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Caring for maltreated children: a challenge for health care education
Eija Paavilainen1, Päivi Astedt-Kurki, Marita Paunonen-Ilmonen
1Department of Nursing Science, University of Tampere, Tampere, Finland. nueipa@uta.fi
Insights
Paediatric nurses and doctors require additional training to identify child physical abuse, as current education is insufficient. This study highlights the need for enhanced healthcare education on child abuse issues.
Area of Science:
- Pediatric Healthcare
- Child Abuse Identification
- Medical Education
Background:
- Child physical abuse is defined as injuries inflicted by a caregiver upon a child under 18.
- Healthcare professionals play a critical role in identifying and addressing child abuse.
- Existing healthcare education may not adequately prepare staff for child abuse cases.
Purpose of the Study:
- To determine the need for supplementary training for pediatric nurses and doctors in identifying child physical abuse.
- To assess the necessity of developing improved healthcare education on child abuse.
Main Methods:
- A questionnaire survey was administered to 513 pediatric staff at a university hospital.
- Data were collected with a 62% response rate.
- Statistical methods and quantitative content analysis were employed for data analysis.
Main Results:
- 60% of surveyed pediatric staff indicated a need for supplementary training in child abuse identification.
- Staff with experience in caring for abused children found identification most challenging and required training more frequently.
- Respondents cited a lack of child abuse content in basic education and the issue's complexity as reasons for needing training.
Conclusions:
- Research-based knowledge on child abuse identification and treatment should be integrated into healthcare education.
- Supplementary training should cover managing complex cases, legislation, and interprofessional collaboration.
- Nurses and doctors have a vital role in promoting child and family well-being through effective child abuse management.
Aim Of The Study:
The aim of this study was to establish whether paediatric nurses and doctors in a university hospital need supplementary training in the identification of child physical abuse and whether there is a need to develop health care education on child abuse issues.
Background:
Child physical abuse was defined as actions of a parent or a primary caregiver of a child under 18 years of age, which have caused physical injuries to the child.
Methods:
The sample consisted of paediatric staff (n=513) in a university hospital. Data were collected with a questionnaire, and the response rate was 62%. The data were analysed using statistical methods and quantitative content analysis.
Findings:
Sixty per cent of respondents needed supplementary training in the identification of child abuse. Those having experience in caring for abused children considered the identification most difficult (P < 0.001) and needed training more often (P < 0.005) than the others. The need for training was explained by stating that their basic education had not addressed child abuse issues, and by the complexity of the issue.
Conclusions:
The findings indicate that research-based knowledge of the identification and treatment of child abuse should be incorporated into health care education. Supplementary education should address the management of complex and sensitive issues with customers, legislation, division of labour and multiprofessional collaboration in which nurses and doctors have an important, family wellbeing promoting role.
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