Ministry of Health, Jizan 86518 - 3067, Saudi Arabia.
Community and Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia.
Child Abuse Negl. 2020 Aug;106:104514. doi: 10.1016/j.chiabu.2020.104514. Epub 2020 May 8.
Child abuse is a prevalent problem with short and long-term consequences. While most countries have enacted child abuse reporting laws, the Saudi healthcare system has not paid sufficient attention to nurses' role in the reporting of child abuse.
This study aimed to 1) identify the factors associated with nurses' intention to report child abuse by testing a hypothetical model; 2) examine the patterns underlying their intention to report child abuse; and 3) investigate the differences in reporting based on clinical practice areas.
A convenience sample of 248 nurses recruited from emergency and pediatric inpatient units and primary healthcare centers in Riyadh, Saudi Arabia was used.
In this cross-sectional study, data were collected using the Child Abuse Report Intention Scale and another self-report measure in February 2019.
Most nurses had not reported even one case of child abuse during their clinical practice. Knowledge about child abuse (β = .210, P = 0.000), subjective norms (β = .218, P = 0.001), and organizational support in guideline implementation (β = .138 P = 0.038) were significantly associated with the intention to report child abuse. Nurses reported a stronger intention to report child sexual abuse than other types of abuse. Clinical practice areas were significantly associated with nurses' intention to report child abuse.
Nurses' professional preparation for child abuse reporting is inadequate. The findings underscore the importance of enhancing their knowledge about child abuse and reporting laws, promoting social support, and creating an empowering clinical environment.
儿童虐待是一个普遍存在的问题，会带来短期和长期的后果。尽管大多数国家都制定了儿童虐待报告法，但沙特的医疗保健系统并没有充分重视护士在报告儿童虐待方面的作用。
本研究旨在：1）通过测试一个假设模型，确定与护士报告儿童虐待意图相关的因素；2）研究他们报告儿童虐待意图的模式；3）调查基于临床实践领域的报告差异。
本研究使用了来自沙特阿拉伯利雅得的急诊和儿科住院病房以及初级保健中心的 248 名护士的便利样本。采用横断面研究方法，于 2019 年 2 月使用儿童虐待报告意图量表和另一项自我报告措施收集数据。
大多数护士在临床实践中甚至没有报告过一起儿童虐待案件。关于儿童虐待的知识（β=0.210，P=0.000）、主观规范（β=0.218，P=0.001）和实施指南方面的组织支持（β=0.138，P=0.038）与报告儿童虐待的意图显著相关。护士报告说，他们更愿意报告儿童性虐待，而不是其他类型的虐待。临床实践领域与护士报告儿童虐待的意图显著相关。
护士在报告儿童虐待方面的专业准备不足。研究结果强调了增强他们关于儿童虐待和报告法律的知识、促进社会支持以及营造赋权的临床环境的重要性。
