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首页> 外文期刊>Patient education and counseling >Women's journey to safety - The Transtheoretical model in clinical practice when working with women experiencing Intimate Partner Violence: A scientific review and clinical guidance
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Women's journey to safety - The Transtheoretical model in clinical practice when working with women experiencing Intimate Partner Violence: A scientific review and clinical guidance

机译：妇女的安全之旅-与经历亲密伴侣暴力的女性一起工作时，临床实践中的跨理论模型：科学评论和临床指导

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Objective: Review the applicability of the Transtheoretical model and provide updated guidance for clinicians working with women experiencing intimate partner violence. Methods: Critical review of related primary research conducted from 1990 to March 2013. Results: Women's experiences of creating change within abusive relationships can be located within a stages of change continuum by identifying dominant behavioral clusters. The processes of change and constructs of decisional-balance and turning-points are evident in women's decision-making when they engage in change. Conclusion: Clinicians can use the stages of change to provide a means of assessing women's movement toward their nominated outcomes, and the processes of change, decisional-balance and turning-points, to enhance understanding of, and promote women's movement across stages in their journey to safety. Practice implications: Clinicians should assess women individually for immediate and ongoing safety and well-being, and identify their overarching stage of change. Clinicians can support women in identifying and implementing their personal objectives to enhance self-efficacy and create positive change movement across stages. The three primary objectives identified for clinician support are: 1. Minimizing harm and promoting well-being within an abusive relationship, 2. Achieving safety and well-being within the relationship; halting the abuse, or 3. Achieving safety by ending/leaving intimate relationships.
机译：目的：审查跨理论模型的适用性，并为与遭受亲密伴侣暴力行为的妇女合作的临床医生提供最新指导。方法：对1990年至2013年3月间进行的相关基础研究的严格审查。结果：通过确定主要的行为群，可以将女性在虐待关系中创造变化的经历定位在变化连续性阶段中。妇女参与变革时，变革的过程以及决策平衡和转折点的构造很明显。结论：临床医生可以利用变化的阶段来评估妇女朝着其指定结果的方向运动，变化的过程，决策平衡和转折点，以增进对妇女在其旅程中各个阶段的运动的了解并促进她们的前进安全。对实践的影响：临床医生应该对妇女的即时和持续安全与福祉进行单独评估，并确定其总体变革阶段。临床医生可以支持妇女确定并实现其个人目标，以提高自我效能并在各个阶段创造积极的变革运动。为临床医生提供支持的三个主要目标是：1.在虐待关系中最大程度地减少伤害并促进幸福; 2.在关系中实现安全和幸福;制止虐待，或3.通过结束/离开亲密关系来实现安全。

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