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Nurses' diagnostic work on possible physical child abuse

A W O'Toole1, R O'Toole, S W Webster

  • 1School of Nursing, Kent State University, Ohio, USA.

Public Health Nursing (Boston, Mass.)
|October 1, 1996
PubMed
Summary

Nurses

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Child abuse & neglect·1999

Area of Science:

  • Nursing
  • Child Abuse Detection
  • Diagnostic Reasoning

Background:

  • Child abuse diagnosis presents complex challenges for healthcare professionals.
  • Understanding nurses' diagnostic processes is crucial for improving child protection.
  • The concept of diagnostic work provides a framework for analyzing clinical decision-making.

Purpose of the Study:

  • To explore how nurses approach the diagnosis of potential child abuse.
  • To identify the information nurses prioritize and seek when assessing child abuse cases.
  • To examine how nursing specialization influences diagnostic work in child abuse scenarios.

Main Methods:

  • A mailed questionnaire was distributed to 1,036 nurses.
  • The questionnaire included qualitative-type questions about a hypothetical child abuse scenario.
  • Nurses' judgments and information needs for diagnosis were analyzed.

Main Results:

  • Nurses primarily focused on the child's injuries and behavior.
  • Nurses frequently requested more details about the specific abuse event.
  • Specialty areas (community health, school health, emergency, pediatric) showed variations in information prioritization.

Conclusions:

  • Nursing specialization significantly impacts the diagnostic workup for potential child abuse.
  • Targeted education and training may be beneficial for nurses across different specialties.
  • Further research can refine diagnostic protocols for child abuse detection in nursing practice.

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