The need for control,safety and trust in healthcare: A qualitative study among adolescents and young adults exposed to family violence |
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| Affiliation: | 1. Radboud University Medical Center, Dept. of Primary and Community Care, Gender & Women’s Health, Nijmegen, The Netherlands;2. Radboud University Medical Center, Dept. of Medical Psychology, Nijmegen, The Netherlands;1. Department of Radiology, Philadelphia VA Medical Center, 3900 Woodland Ave, Philadelphia, PA 19104;2. Division of Musculoskeletal Imaging, Department of Radiology, Perelman School of Medicine, Philadelphia, Pennsylvania;1. Royal Brompton and Harefield NHS Foundation Trust, London SW3 6NP, UK;2. National Heart and Lung Institute, Imperial College, London, UK;1. Division of Cardiothoracic Surgery, Southern Illinois University School of Medicine, Springfield, Illinois;2. Division of Thoracic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts;3. Johns Hopkins University School of Medicine, Baltimore, Maryland;4. Johns Hopkins All Children’s Heart Institute, Johns Hopkins All Children’s Hospital and Florida Hospital for Children, St. Petersburg, Tampa, and Orlando, Florida;5. The Society of Thoracic Surgeons Research Center, Chicago, Illinois;6. Department of Surgery, Emory University, Atlanta, Georgia;1. Department of Radiology, Emory University, Atlanta, Georgia;2. Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland |
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| Abstract: | ObjectiveAdolescents and young adults (AYA) exposed to family violence are in need of professional healthcare. However, only one-third of them seek professional help.MethodsThis study investigates healthcare needs of twelve AYA exposed to family violence. Semi-structured face-to-face interviews using purposive sampling to reach diversity. Open thematic coding was used to identify the most important themes.ResultsParticipants experienced emotional problems, distrusted others and felt unsafe as an important consequence of their exposure to family violence. All participants expressed a need for help, but as help involved informing others, they considered it unsafe. Trust, safety and control regarding healthcare interventions emerged as vital needs. The anonymity of the Internet was considered as offering safeguards in seeking and receiving help.ConclusionTrust, safety and control regarding healthcare interventions emerged as vital needs for AYA exposed to family violence. The great importance of being in control of healthcare interventions has not been reported earlier. A personal bond can lower the need for control.Practice implicationsTo comply with the three basic needs, healthcare providers should grant AYA as much control as possible while still monitoring patient safety. The Internet can be an important resource for offering low-threshold professional and peer support. |
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| Keywords: | Family violence Domestic violence Adolescence Young adulthood Healthcare needs Healthcare communication Professional healthcare E-health Exposure to violence Patient safety Trust Control Low-threshold care |
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