ABSTRACT

Using the lens of Communication Privacy Management (CPM) theory, this article examines communication between health care providers in the southern United States emergency department (ED) and patients who have experienced IPV. We qualitatively examine communicative challenges that COVID-19 protocols have created, as well as routine difficulties that occur when communicating with survivors of violence. The participants described challenges including: (1) Feeling uncertainty, (2) Encountering patient resistance, (3) Managing apathy and frustration, and (4) Navigating time pressure. Furthermore, the providers explained how COVID-19 compounded those challenges through: (1) Minimizing contact, (2) Losing nonverbal behavior, (3) Encountering limited resources, and (4) Facing visitor complications. This article extends CPM theory by exploring disclosure challenges related to IPV in health care settings during the COVID-19 pandemic including permeability, linkages, and privacy rules. It offers practical suggestions for increasing patient disclosure of IPV experiences.

摘要

本文利用通信隐私管理 (CPM) 理论的视角，研究了美国南部急诊科 (ED) 的医疗保健提供者与经历过 IPV 的患者之间的通信。我们定性研究了 COVID-19 协议造成的沟通挑战，以及与暴力幸存者沟通时出现的日常困难。参与者描述的挑战包括：(1) 感到不确定，(2) 遇到患者阻力，(3) 管理冷漠和沮丧，以及 (4) 应对时间压力。此外，提供商还解释了 COVID-19 如何通过以下方式加剧这些挑战：(1) 尽量减少接触，(2) 失去非语言行为，(3) 资源有限，以及 (4) 面对访客的复杂情况。本文扩展了 CPM 理论，探讨了 COVID-19 大流行期间医疗保健环境中与 IPV 相关的披露挑战，包括渗透性、联系和隐私规则。它为增加患者披露 IPV 经历提供了实用建议。