Chan A C Y, Cheng W L, Lin Y N, Ma K W, Mark C Y, Yan L C, Yim K W, Yim P Y, Ho G W K
School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR.
Compr Child Adolesc Nurs. 2020 Mar;43(1):48-64. doi: 10.1080/24694193.2018.1561763. Epub 2019 Jan 14.
In the absence of a mandatory reporting (MR) structure, it is unclear how nurses perceive or exercise their role in child protection. This study examined knowledge and perceptions of child protection and MR among nurses working in Hong Kong. This cross-sectional web-based survey used the Child Abuse Report Intention Scale to measure nurses' child protection knowledge and attitudes, and their perceived norms, control, and intention to report suspected maltreatment. Nurses also indicated if they support MR and to provide an explanation for their preference. Quantitative data were described and analyzed using bivariate and regression analyses. Open-ended responses were analyzed using directed content analysis. A convenient sample of 91 nurses working in Hong Kong completed the survey. The majority (86%) were female with a mean of 9.5 years of nursing experience; their mean knowledge score was 6.64 out of 13 (range 2-10). Compared with other maltreatment types, sexual abuse was perceived to be most severe and most likely to be reported. Perceived severity and attitudes toward child maltreatment was significantly associated with nurses' intention to report. Over half (58%) supported MR; those against MR expressed concerns about lack of support from management. Although nurses working in Hong Kong still hold polarized views about MR, findings point to the importance of creating a supportive reporting culture, and designing training programs that focus on changing perceptions about child protection in order to improve their tendency to report.
在缺乏强制报告（MR）机制的情况下，目前尚不清楚护士如何看待或履行其在儿童保护方面的职责。本研究调查了香港护士对儿童保护及强制报告的认知情况。这项基于网络的横断面调查使用了《虐待儿童报告意愿量表》来衡量护士的儿童保护知识和态度，以及他们对规范、控制的认知，还有报告疑似虐待行为的意愿。护士们还表明自己是否支持强制报告，并给出偏好的理由。使用双变量分析和回归分析对定量数据进行描述和分析。采用定向内容分析法对开放式回答进行分析。在香港工作的91名护士组成的便利样本完成了该调查。大多数（86%）为女性，平均有9.5年的护理经验；她们在13分的总分中平均知识得分为6.64分（范围为2 - 10分）。与其他虐待类型相比，性虐待被认为最为严重，也最有可能被报告。对虐待严重性的认知以及对儿童虐待的态度与护士的报告意愿显著相关。超过半数（58%）的人支持强制报告；反对强制报告的人表示担心得不到管理层的支持。尽管在香港工作的护士对强制报告仍持有两极分化的观点，但研究结果表明营造支持性报告文化以及设计专注于改变对儿童保护认知的培训项目以提高他们报告倾向的重要性。
