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Impacts on paediatricians testifying in cases of child maltreatment: protocol for a systematic review
Alyce Horstman1,2, J Anne S Smith2, Richard B Bassed3
1Department of Forensic Medicine, Monash University, Southbank, Victoria, Australia alyce.horstman@rch.org.au.
Insights
This systematic review examines the impacts on pediatricians who testify in child maltreatment cases. It synthesizes existing evidence to inform practice and policy for child protection and legal proceedings.
Area of Science:
- Child Abuse Pediatrics
- Forensic Pediatrics
- Child Protection Services
Background:
- Pediatricians play a crucial role in assessing child maltreatment.
- They often interact with child protection agencies and law enforcement.
- Pediatricians may be required to provide expert testimony in legal proceedings related to child abuse cases.
Purpose of the Study:
- To systematically review and synthesize the existing literature on the impacts of testifying in child maltreatment cases on pediatricians.
- To identify gaps in the current evidence base.
- To inform best practices and support for pediatricians involved in the legal system.
Main Methods:
- A comprehensive search strategy was employed across six major electronic databases (Medline, EMBASE, PsycINFO, CINAHL, Criminal Justice Abstracts, Cochrane Library) from inception to May 2023.
- Two independent reviewers screened titles, abstracts, and full-text articles based on predefined eligibility criteria.
- A third reviewer resolved any disagreements between the initial two reviewers.
Main Results:
- The review aims to synthesize evidence on the professional, psychological, and ethical impacts experienced by pediatricians when testifying in child maltreatment cases.
- Findings will highlight the current state of research and identify areas needing further investigation.
- The synthesis will provide a foundation for developing supportive resources and guidelines.
Conclusions:
- There is a need for a comprehensive understanding of the multifaceted impacts on pediatricians who testify in child maltreatment cases.
- This systematic review will provide critical insights into the challenges and consequences faced by these medical professionals.
- The findings will contribute to improved support systems and professional development for pediatricians engaged in child protection and legal matters.
Introduction:
Paediatricians perform medical assessments for children in cases of suspected child maltreatment. Due to their role with statutory child protection agencies and police, paediatricians may be asked to testify in court about child protection and criminal justice matters. To the authors' knowledge, there has been no previous systematic review of the literature synthesising the evidence on the impacts on paediatricians testifying in cases of child maltreatment.
Methods And Analysis:
A search strategy comprising indexed and key terms will be applied to six electronic reference databases from inception to May 2023: Medline, EMBASE, PsycINFO, CINAHL, Criminal Justice Abstracts and Cochrane Library. Two reviewers will independently screen titles and abstracts and full-text articles against predefined eligibility criteria to identify studies of interest. Conflicts will be independently adjudicated by a third reviewer.
Ethics And Dissemination:
Since the systematic review methodology aims at synthesising information from available publications, this study does not require ethical approval. An article reporting the results of the systematic review will be submitted for publication in a scientific journal, presented at relevant conferences and used in subsequent stakeholder consultations.
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