Head of Henrietta Szold School of Nursing of Hadassah and The Hebrew University Faculty of Medicine, Jerusalem, Israel.
Head of the Herczeg Institute on Aging, Tel Aviv University; Head of PhD Program, Department of Nursing, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv 6997801, Israel.
J Pediatr Nurs. 2024 Sep-Oct;78:106-111. doi: 10.1016/j.pedn.2024.06.009. Epub 2024 Jun 21.
Attitudes towards reporting child abuse and neglect play a significant role in determining the tendency to report abuse and neglect. In addition, Cognitive Response Theory (Shen, 2020) suggests that individuals actively process messages by producing pro and/or counter arguments referred to as "Gain - loss thoughts". However, literature positioning the variable, attitudes towards reporting, as a mediator, as well as its importance, are limited. The purpose of the study was to investigate the mediating effect of pediatric nurses' attitudes between "gain-loss thoughts" and the tendency to report child abuse and neglect.
A cross-sectional study examined 124 pediatric nurses working in central Israel's hospital departments concerning nurses' tendency to report (tendency to report = TTR), attitudes towards reporting, and "gain-loss thoughts" (positive and negative consequences for the child).
Most of the nurses had professional experience of 11 years or more (n = 75; 62.5%). According to the findings, nurses' attitudes towards reporting mediate the effect of gain-loss on the TTR child abuse and neglect.
Findings from this study contributed to our understanding of the importance of pediatric nurses' attitudes in determining the TTR abuse and neglect. Only nurses' positive attitudes towards reporting child abuse had a mediating effect on TTR.
Understanding the importance of attitudes and gain-loss thoughts can serve as a strategy for training programs and in the assimilation of reporting obligations by health professionals in general and nurses in particular.
报告儿童虐待和忽视的态度对报告虐待和忽视的倾向起着重要作用。此外，认知反应理论（Shen，2020）认为，个体通过产生赞成和/或反对的论点（称为“得失思维”）积极处理信息。然而，将变量“报告态度”定位为中介变量及其重要性的文献有限。本研究的目的是调查儿科护士的态度在“得失思维”与报告儿童虐待和忽视的倾向之间的中介作用。
一项横断面研究调查了以色列中部医院部门的 124 名儿科护士，调查了护士报告的倾向（报告倾向=TTR）、报告态度以及“得失思维”（对儿童的积极和消极后果）。
大多数护士具有 11 年或以上的专业经验（n=75；62.5%）。根据研究结果，护士的报告态度中介了得失对 TTR 儿童虐待和忽视的影响。
本研究的结果有助于我们理解儿科护士的态度在确定 TTR 虐待和忽视方面的重要性。只有护士对报告儿童虐待的积极态度对 TTR 有中介作用。
理解态度和得失思维的重要性可以作为培训计划的策略，并在一般卫生专业人员，特别是护士的报告义务的同化中发挥作用。
