The Effects of Undergraduate Nursing Education in Diagnosing the Symptoms of Child Abuse and Neglect

Abstract

Objective: Health professionals are expected to properly identify all the four dimensions of child abuse that are discussed as physical, sexual, emotional abuse, and neglect. This study was conducted to measure the impact of education given in the nursing department on the knowledge level of students about child neglect and abuse and to identify areas that require intervention. Materials and Methods: The population of this study is 425 students studying in all four grades of the nursing department. A sample was not determined, those who volunteered to participate and completed the questionnaire forms of the study were included (n=313, 74%). A questionnaire form for socio-demographic information and scale by Uysal were used to collect data. Statistical Package for the Social Sciences programme was used for data analysis. Results: Of the participants 64.9% were female and 74.4% did not want to receive an education on the topic. The mean total scale score was 244.92 ± 22.96 and the mean response to the items in the scale was 3.65. Compared with male students (240.85 ± 22.90), the total score of female students (247.15 ± 22.75) was significantly higher (p = 0.020). Compared with other grades, the total score of fourth grade students was significantly higher (p < 0.001). Conclusion: In the nursing education curriculum, topics related to child abuse and neglect should be included in each year. Higher participation of male students in these trainings should be ensured. Further studies on this topic should be conducted with students.

Keywords

• Undergraduate Education
• Nursing
• Student
• Child Abuse

Hemşirelik Lisans Eğitiminin Çocuk İstismar ve İhmalinin Belirtilerinin Teşhisine Etkileri

Abstract

Amaç: Sağlık çalışanlarının çocuk istismarının fiziksel, cinsel, duygusal istismar ve ihmal olarak tartışılan dört boyutunu da doğru bir şekilde tanımlamaları beklenir. Bu araştırma, hemşirelik bölümünde verilen eğitimin öğrencilerin çocuk ihmali ve istismarı konusundaki bilgi düzeylerine etkisini ölçmek ve müdahale gerektiren alanları belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu çalışmanın evreni, hemşirelik bölümünün dört sınıfında öğrenim gören 425 öğrencidir. Örneklem belirlenmemiş, çalışmaya katılmaya gönüllü olan ve anket formlarını dolduranlar dahil edilmiştir (n=313, %74). Veri toplamak için Uysal tarafından hazırlanan sosyo-demografik bilgiler için anket formu ve ölçek, verilerin analizinde Sosyal Bilimler için İstatistik Paketi programı kullanılmıştır. Bulgular: Katılımcıların% 64,9'u kadındı ve% 74,4'ü konuyla ilgili eğitim almak istemiyordu. Ortalama toplam ölçek puanı 244.92 ± 22.96 ve ölçekteki maddelere verilen ortalama yanıt 3.65'tir. Erkek öğrencilerle karşılaştırıldığında (240.85 ± 22.90), kız öğrencilerin toplam puanı (247.15 ± 22.75) anlamlı olarak daha yüksektir (p = 0.020). Diğer sınıflarla karşılaştırıldığında, dördüncü sınıf öğrencilerinin toplam puanları anlamlı olarak daha yüksektir (p <0,001). Sonuç: Hemşirelik eğitimi müfredatında her yıl çocuk istismarı ve ihmali ile ilgili konulara yer verilmelidir. Erkek öğrencilerin bu eğitimlere daha fazla katılımı sağlanmalıdır. Bu konuyla ilgili öğrencilere yönelik daha ileri çalışmalar yapılmalıdır.

Keywords

• Lisans Eğitimi
• Hemşirelik
• Öğrenci
• Çocuk İstismarı
• İhmal

References

1. Dubowitz H. Preventing child neglect and physical abuse: a role for pediatricians. Pediatr Rev. 2002; 23:191-6.
2. Balci E, Gun I, Sarli SM, Akpinar F, Yagmur F, Ozturk A, et al. Still an unknown topic: child abuse and "shaken baby syndrome". Turkish Journal of Trauma and Emergency Surgery. 2011; 17:430–4. doi:10.5505/tjtes.2011.23427
3. Helvacı Çelik F, Hocaoğlu Ç. Childhood Traumas: A Review [Turkish]. Sakarya Med J. 2018; 8(4): 695-711.
4. Jones ED, Mccurdy R. The Link Between Types of Maltreatment and Demographic Characterictics of Children. Child Abuse and Neglect. 1992; 16(2): 201- 15.
5. Kouno A, Johnson CF. Child abuse and neglect in Japan: Coin-operated-locker babies. Child Abuse & Neglect. 1995; 19: 25–31. doi:10.1016/0145-2134(94)00108-7
6. Yılmaz G, İşiten N, Ertan Ü, Öner A. Child abuse: a case report [Turkish]. Çocuk Sağlığı ve Hastalıkları Dergisi. 2003; 46: 295-8.
7. Showers J, Johnson CF. Child Development, Child Health and Child Rearing Knowledge among Urban Adolescents: Are They Adequately Prepared for the Challenges of Parenthood? Health Education. 1985; 16:37–41. doi:10.1080/00970050.1985.10615875
8. Bakır E, Kapucu S. Reflection of Child Neglect and Abuse to Researches In Turkey: A Literatüre Review [Turkish]. Journal of Hacettepe University Faculty of Nursing. 2017; 4(2): 13–24.

9. Uysal A. Determining the Knowledge Levels of Nurses and Midwives in Diagnosing the Symptoms and Risks of Child Abuse and Neglect [Turkish] (Master Thesis). Ege University, Turkey; 1998.
10. Kocaer Ü. Levels of awareness in doctors and nurses regarding child abuse and neglect [Turkish] (Master Thesis). Marmara University, Turkey; 2006.
11. Demir H. The knowledge, awareness and attitude of physicans working in family health centres in Edirne on child abuse and neglect [Turkish] (Speciality Thesis). Trakya University, Turkey; 2012.
12. Gölge ZB, Hamzaoğlu N, Türk B. Assesment of medical staff awareness about child abuse and neglect. Turkish Journal of Forensic Medicine. 2012; 26(2): 86–96.
13. Türker G. Levels of awareness in family doctors, nurses and midwifes regarding child abuse and neglect: sample of Burdur [Turkish] (Master Thesis). Selçuk University, Turkey; 2017.
14. Poreddi V, Pashapu DR, Kathyayani B, Gandhi S, El-Arousy W, Math SB. Nursing students’ knowledge of child abuse and neglect in India. British Journal of Nursing. 2016; 25(5): 264-8. doi: 10.12968/bjon.2016.25.5.264
15. Güdek Seferoğlu E, Sezici E, Yiğit D. Nursing Students’ Level of the Diagnosing Symptoms and Risks of Child Abuse and Neglect [Turkish]. OPUS– International Journal of Society Researches. 2019; 10(17): 257-76. doi: 10.26466/opus.511405
16. Akgün Kostak M, Vatansever C. Views and opinions of faculty of health sciences students about child abuse and neglect [Turkish]. Journal Of Health Science and Professions. 2015; 2(1): 1-11. doi: 10.17681/hsp.79915
17. Burç A, Güdücü Tüfekçi F. Occurance of diagnosis by nurses of symptoms and risks of child abuse and neglect [Turkish]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2015; 6(3): 144-51.
18. Pakiş I, Demir F, Bektas G, Altun U, Yıldırım S. Investigation of the awareness and knowledge about child abuse and negligence among doctors and nurses working in the east part of Turkey. Romanian Journal of Legal Medicine. 2015; 23(2): 151-6. doi: 10.4323/rjlm.2015.151
19. Bozkurt ÖD, Daşıkan Z, Kavlak O, Şirin A. Determination of the knowledge, opinions and professional attitudes of midwifery students about violence during pregnancy. Balikesir Health Sciences Journal. 2013; 2(2): 99-107.
20. Burç A . The Level of Diagnosis of the Symptoms and Risks of the Child Abuse and Neglect of the Nurses (PhD thesis). Atatürk University, Turkey; 2014.
21. Kurt G, Dönmez S, Eren Ö, Balcı E, Günay O. The university last year students’ perceptions of abuse, neglect and domestic violence; who are studying at three different sections. Journal of International Social Research. 2017; 10(50): 405-14.
22. Sinan Ö, Tosun B, Ünal N. Perspectives of nursing students on violence. Turkiye Clinics Psychiatric Nursing-Special Topics. 2017; 3(2): 108-14.
23. Uncu F, Oğuzöncül F. Health care workers’ who work in the province of Elazig levels of awareness about child abuse and neglect, and the factors affecting. International Journal of Medical Investigation. 2013; 2(3): 129-42.
24. Duman ZÇ, Özdağ Ş, Özcan A. The opinions of nurse students on the subject of the effect of violence in the family on the child. Atatürk Üniv. Hemşirelik Yüksekokulu Dergisi. 2003; 2: 50-6.
25. Adams B. Assessment of child abuse risk factors by advanced practice nurses. J Pediatr Nurs. 2005; 31(6): 498–502.
26. Elarousy W, Houaida H, Louise V. Child abuse and neglect: student nurses’ knowledge and attitudes. J Am Sci. 2012; 8(7): 665–74.