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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.
Abstract:
Child maltreatment is a leading cause of pediatric morbidity and mortality, described as one of the greatest threats facing the health, welfare, and social well-being of children in the United States (U.S. Department of Health and Human Services, 2012). Despite mandatory reporting laws, the poignant reality is that this public health problem is significantly underrecognized and underreported by heath care providers. The purpose of this project was to implement a series of strategies in a pediatric emergency department to identify children who are at risk of maltreatment and initiate interventions to ensure their safety and protection before a devastating outcome occurs. The results of this project support the implementation of nursing education, a screening program for risk of child maltreatment, and collaboration with interdisciplinary stakeholders to achieve best practice in emergency medicine.
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