Date of Award

Fall 2017

Document Type


Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

Dr. Monica Ketchie DNP, CNM, ANP

Second Advisor

Dr. Deborah MacMillan PhD, RNC, CNM

Third Advisor

Beverlyn Ming, RN, MSN


This quality improvement translational project was intended to increase the confidence of nurses screening for intimate partner violence, through education. The project utilized a focus group and the Physicians Readiness to Manage Intimate Partner Violence Survey to gather needs, knowledge gaps, and prior education to develop IPV education for a group of nurses at a public health department. Nurses were found to have a low level of IPV knowledge, with a mean score of 42.44 (SD= 15.13), on a 100-point scale. Six of the nurses also reported less than one hour of previous IPV training in the past. Nurses reported their confidence to screen on a confidence visual analog scale pre-and post IPV education. Nurses confidence to screen for IPV was 2 points higher after receiving IPV education, 95% CI [1.93, 2.23]. Pre- and post-scale scores were strongly and positively correlated (r =0.982, p < 0.000) and there was a significant average difference between pre- and post-scale scores (t8= 31.385, p < 0.000). Nurses were also introduced to the HITS screening tool to begin using to screen all their clients post education. Chart audits were completed over a nine-week timeframe on the number of clients seen and referred using the HITS tool. Nurses saw 759 clients during the project period, only 10.67% were screened with the HITS tool and 2.46% were referred to additional resources. Results supported that IPV education can increase the confidence of nurses screening for IPV. Further implications for standardizina universal screening tool was indicated.