8 Jul 2022

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Evidence-Based Practice Implementation—Anticipating Results and Managing Change

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Evidence-based practice (EBP) is developing liable questions formed on an organization of the client's demands. It involves locating the most valuable evidence available for answering the question, analyzing the relevance and quality of evidence, utilizing the evidence, and assessing the solution's potency and efficacy (NASW, 2020) . A proper EBP in dealing with domestic violence against women in society is empowerment through training. The model would be very effective in addressing the challenges of an intimate partner regarding domestic violence. The program would find the proper ways for intimates experiencing domestic violence. It also incorporates community collaboration and empowerment in improving the important changes in the local policies and policing. The models also incorporate the professionals with the experience to help in addressing the domestic challenges. The population most affected by domestic violence is women. 

Most gender violence is facilitated by drug abuse by intimates, pressures due to inability to economic uncertainties, and unemployment looming. The violence leads to a lack of self-control, annoyance, and frustrations. These effects are mostly metered towards women and children. Therefore, there is a need to develop good practices to enhance women and children's safety against violence. Providing women training towards intimates’ violence in homes would be an effective strategy for reducing and curbing gender violence against women. Gender training will be dependent upon changing the gender perception on how they associate with each other and how to solve the rising problems, notions, and problem settings. 

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Training on domestic violence will most focus on developing individuals' awareness and involving them in the reframing processes. Also applying reflexiveness and increasing the intimate's knowledge regarding the conceptual challenges (EIGE, 2015) . Some of the topologies that can be applied to address gender violence are providing training to professionals to respond to victims of gender violence and training victims on how to increase their self-confidence. Providing training to women on gender violence would play an important role in insubordinate and higher precautions. The subordinate prevention would be providing individual help in severe and probable conditions of crisis and conflicts to hold back the violence from occurring. The tertiary inhibition would prevent further violence. It will increase the probability that the domestic violence issues are realized at an early stage, and support is given against the violence before it escalates. 

Providing training aids women in expressing their experiences against violence, and they feel respected; it also minimizes the domestic insecurities, suspicions, guilt consciousness, and shame. Training is effective as it ensures that medical practitioners develop knowledge and skills to respond to intimate violence. Providing training towards the domestic violence realization and relevance is crucial in supporting safety within the community and workplaces. Effective training can also help practitioners improve their knowledge, be ready, and acquire confidence while supporting women during their perinatal periods (Baird et al., 2018). Training provides information on why violence happens and helps ensure the victims are not victimized further. It also helps women promote a change of attitude by developing self-awareness, such as communication skills, managing anger and stress. 

The article "Effect of domestic violence training" by Zaher et al. analyzes and describes the effectiveness of education on intimate relationship violence to improve the clinician’s knowledge, recognition, and monitoring of abused women (Zher, Keogh, & Ratnapalan, 2014) . The authors suggested domestic violence is an international health problem that generates a severe health problem and has a long-term impact either emotionally, psychologically, and physically on the victims and their families. During the research, the authors applied nine combined monitoring trials, which described distinct educational strategies with result measures. Three interventions analyzed the impact of educational interventions on clinicians. The other 6 studies examined the interventions for exercising clinicians. The research showed that the clinicians' knowledge concerning domestic violence could be improved through education interventions by involving the physicians to take part in experimental learning. Having an interactive workshop that can help improve the physician’s attitudes regulating gender violence helps improve their activities of monitoring the domestic violence victims. 

Applying the systematized patients' domestic violence training to the clinicians increases their knowledge and skills, increasing the number of reported cases against domestic violence. Online learning was evident to improve clinician's skills and knowledge. The standardized reviews, applying RCTs, and web-based domestic violence modules, helped the clinicians deal with domestic violence. The interventional is any education program involving the training of the clinicians in domestic violence. The intervention systems enabled the clinicians to ask the patients about the violent conditions that were likely to cause a certain diagnosis. The online learning helped the physicians to apply the problem-based learning technique to improve the clinician perceptions, skills, knowledge while dealing with domestic violence, especially in women. Combining the clinician training and system interventions benefited domestic violence victims and increased the remitments to the domestic violence underpinning resources. 

The article "Evaluating the Effectiveness of Online Training for a Comprehensive Violence Against Women Program: A Pilot Study" by Etherington et al. analyzes the violence against women towards improving the services the women who serve the domestic violence (Etherington et al., 2017) again. The researchers evaluated the potency of online training to the clinicians. People who work with women who have undergone domestic violence should be provided with training to handle them. Online is an efficient and cost-effective strategy for training individuals, such as counselors, to deal with violence. They are also flexible and can handle a larger population of people. It also helps in supporting long-term feasibility and is also learner-centered. The article analyzes an online training course developed by OAITH, an alliance that advocates for the protection of women. The research was composed of 918 participants in the research towards the efficacy of the training program. The online training proved to be an efficient strategy for dealing with violence. Many participants demonstrated an increased knowledge through the pretest and posttest questions and instinctively by self-reported learning. 

The strategy was effective as people improved their understanding of the features and repercussions led by domestic violence. The online training also improved the individual's knowledge of a range of important and complicated topics regarding gender violence. The online improves the individual’s attitude towards the feminism anti-brutality and the inter-sectoral principles. Online training was evident to improve the individual's apprehension and skills of domestic violence and its effects. The results are acquired by reflecting the main proficiencies and underpinning the online training to deliver the complications involved in the violence against women. 

From the research studies evaluated above, it is evident that domestic violence a serious problem in many homes. In both studies, it is evident that women are mostly victimized by their male intimates. As a result, they have developed physical and personal problems, such as injuries and stress. Both studies have identified training as an effective approach to curb domestic violence against women. Developing training for the clinicians, women affected by domestic violence, and the community would help improve their understanding of violence. Training has also provided the victims and clinicians on how to handle domestic violence. They have provided interpersonal interactions between the victims and physicians, which have enabled them to get emotional support and acquire immediate responses towards the feedback. Training on domestic violence is important in improving people's knowledge and attitude towards acts. 

By implementing the EBP on gender violence, women should be funded to take part in civil society. This strategy would be effective as women are active towards influencing the international and local treaties and exerting pressure to ensure their deployment. The process would be limited with inadequate funds in which I would borrow funds and support from the government and NGOs to support the process. The other step would be scaling up the prevention efforts to address the unequal power between the intimates. The step would be vital in assessing the gender norms and their correlation to inequality in power, violence, and other behaviors. The step would face rejection, especially by men, as they reject gender equality. In this step, I would collaborate with other stakeholders in the social-ecological spectrum and multiple sectors in evaluating the programs that support gender norms. Also, I would lower the level of domestic violence to healthcare’s low levels accessible by many community members. Many healthcare organizations have placed the gender-violence on high-level facilities making it inaccessible by many people. I would collaborate with the healthcare providers to lower the services at a level that community members can access. 

The anticipated resulted outcomes for EBP implementation would improve on the interventions of the social workers' professionals to clients. There would be reduced domestic violence through a community with individuals who have equal rights and interests. It will improve the awareness of the individual's awareness of domestic violence and how to overcome them. The output would be similar to those of the study as they increase the individual knowledge about domestic violence. They also help them to acquire an understanding of how to reduce them. The outcome would be similar to that conducted in the research. Applying EBP would improve the medical practitioners' services to their clients and self-awareness of the domestic violence in the community. 

References 

Baird, K. M., Saito, A. S., Eustace, J., & Creedy, D. K. (2018). Effectiveness of training to promote routine inquiry for domestic violence by midwives and nurses: A pre-post evaluation study. Women and Birth, 31 (4), 285-291. https://doi.org/10.1016/j.wombi.2017.10.014 

EIGE. (, 2015). Preventing domestic violence: Good practices. European Institute for Gender Equality , p. 93. https://eige.europa.eu/sites/default/files/documents/MH0114678ENN_WEB.PDF 

Etherington, N., Baker, L., Ham, M., & Glasbeek, D. (2017). Evaluating the Effectiveness of Online Training for a Comprehensive Violence Against Women Program: A Pilot Study. Journal of Interpersonal Violence , 1-24. https://doi.org/10.1177%2F0886260517725734 

Zher, E., Keogh, K., & Ratnapalan, S. (2014). Effect of domestic violence training. Can Fam Physician, 60 (7), 618-624. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4096259/ 

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StudyBounty. (2023, September 15). Evidence-Based Practice Implementation—Anticipating Results and Managing Change.
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