There is heightened awareness that a whole-of-systems approach to perpetrator responses is key to addressing domestic and family violence (DFV). This paper reports on the findings from a scoping review which mapped the international literature on how health professionals identify and respond to perpetrators of DFV within a hospital setting. A comprehensive scoping review methodology was used. The search, spanning January 2010 to January 2022, yielded 12,380 publications from four databases. Eligibility for inclusion included peer-reviewed literature with any reference to inpatient hospital health professionals identifying or responding to perpetrators of DFV. Fourteen articles were included in the final review. The review presents the literature categorized by levels of prevention, from primary, secondary, through to tertiary preventive interventions. An additional category “other practices” is added to capture practices which did not fit into existing levels. Despite glimpses into how health professionals can identify, and respond to perpetrators of DFV, the current knowledge base is sparse. The review did not identify any mandated or formal procedures for identifying and/screening or responding to perpetration of abuse in hospitals. Rather, responses to perpetrators are inconsistent and rely on the motivation, skill, and self-efficacy of health professionals rather than an embedded practice that is driven and informed by hospital policy or procedures. The literature paints a picture of missed opportunities for meaningful work with perpetrators of DFV in a hospital setting and highlights a disjuncture between policy and practice.

中文翻译：

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卫生专业人员如何识别和应对医院环境中的家庭暴力肇事者：范围界定审查

人们越来越认识到，采取全系统方法应对施暴者是解决家庭暴力 (DFV) 的关键。本文报告了一项范围界定审查的结果，该审查绘制了有关卫生专业人员如何在医院环境中识别和应对 DFV 肇事者的国际文献。使用了全面的范围界定审查方法。这项检索从 2010 年 1 月到 2022 年 1 月，从四个数据库中检索到了 12,380 篇出版物。纳入资格包括同行评审的文献，其中提及住院医院卫生专业人员识别或应对 DFV 肇事者的情况。最终评审纳入了十四篇文章。该综述介绍了按预防级别分类的文献，从初级、二级到三级预防干预措施。添加了一个附加类别“其他实践”，以捕获不适合现有水平的实践。尽管对卫生专业人员如何识别和应对 DFV 肇事者有所了解，但目前的知识库仍然很少。该审查没有确定任何用于识别和/筛查或应对医院虐待行为的强制性或正式程序。相反，对肇事者的反应是不一致的，并且依赖于卫生专业人员的动机、技能和自我效能，而不是由医院政策或程序驱动和告知的嵌入式实践。这些文献描绘了一幅在医院环境中错失与 DFV 肇事者进行有意义工作的机会的图景，并强调了政策与实践之间的脱节。