FIG 1 - available via license: Creative Commons Attribution 4.0 International
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Source publication
Risk assessment in clinical practice is often characterised as a process of analysing information so as to make a judgement about the likelihood of harmful behaviour occurring in the future. However, this characterisation is brought into question when the evidence does not support the current use of risk assessment approaches to predict, or provide...
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Citations
... Screening was taken to refer to one or more tests or examinations offered presumptively with the aim of early detection and intervention to improve an individual's health outcomes (Speechley et al., 2017). Risk assessment was defined as the collection of information to assess clients' likelihood of experiencing harm (Nathan & Bhandari, 2022). Studies were included if they examined screening and/or risk assessment tools (e.g., the procedures, tests and examinations used), and the methods by which those tools are administered; which includes the identity/role of the person conducting the screening, the medium by which it is conducted (e.g., face-to-face, online), and other factors including timing, language and setting. ...
Purpose
The purpose of this review is to collate literature on approaches to screening women from culturally and linguistically diverse (CaLD) backgrounds for experiences of intimate partner violence (IPV) and assessing risks, with a view to identifying examples of best practice and research gaps.
Methods
A scoping review methodology was adopted. Medline (Ovid), Embase, CINALH and CENTRAL databases were searched, with supplementary searches for grey literature. Results were independently screened by two reviewers. Studies were included if they focused on women from CaLD backgrounds living in Australia, Canada, Ireland, New Zealand, United Kingdom or United States of America being screened/assessed in a health setting in relation to IPV. Data on study characteristics and key findings were extracted and critical appraisal of study quality was performed.
Results
A total of n = 1,320 results were yielded. After deduplication, the titles and abstracts of n = 846 studies were screened. A total of n = 5 studies were included in the final analysis, and four screening or risk assessment tools/methods were assessed (Danger Assessment for Immigrant Women, Safe Start, Index of Spouse Abuse and Southern Asian Violence Screen).
Conclusions
Given the documented barriers to migrant help-seeking, screening and risk assessment has an important role to play in ensuring that women from CaLD backgrounds are linked into appropriate IPV support services in a timely manner. However, there is very limited evidence to demonstrate that existing screening/risk assessment tools and strategies meet the specific needs of CaLD populations, and more attention needs to be given to intersectional experiences of violence.
Purpose
The current national patient safety strategy for the National Health Service (NHS) in England states that actions need to be taken to support the development of a patient safety culture. This includes that local systems should seek to understand staff perceptions of the fairness and effectiveness of serious incident management. This study aims to explore the perspectives of patient safety professionals about what works well and what could be done better to support a patient safety culture at the level of Trust strategy and serious incident governance.
Design/methodology/approach
A total of 15 professionals with a role in serious incident management, from five mental health trusts in England, were interviewed using a semi-structured interview guide. Thematic analysis and qualitative description were used to analyse the data.
Findings
Participants felt that actions to support a patient safety culture were challenging and required long-term and clinical commitment. Broadening the scope of serious incident investigations was felt to be one way to better understand patient safety culture issues. Organisational influences during the serious incident management process were highlighted, informing approaches to maximise the fairness and objectivity of investigation findings.
Originality/value
The findings of this study offer original insights that the NHS safety system can use to facilitate progression of the patient safety culture agenda. In particular, local mental health trusts could consider the findings in the context of their current strategic objectives related to patient safety culture and operational delivery of serious incident management frameworks.
