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The evaluation of general knowledge of emergency care providers about child abuse and neglect

Yıl 2017, Cilt 8, Sayı 1, 16 - 22, 16.03.2017
https://doi.org/10.18663/tjcl.298251

Öz

Aim: Child abuse and neglect is a public healthcare problem with medical, legal, developmental and psychosocial comprehension, having complex causes and tragic consequences. The incidence of it in societies is not fully detected. We aimed to measure the knowledge levels of doctors and allied healthcare personnel in emergency departments (ED) about child maltreatment, compare with non-healthcare control group and find out the altering factors.

 

Material and Methods: In our study, a group of 400 consisted of ED doctors, pediatricians and other healthcare providers who were working in Teaching, University and General Hospital ED in Ankara and 105 subjects as a control group were included. A survey consisting of the demographic questions which also had myth part about child abuse and neglect was configured. 

 

Results: Among the demographics and myth beliefs, it was found that the institutions where the doctors and allied staff work affect their belief in myths, the experience duration is a variable between healthcare staff, receiving training about child abuse is an altering factor for success rate and having children of own doesn’t affect the accuracy significantly (P > 0.05). The success rates of the control group showed similarity with allied personnel to each myth (P > 0.05). However, the control group had low accuracy on myths 7, 18, 19, 22, 25, 27, 30, and 35 than doctors.

 

Conclusion: All the healthcare providers who work in pediatric and emergency medicine clinics where pediatric patients are encountered mostly should know signs and symptoms of child abuse and neglect, in addition have responsibilities for reporting them to the legal departments. Furthermore, regular training programs should be applied both to community and healthcare system to disprove the myths on this topic.

Kaynakça

  • Definition of Child Abuse. World Health Organization website. http://www.who.int/violence_injury_prevention/violence/child/en/index.html. Accessed March 1, 2015.
  • Parker K, Pitetti R. Mortality and child abuse in children presenting with apparent lifethreatening events. Pediatr Emerg Care 2011; 27: 591-5.
  • Kempe CH, Silverman FN, Steele BF, Droegemueller W, Silver HK. The battered child Syndrome. JAMA 1962; 181: 17-24.
  • Lynne EG, Gifford EJ, Evans KE. Rosch Barriers to reporting child maltreatment: do emergency medical services professionals fully understand their role as mandatory reporters? N C Med J 2015; 76: 13-8.
  • Louwers EC, Korfage IJ, Affourtit MJ, De Koning HJ, Moll HA. Facilitators and barriers to screening for child abuse in the emergency department. BMC Pediatr 2012; 12: 167.
  • Markenson D, Tunik M, Cooper A, et al. A national assessment of knowledge, attitudes, and confidence of prehospital providers in the assessment and management of child maltreatment. Pediatrics 2007; 119: 103-8.
  • Al-Moosa A, Al-Shaiji J, Al-Fadhli A, Al-Bayed K, Adib SM. Pediatricians' knowledge, attitudes and experience regarding child maltreatment in Kuwait. Child Abuse Negl 2003; 27: 1161-78.
  • Fagan D. Child abuse and neglect: the knowledge and practice of the A & E nurse. Accid Emerg Nurs 1998; 6: 30-5.
  • Davidhizar R, Newman-Giger J. Recognizing abuse. Int Nurs Rev 1996; 43: 145-50.
  • Menoch M, Zimmerman S, Garcia-Filion P, Bulloch B. Child abuse education: an objective evaluation of resident and attending physician knowledge. Pediatr Emerg Care 2011; 27: 937-40.
  • Starling SP, Heisler KW, Paulson JF, Youmans E. Child abuse training and knowledge: a national survey of emergency medicine, family medicine, and pediatric residents and program directors. Pediatrics 2009; 123: 595-602.
  • Keane C, Chapman R. Evaluating nurses' knowledge and skills in the detection of child abuse in the Emergency Department. Int Emerg Nurs 2008; 16: 5-13.
  • Feng JY, Jezewski MA, Hsu TW. The meaning of child abuse for nurses in Taiwan. J Transcult Nurs 2005; 16: 142-9.
  • Definitions of Abuse. Center for the Prevention of Child Abuse website. http://www.preventchildabusedutchess.org/about/definitions-of-abuse. Accessed March 1, 2015.
  • UNICEF official website. Child abuse: myths and facts. http://www.unicef.org/malaysia/GetonBoard-Factsheet-Child-Abuse-Myths_Facts.pdf. Accessed March 1, 2015.
  • Adults surviving child abuse organisation website. Abuse types. http://www.asca.org.au/displaycommon.cfm?An=1&subarticlenbr =44. Accessed March 1, 2015.
  • Child matters organisation website. Myths and Realities. http://www.childmatters.org.nz/58/learn-about-child-abuse/myths-andrealities. Accessed March 1, 2015.
  • dreamcatchers organisation website. Profile of a child molester. http://dreamcatchersforabusedchildren.webs.com/childsexoffenders.html http://rapeinfo.wordpress.com/2008/07/08/profile-of-a-child-molester/. Accessed March 1, 2015.
  • Humanity Against Local Terrorism (HALT) organization website. Myths and facts about child abuse and neglect. http://www.haltnow.ca/abuse/childabuse/188-myths-and-facts-about-child-abuse-and-neglect.html. Accessed March 1, 2015.
  • Helping People organisation website. Myths and facts about sex offenders. http://www.helpingpeople.info/articles/myths_and_facts.html. Accessed March 1, 2015.
  • African Network fort he Prevention and Protection against Child Abuse and Neglect (ANPPCAN) organisation website. Myths and facts on child abuse. http://www.anppcankenya.co.ke/index.php?option=com_content&task=view&id=16&Itemid=67. Accessed March 1, 2015.
  • The University of Iowa official website. Rape victim Advocacy Program. Responding to sexuel abuse. http://www.rvap.org/pages/myths_and_facts_about_child_sexual_abuse/. Accessed March 1, 2015
  • Rape and Abuse Crisis Center Organisation website. Myhts and facts about child sexuel abuse.https://www.raccfm.com/files/Myths%20and%20Facts %20about%20Child%20Sexual%20Abuse.pdf. Accessed March 1, 2015.
  • The Lutheran Family Services (LFS) website. Myths and facts about childhood sexual abuse. http://www.lfsneb.org/behavioralhealth/sexualabu se/myths.asp. Accessed March 1, 2015.
  • Leadership Council website. Eight common myths about child sexuel abuse. http://www.leadershipcouncil.org/1/res/csa_m yths.html. Accessed March 1, 2015.
  • Akçay Ş. İstanbul Üniversitesine bağlı tıp fakültelerinde çocuk sağlığı ve hastalıkları anabilim dalları ile travma ve acil cerrahi birimlerinde görev yapan son dönem tıpta uzmanlık öğrencilerinin çocuk ihmali ve istismarı konusunda bilgi, deneyim ve davranışlarını belirleme araştırması. phD Thesis, İstanbul University Faculty of Medicine, Department of Family Medicine, İstanbul; 2008.
  • Markenson D, Foltin G, Tunik M, et al. Knowledge and attitude assessment and education of prehospital personnel in child abuse and neglect: report of a National Blue Ribbon Panel. Prehosp Emerg Care 2002; 6: 261-72.
  • Newton AS, Zou B, Hamm MP, et al. Improving child protection in the emergency department: a systematic review of professional interventions for health care providers. Acad Emerg Med 2010; 17: 117-25.
  • Lawrence LL, Brannen SJ. The impact of physician training on child maltreatment reporting: a multi-specialty study. Mil Med 2000; 165: 607-11.
  • Khan AN, Rubin DH, Winnik G. Evaluation of the mandatory child abuse course for physicians: do we need to repeat it? Public Health 2005; 119: 626-31.

Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi

Yıl 2017, Cilt 8, Sayı 1, 16 - 22, 16.03.2017
https://doi.org/10.18663/tjcl.298251

Öz

Amaç: Çocuk istismarı ve ihmali, karmaşık nedenleri ve trajik sonuçları sebebiyle tıbbi, yasal, gelişimsel ve psikososyal bir halk sağlığı sorunudur. Toplum içindeki gerçek insidansı tam olarak bilinmemektedir. Çalışmamızda acil servislerde çalışan hekimler ve yardımcı sağlık personelinin çocuk istismarı ve ihmali hakkında bilgi düzeylerini ölçmeyi; elde edilen sonuçları sağlık çalışanı olmayan kontrol grubuyla karşılaştırmayı amaçladık.

  

Gereç ve Yöntemler: Çalışmamıza Ankara İlindeki Eğitim Araştırma, Üniversite ve Devlet hastanelerinde çalışan acil doktorları, pediatri hekimleri ve diğer sağlık çalışanlarından oluşan 400 kişilik bir çalışma grubu ve 105 katılımcıdan oluşan kontrol grubu dahil edilerek yapılmıştır. Katılımcılara hem demografik sorulardan oluşan hem de çocuk istismarı ve ihmali konusunda genel olarak inanılan mitleri içeren birer anket uygulanmıştır.

 

Bulgular: Demografik sorular ve mitler içeren ankette, doktorlar ve yardımcı sağlık çalışanlarının çalıştıkları kurumların mitlere bakış açısını etkilediği, deneyim süresinin sağlık çalışanları için bir değişken olduğu, çocuk istismarı konusunda eğitim almış olmanın belirleyici olduğu fakat çocuk sahibi olmanın cevaplardaki doğruluğu anlamlı şekilde etkilemediği tespit edilmiştir (p>0,05). Kontrol grubunun başarı oranları her mit için yardımcı sağlık personeli ile benzerlik göstermiştir (p> 0,05). Ancak kontrol grubunun 7, 18, 19, 22, 25, 27, 30 ve 35 numaralı mitlerde doktorlara göre düşük doğruluk oranları tespit edilmiştir.

 

Sonuçlar: Acil servislerinde ve çoğunlukla çocuk yaş grubunun bakıldığı pediatrik acil servislerinde çalışan tüm sağlık çalışanlarının çocuk istismarı ve ihmaline dair belirti ve bulgularını bilmeleri gerekmektedir. Ayrıca yasal birimlere bildirmeye yönelik sorumlulukları mevcuttur. Bu konudaki mitleri çürütmeye yönelik düzenli eğitim programları hem sağlık sisteminde hem de toplum düzeyinde uygulanmalıdır.

 

Kaynakça

  • Definition of Child Abuse. World Health Organization website. http://www.who.int/violence_injury_prevention/violence/child/en/index.html. Accessed March 1, 2015.
  • Parker K, Pitetti R. Mortality and child abuse in children presenting with apparent lifethreatening events. Pediatr Emerg Care 2011; 27: 591-5.
  • Kempe CH, Silverman FN, Steele BF, Droegemueller W, Silver HK. The battered child Syndrome. JAMA 1962; 181: 17-24.
  • Lynne EG, Gifford EJ, Evans KE. Rosch Barriers to reporting child maltreatment: do emergency medical services professionals fully understand their role as mandatory reporters? N C Med J 2015; 76: 13-8.
  • Louwers EC, Korfage IJ, Affourtit MJ, De Koning HJ, Moll HA. Facilitators and barriers to screening for child abuse in the emergency department. BMC Pediatr 2012; 12: 167.
  • Markenson D, Tunik M, Cooper A, et al. A national assessment of knowledge, attitudes, and confidence of prehospital providers in the assessment and management of child maltreatment. Pediatrics 2007; 119: 103-8.
  • Al-Moosa A, Al-Shaiji J, Al-Fadhli A, Al-Bayed K, Adib SM. Pediatricians' knowledge, attitudes and experience regarding child maltreatment in Kuwait. Child Abuse Negl 2003; 27: 1161-78.
  • Fagan D. Child abuse and neglect: the knowledge and practice of the A & E nurse. Accid Emerg Nurs 1998; 6: 30-5.
  • Davidhizar R, Newman-Giger J. Recognizing abuse. Int Nurs Rev 1996; 43: 145-50.
  • Menoch M, Zimmerman S, Garcia-Filion P, Bulloch B. Child abuse education: an objective evaluation of resident and attending physician knowledge. Pediatr Emerg Care 2011; 27: 937-40.
  • Starling SP, Heisler KW, Paulson JF, Youmans E. Child abuse training and knowledge: a national survey of emergency medicine, family medicine, and pediatric residents and program directors. Pediatrics 2009; 123: 595-602.
  • Keane C, Chapman R. Evaluating nurses' knowledge and skills in the detection of child abuse in the Emergency Department. Int Emerg Nurs 2008; 16: 5-13.
  • Feng JY, Jezewski MA, Hsu TW. The meaning of child abuse for nurses in Taiwan. J Transcult Nurs 2005; 16: 142-9.
  • Definitions of Abuse. Center for the Prevention of Child Abuse website. http://www.preventchildabusedutchess.org/about/definitions-of-abuse. Accessed March 1, 2015.
  • UNICEF official website. Child abuse: myths and facts. http://www.unicef.org/malaysia/GetonBoard-Factsheet-Child-Abuse-Myths_Facts.pdf. Accessed March 1, 2015.
  • Adults surviving child abuse organisation website. Abuse types. http://www.asca.org.au/displaycommon.cfm?An=1&subarticlenbr =44. Accessed March 1, 2015.
  • Child matters organisation website. Myths and Realities. http://www.childmatters.org.nz/58/learn-about-child-abuse/myths-andrealities. Accessed March 1, 2015.
  • dreamcatchers organisation website. Profile of a child molester. http://dreamcatchersforabusedchildren.webs.com/childsexoffenders.html http://rapeinfo.wordpress.com/2008/07/08/profile-of-a-child-molester/. Accessed March 1, 2015.
  • Humanity Against Local Terrorism (HALT) organization website. Myths and facts about child abuse and neglect. http://www.haltnow.ca/abuse/childabuse/188-myths-and-facts-about-child-abuse-and-neglect.html. Accessed March 1, 2015.
  • Helping People organisation website. Myths and facts about sex offenders. http://www.helpingpeople.info/articles/myths_and_facts.html. Accessed March 1, 2015.
  • African Network fort he Prevention and Protection against Child Abuse and Neglect (ANPPCAN) organisation website. Myths and facts on child abuse. http://www.anppcankenya.co.ke/index.php?option=com_content&task=view&id=16&Itemid=67. Accessed March 1, 2015.
  • The University of Iowa official website. Rape victim Advocacy Program. Responding to sexuel abuse. http://www.rvap.org/pages/myths_and_facts_about_child_sexual_abuse/. Accessed March 1, 2015
  • Rape and Abuse Crisis Center Organisation website. Myhts and facts about child sexuel abuse.https://www.raccfm.com/files/Myths%20and%20Facts %20about%20Child%20Sexual%20Abuse.pdf. Accessed March 1, 2015.
  • The Lutheran Family Services (LFS) website. Myths and facts about childhood sexual abuse. http://www.lfsneb.org/behavioralhealth/sexualabu se/myths.asp. Accessed March 1, 2015.
  • Leadership Council website. Eight common myths about child sexuel abuse. http://www.leadershipcouncil.org/1/res/csa_m yths.html. Accessed March 1, 2015.
  • Akçay Ş. İstanbul Üniversitesine bağlı tıp fakültelerinde çocuk sağlığı ve hastalıkları anabilim dalları ile travma ve acil cerrahi birimlerinde görev yapan son dönem tıpta uzmanlık öğrencilerinin çocuk ihmali ve istismarı konusunda bilgi, deneyim ve davranışlarını belirleme araştırması. phD Thesis, İstanbul University Faculty of Medicine, Department of Family Medicine, İstanbul; 2008.
  • Markenson D, Foltin G, Tunik M, et al. Knowledge and attitude assessment and education of prehospital personnel in child abuse and neglect: report of a National Blue Ribbon Panel. Prehosp Emerg Care 2002; 6: 261-72.
  • Newton AS, Zou B, Hamm MP, et al. Improving child protection in the emergency department: a systematic review of professional interventions for health care providers. Acad Emerg Med 2010; 17: 117-25.
  • Lawrence LL, Brannen SJ. The impact of physician training on child maltreatment reporting: a multi-specialty study. Mil Med 2000; 165: 607-11.
  • Khan AN, Rubin DH, Winnik G. Evaluation of the mandatory child abuse course for physicians: do we need to repeat it? Public Health 2005; 119: 626-31.

Ayrıntılar

Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Özgün Makale
Yazarlar

Mehmet ÖZEN Bu kişi benim


Hayri RAMADAN Bu kişi benim


Sevilay VURAL Bu kişi benim


Figen COŞKUN

Yayımlanma Tarihi 16 Mart 2017
Yayınlandığı Sayı Yıl 2017, Cilt 8, Sayı 1

Kaynak Göster

Bibtex @araştırma makalesi { tjcl298251, journal = {Turkish Journal of Clinics and Laboratory}, eissn = {2149-8296}, address = {}, publisher = {DNT Ortadoğu Yayıncılık A.Ş.}, year = {2017}, volume = {8}, number = {1}, pages = {16 - 22}, doi = {10.18663/tjcl.298251}, title = {Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi}, key = {cite}, author = {Özen, Mehmet and Ramadan, Hayri and Vural, Sevilay and Coşkun, Figen} }
APA Özen, M. , Ramadan, H. , Vural, S. & Coşkun, F. (2017). Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi . Turkish Journal of Clinics and Laboratory , 8 (1) , 16-22 . DOI: 10.18663/tjcl.298251
MLA Özen, M. , Ramadan, H. , Vural, S. , Coşkun, F. "Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi" . Turkish Journal of Clinics and Laboratory 8 (2017 ): 16-22 <https://dergipark.org.tr/tr/pub/tjcl/issue/28064/298251>
Chicago Özen, M. , Ramadan, H. , Vural, S. , Coşkun, F. "Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi". Turkish Journal of Clinics and Laboratory 8 (2017 ): 16-22
RIS TY - JOUR T1 - Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi AU - Mehmet Özen , Hayri Ramadan , Sevilay Vural , Figen Coşkun Y1 - 2017 PY - 2017 N1 - doi: 10.18663/tjcl.298251 DO - 10.18663/tjcl.298251 T2 - Turkish Journal of Clinics and Laboratory JF - Journal JO - JOR SP - 16 EP - 22 VL - 8 IS - 1 SN - -2149-8296 M3 - doi: 10.18663/tjcl.298251 UR - https://doi.org/10.18663/tjcl.298251 Y2 - 2016 ER -
EndNote %0 Turkish Journal of Clinics and Laboratory Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi %A Mehmet Özen , Hayri Ramadan , Sevilay Vural , Figen Coşkun %T Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi %D 2017 %J Turkish Journal of Clinics and Laboratory %P -2149-8296 %V 8 %N 1 %R doi: 10.18663/tjcl.298251 %U 10.18663/tjcl.298251
ISNAD Özen, Mehmet , Ramadan, Hayri , Vural, Sevilay , Coşkun, Figen . "Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi". Turkish Journal of Clinics and Laboratory 8 / 1 (Mart 2017): 16-22 . https://doi.org/10.18663/tjcl.298251
AMA Özen M. , Ramadan H. , Vural S. , Coşkun F. Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi. TJCL. 2017; 8(1): 16-22.
Vancouver Özen M. , Ramadan H. , Vural S. , Coşkun F. Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi. Turkish Journal of Clinics and Laboratory. 2017; 8(1): 16-22.
IEEE M. Özen , H. Ramadan , S. Vural ve F. Coşkun , "Acil sağlık çalışanlarının çocuk istismarı ve ihmali hakkında genel bilgilerinin değerlendirilmesi", Turkish Journal of Clinics and Laboratory, c. 8, sayı. 1, ss. 16-22, Mar. 2017, doi:10.18663/tjcl.298251


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