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Barriers that inhibit reporting suspected cases of child abuse and neglect among nurses in a public hospital, Jeddah, Saudi Arabia / Wafaa Elarousy;Sara Abed

Tác giả : Wafaa Elarousy;Sara Abed

Nhà xuất bản : World Health Organization. Regional Office for the Eastern Mediterranean

Năm xuất bản : 2019

Chủ đề : 1. Child. 2. Child Abuse. 3. Child Health. 4. Hospitals, Public. 5. Maternal, Reproductive and Child Health. 6. Mediterranean Region. 7. Nurses. 8. Saudi Arabia. 9. Surveys and Questionnaires. 10. Journal / periodical articles.

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Background: Child maltreatment is considered a global problem that has serious consequences for a victim’s physical and mental well-being. Nurses interact with children and their families at different levels of health care. All nurses must be able to identify children who are at risk of harm or abuse, and act accordingly.Aims: The purpose of the study was to investigate barriers that inhibit reporting suspected cases of child abuse and ne-glect by nurses at King Abdulaziz Medical City, Jeddah, Saudi Arabia.Methods: The study was conducted at King Abdulaziz Medical City, Jeddah, Saudi Arabia. One hundred and forty-five nurses from all paediatric settings participated in the study using non-probability “convenience” sampling technique and a descriptive design was used. A structured self-report data collection method was applied to elicit data about the partici-pants’ knowledge and circumstances that prevent them from reporting child abuse. Results: It was found that only one fifth (20.7%) of nurses had attended either a lecture or workshop on child abuse and neglect (CAN). Two fifths (40.7%) of participants had a knowledge score on CAN more than 75% while one third (33.1%) had a knowledge score ranging from 50% to 75% with a median score of knowledge of 63.10 ± 25.48. Furthermore, more than half (51%) of participants were aware of the Suspected Child Abuse and Neglect (SCAN) team in the hospital. When participants were asked about the circumstances when they would not report suspected CAN cases, “I was not certain that the child was abused” was reported by 78.6%. Other barriers that inhibit reporting of child abuse and neglect are ignorance about how to report, in addition to having previous negative experiences after reporting.Conclusions: The findings of the current study indicated that there exist barriers for not reporting suspected cases of child abuse and that availability of training and educational programmes are needed. Establishment of a clear and struc-tured child protection policy to enable nurses to report abuse victims is recommended. Contexte : La maltraitance des enfants est considérée comme un problème mondial comportant de graves conséquences pour le bien-être physique et mental des victimes. Les personnels infirmiers interagissent avec les enfants et leurs familles à différents niveaux des soins de santé. Tous les personnels infirmiers devraient être capables d’identifier des enfants susceptibles d’être victimes de violence ou d’abus et d’agir en conséquent.Objectifs : La présente étude avait pour objectif d’enquêter sur les obstacles à la notification par les personnels infirmiers de cas suspectés de maltraitance ou de défaut de soins aux enfants au sein du Complexe médical Roi Abdulaziz à Djeddah (Arabie saoudite).Méthodes : L’étude a été menée au Complexe médical Roi Abdulaziz à Djeddah. Cent quarante-cinq personnels infirmiers de l’ensemble des établissements pédiatriques ont participé à cette étude à l’aide de la technique de l’échantillonnage non probabiliste (échantillonnage de commodité) et d’une recherche descriptive. Une méthode structurée de collecte de données auto-déclarées a été appliquée afin d’obtenir les données sur la connaissance de ce problème par les participants, ainsi que les circonstances qui les empêchaient de notifier les cas de maltraitance d’enfants.Résultats : Les résultats ont révélé que seulement un cinquième (20,7 %) des personnels infirmiers avait assisté à un cours ou un atelier de formation sur cette question. Pour ce qui est du score de connaissance sur la maltraitance ou le défaut de soins aux enfants, deux cinquièmes (40,7 %) des participants ont obtenu un résultat de plus de 75 %, et un tiers (33,1 %) un résultat compris entre 50 et 75 %, le score médian étant de 63,10 ± 25,48. En outre, plus de la moitié (51 %) des participants avaient connaissance de l’existence de l’équipe dédiée aux cas de maltraitance et de défaut de soins aux enfants dans l’hôpital. Quand il était
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https://iris.who.int/handle/10665/361463