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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Publication year
2017Source
Patient Education and Counseling, 100, 6, (2017), pp. 1222-1229ISSN
Publication type
Article / Letter to editor

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Organization
Primary and Community Care
Medical Psychology
Journal title
Patient Education and Counseling
Volume
vol. 100
Issue
iss. 6
Page start
p. 1222
Page end
p. 1229
Subject
Radboudumc 17: Women's cancers RIHS: Radboud Institute for Health Sciences; Radboudumc 18: Healthcare improvement science RIHS: Radboud Institute for Health SciencesAbstract
OBJECTIVE: Adolescents and young adults (AYA) exposed to family violence are in need of professional healthcare. However, only one-third of them seek professional help. METHODS: This 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. RESULTS: Participants 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. CONCLUSION: Trust, 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 IMPLICATIONS: To 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.
This item appears in the following Collection(s)
- Academic publications [188575]
- Electronic publications [87941]
- Faculty of Medical Sciences [74223]
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