Effekten af tilskuerinterventionsprogram hos sygeplejestuderende
Effekten af tilskuerinterventionsprogram på tilskuers effektivitet, adfærd og hensigt om at hjælpe til datingvold hos sygeplejestuderende
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Datingvold er defineret som tendensen til at tvinge en person, til at etablere magt og kontrol over en person. Datingvold er et folkesundhedsproblem for alle lande i verden (WHO, 2021; Kerman & Öztürk, 2022). Ifølge resultaterne af undersøgelser udført med universitetsstuderende; mere end 70 % af eleverne er udsat for datingvold (Schuster et al., 2016; Toplu-Demirtaş & Fincham, 2020). Derudover står det i undersøgelser, at datingvold starter før 25-års alderen (Peterson et al., 2018; Park & Kim, 2021). Unge, der er udsat for vold, kan have svært ved at søge hjælp, skjule volden og føle sig forpligtet til at opretholde forholdet (Park & Kim, 2021). Undersøgelser har vist, at universitetsstuderende, der er udsat for datingvold, oplever mange negative fysiske og psykiske problemer, herunder fysiske skader, depression, angst, nedsat akademisk præstation og stof- og alkoholmisbrug (Choi et al., 2017).
En af måderne at reducere risikoen for datingvold på er at fokusere på andre tilskuere. Det ses, at programmer udviklet til at forebygge vold er formet omkring tilskuereintervention (Banyard et al., 2019). Bystander intervention, en evidensbaseret intervention til forebyggelse af datingvold, er defineret som "et initiativ, der fokuserer på teenagere eller unge voksne, som har de nødvendige færdigheder og selveffektivitet til sikkert at gribe ind, når de er vidne til datingvold og seksuel vold" (Storer, 2016). Tilskuere kan bidrage til risikoreduktion direkte (f.eks. ved at ringe til sikkerheden, gribe direkte ind) eller indirekte (f.eks. ved at udfordre negative holdninger til datingvold), når datingvold forekommer (Amar et al., 2015; Banyard et al., 2019; Debnam og Mauer , 2019; Finnie et al., 2022). Nylige undersøgelser har fundet ud af, at tilskuerinterventionsprogrammer anvendt på unge giver statistisk signifikante resultater inden for områderne (1) viden om datingvold (udbredelse, definitioner osv.); (2) holdninger til datingvold (fald i sexistiske holdninger, fald i benægtelse af vold som et problem, øget tillid til at gribe ind, øget hensigt om at gribe ind, stigning i elevernes selveffektivitet til at gribe ind over for vold osv.) og (3) adfærdsændring (fald i voldsudøvelsesraten osv.) (Amar et al. 2015; Jouriles et al. 2018; Peterson et al. 2018). ) og (3) adfærdsændring (nedsat rate af voldsudøvelse osv.) (Amar et al. 2015; Jouriles et al. 2018; Peterson et al. 2018).
Sygeplejersker er en af de første interventionsprofessionelle i plejen af personer, der er udsat for vold. At yde direkte omsorg til den person, der er udsat for vold, og at slå til lyd for ressourcer fokuseret på at forebygge vold er en af sygeplejens ansvar og roller. Det anføres, at psykisk sygeplejersker kan anvende principper for tilskueruddannelse i forebyggelsesprogrammer, der har til formål at ændre samfundets normer vedrørende vold (Amar et al. 2012; Kerman & Öztürk, 2022). Det anføres, at det er vigtigt for sygeplejestuderende, som vil være blandt fremtidens sundhedsprofessionelle, at udvikle viden, færdigheder og holdninger til, hvad de skal gøre, når de er vidne til vold (Barroso-Corroto ve ark., 2022). Der er forskellige tilskuerinterventionsprogrammer, der bruges til at forhindre datingvold i litteraturen (Debnam & Mauer, 2019). Der er dog ikke noget tilskuerinterventionsprogram udviklet til datingvold for universitetsstuderende i Tyrkiet. Derfor sigter denne undersøgelse på at evaluere effektiviteten af det bystander-interventionsprogram, der er udviklet til datingvold hos sygeplejestuderende.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Seda Er, MSN,RN
- Telefonnummer: +905074351732
- E-mail: seda.er@iuc.edu.tr
Undersøgelse Kontakt Backup
- Navn: Sevim Buzlu, PhD,RN
- Telefonnummer: +905327934366
- E-mail: sevim.buzlu@iuc.edu.tr
Studiesteder
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Şişli/Istanbul
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Istanbul, Şişli/Istanbul, Tyrkiet (Türkiye), 34381
- Istanbul University-Cerrahpaşa
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- I alderen 18-24 år
- Aktiv elevindskrivning i sygeplejeafdelingen på fakultetet i studieåret 2023-2024
- Udfyldt formularer og skalaer
Ekskluderingskriterier:
- Ingen aktiv studerende indskrivning i sygeplejerskeafdelingen på fakultetet i studieåret 2023-2024 (f.eks. grundet indefrysning af indskrivning, overflytning til anden institution mv.)
- Deltagelse i seminarer/workshops/gruppearbejde/konferencer/kongresser/seminarer/uddannelser osv. om forebyggelse af datingvold og/eller tilskuerintervention
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Experimental Group
Participants in this group received the Bystander Intervention Program for Dating Violence.
The program was developed based on the Bystander Behavior Model and the Theory of Planned Behavior and was adapted to the cultural and institutional context.
It aimed to improve nursing students' knowledge and skills for recognizing dating violence and responding safely as bystanders.
The program was delivered to second-year nursing students at Istanbul University-Cerrahpaşa Florence Nightingale Faculty of Nursing.
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The Bystander Intervention Program for Dating Violence was delivered face-to-face as a one-day workshop (10:00-17:00) consisting of five sessions, each lasting approximately 60-90 minutes.
The sessions addressed: (1) dating violence and its types; (2) risk factors and consequences of dating violence; (3) bystander intervention and barriers to intervention; (4) bystander intervention strategies; and (5) self-care for bystanders witnessing dating violence.
The program was based on the Bystander Behavior Model and the Theory of Planned Behavior and was adapted to the cultural and institutional context.
PowerPoint presentations, videos, interactive scenarios, and group discussions were used during the workshop.
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Aktiv komparator: Control Group
Participants in the control group received a single-session educational program on dating violence during the same week as the intervention group.
The session addressed dating violence and its types, causes, myths related to dating violence, the cycle of violence, consequences of dating violence, and prevention.
The session lasted 90 minutes.
After completion of the experimental phase and all outcome assessments, participants in the control group were also offered the five-session Bystander Intervention Program for Dating Violence for ethical and educational equity considerations.
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Participants in the control group received a single 90-minute face-to-face educational session on dating violence.
The session covered dating violence and its types, causes of dating violence, myths related to dating violence and the cycle of violence, consequences of dating violence, and prevention of dating violence.
The session was delivered during the same study period as the Bystander Intervention Program provided to the experimental group.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Bystander Efficacy Scale
Tidsramme: Baseline (within one week before the intervention), immediately after completion of the intervention, and at two-month follow-up.
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The scale used to assess bystander effectiveness was developed by Banyard et al.
The scale includes 18 items.
The participant is expected to indicate his/her degree of confidence by writing a whole number between 0-100 to indicate how confident he/she is that he/she can perform the behaviors specified in the scale.
The calculation is made by averaging all items and the scale has no cut-off point.
High scores indicate a high degree of confidence.
In the study conducted by Banyard et al. (2014), the Cronbach's alpha value of the scale was .93 and the mean was 72.60.
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Baseline (within one week before the intervention), immediately after completion of the intervention, and at two-month follow-up.
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Intention to Help Scale-Short Version
Tidsramme: Baseline (within one week before the intervention), immediately after completion of the intervention, and at two-month follow-up.
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The scale, which assesses the likelihood or willingness of participants to engage in various helping behaviors, was developed by Banyard et al. (2014).
There are two separate subscales by creating separate but parallel items and it consists of 18 items in total.
Participants are expected to rate their likelihood of performing the behaviors using a 5-point Likert-type scale.
The scale is calculated by averaging the answers given to the items.
High scores indicate that the individual is more likely to engage in helping behavior.
Cronbach's alpha value for the short version of the scale was .93 (Banyard et al. 2014).
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Baseline (within one week before the intervention), immediately after completion of the intervention, and at two-month follow-up.
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Bystander Behavior Scale (For Friends)
Tidsramme: Baseline (within one week before the intervention) and at two-month follow-up.
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The scale used to determine the spectator behavior of the participants in the last 2 months was developed by Banyard et al.
The scale has 44 items and includes only spectator behaviors towards friends.
The scale consists of 4 factors.
Participants are expected to mark "Yes", "No" and "Did not meet" for the fulfillment of each item.
In the evaluation, each no sign is calculated as 0 points and each yes sign is calculated as 1 point.
The items that individuals said they did not encounter are not included in the scoring and the calculation is made by taking the average of the answers given to the other items.
Higher scores indicate the types of bystander behavior reported by more people.
Cronbach's alpha value for the short version of the scale was .971
(Banyard et al. 2014).
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Baseline (within one week before the intervention) and at two-month follow-up.
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Studiestol: Sevim Buzlu, PhD,RN, Istanbul University - Cerrahpasa
Publikationer og nyttige links
Generelle publikationer
- Rothman EF, Paruk J, Banyard V. The escalation dating abuse workshop for college students: Results of an efficacy RCT. J Am Coll Health. 2018 Aug-Sep;66(6):519-528. doi: 10.1080/07448481.2018.1431909. Epub 2018 Mar 22.
- Storer HL, Casey E, Herrenkohl T. Efficacy of Bystander Programs to Prevent Dating Abuse Among Youth and Young Adults: A Review of the Literature. Trauma Violence Abuse. 2016 Jul;17(3):256-69. doi: 10.1177/1524838015584361. Epub 2015 May 6.
- Debnam KJ, Mauer V. Who, When, How, and Why Bystanders Intervene in Physical and Psychological Teen Dating Violence. Trauma Violence Abuse. 2021 Jan;22(1):54-67. doi: 10.1177/1524838018806505. Epub 2019 Jan 22.
- Banyard VL, Moynihan MM, Cares AC, Warner R. How do we know if it works? Measuring outcomes in bystander-focused abuse prevention on campuses. Psychology of Violence. 2014;4(1):101.
- Banyard V, Moschella E, Grych J, Jouriles E. What happened next? New measures of consequences of bystander actions to prevent interpersonal violence. Psychology of Violence. 2019; 9(6):664-674.
- Tekkas Kerman K, Ozturk FO. An examination of gender stereotypes, ambivalent sexism, and dating violence as potential predictors of nursing students' beliefs about intimate partner violence: A cross-sectional correlational study. Nurse Educ Pract. 2022 Jul;62:103346. doi: 10.1016/j.nepr.2022.103346. Epub 2022 Apr 6.
- Schuster I, Krahe B, Toplu-Demirtas E. Prevalence of Sexual Aggression Victimization and Perpetration in a Sample of Female and Male College Students in Turkey. J Sex Res. 2016 Nov-Dec;53(9):1139-1152. doi: 10.1080/00224499.2016.1207057. Epub 2016 Aug 2.
- Toplu-Demirtas E, Fincham FD. I Don't Have Power, and I Want More: Psychological, Physical, and Sexual Dating Violence Perpetration Among College Students. J Interpers Violence. 2022 Jul;37(13-14):NP11490-NP11519. doi: 10.1177/0886260520951319. Epub 2020 Aug 25.
- Park S, Kim SH. A mixed-method pilot study to test a program for friend-supporters of victims of dating violence. J Community Psychol. 2021 Jul;49(5):1153-1168. doi: 10.1002/jcop.22568. Epub 2021 Mar 29.
- Peterson K, Sharps P, Banyard V, Powers RA, Kaukinen C, Gross D, Decker MR, Baatz C, Campbell J. An Evaluation of Two Dating Violence Prevention Programs on a College Campus. J Interpers Violence. 2018 Dec;33(23):3630-3655. doi: 10.1177/0886260516636069. Epub 2016 Mar 13.
- Choi EP, Wong JY, Fong DY. Mental health and health-related quality of life of Chinese college students who were the victims of dating violence. Qual Life Res. 2017 Apr;26(4):945-957. doi: 10.1007/s11136-016-1413-4. Epub 2016 Sep 22.
- Finnie RKC, Okasako-Schmucker DL, Buchanan L, Carty D, Wethington H, Mercer SL, Basile KC, DeGue S, Niolon PH, Bishop J, Titus T, Noursi S, Dickerson SA, Whitaker D, Swider S, Remington P; Community Preventive Services Task Force. Intimate Partner and Sexual Violence Prevention Among Youth: A Community Guide Systematic Review. Am J Prev Med. 2022 Jan;62(1):e45-e55. doi: 10.1016/j.amepre.2021.06.021. Epub 2021 Nov 10.
- Amar AF, Tuccinardi N, Heislein J, Simpson S. Friends Helping Friends: a nonrandomized control trial of a peer-based response to dating violence. Nurs Outlook. 2015 Jul-Aug;63(4):496-503. doi: 10.1016/j.outlook.2015.01.004. Epub 2015 Feb 3.
- Jouriles EN, Krauss A, Vu NL, Banyard VL, McDonald R. Bystander programs addressing sexual violence on college campuses: A systematic review and meta-analysis of program outcomes and delivery methods. J Am Coll Health. 2018 Aug-Sep;66(6):457-466. doi: 10.1080/07448481.2018.1431906. Epub 2018 Mar 12.
- Amar AF, Sutherland M, Kesler E. Evaluation of a bystander education program. Issues Ment Health Nurs. 2012 Dec;33(12):851-7. doi: 10.3109/01612840.2012.709915.
- Barroso-Corroto E, Cobo-Cuenca AI, Laredo-Aguilera JA, Santacruz-Salas E, Pozuelo-Carrascosa DP, Rodriguez-Canamero S, Martin-Espinosa NM, Carmona-Torres JM. Dating violence, violence in social networks, anxiety and depression in nursing degree students: A cross-sectional study. J Adv Nurs. 2023 Apr;79(4):1451-1463. doi: 10.1111/jan.15170. Epub 2022 Feb 7.
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- IU-Cerrahpaşa (IUC)
- 324K026 (Andet bevillings-/finansieringsnummer: TUBITAK)
Plan for individuelle deltagerdata (IPD)
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IPD-planbeskrivelse
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