Facilitators and barriers to screening for child abuse in the emergency department
| Autor: | Ida J. Korfage, Harry J. de Koning, Marjo J Affourtit, Eveline C F M Louwers, Henriëtte A. Moll |
|---|---|
| Přispěvatelé: | Pediatrics, Public Health |
| Jazyk: | angličtina |
| Předmět: |
Child abuse
medicine.medical_specialty SDG 16 - Peace Poison control Suicide prevention Occupational safety and health Interviews as Topic SDG 3 - Good Health and Well-being Surveys and Questionnaires Health care medicine Humans Pediatrics Perinatology and Child Health Child Emergency department business.industry SDG 16 - Peace Justice and Strong Institutions lcsh:RJ1-570 Human factors and ergonomics lcsh:Pediatrics medicine.disease Justice and Strong Institutions Family medicine Pediatrics Perinatology and Child Health Screening Medical emergency Qualitative study Emergency Service Hospital business Research Article Qualitative research |
| Zdroj: | BMC Pediatrics, 12. BioMed Central Ltd. BMC Pediatrics, Vol 12, Iss 1, p 167 (2012) BMC Pediatrics |
| ISSN: | 1471-2431 |
| DOI: | 10.1186/1471-2431-12-167 |
| Popis: | Background To identify facilitators of, and barriers to, screening for child abuse in emergency departments (ED) through interviews with ED staff, members of the hospital Board, and related experts. Methods This qualitative study is based on semi-structured interviews with 27 professionals from seven Dutch hospitals (i.e. seven pediatricians, two surgeons, six ED nurses, six ED managers and six hospital Board members). The resulting list of facilitators/barriers was subsequently discussed with five experts in child abuse and one implementation expert. The results are ordered using the Child Abuse Framework of the Dutch Health Care Inspectorate that legally requires screening for child abuse. Results Lack of knowledge of child abuse, communication with parents in the case of suspected abuse, and lack of time for development of policy and cases are barriers for ED staff to screen for child abuse. For Board members, lack of means and time, and a high turnover of ED staff are impediments to improving their child abuse policy. Screening can be promoted by training ED staff to better recognize child abuse, improving communication skills, appointing an attendant specifically for child abuse, explicit support of the screening policy by management, and by national implementation of an approved protocol and validated screening instrument. Conclusions ED staff are motivated to work according to the Dutch Health Care Inspectorate requirements but experiences many barriers, particularly communication with parents of children suspected of being abused. Introduction of a national child abuse protocol can improve screening on child abuse at EDs. |
| Databáze: | OpenAIRE |
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