Fagan D
Emergency Department, St. Helens and Knowsley Hospital Trust, Whiston Hospital, Prescot, Merseyside, UK.
Accid Emerg Nurs. 1998 Jan;6(1):30-5. doi: 10.1016/s0965-2302(98)90056-x.
The recognition of child abuse depends greatly on the skills of the Accident and Emergency (A & E) nurse. A lot of what is written in the relevant literature is repetitive. Much is written about what A & E nurses should know and should do, but there appears to be no research which examines their actual skills and knowledge in this area. This article addresses this and by using a Constructivist approach for the inquiry, identifies what a group of A & E nurses know about child abuse and what they do when a possible victim presents to the department. It identifies some cases which need addressing, particularly knowledge of current policies, guidelines and legislation. Also identified are the skills A & E nurses possess and those they utilize. The paper concludes that further training and education is needed for multidisciplinary decision making about the role of the A & E nurse within the context of child abuse and neglect.
对虐待儿童行为的识别在很大程度上取决于急诊护士的技能。相关文献中的很多内容都很重复。有很多关于急诊护士应该知道什么以及应该做什么的论述，但似乎没有研究考察过他们在这一领域的实际技能和知识。本文探讨了这一问题，并通过采用建构主义方法进行调查，确定了一组急诊护士对虐待儿童行为的了解以及当可能的受害者被送到科室时他们会怎么做。它指出了一些需要解决的问题，特别是对当前政策、指南和立法的了解。还确定了急诊护士所具备的技能以及他们所运用的技能。本文的结论是，在虐待和忽视儿童的背景下，需要进一步培训和教育，以便就急诊护士的角色进行多学科决策。
