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      Service provider perspectives on how COVID-19 and pandemic restrictions have affected intimate partner and sexual violence survivors in Canada: a qualitative study

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          Abstract

          Background

          The COVID-19 pandemic may increase risk of intimate partner and sexual violence and make relevant services less accessible. This study explored the perspectives of intimate partner and sexual violence workers across Canada on how the COVID-19 pandemic has affected the survivors with whom they work.

          Methods

          Using a qualitative descriptive design, we interviewed 17 management and frontline staff of organizations supporting survivors of intimate partner and sexual violence across Canada. Results: We identified 4 themes that describe the impacts of COVID-19 on intimate partner and sexual violence survivors, from the perspective of service providers: (1) No escape; (2) Isolation; (3) Tough decisions; and (4) Heightened vulnerability. These narrative findings are presented first, followed by an analysis within a social determinants of health framework. Interpreting our findings against such a framework revealed a complex interplay of social determinants, notably social support, access to services, and poverty, that produced several challenges for intimate partner and sexual violence survivors during COVID-19.

          Conclusion

          According to service providers, intimate partner and sexual violence survivors in Canada faced several challenges during the pandemic, including reduced ability to escape their situations, increased isolation, increasingly complex decisions, and heightened vulnerability. Our findings demonstrate the critical need to adopt a broader, more holistic approach in tackling  intimate partner and sexual violence by also addressing socioeconomic issues such as poverty and marginalization.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12905-022-01683-4.

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          Most cited references21

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          Using thematic analysis in psychology

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            Whatever happened to qualitative description?

            The general view of descriptive research as a lower level form of inquiry has influenced some researchers conducting qualitative research to claim methods they are really not using and not to claim the method they are using: namely, qualitative description. Qualitative descriptive studies have as their goal a comprehensive summary of events in the everyday terms of those events. Researchers conducting qualitative descriptive studies stay close to their data and to the surface of words and events. Qualitative descriptive designs typically are an eclectic but reasonable combination of sampling, and data collection, analysis, and re-presentation techniques. Qualitative descriptive study is the method of choice when straight descriptions of phenomena are desired. Copyright 2000 John Wiley & Sons,
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              Employing a Qualitative Description Approach in Health Care Research

              A qualitative description design is particularly relevant where information is required directly from those experiencing the phenomenon under investigation and where time and resources are limited. Nurses and midwives often have clinical questions suitable to a qualitative approach but little time to develop an exhaustive comprehension of qualitative methodological approaches. Qualitative description research is sometimes considered a less sophisticated approach for epistemological reasons. Another challenge when considering qualitative description design is differentiating qualitative description from other qualitative approaches. This article provides a systematic and robust journey through the philosophical, ontological, and epistemological perspectives, which evidences the purpose of qualitative description research. Methods and rigor issues underpinning qualitative description research are also appraised to provide the researcher with a systematic approach to conduct research utilizing this approach. The key attributes and value of qualitative description research in the health care professions will be highlighted with the aim of extending its usage.
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                Author and article information

                Contributors
                Sonia.michaelsen@umontreal.ca
                Journal
                BMC Womens Health
                BMC Womens Health
                BMC Women's Health
                BioMed Central (London )
                1472-6874
                11 April 2022
                11 April 2022
                2022
                : 22
                : 111
                Affiliations
                [1 ]GRID grid.14848.31, ISNI 0000 0001 2292 3357, École de Santé Publique, , Université de Montréal, ; 7101 Park Ave, Montreal, QC H3N 1X9 Canada
                [2 ]GRID grid.459278.5, ISNI 0000 0004 4910 4652, Centre de Recherche en Santé Publique, , Université de Montréal et CIUSSS du Centre-Sud-de-l’Île-de-Montréal, ; 7101 Park Ave, Montreal, QC H3N 1X9 Canada
                [3 ]GRID grid.266820.8, ISNI 0000 0004 0402 6152, Faculty of Education, , University of New Brunswick, ; 10 MacKay Drive, Marshall d’Avray Hall, Room 227, P.O. Box 4400, Fredericton, NB E3B 5A3 Canada
                Author information
                http://orcid.org/0000-0001-8362-6647
                Article
                1683
                10.1186/s12905-022-01683-4
                8996227
                35410209
                237f1ea6-76a6-48a8-948b-3f563aa22fdb
                © The Author(s) 2022

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 13 December 2021
                : 25 March 2022
                Funding
                Funded by: centre de recherche en santé publique, montréal
                Award ID: RQS80088
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2022

                Obstetrics & Gynecology
                covid-19,frontline workers,intimate partner violence,sexual violence,canada

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