Date of Graduation

Summer 8-13-2026

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Robert Patterson DNP, MSN, RN

Abstract

Objective: Intimate partner violence (IPV) is a prevalent public health problem that is screened far less consistently than comparably common conditions and disproportionately affects vulnerable groups, including low-income, Spanish-speaking, and undocumented individuals. This quality improvement project was conducted in an outpatient community health center serving a primarily Latinx, Spanish-speaking population in San Francisco, where screening across the Adult Health, Women's Health, and Teen Clinics was inconsistent, with a baseline rate of 4.1% in June 2026. Aim: The project aimed to increase overall IPV screening by 10 percentage points, from 4.1% to 14.1%, by July 31, 2026. Methods: Rogers' Diffusion of Innovations Theory and a Plan-Do-Study-Act framework were used to guide the interventions: a standardized printed HITS screening tool in English and Spanish, a staff in-service, department-specific response scripts, and a local IPV resource list. The primary outcome measure was the proportion of patients with a completed screener compared to the number of patients seen in each clinic, tracked via a report generated from the Electronic Medical Record. Results: The overall screening rate rose from 4.1% (n = 2513) to 7.2% (n = 2774), which equated to a 3.1 percentage-point increase that did not meet the aim. However, total completed screenings increased by 93.2%, from 103 in June 2026 to 199 in July 2026. Conclusions: Standardizing a culturally and linguistically tailored screening tool paired with staff education was associated with increased IPV screening. However, the short post-intervention window limits interpretation for project sustainability.

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