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Child maltreatment recognition and reporting attitudes among pediatric nurses and physicians in Türkiye: A

Fatma Çarikçi1, Burcu Aykanat Girgin2, Nagihan Fatma Harmanci3

  • 1Pediatric Nursing, İstanbul Yeni Yüzyıl University, Vocational School of Health Sciences, Istanbul, Türkiye.

Child Abuse & Neglect
|May 7, 2026
PubMed

Insights

Pediatric physicians demonstrated higher proficiency than nurses in identifying child maltreatment signs and risks. However, reporting attitudes were similar, with greater recognition linked to stronger reporting responsibility.

Area of Science:

  • Pediatric Healthcare
  • Child Maltreatment Recognition
  • Healthcare Professional Training

Background:

  • Child maltreatment poses significant risks to pediatric health.
  • Accurate identification by healthcare professionals is crucial for intervention.
  • Understanding proficiency differences between physicians and nurses is essential for targeted training.

Purpose of the Study:

  • To compare the proficiency of pediatric physicians and nurses in recognizing child maltreatment.
  • To assess the relationship between this proficiency and their attitudes toward reporting.
  • To inform educational strategies for improving child protection.

Main Methods:

  • A comparative cross-sectional study involving 300 healthcare professionals (physicians and nurses) in Istanbul.
  • Utilized the Scale for Diagnosis of Symptoms and Risks of Child Abuse and Neglect (DSRCAN) and the Healthcare Providers Attitude Towards Child Maltreatment Reporting Scale (HPAT-CMRS).
  • Employed independent-samples t-tests and Pearson correlation analysis for data evaluation.

Main Results:

  • Pediatric physicians showed significantly higher proficiency (mean DSRCAN score) than pediatric nurses (p=0.001).
  • No significant difference was found in reporting attitudes (mean HPAT-CMRS score) between physicians and nurses (p=0.159).
  • Higher maltreatment recognition proficiency positively correlated with stronger reporting responsibilities and lower concerns about reporting for both groups.

Conclusions:

  • Pediatric physicians exhibit superior ability in recognizing child maltreatment compared to nurses.
  • Reporting attitudes are comparable between pediatric physicians and nurses.
  • Enhanced proficiency in identifying child maltreatment correlates with a stronger commitment to reporting and reduced apprehension.
Abstract

Keywords:
Child abuseChild neglectPediatric nursePediatricianRecognitionReporting attitude

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