Snyder J C, Newberger E H
Children's Hospital, Boston, Ma.
Violence Vict. 1986 Summer;1(2):125-39.
The decision-making process in suspected cases of child maltreatment involves reaching interprofessional consensus. Interprofessional consensus in seriousness ratings of maltreatment incidents for the welfare of the child was examined by surveying 39 case vignette ratings by 295 pediatric hospital professionals from five occupations. The survey instrument was derived from research by Giovannoni and Becerrra (1979). An exploratory factor analysis yielded five categories of maltreatment: physical abuse, sexual abuse, general failures in care, minor neglect/discipline, and lifestyles/values. A sixth category, parental sexual preference, was rated not very serious and did not appear to belong in the maltreatment domain. Nurses and social workers rated incidents as most serious, differing significantly from psychiatrists and, often, from physicians and psychologists. Professions agreed on rank ordering of categories by seriousness. Variables such as sex, parenthood status, years of experience, and medical specialty showed some relationship to ratings within some professional groups.
疑似虐待儿童案件的决策过程涉及达成跨专业共识。通过调查来自五个职业的295名儿科医院专业人员对39个病例 vignette 的评级，研究了为儿童福利对虐待事件严重程度评级的跨专业共识。该调查工具源自乔瓦诺尼和贝塞拉（1979年）的研究。探索性因素分析得出了五类虐待行为：身体虐待、性虐待、护理方面的普遍失误、轻微忽视/管教以及生活方式/价值观。第六类，父母的性取向，被评为不太严重，似乎不属于虐待范畴。护士和社会工作者将事件评为最严重，与精神科医生以及通常与医生和心理学家有显著差异。各职业在按严重程度对类别进行排序上达成了一致。性别、父母身份、工作年限和医学专业等变量在一些专业群体中与评级显示出一定关系。
