Conspicuous invisibility: A grounded theory approach to exploring the discovery and disclosure of violence against women attending general practice [thesis]

摘要: xiv ABSTRACT Conspicuous invisibility: A grounded theory approach to exploring the discovery and disclosure of violence against women attending general practice Rita Lawlor Background: Violence is recognised as a common problem world wide. In Ireland, 1:5 experience emotional, sexual, physical, or financial from an intimate partner (Kelleher and O Connor 1995). However, little was known how health professionals identify issues, make their circum stances domestic violence during general practice consultations. Aim: The aim study twofold: a) determine team (GPT), discovered who domestic an intimate partner and, b) determin e were enabled (or not) disclose experiences when clinical consultation. Participants setting: Participants GPT included practitioners, practice nurses administrative staff workin g in urban practices Republic Ireland. All participants had experienced disclosed their others, but not always team. Methodology: Using theor y approach, 30 in - depth interviews conducted with women. Data analysed accordance with theory methodology. Health professionals’ discovering violence against women’s experiences of living abusive relationships informed data. Findings: dynamics consultations influenced by organisational factors factors concerning person: Firstly, choreographing consultation in which the performance of engagement explored through iterative process a choreography. Secondly, spiralling silences gave voice engagement not) with issue during consultations. Thirdly, compartmentalising ide ntified organisational that hindered, or enhanced, disclosure women. Conclusion: This advances conspicuous invisibility, which illuminates our understanding cir cumstances health of discovery violence. Underpinning engagement, conceptualised as lifting stones seeing slugs beneath. The model engagement identified this research illustrates three levels: level one, non - engagement; two, first impression ‘on face it’ engagement; three, purposeful engagement