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Integrating trauma and violence informed care in primary health care settings for First Nations women experiencing violence: a systematic review.

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dc.contributor.authorCullen P.
dc.contributor.authorMackean T.
dc.contributor.authorWalker N.
dc.contributor.authorCoombes J.
dc.contributor.authorBennett-Brook K.
dc.contributor.authorClapham K.
dc.contributor.authorIvers R.
dc.contributor.authorHackett M.
dc.contributor.authorWorner F.
dc.contributor.authorLongbottom M.
dc.date.accessioned2024-11-19T05:30:13Z
dc.date.available2024-11-19T05:30:13Z
dc.date.copyright2022
dc.date.issued2022-09-02en
dc.description.abstractIt is imperative that access to primary health care services is equitable as health care practitioners are often the first responders to women who experience violence. This is of particular importance for First Nations women who disproportionately experience interpersonal and structural violence when compared to non-First Nations women, as well as the ongoing impact of colonization, racism, and intergenerational trauma. To understand how primary health care services can provide equitable and effective care for First Nations women, we explored how trauma and violence informed care is integrated in primary health care settings through the lens of an equity-oriented framework. A systematic search of electronic databases included Medline (via Ovid), Scopus, Informit, and PubMed and grey literature. Six studies were included in the review and we undertook a narrative synthesis using the equity-oriented framework to draw together the intersection of trauma and violence informed care with culturally safe and contextually tailored care. This review demonstrates how equity-oriented primary health care settings respond to the complex and multiple forms of violence and intergenerational trauma experienced by First Nations women and thus mitigate shame and stigma to encourage disclosure and help seeking. Key attributes include responding to women's individual contexts by centering family, engaging elders, encouraging community ownership, which is driven by a culturally competent workforce that builds trust, reduces retraumatization, and respects confidentiality. This review highlights the importance of strengthening and supporting the workforce, as well as embedding cultural safety within intersectoral partnerships and ensuring adequate resourcing and sustainability of initiatives.
dc.description.grantThe authors acknowledge funding from Lowitja Institute and The George Institute for Global Health.
dc.identifier.citationTrauma, Violence & Abuse. Vol.23(4), 2022, pp. 1204-1219.
dc.identifier.doihttps://dx.doi.org/10.1177/1524838020985571
dc.identifier.institution(Cullen, Mackean, Walker, Ivers) School of Population Health, UNSW, Sydney, Australia
dc.identifier.institution(Cullen, Mackean, Walker, Coombes, Bennett-Brook, Ivers, Hackett) George Institute for Global Health, UNSW, Sydney, Australia
dc.identifier.institution(Cullen, Clapham, Longbottom) First Peoples Health and Wellbeing Research Centre, 8691University of Wollongong, Wollongong, Australia
dc.identifier.institution(Mackean, Ivers) College of Medicine and Public Health, Flinders University, Adelaide, Australia
dc.identifier.institution(Worner) Waminda South Coast Women's Health and Welfare Aboriginal Corporation, Nowra, Australia
dc.identifier.institution(Longbottom) School of Social Work, University of Hawai'i Manoa, HI, United States
dc.identifier.pubmedid33573523 [https://www.ncbi.nlm.nih.gov/pubmed/?term=33573523]
dc.identifier.urihttps://lowitja.intersearch.com.au/handle/1/670
dc.relation.ispartofTrauma, Violence & Abuse
dc.subject.keywordsViolence
dc.titleIntegrating trauma and violence informed care in primary health care settings for First Nations women experiencing violence: a systematic review.
dc.typeArticle
dc.type.studyortrialSystematic review and/or meta-analysis

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