Lee Hye-Mi, Kim Ji-Soo
Emergency Department, Sejong General Hospital, Bucheon, Republic of Korea.
College of Nursing, Gachon University, Incheon, Republic of Korea.
J Pediatr Nurs. 2018 Jan-Feb;38:e47-e52. doi: 10.1016/j.pedn.2017.10.007. Epub 2017 Nov 11.
The current study investigates predictors of intention of reporting child abuse among emergency nurses in Korea.
A descriptive cross-sectional design was used. Data were collected from 200 emergency nurses in eight general hospitals in Korea through a questionnaire that asked about their general characteristics, knowledge about child abuse, perceived behavioral control, experiences of child abuse cases and reporting, and attitude toward child abuse.
Multiple regression analysis indicated that attitude toward child abuse was the most influential predictor of the intention of reporting child abuse among Korea's emergency nurses. Knowledge about child abuse, and perceived behavioral control were also significant influencing predictors of reporting intention. These variables explained 22.1% of the variances in the intention of reporting child abuse among emergency nurses.
Reporting child abuse has not yet been established as a professional responsibility among Korea's emergency nurses. Increasing the level of awareness of the characteristics of child abuse and encouraging communication among nurses about the responsibility to report suspected child abuse will increase nurses' confidence to report.
Training for reporting child abuse should be implemented in the near future to improve emergency nurses' understanding of child abuse. A support program is also needed to help emergency nurses build confidence in reporting child abuse as a professional responsibility.
本研究调查韩国急诊护士中举报虐待儿童行为意向的预测因素。
采用描述性横断面设计。通过一份问卷从韩国八家综合医院的200名急诊护士收集数据，问卷询问了她们的一般特征、对虐待儿童行为的了解、感知行为控制、虐待儿童案例及举报经历，以及对虐待儿童行为的态度。
多元回归分析表明，对虐待儿童行为的态度是韩国急诊护士中举报虐待儿童行为意向的最具影响力的预测因素。对虐待儿童行为的了解以及感知行为控制也是举报意向的重要影响预测因素。这些变量解释了急诊护士中举报虐待儿童行为意向差异的22.1%。
在韩国急诊护士中，举报虐待儿童行为尚未被确立为一项职业责任。提高对虐待儿童行为特征的认识水平，并鼓励护士之间就举报疑似虐待儿童行为的责任进行沟通，将增强护士举报的信心。
近期应开展举报虐待儿童行为的培训，以提高急诊护士对虐待儿童行为的理解。还需要一个支持项目来帮助急诊护士树立将举报虐待儿童行为作为职业责任的信心。
