Currently, screening is not done on a routine basis. According to an Aug. 4 article in the Journal of the American Medical Association, fewer than 10 percent of primary physicians routinely screen patients for partner abuse during regular office visits. Although domestic violence brings women to the healthcare system, treatment is often done without addressing the problem. In the past, domestic violence detection was largely based on physical signs of abuse, but the new guidelines will weave screening questions into routine office visits, particularly during prenatal care. The guidelines also contain services available to those threatened by domestic violence.
Nurses are in a prime position to screen for domestic violence.
We need to ask questions and be prepared to give feedback, referrals, and resources. These protocols should be included in all nursing programs. Secretary of Health and Human Services Donna E. Shalala applauded the guidelines. The guidelines packet includes intervention and assessment steps and tips for organizing a hospital or clinic to screen for abuse.