Why is Child Abuse Under-Reported by Medical Professionals: A Cross-Sectional Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/147109
Type:
Presentation
Title:
Why is Child Abuse Under-Reported by Medical Professionals: A Cross-Sectional Study
Abstract:
Why is Child Abuse Under-Reported by Medical Professionals: A Cross-Sectional Study
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Springman, Dannielle C., ASN, RN, SANE
P.I. Institution Name:Wishard Health Services
Title:Forensic Nurse Examiner
Co-Authors:Lee Wilbur, MD; Rebecca Navarro, MSN, RN, CEN, SANE-A
[Clinical Session Presentation] Background:  Medical professionals account for only 8% of reported child abuse/neglect cases nationally.  We hypothesize that suspected cases are under-reported due to lack of knowledge regarding available resources and reporting methods. Objective:  To investigate the characteristics for reporting of suspected child abuse/neglect amoung medical professionals. Methods:  A cross-sectional study was conducted at Indiana University using a 16 item survery.  We found no previously validated instrument related to our objective; thus, we developed and instrument that was then reviewd by an expert panel.  The survey was administered to physicians, nurses, and pre-hospital providers in a level 1 trauma center, 8 outpatient clinics, and the metro fire department.  Surveys were emailed to physicians and handed to the remaining participants for completion and immediate collection.  The characteristics of reporting that were recorded include:  knowledge required to diagnose abuse, methods to report suspected abuse, awareness of available resources, and perceptions toward reporting procedures.  Analyses was performed using SAS version 9.1 and alpha was set at p<0.05.  The study was approved by the Indiana University Institutional Review Board. Results:  Of the total participants (n=200), 16% were physicians, 18% nurses, and 56% pre-hospital providers.  90% of participants reported having adequate knowledge to diagnose child abuse; however the primary reason for perceived underreporting was "Unaware of how to file a 310 form".  96% reported that child abuse/neglect was underreported.  There was a statistically significant difference between number of cases suspected and those reported among medical professionals (p<0.01).  The primary reason given for reluctance to report was "Not enough information to follow up on the suspected case". Conclusion:  We have identified several key characteristics of child abuse/neglect underreporting among healthcare providers and areas for future interventions.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleWhy is Child Abuse Under-Reported by Medical Professionals: A Cross-Sectional Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147109-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Why is Child Abuse Under-Reported by Medical Professionals: A Cross-Sectional Study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Springman, Dannielle C., ASN, RN, SANE</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Wishard Health Services</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Forensic Nurse Examiner</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dannielle.springman@wishard.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lee Wilbur, MD; Rebecca Navarro, MSN, RN, CEN, SANE-A</td></tr><tr><td colspan="2" class="item-abstract">[Clinical Session Presentation] Background:&nbsp; Medical professionals account for only 8% of reported child abuse/neglect cases nationally.&nbsp; We hypothesize that suspected cases are under-reported due to lack of knowledge regarding available resources and reporting methods. Objective:&nbsp; To investigate the characteristics for reporting of suspected child abuse/neglect amoung medical professionals. Methods:&nbsp; A cross-sectional study was conducted at Indiana University using a 16 item survery.&nbsp; We found no previously validated instrument related to our objective; thus, we developed and instrument that was then reviewd by an expert panel.&nbsp; The survey was administered to physicians, nurses, and pre-hospital providers in a level 1 trauma center, 8 outpatient clinics, and the metro fire department.&nbsp; Surveys were emailed to physicians and handed to the remaining participants&nbsp;for completion and immediate collection.&nbsp; The characteristics of reporting that were recorded include:&nbsp; knowledge required to diagnose abuse, methods to report suspected abuse, awareness of available resources, and perceptions toward reporting procedures.&nbsp; Analyses was performed using SAS version 9.1 and alpha was set at p&lt;0.05.&nbsp; The study was approved by the Indiana University Institutional Review Board. Results:&nbsp; Of the total participants (n=200), 16% were physicians, 18% nurses, and 56% pre-hospital providers.&nbsp; 90% of participants reported having adequate knowledge to diagnose child abuse; however the primary reason for perceived underreporting was &quot;Unaware of how to file a 310 form&quot;.&nbsp; 96% reported that child abuse/neglect was underreported.&nbsp; There was a statistically significant difference between number of cases suspected and those reported among medical professionals (p&lt;0.01).&nbsp; The primary reason given for reluctance to report was &quot;Not enough information to follow up on the suspected case&quot;. Conclusion:&nbsp; We have identified several key characteristics of child abuse/neglect underreporting among healthcare providers and areas for future interventions.</td></tr></table>en_GB
dc.date.available2011-10-26T09:29:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:29:20Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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