Examining Attempted and Completed Intimate Partner Homicide: A Qualitative Synthesis.

Intimate Partner Homicide (IPH) is one of the leading causes of death for women in the United States. Recent research has identified the strongest risk markers for IPH from quantitative studies, but there is still a need to synthesize what is known about IPH from qualitative studies. Additionally, few studies have examined perpetrator-reported motivations for IPH, along with victim's and co-victims' experiences of attempted or completed IPH. In order to synthesize the current qualitative literature surrounding motivations and risk factors for IPH, a thematic qualitative synthesis was conducted. This qualitative synthesis included 20 studies that examined IPH risk factors, motivations, and other pertinent themes related to IPH. Some of the most prevalent reported motivations for committing IPH were loss of control, jealousy, relationship termination, and a history of intimate partner violence (IPV) victimization (i.e., self-defense). A few of the most common risk factors for IPH found in the qualitative literature included previous IPV, coercive control, and the victim underestimating danger/lethality. It is important for both clinicians and law enforcement to know more about IPH so that that they are able to assess situations effectively.

Caregiver Fatigue: Implications for Patient and Staff Safety, Part 1.

OBJECTIVE: This article describes the profound impact of fatigue and the process by which 1 academic medical center assessed fatigue levels, and associated factors, among nursing personnel in their effort to develop a comprehensive fatigue management program. BACKGROUND: To adequately perform amid high patient acuity and in today's fast paced healthcare environment, nurses must be attentive and react quickly and appropriately with clear judgment and reasoning-abilities that can be greatly impaired by fatigue. Nursing leaders are instrumental in systematically addressing work-related fatigue and implementing processes designed to prevent fatigue and overwork; however, baseline measures are necessary if the efficacy of these initiatives is to be assessed. METHODS: The 15-item Occupational Fatigue Exhaustion/Recovery scale was used to assess current fatigue levels among nursing staff at a university medical center. Demographic and schedule-related questions were used to examine the characteristics of the population and identify any associated factors. RESULTS: Work-related fatigue is prevalent among all nursing staff, but differences were noted based on the respondent's position, age, and typical work shift. CONCLUSIONS: Nursing administrators and shared governance councils can address the factors contributing to work-related fatigue and negatively impacting nursing personnel's ability to rest and recuperate. Nurse leader involvement is needed to develop comprehensive fatigue reduction strategies.

Caregiver Fatigue: Implications for Patient and Staff Safety, Part 2.

Fatigue negatively affects healthcare workers' health and well-being, decreases patient safety, and negatively impacts the work environment. Although individual lifestyle choices influence fatigue levels, much responsibility lies with nursing administrators to prevent situations that may result in sleep deprivation or overwork. This article, the 2nd in a 2-part series, describes the results that were achieved from a fatigue reduction intervention.

The Dark Side of the Rainbow: Queer Women's Experiences of Intimate Partner Violence.

Intimate partner violence (IPV) is a worldwide issue that, although often thought of as a very gendered and heteronormative crime (male perpetrators and female victims within heterosexual relationships), occurs in all kinds of relationships. The purpose of this study is to examine and raise awareness of how IPV operates within female same-gender relationships. Researchers utilized a narrative inquiry framework, as well as thematic analysis, in order to conduct a qualitative synthesis of articles that examined IPV in female same-gender relationships. Articles were identified through database searches for studies published between 2000 and 2019 using key search terms. Studies were included if they were qualitative in nature (including direct quotes from participants), examined IPV within female same-gender relationships, and were written in English. A total of 19 studies were included in the qualitative synthesis. Findings were categorized as barriers to help and support, themes within experiences of IPV, or recommendations for helping professionals. Themes within categories included, among others, a lack of framework to identify abuse; mistrust of law enforcement; power dynamics related to parenthood, race, and gender presentation; and fears of contributing to heterosexism. Findings from this study can serve to better inform helping professionals about considerations to keep in mind when working within lesbian, gay, bisexual, transgender, plus various additional sexual minorities' communities and survivors of female same-gender violence.