Department of Emergency Medicine, West Virginia University, Morgantown, WV 26506-9149, USA.
Public Health Nurs. 2012 Sep-Oct;29(5):412-23. doi: 10.1111/j.1525-1446.2011.01003.x. Epub 2012 Mar 19.
To examine nurse home visitors' perspectives of and intentions to report children's exposure to intimate partner violence (IPV) in the context of the home visitation setting.
Cross-sectional study of 532 nurse home visitors in the Nurse-Family Partnership home visitation program.
A web-based questionnaire assessing nurse home visitors' support for and attitudes toward mandatory reporting of children's exposure to IPV. Nurses' considerations of what levels of exposure constitute maltreatment and their intended reporting behaviors were also examined.
Variability and uncertainty were observed in participants' attitudes as well as in their determinations as to which situations constitute child maltreatment. Most of the sample believed reporting exposure to IPV can help the battered woman (67%) and can protect children (92%), while 56% indicated that reporting can negatively affect the nurse-client relationship. Nurses were more likely to endorse reporting children's exposure to IPV when the child was at greatest risk for being physically injured as a result of IPV.
Training about maltreatment reporting procedures in home visitation programs should focus on the interpretation of child maltreatment laws as well as collaborations with local child protection service agencies to determine if children's exposure to IPV is reportable.
探讨在家庭访视背景下，护士家访员对报告儿童亲密伴侣暴力（IPV）暴露的看法和意图。
对参与家庭母婴护理计划的 532 名护士家访员进行横断面研究。
采用基于网络的问卷评估护士家访员对儿童 IPV 暴露强制报告的支持和态度。还考察了护士对哪些程度的暴露构成虐待的考虑因素以及他们的预期报告行为。
参与者的态度以及他们对哪些情况构成虐待儿童的判断存在差异和不确定性。大多数样本认为报告 IPV 暴露可以帮助受虐妇女（67%）并保护儿童（92%），而 56%的人表示报告可能会对护士-客户关系产生负面影响。当儿童因 IPV 而面临身体受伤的最大风险时，护士更有可能支持报告儿童 IPV 暴露。
家庭访视项目中的虐待报告程序培训应侧重于解释虐待儿童法律以及与当地儿童保护服务机构合作，以确定儿童是否应报告 IPV 暴露。
