社区医学与健康教育

抽象的

Using a Delphi Method to Develop Competencies: The Case of Domestic Violence

Robin Mason and Brian Schwartz

Background: The past decades have occasioned an explosion of research on Domestic Violence and the health care response. It has become clear that abused women are frequently seen in emergency departments, yet despite the research, the prevalence of the issue among patients, its serious health consequences, and the need for training acknowledged by numerous medical organizations, there is no standardized curriculum for training health care providers, nor an articulated set of competencies to guide curricular development.

Objectives: To develop evidence-based competencies on Domestic Violence relevant to health care providers, particularly those in emergency department settings.

Methods: Following a modified Delphi process, we completed a literature review for the years 2001-2006 to determine evidence-based practices. Next, an expert panel extracted relevant competencies from the reviewed literature. The competencies were confirmed through consultation with 66 stakeholders across the province of Ontario.

Results: Forty-four respondents provided concrete feedback on the competencies, confirming their importance and validity.

Conclusion: This paper describes a comprehensive methodological approach to the challenge of developing competencies in DV relevant to health care providers practicing in emergency department settings. The development of competencies is an important first step in the development of a common, standardized, evidence-based medical curriculum.