A scoping review of healthcare professionals' views on intimate partner violence in the Middle East and North Africa

Objectives This scoping review aims to survey healthcare providers (HCPs)
in the Middle East and North Africa (MENA) about their knowledge,
attitudes, and barriers to working with women who have experienced
Intimate Partner Violence (IPV). This review aims to map the breadth of
available peer-reviewed literature that may inform future educational
training programs. Design Scoping review. Data Sources The scoping review
included studies up to December 2023 from PUBMED, Medline, COCHRANE,
CINAHL, PsycINFO, and Arabic medical journals.  Eligibility
Criteria Selected articles were restricted to those carried out in the
MENA region, available in full-text, and with no date restrictions. Data
Extraction and Synthesis Data was extracted from all studies to include
research location, year of publication, type of journal, methodology,
design, participants, knowledge, attitudes, and barriers. By charting the
information into a table, the data was analysed using frequency and counts
and descriptive content analysis.  Results Of the 1066 articles
reviewed, 29 eligible studies were included in this scoping review. 27% of
the articles reported HCPs’ lack of knowledge about IPV protocols. The
dominant attitude reported was a preference to treat the presenting health
complaint and avoid discussing IPV. Finally, 30% of articles reported
HCPs’ lack of training as the main barrier. Conclusion Our paper concluded
that there is a lack of research in understanding the knowledge,
attitudes, and barriers surrounding HCPs in the MENA region and IPV. This
scoping review highlights the need for further research, informing
interventions, and training for HCPs in the region.

研究目标：本范围综述（Scoping Review）旨在针对中东与北非（Middle East and North Africa，MENA）地区的医疗保健从业者（Healthcare Providers，HCPs）开展调研，了解其对曾遭受亲密伴侣暴力（Intimate Partner Violence，IPV）女性的相关认知、工作态度及诊疗实践中的障碍。本综述旨在梳理现有同行评议文献的全貌与覆盖广度，为未来的教育培训项目提供参考依据。
研究设计：范围综述
数据来源：本范围综述检索了截至2023年12月的PUBMED、Medline、COCHRANE、CINAHL、PsycINFO数据库及阿拉伯语医学期刊中的相关研究。
纳入标准：所选文献需限定为在MENA地区开展的研究，需提供完整全文，且无出版日期限制。
数据提取与综合：从所有纳入研究中提取以下信息：研究地点、发表年份、期刊类型、研究方法、研究设计、研究对象、认知水平、工作态度及实践障碍。通过将信息整理至统一表格，采用频次与计数分析法及描述性内容分析法对数据进行分析。
研究结果：本次共检索并审阅1066篇文献，最终纳入29篇符合标准的研究。其中27%的文献提及HCPs对IPV相关诊疗规程缺乏认知。最普遍的态度倾向为优先处理就诊者当前的健康诉求，而回避讨论IPV相关议题。另有30%的文献指出，HCPs缺乏相关培训是主要实践障碍。
研究结论：本研究认为，目前针对MENA地区HCPs在IPV相关议题上的认知、态度及实践障碍的研究仍存在明显不足。本范围综述强调需开展更多相关研究，并为该地区的HCPs制定针对性干预措施与教育培训项目。