Perceptions of child abuse and neglect among nurses: an investigation in family health centers

Year 2025, Volume: 7 Issue: 2, 201 - 209, 21.03.2025

Veysel Can , Mehmet Bulduk , Mehmet Şakir Leymun

https://doi.org/10.38053/acmj.1635962

Abstract

Aims: This study aims to examine the perceptions of nurses working in family health centers regarding child abuse and neglect, their involvement in reporting processes, and the challenges they encounter.
Methods: A cross-sectional descriptive study was conducted with 157 nurses working in family health centers. Data were collected through face-to-face interviews using a descriptive information form, the nurses' diagnosis of child abuse and neglect symptoms and risks scale (NCAN-RS), and the healthcare provider attitudes toward child maltreatment reporting scale (CMRS). The data were analyzed using descriptive statistics, correlation analyses, and multiple correspondence analysis.
Results: The findings revealed that 56.1% of the nurses had received prior training on child abuse and neglect, but only 37.5% found the training sufficient. A significant proportion (96.2%) had never reported a child abuse case. Awareness of child rights organizations was also limited, with only 37.6% of participants able to specify an institution. Nurses who received training, were aware of child rights organizations, and acknowledged the legal obligation to report abuse had significantly higher scores on the CMRS and NCAN-RS scales (p<0.05). The lack of institutional support negatively influenced reporting behaviors.
Conclusion: Although nurses play a critical role in identifying and reporting child abuse and neglect, gaps in education, institutional support, and awareness persist. Strengthening training programs, enhancing institutional support, and raising awareness about legal responsibilities may contribute to improved reporting behaviors among healthcare professionals.

Keywords

Child abuse, child neglect, nurses, mandatory reporting, primary health care

Ethical Statement

Ethics Committee Approval This study has been approved by the Non-Interventional Ethics Committee of Van Yüzüncü Yıl University in accordance with the principles of the Helsinki Declaration. Ethics Committee Decision No: 2024/03-29, Date: 08.03.2024.

Thanks

We thank the nurses who participated in the study.

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