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Violence Against Women
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Providing Support to IPV Victims in the Emergency Department

Vignette-Based Interviews With IPV Survivors and Emergency Department Nurses

Melissa H. Watt

University of North Carolina at Chapel Hill School of Public Health

Emily A. Bobrow

University of North Carolina at Chapel Hill School of Public Health

Kathryn E. (Beth) Moracco

Pacific Institute for Research and Evaluation

The authors compare perspectives of intimate partner violence (IPV) survivors and emergency department (ED) nurses on types of social support IPV victims need at different stages of readiness to disclose and leave a relationship. Qualitative interviews (16 IPV survivors, 10 ED nurses) center on women's responses to vignettes that illustrate different stages of readiness. Survivors mention fear as a barrier for action, whereas nurses are more likely to say that the woman is in denial. Survivors emphasize emotional support and respect, whereas nurses emphasize informational and instrumental support. IPV victims desire appropriate, respectful responses by nurses, suitable to their stage of readiness. Nurses need more insight into women's decisions to disclose and leave a relationship and skills to provide emotional support.

Key Words: domestic violence • emergency department • qualitative research • social support

Violence Against Women, Vol. 14, No. 6, 715-726 (2008)
DOI: 10.1177/1077801208317290
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