes in particular mind (hinengaro), spirit (wairua), body (tinana), family (whānau), social connection (whanaungatanga), identity and role (tuakiri), place (wāhi), and ancestors (tūpuna) emerged. Māori language (Te Reo Māori) was important for cognitive health. CONCLUSION The findings embedded in cultural values improve understanding of dementia (mate wareware) in Māori. These themes can inform the assessment of older Māori with cognitive impairment. For those without cognitive impairment, the Tūhononga Whaiaro framework suggests factors potentially crucial for healthy aging in Māori.
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Affiliation(s)
- Oliver Menzies
- Auckland City Hospital, New Zealand.,The University of Auckland, New Zealand
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