[Requirements of good medical care for victims of violence and quality-assured "confidential securing of evidence". A qualitative study among physicians in Northrhine-Westphalia]. / Voraussetzungen für eine gute medizinische Gewaltopferversorgung und eine qualitätsgesicherte "vertrauliche Spurensicherung". Eine qualitative Studie mit Ärztinnen und Ärzten aus NRW.

BACKGROUND: Sexual and domestic violence against women and young girls are widespread and can lead to significant psychological, psychosocial and health consequences for the victims. "Confidential Securing of Evidence" ("vertrauliche Spurensicherung", VSS) offers victims the opportunity to have the consequences of the violent acts they have suffered documented without primary police involvement, thus gaining time for decision-making. However, VSS and, in general, the care for victims of violence pose special challenges to physicians. In North Rhine-Westphalia, the documentation app iGOBSIS was developed in a project to support physicians in the care for victims of violence, especially in the VSS. OBJECTIVES: The aim of the work was to clarify how physicians in North Rhine-Westphalia evaluate the functionality of violence victim care and VSS. Specifically, main deficits were to be identified, and suggestions and recommendations for optimizing care and VSS be explored. MATERIALS AND METHODS: Interviews with 39 physicians were conducted in focus groups and analyzed using qualitative content analysis. RESULTS: Medical care for victims of violence and VSS are mainly complicated by stress and time constraints and lack of professional qualification. There is a need for more public relations and educational work, better professional qualification, consistent documentation and secure funding. CONCLUSIONS: Readily available forensic medical support for documentation that will hold up in court, secure funding, networking and public relations are important elements to ensure good medical care for victims of violence and a functional VSS.

["Because we feel, we have to do something" - Barriers in the prevention of violence and key areas requiring action : A qualitative interview study with professional nurses and managers in the field of elderly care]. / "Weil wir spüren, da müssen wir was tun" ­ Barrieren in der Gewaltprävention sowie zentrale Handlungserfordernisse : Eine qualitative Interviewstudie mit professionellen Pflegefachkräften und Führungskräften aus dem Bereich Altenpflege.

BACKGROUND: In recent years, politics and society have shown an increasing interest in the prevention of violence. Despite the scientific studies and prevention programs that have been conducted over the past few years, there is no indication that the prevalence of violence in elderly care is falling. A high number of unreported cases may still be assumed. OBJECTIVE: The present study examined the barriers in transferring research knowledge into practice. Furthermore, it dealt with the requirements of an interventional approach which is practical and which effectively addresses the barriers. MATERIAL AND METHODS: The data were collected in qualitative interviews (n = 20) and analyzed by using qualitative content analysis. RESULTS: The study revealed uncertainties in dealing with violence. The institutions lacked a clear definition of violence and the respondents did not have a clear concept of when and where violence starts. A high proportion of the respondents stated that violence occurred in various forms in daily nursing care but that there were no specific strategies for action. Only very few cases were documented at all. Moreover, a lack of practical further training was reported. The visibility of these barriers opens up new approaches to developing preventive measures which work in practice. CONCLUSION: A common definition of violence, clear and binding standards, regular training and education measures are central to the prevention of violence in care.