Çocuk cinsel istismarının tanılama adli ve sosyal sürecinde pediatri hemşireleri

Öz

AMAÇ: Çocuk cinsel istismarının tanılama, adli ve sosyal sürecinde sağlık bakım profesyonellerinin önemli sorumlulukları vardır. İstismar gerçekleştikten sonra çocukla karşılaşma olasılığı yüksek olan hekim, hemşire gibi sağlık çalışanlarının konu hakkındaki bilgi eksiklerinin belirlenmesi ve giderilmesi önemlidir.YÖNTEM: Araştırma çocuk cinsel istismarının tanılanması, adli ve sosyal süreç konularındaki bilgi düzeylerinin belirlenmesi amacıyla 206 pediatri hemşiresi ile tanımlayıcı kesitsel olarak yapılmıştır. Veriler 52 soruluk veri toplama formu ile toplanmıştır. Değerlendirmede sayı ve yüzde, ki-kare testi kullanılmış, anlamlılık değeri p

Anahtar Kelimeler

• Çocuk cinsel istismarı
• tanılama
• adli süreç
• sosyal süreç
• hemşire

Pediatric nurses in the judicial and social processes of diagnosis of child sexual abuse

Öz

OBJECTIVE: Healthcare professionals have important responsibilities in the judicial and social processes of diagnosis of child sexual abuse. It is important to determine the knowledge deficiencies of the doctors and nurses, who have a high probability of meeting with the child after sexual abuse, and to fill them in about this case. METHODS: This cross-sectional research was conducted with the purpose of determining the knowledge levels of healthcare professionals in the judicial and social processes of diagnosis of child sexual abuse. The data was collected using a form composed of fifty-two questions on 206 paediatric nurses. For the analysis of the data; percentage and Chi-Square tests were used. The significance was defined as p≤0.05.RESULTS: The nurses’ tendencies were found high on reporting sexual abuse, but knowledge levels were low on about the judicial and social processes. Age, working year and department, and education on this subject were found effective factors on increasing the knowledge levels. p

Anahtar Kelimeler

• Child sexual abuse
• judicial process
• social process
• nurse

Kaynakça

1. Buchanan A, Wilcins R. Sexual Abuse of mentally handicapped: difficulties in establishing prevalence. Psychiatric Bulletin 1991;15: 601-15.
2. Gültekin G, Ruban C, Akduman B, Korkusuz İ. Child and sexual abuse. Adli Psikiyatri Dergisi 2006;3 1 :9-14.
3. O’toole R, Webster SW, O’Toole W, Lucal B. Teacher’s recognition and reporting of child abuse: A factorial surveyç Child Abuse Neglect 1999;23:1083-101.
4. Kara Ö, Çalışkan D, Suskun E. Comparison of the levels of knowledge and approaches in relation with child abuse and neglect in residents of pediatrics, pediatricians and practitioners working in the province of Ankara. Türk Ped Arş 2014;49 1 :57-65.
5. Gölge ZB, Hamzaoğlu N, Türk B. Assesment of medical staff awareness about child abuse and neglect. J For Med 2012;26 2 :86-96.
6. Arıkan D, Yaman S, Çelebioğlu A. Knowledge of nurses on child neglect and abuse. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2000;3 2 :29-35.
7. Polat Külcü D, Karataş H. Examination of the pediatric nurses’ knowledge about child abuse and neglect. Ege Üniversitesi Hemşirelik Fakültesi Dergisi 2016;32 1 :48-58.
8. Güner CK, Yavuz HÖ, Dörtbudak Z. Opinions and practices of the nurses facing with cases of child abuse- neglect: Pilot Study. Kastamonu Sağlık Akademisi 2016;1 1 :39-55.

9. Kocaer U. Levels of awareness in doctors and nurses regarding child abuse and neglect Unpublished Thesis . Marmara Univesity Health Science Institute, Istanbul, 2006.
10. Yılmaz B. The Investigation of Nurse’s knowledge level and approach towards child abuse and neglect Unpublished Thesis . Ankara University Health Science Institute, Ankara, 2015.
11. Wu HZ, Berenson AB, Wiemann CMA. Profile of adolescent females with a history of sexual assault in texas: familial environment, risk behaviors and health status. Journal Pediatr Adolesc Gynecol 2003;16 4 :207-16.
12. Kucuk S. Analyses of child sex abuse cases in Turkey: A provincial case. J Child Sex Abus 2016;25 3 :262-75.
13. Gölge BZ, Yavuz MF, Yüksel Ş. Sexual assailants’ profiles. J For Med 2006;20 1 :1-17.
14. Chen JQ, Chen DG. Awareness of child sexual abuse prevention education among parents of Grade 3 elementary school pupils in Fuxin City, China. Health Education Research 2005;20 5 :540-47.
15. Fraser JA, Mathews B, Walsh K, Chen L, Dunne M. Factors influencing child abuse and neglect recognition and reporting by nurses: A multivariate analysis. Int J Nurs Stud 2010;47 2 :146-53.
16. Burç A, Tüfekci FG. Occurrence of diagnosis by nurses of symptoms and risks of child abuse and neglect. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2015;6 3 :144-151.
17. Goebbels AFG, Nicholson JM, Walsh K, De Vries H. Teachers’ reporting of suspected child abuse and neglect: Behaviour and determinants. Health Education Research 2008;23 6 :941-51.
18. Freel M. Child sexual abuse and the male monopoly: An ampirical exploration of genderand a sexual interest in children. British Journal of Social Work 2003;33:481-8.
19. McGillivray B. The role of Victorian emergency nurses in the collection and preservation of forensic evidence: A review of the literature. Accid Emerg Nurs 2005;13:95-100.
20. Stavrianopoulos T, Gourvelou O. The role of the nurse in child sexual abuse in USA. Health Science Journal 2012;6 4 : 647-53.
21. American Academy of Pediatrics. Guidelines for the evaluation of sexual abuse of children. Pediatrics. 1999;103:186-91.
22. Christian CW, Lavelle JM, De Jong AR, Loiselle J, Brenner L, Joffe M. Forensic evidence findings in prepubertal victims of sexual assault. Pediatrics. 2000;106 1 :100-4.
23. Kucuk S. Analyses of child sex abuse cases on court in Turkey a provincial case: Aksaray Oral Presentation . 5th International Symposium on Children at Risk and in Need of Protection, 1-3 November 2013, Antalya, Turkey.