Table 4

The effect of training on clinical practice

All participants
(n=471)*
Length of trainingUnadjustedAdjusted†P values
<1 day
(n=375)
1+ day
(n=94)
n (%)OR (95% CI)
Demographics
Age
 <40 years204 (43.4)169 (45.2)33 (35.1)0.7 (0.4 to 1.0)0.6 (0.3 to 1.1)0.090
 >40+  years266 (56.6)205 (54.8)61 (64.9)1.5 (0.9 to 2.4)1.8 (0.9 to 3.4)0.090
Professional background
 Nursing/midwifery317 (67.5)268 (71.7)48 (51.1)0.4 (0.3 to 0.6)0.4 (0.2 to 0.6)0.000
 Medical69 (14.7)55 (14.7)13 (13.8)0.9 (0.5 to 1.8)0.9 (0.5 to 1.8)0.816
 Allied health61 (13.0)31 (8.3)30 (31.9)5.2 (2.9 to 9.1)5.3 (3.0 to 9.4)0.000
Years of clinical experience
 <20 years256 (54.7)207 (55.6)47 (50.0)0.8 (0.5 to 1.2)0.6 (0.3 to 0.9)0.028
 >20+  years212 (45.3)165 (44.3)47 (50.0)1.2 (0.8 to 2.0)1.7 (1.1 to 2.9)0.028
Supervision of other staff226 (48.2)175 (46.9)49 (52.1)1.2 (0.8 to 1.9)1.7 (1.0 to 2.9)0.038
Preparedness for practiceMean (SD)Coef (95% CI)
 Attitudes about survivors5.1 (1.0)4.9 (1.0)5.8 (0.7)0.9 (0.6 to 1.1)0.8 (0.6 to 1.1)0.000
 Attitudes about the role of health services4.4 (1.1)4.2 (1.0)5.0 (1.2)0.8 (0.6 to 1.1)0.7 (0.4 to 0.9)0.000
n (%)OR (95% CI)
Recent clinical practice‡(n=422)(n=336)(n=84)
 Comfort discussing DV194 (45.9)125 (37.1)68 (80.9)7.2 (4.0 to 13.0)6.4 (3.5 to 11.8)0.000
 Comfort discussing sexual assault165 (39.0)104 (30.9)61 (72.6)5.9 (3.5 to 10.1)5.1 (2.9 to 8.9)0.000
 Did not avoid issue of DV254 (61.9)190 (58.5)63 (75.9)2.3 (1.3 to 3.9)2.2 (1.2 to 3.9)0.008
 Did not find upsetting to talk about229 (55.8)173 (53.2)54 (65.1)1.6 (1.0 to 2,7)1.6 (0.9 to 2.7)0.095
 Very aware of the issue220 (54.3)149 (46.4)70 (85.4)6.7 (3.5 to 12.9)7.0 (3.5 to 13.7)0.000
 Tried to go the extra mile with patients181 (44.5)118 (36.5)62 (75.6)5.4 (3.1 to 9.3)5.0 (2.8 to 8.9)0.000
DV inquiry
 Inquiry of 1+ patient/s260 (61.6)178 (53.0)81 (96.4)24.0 (7.4 to 77.4)24.1 (7.3 to 78.8)0.000
 Identified 1+ new cases193 (45.7)121 (35.9)71 (85.5)10.6 (5.5 to 20.2)9.6 (5.0 to 18.8)0.000
Intervention/s with survivor patients§(n=193)(n=121)(n=71)
 Risk assessment102 (53.7)47 (39.5)54 (77.1)5.2 (2.6 to 10.1)4.6 (2.2 to 9.5)0.000
 Safety planning80 (41.7)31 (25.8)48 (67.6)6.0 (3.1 to 11.4)4.3 (2.1 to 8.9)0.000
 Case file documentation139 (72.4)76 (63.3)62 (87.3)4.0 (1.8 to 8.8)3.4 (1.5 to 7.8)0.004
 Utilised DV clinical practice guideline76 (40.0)32 (26.9)43 (61.4)4.3 (2.3 to 8.1)4.2 (2.1 to 8.3)0.000
 Accessed DV information60 (31.4)32 (26.7)27 (38.6)1.7 (0.9 to 3.2)1.7 (0.9 to 3.4)0.120
 Discussed DV at a team meeting125 (66.1)69 (59.0)55 (77.5)2.4 (1.2 to 4.7)2.4 (1.1 to 5.0)0.019
 Discussed a DV case with manager146 (76.4)82 (68.9)63 (88.7)3.5 (1.5 to 8.2)3.3 (1.4 to 8.1)0.007
DV referrals
 Internal hospital service166 (86.0)97 (80.2)68 (95.8)5.6 (1.6 to 19.4)6.4 (1.7 to 23.6)0.005
 Community DV service78 (40.6)35 (29.2)42 (59.1)3.5 (1.9 to 6.5)2.1 (1.0 to 4.1)0.042
  • *Denominators vary due to missing value. Maximum missing data n=3 (1.5%), unless otherwise specified.

  • †Adjusted for age (40 years and older), profession (social work) and years of clinical experience (10 or more years).

  • ‡During the last 6 months, 48 participants were excluded from the remaining analyses because they had not been in clinical practice.

  • §277 participants were excluded from analyses (229 participants who had not identified a new DV case and 48 participants not in clinical practice).

  • DV, domestic violence.