How do primary health care teams learn to integrate intimate partner violence (IPV) management? A realist evaluation protocol

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Title: How do primary health care teams learn to integrate intimate partner violence (IPV) management? A realist evaluation protocol
Authors: Goicolea, Isabel | Vives-Cases, Carmen | San Sebastián, Miguel | Marchal, Bruno | Kegels, Guy | Hurtig, Anna-Karin
Research Group/s: Salud Pública
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia
Keywords: Realist evaluation | Intimate partner violence | Primary healthcare teams | Team learning | Health systems | Spain
Knowledge Area: Medicina Preventiva y Salud Pública
Issue Date: 23-Mar-2013
Publisher: BioMed Central
Citation: GOICOLEA, Isabel, et al. “How do primary health care teams learn to integrate intimate partner violence (IPV) management? A realist evaluation protocol”. Implementation Science 2013, 8:36. doi:10.1186/1748-5908-8-36
Abstract: Background: Despite the existence of ample literature dealing, on the one hand, with the integration of innovations within health systems and team learning, and, on the other hand, with different aspects of the detection and management of intimate partner violence (IPV) within healthcare facilities, research that explores how health innovations that go beyond biomedical issues—such as IPV management—get integrated into health systems, and that focuses on healthcare teams’ learning processes is, to the best of our knowledge, very scarce if not absent. This realist evaluation protocol aims to ascertain: why, how, and under what circumstances primary healthcare teams engage (if at all) in a learning process to integrate IPV management in their practices; and why, how, and under what circumstances team learning processes lead to the development of organizational culture and values regarding IPV management, and the delivery of IPV management services. Methods: This study will be conducted in Spain using a multiple-case study design. Data will be collected from selected cases (primary healthcare teams) through different methods: individual and group interviews, routinely collected statistical data, documentary review, and observation. Cases will be purposively selected in order to enable testing the initial middle-range theory (MRT). After in-depth exploration of a limited number of cases, additional cases will be chosen for their ability to contribute to refining the emerging MRT to explain how primary healthcare learn to integrate intimate partner violence management. Discussion: Evaluations of health sector responses to IPV are scarce, and even fewer focus on why, how, and when the healthcare services integrate IPV management. There is a consensus that healthcare professionals and healthcare teams play a key role in this integration, and that training is important in order to realize changes. However, little is known about team learning of IPV management, both in terms of how to trigger such learning and how team learning is connected with changes in organizational culture and values, and in service delivery. This realist evaluation protocol aims to contribute to this knowledge by conducting this project in a country, Spain, where great endeavours have been made towards the integration of IPV management within the health system.
Sponsor: This study protocol has been funded through a COFAS grant (supported by COFUND action within the Marie Curie Action People, in the Seventh Framework program and the Swedish Council for Working Life and Social Research/FAS-Forskningsradet för arbetsliv och socialvetenskap) through a competitive call.
ISSN: 1748-5908 | 10.1186/1748-5908-8-36
Language: eng
Type: info:eu-repo/semantics/article
Rights: © 2013 Goicolea et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Peer Review: si
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