儿科急诊医师改善儿童虐待识别和报告儿童虐待和忽视教育的全国性调查。

A national survey of pediatric emergency medicine physicians on improving education in child maltreatment recognition and reporting child abuse & neglect.

机构信息

Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, United States of America.

Department of Pediatrics, University of Florida College of Medicine, Jacksonville, United States of America.

出版信息

Child Abuse Negl. 2021 Dec;122:105324. doi: 10.1016/j.chiabu.2021.105324. Epub 2021 Sep 20.

DOI:10.1016/j.chiabu.2021.105324

PMID:34547715

Abstract

BACKGROUND

Child maltreatment is an important public health problem with serious consequences. Even in the face of increased research and enhanced public awareness over the last decade, the rate of child fatalities due to reported child maltreatment has increased.

OBJECTIVE

This study describes pediatric emergency medicine (PEM) physicians' knowledge, training, confidence, and barriers in recognition and reporting suspected child maltreatment.

PARTICIPANTS AND SETTING

A nationally representative sample of PEM physician members of Pediatric Emergency Medicine Collaborative Research Committee (PEM CRC) participated.

METHODS

A cross-sectional 36-item survey study of PEM physicians with content domains including provider knowledge, preparedness, confidence, and barriers to identifying and reporting child maltreatment was conducted and distributed.

RESULTS

113 of 486 members completed the survey. Confidence with recognizing and reporting child abuse (95%) was greater than in child neglect (88%). Knowledge in child maltreatment recognition and reporting was significantly correlated with confidence in reporting and recognition (p < 0.001). There was a significant relationship between knowledge and confidence for respondents from states with training in child maltreatment recognition and reporting requirement as a condition of licensure and re-licensure compared to states without the requirement (p < 0.01). Qualitative responses revealed insightful themes to improve child maltreatment training, recognition and reporting.

CONCLUSION

Our national survey study demonstrates that PEM-trained physicians have high confidence and knowledge with the management of child maltreatment, and that inclusion of mandated child maltreatment training in residency/fellowship and mandated training for medical licensure in all states could improve child maltreatment recognition and reporting.

摘要

背景

儿童虐待是一个重要的公共卫生问题，后果严重。即使在过去十年中研究增多且公众意识增强的情况下，由于报告的儿童虐待而导致的儿童死亡人数仍在增加。

目的

本研究描述了儿科急诊医学（PEM）医师在识别和报告疑似儿童虐待方面的知识、培训、信心和障碍。

参与者和设置

参与研究的是儿科急诊医学合作研究委员会（PEM CRC）的具有代表性的儿科急诊医学医师样本。

方法

对 PEM 医师进行了一项横断面的 36 项调查研究，内容领域包括提供者的知识、准备情况、信心以及识别和报告儿童虐待的障碍。

结果

486 名成员中有 113 名完成了调查。在识别和报告儿童虐待方面的信心（95%）大于识别和报告儿童忽视方面的信心（88%）。儿童虐待识别和报告方面的知识与报告和识别方面的信心呈显著正相关（p<0.001）。与没有该要求的州相比，在有儿童虐待识别和报告培训要求作为许可和再许可条件的州中，具有该要求的州的受访者在知识和信心之间存在显著关系（p<0.01）。定性回应揭示了改善儿童虐待培训、识别和报告的深刻主题。