Children at risk of maltreatment: identification and intervention in the emergency department

Kathleen Sanders Jordan1, Margaret Moore-Nadler

  • 1Mid-Atlantic Emergency Medicine Associates, Charlotte, North Carolina (Dr Jordan); The University of North Carolina at Charlotte School of Nursing (Dr Jordan); and College of Nursing, University of South Alabama, Mobile (Dr Moore-Nadler).

Insights

Child maltreatment poses a significant threat to children's health. Implementing nursing education, screening programs, and interdisciplinary collaboration in pediatric emergency departments can improve early identification and intervention for at-risk children.

Area of Science:

  • Pediatrics
  • Public Health
  • Child Welfare

Background:

  • Child maltreatment is a major cause of pediatric illness and death in the U.S.
  • Healthcare providers frequently underrecognize and underreport child abuse cases.
  • Existing mandatory reporting laws are insufficient to address the problem.

Purpose of the Study:

  • To implement strategies in a pediatric emergency department to identify at-risk children.
  • To initiate timely interventions to protect children from maltreatment.
  • To improve the identification and protection of children experiencing abuse.

Main Methods:

  • Implementation of nursing education programs.
  • Development and deployment of a child maltreatment risk screening program.
  • Fostering collaboration among interdisciplinary healthcare professionals.

Main Results:

  • The project demonstrated the effectiveness of the implemented strategies.
  • Nursing education improved provider awareness and identification skills.
  • Screening tools facilitated the identification of at-risk children.
  • Interdisciplinary collaboration enhanced intervention protocols.

Conclusions:

  • Nursing education is crucial for effective child maltreatment identification.
  • Screening programs are vital for early detection in emergency settings.
  • Interdisciplinary teamwork is essential for comprehensive child protection strategies.

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