?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Healthcare+Can+Change+from+Within%3A+Sustained+Improvement+in+the+Healthcare+Response+to+Intimate+Partner+Violence+&rft.creator=Ambuel%2C+Dr.+Bruce&rft.creator=Hamberger%2C+Dr.+L.+Kevin&rft.creator=Guse%2C+Clare&rft.creator=Melzer-Lange%2C+Dr.+Marlene&rft.creator=Phelan%2C+Dr.++Mary+Beth&rft.creator=Kistner%2C+Amy+&rft.subject=Clinical+Psychology&rft.description=There+is+a+great+need+to+demonstrate+sustained+improvement+in+healthcare-based+inquiry%2C+intervention%2C+and+prevention+provided+to+patients+exposed+to+intimate+partner+violence+(IPV).++We+evaluated+implementation+of+the+Healthcare+Can+Change+from+Within+model+(HCCW)+in+three+primary+care+clinics+and+an+emergency+department+within+a+large+healthcare+system%2C+using+two+other+primary+care+clinics+for+a+usual-care+comparison+on+selected+variables.++Outcome+measures+included+individual-level+variables+(staff+knowledge+and+attitudes)+and+system+characteristics+(clinic+policies%2C+procedures%2C+patient+education+materials%2C+and+IPV+documentation+in+patient+records).++Doctors+and+nurses+reported+increased+self-efficacy%2C+understanding+of+referral+resources%2C+and+understanding+of+legal+issues%3B+IPV+knowledge+was+unchanged.++Intervention+clinics+implemented+new+policies+and+procedures%2C+increased+patient+education%2C+and+increased+documentation+of+IPV+screening%2C+an+improvement+which+was+sustained+at+2-year+follow-up.++Results+suggest+HCCW+is+a+promising+practice+for+improving+the+healthcare+response+to+IPV.&rft.date=2013-09-23&rft.type=Preprint&rft.type=PeerReviewed&rft.format=other&rft.identifier=http%3A%2F%2Fcogprints.org%2F9098%2F1%2FAmbuel-Change_From_Within.docx&rft.identifier=++Ambuel%2C+Dr.+Bruce+and+Hamberger%2C+Dr.+L.+Kevin+and+Guse%2C+Clare+and+Melzer-Lange%2C+Dr.+Marlene+and+Phelan%2C+Dr.+Mary+Beth+and+Kistner%2C+Amy+++(2013)+Healthcare+Can+Change+from+Within%3A+Sustained+Improvement+in+the+Healthcare+Response+to+Intimate+Partner+Violence.++%5BPreprint%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F9098%2F