Date of Graduation

Spring 5-15-2025

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Department/Program

Public Health

Program

MSN project

First Advisor

Dr. Ann Ozaze Lawani PhD., MSN, RN

Second Advisor

Godfrey, S.J., DNP, RN, PHN

Third Advisor

Tracy Allen Program Administrator for ME-MSN and MPH

Abstract

Abstract

Intimate partner violence (IPV) is a massive health concern in the Spanish-speaking community. There is a high rate IPV, worsening by factors such as language barriers, cultural stigma, and the constant fear of deportation. Resent data underscores the need for standardized IPV screening and trauma-informed care, thus supporting early recognition and intervention. The aim of this Quality Improvement (QI) project is to increase IPV detection rate by 25% from March 10, 2025, to April 15, 2025, in an San Francisco community clinic using an electronic tool called a HITS (Hurt, Insult, Threaten, Scream) and by trauma-informed staff training. Methods of the intervention are integrated hard stops for IPV screening into the electronic health record in EPIC, staff trauma informed IPV care, pamphlets on IPV awareness, and a hosted training session attended by 28 staff members in person, and on zoom. Outcome measures include the number of patients screened, the number of staff trained, the improvements in patient documentation and referrals. The results displayed 42% in staff feeling confident while speaking to patients about IPV while enhancing EPIC documentation for Spanish-speaking patients. However, with these new implementations, barriers such as time constraints, and discomfort from staff were recognized, thus highlighting further implementations that may need to be addressed. Conclusions of the project note that standardizing IPV screening and improved trauma-informed care enhanced early detection while increasing patient safety. This underscores the clinics need for continued IPV training, more IPV related resources, and cultural competence that will sustain positive improvements.

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