@article{ref1,
title="Health professionals' perceptions of how gender sensitive care is enacted across acute psychiatric inpatient units for women who are survivors of sexual violence",
journal="BMC health services research",
year="2019",
author="O'Dwyer, Carol and Tarzia, Laura and Fernbacher, Sabin and Hegarty, Kelsey",
volume="19",
number="1",
pages="e990-e990",
abstract="BACKGROUND: Sexual violence is a global public health issue. It is a form of gender-based violence commonly experienced by women accessing mental health services. The biomedical model has been the dominant model of care in acute psychiatric units, however, there has been a global movement towards more gender-sensitive and trauma-informed models. To date, only a small amount of research has focused on evaluating these models of care and health professionals' experiences of providing this care. The aim of this study is to gain an in-depth understanding of healthcare professionals' perceptions of how Gender Sensitive Care (GSC) is enacted across acute psychiatric inpatient units for women who are survivors of sexual violence. <br><br>METHODS: This study used case study methodology and the Normalisation Process Theory (NPT) conceptual framework. NPT is a practical framework that can be used to evaluate the implementation of complex models of care in health settings. It included semi-structured interviews with 40 health professionals, document and policy reviews, and observations from four psychiatric inpatient units within a large Australian public mental health organisation. Data were examined using thematic and content analysis. <br><br>RESULTS: Themes were developed under the four NPT core constructs; 1) Understanding GSC in acute psychiatric units: &quot;Without the corridors there's not a lot we can do&quot;, 2) Engagement and Commitment to GSC in acute psychiatric units: &quot;There are a few of us who have that gender sensitive lens&quot;, 3) Organising, relating and involvement in GSC: &quot;It's band aid stuff&quot;, 4) Monitoring and Evaluation of GSC in acute psychiatric units: &quot;We are not perfect, we have to receive that feedback&quot;. <br><br>DISCUSSION: Many health professionals held a simplistic understanding of GSC and avoided the responsibility of implementing it. Additionally, the competing demands of the biomedical model and a lack of appraisal has resulted in an inconsistent enactment of GSC. <br><br>CONCLUSIONS: Health professionals in this study enacted GSC to varying levels. Our findings suggest the need to address each NPT construct comprehensively to adequately implement GSC.<p /> <p>Language: en</p>",
language="en",
issn="1472-6963",
doi="10.1186/s12913-019-4812-8",
url="http://dx.doi.org/10.1186/s12913-019-4812-8"
}