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Clinician Response to Child Abuse Presentations in the Vietnamese Hospital Emergency Setting

Tara Flemington1, Cathrine Fowler2, Quang Nhat Tran3,4

  • 1The University of Sydney, Australia.

Journal of Interpersonal Violence
|January 4, 2018
PubMed

Insights

Pediatric clinicians in Vietnam need better training to recognize and respond to child abuse. Despite confidence, knowledge gaps exist, highlighting the need for evidence-based programs to protect vulnerable children.

Area of Science:

  • Pediatric healthcare
  • Child abuse and neglect
  • Clinical training programs

Background:

  • Vietnam's focus on women and children's health necessitates improved pediatric emergency care.
  • Child abuse presents significant challenges in emergency settings, impacting vulnerable populations.
  • Effective recognition and response protocols are crucial for improving outcomes for abused children.

Purpose of the Study:

  • To explore the training needs and expectations of clinicians regarding child abuse recognition and response.
  • To identify barriers and facilitators for implementing evidence-based child abuse training in Vietnam.
  • To inform the development of a clinical training program for pediatric healthcare professionals.

Main Methods:

  • Qualitative study utilizing semistructured interviews with 16 emergency clinicians in Vietnam.
  • Interviews explored current practices, training experiences, and confidence levels in identifying child abuse and neglect.
  • Data collected in English and Vietnamese, with transcripts translated and checked for accuracy.

Main Results:

  • Clinicians demonstrated confidence in recognizing and reporting child abuse but revealed significant knowledge deficits.
  • Key themes emerged: need for evidence, forensic analysis, family respect, and consultation.
  • A culture of collegiality and innovation was observed, alongside barriers to child protection.

Conclusions:

  • Evidence-based training is essential to address knowledge gaps in child abuse recognition and response among Vietnamese pediatric clinicians.
  • Addressing identified barriers and leveraging existing strengths can enhance child protection efforts.
  • Findings directly informed the development of the Safe Children Vietnam training program and future protocol improvements.

Keywords:
child abusechildren exposed to domestic violencecultural contextsdisclosure of domestic violencedomestic violencedomestic violence and cultural contexts

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