Nurses' experiences of perceiving violence and abuse of women in Saudi Arabia: A phenomenological study.

Publisher: Blackwell Science Ltd Country of Publication: England NLM ID: 7808754 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1466-7657 (Electronic) Linking ISSN: 00208132 NLM ISO Abbreviation: Int Nurs Rev Subsets: MEDLINE

Publication: Oxford, UK : Blackwell Science Ltd.
Original Publication: Geneva, International Council of Nurses.

Education, Nursing* ; Nurses* ; Spouse Abuse*; Female ; Humans ; Delivery of Health Care ; Saudi Arabia ; Violence ; Intimate Partner Violence

Aim: To explore the practices, understanding, and experiences of nurses and nursing students about domestic violence and abuse in Saudi Arabia.
Background: Domestic violence and abuse is a well-known public health issue and a clear violation of human rights resulting in detrimental effects on women's health.
Introduction: Societal and cultural barriers in Saudi Arabia limit women's rights and disclosure of violence within marriage and families, preventing access to health care and support. There are few reports of this phenomenon in Saudi Arabia.
Methods: We used a hermeneutic phenomenological approach to acquire in-depth insights into nurses' perceptions and experiences regarding domestic violence and abuse. Eighteen nurses and student nurses were recruited from Riyadh, Saudi Arabia, using convenience sampling. Data were gathered between October 2017 and February 2018 through in-depth semistructured interviews, organized using NVivo 12 and analyzed manually to identify consistent themes. This study adhered to the consolidated criteria for reporting qualitative research.
Findings: An overarching concept of "being disempowered" was identified, which was present at three levels: a lack of nurses' professional preparation, insufficient organizational structures and processes, and wider social and cultural components.
Conclusion: This study provides an in-depth account of nurses' practices, understanding, and experiences of domestic violence and abuse, highlighting the sensitivity and difficulties of addressing the problem in hospitals across Saudi Arabia and potentially other similar countries.
Implications: The study's findings will inform the development of nursing education and practice in Saudi Arabia, as well as pave the way toward formulating effective strategies with needed modifications in curriculum, organizations, policy, procedures, and laws.
(© 2023 The Authors. International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.)

Abolfotouh, M.A. & Almuneef, M. (2020) Prevalence, pattern and factors of intimate partner violence against Saudi women. Journal of Public Health, 42(3), e206-e214. https://doi.org/10.1093/pubmed/fdz092.
Ahrens, C.E. (2006) Being silenced: the impact of negative social reactions on the disclosure of rape. American Journal of Community Psychology, 38, 31-34. https://doi.org/10.1007/s10464-006-9069-9.
Akbari, A.R., Alam, B., Ageed, A., Tse, C.Y. & Henry, A. (2021) The identification and referral to improve safety programme and the prevention of intimate partner violence. International Journal of Environmental Research and Public Health, 18(11), 5653. https://doi.org/10.3390/ijerph18115653.
Alhalal, E. (2020) Nurses’ knowledge, attitudes and preparedness to manage women with intimate partner violence. International Nursing Review, 67(2), 265-274. https://doi.org/10.1111/inr.12584.
Alquaiz, A.M., Almuneef, M., Kazi, A. & Almeneessier, A. (2021) Social determinants of domestic violence among Saudi married women in Riyadh, Kingdom of Saudi Arabia. Journal of Interpersonal Violence, 36(3-4), NP1561-1585NP. https://doi.org/10.1177/0886260517746128.
Alshammari, K.F., McGarry, J. & Higginbottom, G.M.A. (2018) Nurse education and understanding related to domestic violence and abuse against women: an integrative review of the literature. Nursing Open, 5(3), 237-253. https://doi.org/10.1002/nop2.133.
Benebo, F.O., Schumann, B. & Vaezghasemi, M. (2018) Intimate partner violence against women in Nigeria: a multilevel study investigating the effect of women's status and community norms. BMC Women's Health, 18(1), 1-17. https://doi.org/10.1186/s12905-018-0628-7.
Crouch, M. & McKenzie, H. (2006) The logic of small samples in interview-based qualitative research. Social Science Information, 45(4), 483-499. https://doi.org/10.1177/053901840606.
Dossett, L.A., Kaji, A.H. & Cochran, A. (2021) SRQR and COREQ reporting guidelines for qualitative studies. JAMA Surgery, 156(9), 875-876. https://doi.org/10.1001/jamasurg.2021.0525.
Elghossain, T., Bott, S., Akik, C. & Obermeyer, C. M. (2019) Prevalence of intimate partner violence against women in the Arab world: a systematic review. BMC International Health and Human Rights, 19(1), 1-16. https://doi.org/10.1186/s12914-019-0215-5.
Githui, S., Chege, M., Wagoro, M. & Mwaura, J. (2018) Nurse's perception on non-disclosure of intimate partner violence by pregnant women: a cross-sectional study. International Journal of Contemporary Research and Reviews, 9(1), 20198-20203. https://doi.org/10.15520/ijcrr/2018/9/01/403.
Greatrex-White, S. (2007) A way of seeing study abroad: narratives from nurse education. Learning in Health and Social Care, 6(3), 134-144. https://doi.org/10.1111/j.1473-6861.2007.00157.x.
Hegarty, K., McKibbin, G., Hameed, M., Koziol-McLain, J., Feder, G., Tarzia, L. & Hooker, L. (2020) Health practitioners' readiness to address domestic violence and abuse: a qualitative meta-synthesis. PLoS One, 15(6), e0234067. https://doi.org/10.1371/journal.pone.0234067.
Heidegger, M. (1962). Being and Time. Oxford: Blackwell Publishing.
Huntley, A. L., Potter, L., Williamson, E., Malpass, A., Szilassy, E. & Feder, G. (2019) Help-seeking by male victims of domestic violence and abuse (DVA): a systematic review and qualitative evidence synthesis. BMJ Open, 9(6), e021960. https://doi.org10.1136/bmjopen-2018-021960.
Lincoln, Y. & Guba, E. (1985) Naturalistic inquiry. E-Book. London: Sage Publications.
Machado, B.P., de Araújo, I.M.B. & Figueiredo, M.d.C.B. (2020) Forensic nursing practice: what do the students know anyway? Forensic Science International: Synergy, 2, 138-143. https://doi.org/10.1016/j.fsisyn.2020.04.003.
McGarry, J. & Nairn, S. (2015) An exploration of the perceptions of emergency department nursing staff towards the role of a domestic abuse nurse specialist: a qualitative study. International Emergency Nursing, 23(2), 65-70. https://doi.org/10.1016/j.ienj.2014.06.003.
Mobaraki, A. & Soderfeldt, B. (2010) Gender inequity in Saudi Arabia and its role in public health. Eastern Mediterranean Health Journal, 16(1), 113-118. https://doi.org/10.26719/2010.16.1.113.
Mojahed, A., Alaidarous, N., Shabta, H., Hegewald, J. & Garthus-Niegel, S. (2022) Intimate partner violence against women in the Arab countries: a systematic review of risk factors. Trauma, Violence, & Abuse, 23(2), 390-407. https://doi.org10.1177/1524838020953099.
Moser, A. & Korstjens, I. (2018) Series: Practical guidance to qualitative research. Part 3: Sampling, data collection and analysis. European Journal of General Practice, 24(1), 9-18. https://doi.org/10.1080/13814788.2017.1375091.
Muluneh, M. D., Stulz, V., Francis, L. & Agho, K. (2020) Gender-based violence against women in sub-Saharan Africa: a systematic review and meta-analysis of cross-sectional studies. International Journal of Environmental Research and Public Health, 17(3), 903. https://doi.org/10.3390/ijerph17030903.
Patoari, M.H. (2019) The rights of women in Islam and some misconceptions: an analysis from Bangladesh perspective. Beijing Law Review, 10, 1211. https://doi.org/10.4236/blr.2019.105065.
Regan, P. (2012) Hans-Georg Gadamer's philosophical hermeneutics: concepts of reading, understanding and interpretation. Meta: Research in Hermeneutics, Phenomenology, and Practical Philosophy, 4(2), 286-303.
Saeed, A. (2017) Freedom of religion, apostasy and Islam. New York: Routledge.
Santiago, E.A., Brown, C., Mahmoud, R. & Carlisle, J. (2020) Hermeneutic phenomenological human science research method in clinical practice settings: an integrative literature review. Nurse Education in Practice, 47, 102837. https://doi.org/10.1016/j.nepr.2020.102837.
Stewart, D.E., MacMillan, H. & Kimber, M. (2021) Recognizing and responding to intimate partner violence: an update. The Canadian Journal of Psychiatry, 66(1), 71-106. https://doi.org/10.1177/0706743720939676.
Suprapto, S., Mulat, T.C. & Lalla, N.S.N. (2021) Nurse competence in implementing public health care. International Journal of Public Health, 10(2), 428-432. https://doi.org/10.11591/ijphs.v10i2.20711.
Tanyi, R.A., Werner, J.S., Gentry Recine, A.C. & Sperstad, R.A. (2006) Perceptions of incorporating spirituality into their care: a phenomenological study of female patients on hemodialysis. Nephrology Nursing Journal, 33(5), 532-538.
Tindall, L., Smith, J.A., Flower, P. & Larkin, M. (2009) Interpretative phenomenological analysis: Theory, method and research. London: Sage/Taylor & Francis.
Tumulty, G. (2001) Professional development of nursing in Saudi Arabia. Journal of Nursing Scholarship, 33(3), 285-290. https://doi.org/10.1111/j.1547-5069.2001.00285.x.
Van Manen, M. (1997) Researching Lived Experience: Human Science for an Action Sensitive Pedagogy, (2nd edition), Routledge. https://doi.org/10.4324/9781315421056.
Van Manen, M. (2016) Phenomenology of practice: meaning-giving methods in phenomenological research and writing. New York: Routledge.
Van Manen, M. (2017) Phenomenology in its original sense. Qualitative Health Research, 27(6), 810-825. https://doi.org/10.1177/1049732317699381.
Wyatt, T., McClelland, M. L. & Spangaro, J. (2019) Readiness of newly licensed associated degree registered nurses to screen for domestic violence. Nurse Education in Practice, 35, 75-82. https://doi.org/10.1016/j.nepr.2018.12.010.
Yount, K.M., Cheong, Y.F., Khan, Z., Bergenfeld, I., Kaslow, N. & Clark, C.J. (2022) Global measurement of intimate partner violence to monitor Sustainable Development Goal 5. BMC Public Health, 22(1), 1-14. https://doi.org/10.1186/s12889-022-12822-9.

Keywords: Saudi Arabia; domestic violence and abuse; gender; nursing

Date Created: 20230704 Date Completed: 20231122 Latest Revision: 20231122

20231215

10.1111/inr.12859

37401925