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Feasibility of Participatory Theater Workshops to Increase Staff Awareness of and Readiness to Respond to Abuse in Health Care: A Qualitative Study of a Pilot Intervention Using Forum Play among Sri Lankan Health Care Providers

Author

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  • Jennifer J. Infanti

    (Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, N-7491 Trondheim, Norway)

  • Anke Zbikowski

    (Women’s Clinic, Ryhov County Hospital, SE-55185 Jönköping, Sweden)

  • Kumudu Wijewardene

    (Department of Community Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda 10250, Sri Lanka)

  • Katarina Swahnberg

    (Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, SE-391 82 Kalmar, Sweden)

Abstract

Women globally experience mistreatment by health providers during childbirth. Researchers have identified strategies to counteract this type of abuse in health care, but few have been evaluated. We used a theater technique, Forum Play, in a brief training intervention to increase awareness of abuse in health care and promote taking action to reduce or prevent it. The intervention was implemented in four workshops with 50 participating physicians and nurses from three hospitals in Colombo, Sri Lanka. This article reports the views of 23 workshop participants who also took part in four focus group discussions on the acceptability and feasibility of the method. The participants reported that the intervention method stimulated dialogue and critical reflection and increased their awareness of the everyday nature of abuses experienced by patients. Participants appreciated the participatory format of Forum Play, which allowed them to re-enact scenarios they had experienced and rehearse realistic actions to improve patient care in these situations. Structural factors were reported as limitations to the effectiveness of the intervention, including under-developed systems for protecting patient rights and reporting health provider abuses. Nonetheless, the study indicates the acceptability and feasibility of a theater-based training intervention for reducing the mistreatment of patients by health care providers in Sri Lanka.

Suggested Citation

  • Jennifer J. Infanti & Anke Zbikowski & Kumudu Wijewardene & Katarina Swahnberg, 2020. "Feasibility of Participatory Theater Workshops to Increase Staff Awareness of and Readiness to Respond to Abuse in Health Care: A Qualitative Study of a Pilot Intervention Using Forum Play among Sri L," IJERPH, MDPI, vol. 17(20), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7698-:d:432587
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    References listed on IDEAS

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    1. Jewkes, Rachel & Abrahams, Naeemah & Mvo, Zodumo, 1998. "Why do nurses abuse patients? Reflections from South African obstetric services," Social Science & Medicine, Elsevier, vol. 47(11), pages 1781-1795, December.
    2. Katarina Swahnberg & Anke Zbikowski & Kumudu Wijewardene & Agneta Josephson & Prembarsha Khadka & Dinesh Jeyakumaran & Udari Mambulage & Jennifer J. Infanti, 2019. "Can Forum Play Contribute to Counteracting Abuse in Health Care? A Pilot Intervention Study in Sri Lanka," IJERPH, MDPI, vol. 16(9), pages 1-10, May.
    3. Bradley, Susan & McCourt, Christine & Rayment, Juliet & Parmar, Divya, 2016. "Disrespectful intrapartum care during facility-based delivery in sub-Saharan Africa: A qualitative systematic review and thematic synthesis of women's perceptions and experiences," Social Science & Medicine, Elsevier, vol. 169(C), pages 157-170.
    4. Anke Zbikowski & A. Jelmer Brüggemann & Barbro Wijma & Katarina Swahnberg, 2020. "Counteracting Abuse in Health Care: Evaluating a One-Year Drama Intervention with Staff in Sweden," IJERPH, MDPI, vol. 17(16), pages 1-12, August.
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