Division of Emergency Medicine, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama;
Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; and.
Pediatrics. 2021 Jan;147(1). doi: 10.1542/peds.2020-0772. Epub 2020 Dec 17.
Our objective was to elicit the perspectives of survivors of child trafficking on addressing trafficking in the pediatric emergency department (ED) and, secondarily, to provide a survivor-derived framework to help pediatric emergency medicine (PEM) providers discuss trafficking with their patients.
We conducted in-depth, semistructured interviews with young adults who experienced trafficking as children and/or as adolescents. In the interviews, we employed a novel video-elicitation method designed by the research team to elicit detailed participant feedback and recommendations on the pediatric ED through an interactive, immersive discussion with the interviewer. A grounded theory approach was employed.
Seventeen interviews were conducted revealing the following themes, which we present in an integrated framework for PEM providers: (1) fear is a significant barrier; (2) participants do want PEM providers to ask about trafficking, and it is not harmful to do so; (3) PEM providers should address fear through emphasizing confidentiality and privacy and encouraging agency; (4) PEM providers should approach the patient in a direct, sensitive, and nonjudgmental manner; and (5) changes to the ED environment may facilitate the conversation. Suggested wordings and tips from survivors were compiled.
Trafficking survivors feel that the pediatric ED can be a place where they can be asked about trafficking, and that when done in private, it is not harmful or retraumatizing. Fear is a major barrier to disclosure in the pediatric ED setting, and PEM providers can mitigate this by emphasizing privacy and confidentiality and increasing agency by providing choices. PEM providers should be direct, sensitive, and nonjudgmental in their approach to discussing trafficking.
我们旨在了解被贩卖儿童幸存者对在儿科急诊室（ED）处理贩卖人口问题的看法，其次，提供一个由幸存者衍生的框架，帮助儿科急诊医学（PEM）提供者与患者讨论贩卖人口问题。
我们对经历过儿童时期和/或青少年时期被贩卖的年轻成年人进行了深入的半结构化访谈。在访谈中，我们采用了研究团队设计的一种新颖的视频启发方法，通过与访谈者进行互动、沉浸式讨论，详细了解参与者对儿科 ED 的反馈和建议。采用扎根理论方法。
进行了 17 次访谈，揭示了以下主题，我们以一个综合框架呈现给 PEM 提供者：（1）恐惧是一个重大障碍；（2）参与者确实希望 PEM 提供者询问贩卖人口问题，这样做并没有害处；（3）PEM 提供者应该通过强调保密性和隐私性并鼓励自主权来解决恐惧问题；（4）PEM 提供者应该以直接、敏感和非评判性的方式接近患者；（5）ED 环境的变化可能会促进对话。从幸存者那里收集了建议的措辞和提示。
被贩卖的幸存者认为儿科 ED 可以是一个询问贩卖人口问题的地方，而且在私下进行时，不会造成伤害或再次创伤。在儿科 ED 环境中，恐惧是披露的主要障碍，PEM 提供者可以通过强调隐私和保密性以及通过提供选择来增加自主权来减轻这种障碍。PEM 提供者在讨论贩卖人口问题时应该直截了当、敏感和非评判性。
