Paek So Hyun, Kwak Young Ho, Noh Hyun, Jung Jin Hee
Department of Emergency Medicine, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do.
Department of Emergency Medicine, Seoul National University College of Medicine.
Medicine (Baltimore). 2019 Jan;98(2):e14085. doi: 10.1097/MD.0000000000014085.
We had designed an educational program for early reporting of suspected child abuse for healthcare providers in South Korea. The purpose of study was to evaluate the effectiveness of education program for health care providers as pilot study. The educational program consisted of two 2-hour-long didactic lectures and was held at 15 hospitals between July and December 2016. We conducted a survey study with physicians, nurses, emergency medical technicians, and other hospital staff. Participants completed survey questionnaires before and after the lecture and 3 months later. The questionnaire contained 3 sections: practical knowledge regarding child abuse, confidence in reporting, and willingness to report. A 10-point Likert scale was used to evaluate the responses. A total of 1103 participants working in 15 different hospitals attended the educational program. In all, 663 participants (75.5%) completed the survey with nurses at 61.7% and physicians at 22%. 26.4% had previously received education about child abuse and reporting methods, and 227 (34.2%) had experience with reporting (direct and indirect) child abuse. The score about knowledge improved from 5.28 points before to 8.03 after the educational program, and was 7.1 after 3 months (P < .001), using a 10-point Likert scale. The confidence increased from 4.76 before the program to 7.59 after it, and was 6.6 after 3 months (P < .001). The willingness to report increased from 7.46 before the program to 8.68 after it, and was 8.14 after 3 months (P < .001). Participants' satisfaction with the education program was 8.3 points immediately after education and 7.6 points after 3 months. The recommendation index of curriculum was 8.4 points before program and 8.1 points after 3 months. The educational program on the assessment of child abuse and reporting methods increased healthcare professionals' knowledge and confidence and improved their willingness to report suspected child abuse in a low-perception environment.
我们为韩国的医疗服务提供者设计了一个关于早期报告疑似虐待儿童情况的教育项目。本研究的目的是作为试点研究评估该教育项目对医疗服务提供者的有效性。该教育项目由两场时长为2小时的理论讲座组成，于2016年7月至12月期间在15家医院举办。我们对医生、护士、急救医疗技术人员及其他医院工作人员开展了一项调查研究。参与者在讲座前后以及3个月后完成调查问卷。问卷包含3个部分：关于虐待儿童的实践知识、报告的信心以及报告的意愿。采用10分制李克特量表来评估回答。共有1103名在15家不同医院工作的参与者参加了该教育项目。总共有663名参与者（75.5%）完成了调查，其中护士占61.7%，医生占22%。26.4%的人之前接受过关于虐待儿童及报告方法的教育，227人（34.2%）有过报告（直接和间接）虐待儿童情况的经历。使用10分制李克特量表，关于知识的得分从教育项目前的5.28分提高到了之后的8.03分，3个月后为7.1分（P<0.001）。信心从项目前的4.76分提高到了之后的7.59分，3个月后为6.6分（P<0.001）。报告的意愿从项目前的7.46分提高到了之后的8.68分，3个月后为8.14分（P<0.001）。参与者对教育项目的满意度在教育结束后立即为8.3分，3个月后为7.6分。课程的推荐指数在项目前为8.4分，3个月后为8.1分。关于虐待儿童评估及报告方法的教育项目在认知度较低的环境中提高了医疗专业人员的知识和信心，并增强了他们报告疑似虐待儿童情况的意愿。
