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See no evil, Hear no evil, Speak no evil: Studying the facilitating and impeding factors regarding the use of the meldcode among maternity nurses

Loch, D.S. (2013) See no evil, Hear no evil, Speak no evil: Studying the facilitating and impeding factors regarding the use of the meldcode among maternity nurses.

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Abstract:Domestic violence is a persistent and complex problem. Professionals in the health care sector experience several barriers when dealing with it. The meldcode is a guideline that aims to support professionals in handling domestic violence. It will be implemented July 2013 and from then all professionals, working with children and families, are obliged to use it. However, many innovations, such as guidelines, fail because the characteristics of the users were not taken into account. This research focuses on the barriers and facilitators that maternity nurses experience regarding the adoption of the meldcode. The results of this project can support health care organizations in the successful implementation of the meldcode. Since many maternity nurses do not work with the meldcode yet, their intention to do this in the future forms our most important dependent variable. The second dependent variable is the past behavior of maternity nurses regarding their use of the meldcode. The goal of this study is to give concrete recommendations regarding the successful implementation of the meldcode among maternity nurses. The ASE-model helps us to operationalize factors, that influence their intention to use the meldcode and their eventual behavior. It consists of the three determinants attitude, social norm and self-efficacy. We study if their attitude, social norm and self-efficacy predict their intention to use the meldcode. Additionally, the relation between past behavior regarding the meldcode and the ASE-model is studied. Furthermore, the role of the background factors work experience, experience with domestic violence, knowledge of the meldcode and the organization size are investigated. An online survey was carried out among 124 maternity nurses from the area of Twente in the Netherlands. Results indicate, that the perceived social norm and a high self-efficacy of the maternity nurses facilitate their intention to work conform the meldcode. The social norm plays a key role, since it predicts the intention but also the eventual behavior of the maternity nurses. Additionally, the knowledge about the meldcode is an important predictor of the intention and the behavior. The more knowledge a maternity has over the meldcode, the higher is her intention to use the meldcode and the higher is her performance of the steps when she has a suspect. Work experience, experience with domestic violence and organization size do not have an impact on the intention or the behavior. The general lack of research about the implementation of the meldcode to maternity nurses can be reduced by the results of this research.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/64116
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