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Counteracting Abuse in Health Care: Evaluating a One-Year Drama Intervention with Staff in Sweden

Author

Listed:
  • Anke Zbikowski

    (Women’s Clinic, Ryhov County Hospital, 55185 Jönköping, Sweden)

  • A. Jelmer Brüggemann

    (Department of Thematic Studies—Technology and Social Change, Faculty of Arts and Sciences, Linköping University, 58183 Linköping, Sweden)

  • Barbro Wijma

    (Department of Biomedical and Clinical Sciences (BKV), Faculty of Medicine and Health Sciences, Division of Children’s and Women’s Health (BKH), Linköping University, 58183 Linköping, Sweden)

  • Katarina Swahnberg

    (Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Hus Vita, 39182 Kalmar, Sweden)

Abstract

In Northern European countries 13–28% of female patients seeking gynecological health care have reported abuse by health care staff (AHC). We conducted workshops with health care staff using the improvised role-play method Forum Play (FP), based on techniques developed by Boal. The study explores to what extent the intervention increased the staff’s awareness of AHC and their ability to take action against it. A total of 16 half-day FP workshops were conducted with staff from a Swedish women’s clinic over one year. Self-reported questionnaires were distributed to all staff before, during, and after the intervention. Primary outcome measures were the number of reported occasions of AHC and FP participants’ ability to act in AHC-situations. We found an increase in the participants’ self-reported ability to act in AHC-related situations. However, no change could be observed in the number of reported occasions of AHC between baseline and one year after the intervention. Health care staff’s participation in workshops using improvised role-play can increase staff’s perceived ability to take action in AHC situations. The voluntary nature of the intervention may have attracted those who were already aware of the topic, and likely explains the unchanged awareness of AHC.

Suggested Citation

  • Anke Zbikowski & A. Jelmer Brüggemann & Barbro Wijma & Katarina Swahnberg, 2020. "Counteracting Abuse in Health Care: Evaluating a One-Year Drama Intervention with Staff in Sweden," IJERPH, MDPI, vol. 17(16), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5931-:d:399461
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    References listed on IDEAS

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    1. Katarina Swahnberg & Anke Zbikowski & Kumudu Wijewardene & Agneta Josephson & Prembarsha Khadka & Dinesh Jeyakumaran & Udari Mambulage & Jennifer J. Infanti, 2019. "Can Forum Play Contribute to Counteracting Abuse in Health Care? A Pilot Intervention Study in Sri Lanka," IJERPH, MDPI, vol. 16(9), pages 1-10, May.
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    Cited by:

    1. Jennifer J. Infanti & Anke Zbikowski & Kumudu Wijewardene & Katarina Swahnberg, 2020. "Feasibility of Participatory Theater Workshops to Increase Staff Awareness of and Readiness to Respond to Abuse in Health Care: A Qualitative Study of a Pilot Intervention Using Forum Play among Sri L," IJERPH, MDPI, vol. 17(20), pages 1-14, October.

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