University Hospital for Children and Adolescents, Neuropaediatrics, 17475, Ferdinand-Sauerbruch-Str. 1, Greifswald, Germany.
University Hospital for Children and Adolescents, Neuropediatrics, 18057, Ernst-Heydemann-Straße 8, Rostock, Germany.
BMC Pediatr. 2024 May 4;24(1):302. doi: 10.1186/s12887-024-04782-3.
Child abuse and neglect (CAN) causes enormous suffering for those affected.
The study investigated the current state of knowledge concerning the recognition of CAN and protocols for suspected cases amongst physicians and teachers.
In a pilot study conducted in Mecklenburg-Western Pomerania from May 2020 to June 2021, we invited teachers and physicians working with children to complete an online questionnaire containing mainly multiple-choice-questions.
In total, 45 physicians and 57 teachers responded. Altogether, 84% of physicians and 44% of teachers were aware of cases in which CAN had occurred in the context of their professional activity. Further, 31% of physicians and 23% of teachers stated that specific instructions on CAN did not exist in their professional institution or that they were not aware of them. All physicians and 98% of teachers were in favor of mandatory training on CAN for pediatric residents and trainee teachers. Although 13% of physicians and 49% of teachers considered a discussion of a suspected case of CAN to constitute a breach of confidentiality, 87% of physicians and 60% of teachers stated that they would discuss a suspected case with colleagues.
Despite the fact that a large proportion of respondents had already been confronted with suspected cases of CAN, further guidelines for reporting procedures and training seem necessary. There is still uncertainty in both professions on dealing with cases of suspected CAN.
儿童虐待和忽视（CAN）给受影响的人带来了巨大的痛苦。
本研究调查了医生和教师识别 CAN 和疑似病例的协议的最新知识状况。
在 2020 年 5 月至 2021 年 6 月在梅克伦堡-前波莫瑞州进行的一项试点研究中，我们邀请了从事儿童工作的教师和医生填写一份在线问卷，其中主要包含多项选择题。
共有 45 名医生和 57 名教师做出了回应。总的来说，84%的医生和 44%的教师了解到在其专业活动背景下发生的 CAN 病例。此外，31%的医生和 23%的教师表示，他们的专业机构中没有关于 CAN 的具体指导，或者他们不知道这些指导。所有医生和 98%的教师都赞成对儿科住院医师和实习教师进行强制性 CAN 培训。尽管 13%的医生和 49%的教师认为讨论疑似 CAN 病例会违反保密规定，但 87%的医生和 60%的教师表示他们会与同事讨论疑似病例。
尽管很大比例的受访者已经接触过疑似 CAN 病例，但似乎仍需要进一步的报告程序和培训指南。在这两个职业中，对疑似 CAN 病例的处理仍然存在不确定性。
