Duquesne University School of Nursing, Pittsburgh, PA, USA.
California State University at Fullerton School of Nursing, Fullerton, CA, USA.
J Sch Nurs. 2024 Feb;40(1):8-25. doi: 10.1177/10598405221112662. Epub 2022 Jul 14.
Child sexual abuse (CSA) is a pervasive public health problem. If left undetected, CSA can result in immediate and long-term health problems, which can be mitigated through early identification. Schools are an ideal environment to implement screening measures, and school nurses (SN) are uniquely poised to intervene and respond early. The aim of this review was to systematically examine and synthesize the international evidence related to screening for early identification of CSA in schools. Themes emerging from the analysis were SN behaviors relative to screening, potential instruments or approaches for screening, and SN and school professionals' beliefs about CSA screening practices. This review found little evidence that CSA screening is occurring in schools. However, SNs are aware that screening falls within their scope of practice and many SNs feel they should be screening for it. A constant proactive approach by SNs is necessary to improve early identification and subsequent intervention.
儿童性虐待（CSA）是一个普遍存在的公共卫生问题。如果未被发现，CSA 可能会导致即时和长期的健康问题，而通过早期识别可以减轻这些问题。学校是实施筛查措施的理想环境，学校护士（SN）具有独特的优势，可以进行早期干预和响应。本综述的目的是系统地审查和综合国际上有关在学校中进行 CSA 早期识别筛查的证据。分析中出现的主题是 SN 相对于筛查的行为、筛查的潜在工具或方法，以及 SN 和学校专业人员对 CSA 筛查实践的信念。本综述发现，学校中很少有 CSA 筛查的证据。然而，SN 们意识到筛查属于他们的实践范围，许多 SN 认为他们应该进行筛查。SN 们需要采取持续的主动方法，以改善早期识别和随后的干预。
