It is not just about hitting or punching. It is a pattern of assaultive and coercive behavior, including psychological, sexual and physical abuse" (Salber & . Taliaferro). The syndrome of dominance and control the perpetrator initiates leads to the victim's increasing entrapment, also known as the "battering syndrome."
Domestic violence, "Practice standards for working with women affected by domestic and family violence (2002), an Australian publication explains, denotes violence between individuals indicated in the domestic violence legislation. DV encompasses physical abuse such as hitting, punching, slapping, shoving, as well as other varieties of physical and sexual assault. DV includes:
Determined injury;
Determined damage to property;
harassment or intimidation, includes stalking;
Indecent behavior toward the spouse/partner without the spouse consenting; and A threat or effort to commit whichever of the above ("Practice standards…," 2002).
In addition to physical abuse, DV may include various other behaviors to gain/maintain power and control over the victim and/or frighten the victim, for example, the abuser may threaten "to injure or otherwise harm the spouse or the spouse's children, or constantly following a spouse. It is the important elements of fear and intimidation that distinguishes between conflict in a relationship and domestic violence" ("Practice standards…," 2002, p. 8). Physical violence, one major risk factor for the development of mental illness in women, may contribute to anxiety disorders such as post traumatic stress disorder (PTSD). According to Baca-Garcia, Perez-Rodriguez, Mann and Oquendo (2008), higher rates of domestic violence or sexual abuse link to increased risk for mental health disorders, suicidal ideation and attempts. Pailler et al. (2007) concur that those individuals who suffer repeated physical violence report more symptoms of posttraumatic stress disorder and depression. Therefore, the researcher asserts, identifying the risk factors which increase the probability of women becoming victims of recurring violent acts, along with identifying those currently being abused, proves vital. The development and implementation of evidence-based practice protocol to identify victims of DV, the primary focus of this capstone, the literature reveals, comprises a significant study effort.
Study Aim and Objectives
As this Capstone project investigates the development and implementation of an evidence-based practice protocol in the researcher's clinical specialty area, domestic violence and Hispanic women, the researcher also identifies and describes this current critical concern. The objects for this study include:
To review and analyze the current research and clinical literature pertinent to the key issues of an EPBB, relating to domestic violence and Hispanic women, including published standards.
To implement an existing EBPP in the researcher's clinical setting in work as an APN.
To provide a theoretical base for the proposed EBPP: physiological/psychological/pathophysiological, behavioral, developmental theories.
To describe/develop the EBPP, and describe the process for its implementation in the researcher's practice setting, including EBPP document as appendix.
To identify ways in which the effectiveness of the EBPP will be evaluated and documented; to identify outcomes.
To describe the cost implications of the new EBPP, and how the implementation of this EBPP will be financed.
To summarize the significance of this case to the APN role, e.g., identify relevant specialty competencies.
To create a letter of inquiry for submission to relevant journal to determine possibility for publication of project paper.
The next section of this Capstone relates a synopsis of literature related to this study's focus to fulfill the aim and objectives. During the process, the reader's understanding of DV, as well as IPV, confirmed to be a primary public health concern, not only in the U.S., but worldwide will increase. The researcher's hope for this study includes the desire that the related information regarding EBPP will ultimately contribute to helping decrease reported and unreported statistics regarding DV.
RELATED LITERATURE
"My abuser didn't learn it [to be an abuser] off the TV.
My husband learned it from his dad"
(Tilley & Brackley, 2004, Developmental critical…section, ¶ 4).
Increasing Concerns
The prevalence of domestic violence among Hispanic women in the United States reportedly increases each year, simultaneously posing a high threat for the development of mental illness among this population. According to Rodriguez, Heilemann, Fielder, Ang, Nevarez, and Mangione (2008), Hispanic women who experience physical violence are at increased risk for mental and physical problems including depression, anxiety and substance abuse. To increase reports of domestic violence, it proves crucial on understand sthe cultural beliefs and practices of Hispanic women. This knowledge and awareness consequently will facilitate healthcare providers to specifically assess Hispanic women who present with...
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