Adaptation and Implementation of the RNAO woman abuse best practice guideline: A critical reflection

Abstract

Introduction. Domestic violence impacts approximately 30% of women globally. In Australia, reports indicate that one in every six women will experience physical or sexual abuse. Many instances of domestic violence, however, are not reported. Pregnancy and new motherhood are periods of increased risk in a woman’s life. Identifying appropriate methods for screening and responding to domestic violence is a high priority, especially in maternity services. This paper aims to provide a critical reflection on the implementation of the Registered Nurses Association of Ontario’s ‘Woman Abuse: Screening Identification and Initial Response’ Best Practice Guideline at the Women’s and Children’s Health Network (WCHN), Adelaide, South Australia. Division of the topic covered. This study used the Registered Nurses Association of Ontario’s six-phase Knowledge to-Action Process structure for critical reflection. Each phase was evaluated using written reports and reflective conversations. Following the Knowledge-to Action Process, the WCHN successfully demonstrated improvement in staff knowledge and understanding of domestic violence and appropriate methods of screening and responding to disclosure. Further, there was significant growth in leadership, partnership with key stakeholders, and capacity building. Although cost remained a limiting factor, sustainability through cultural change was overwhelmingly encouraging for longevity. Conclusion. This reflection has demonstrated passion, leadership, and organisational commitment to implementing evidence-based care. Key stakeholder partnership, leadership, and scaffolding education and training are pivotal to successful and sustainable implementation.