How do Pediatric Nurses Differentiate Physical Discipline from Abuse? Preliminary Findings from a Q-study

2.50
Hdl Handle:
http://hdl.handle.net/10755/308047
Category:
Abstract
Type:
Presentation
Title:
How do Pediatric Nurses Differentiate Physical Discipline from Abuse? Preliminary Findings from a Q-study
Author(s):
Ho, Grace W.K.
Lead Author STTI Affiliation:
Nu Beta
Author Details:
Grace W.K. Ho, BSN, RN, gho4@jhu.edu
Abstract:

Poster presented on: Tuesday, November 19, 2013, Monday, November 18, 2013

Nurses are mandated to report any “reasonable suspicion” of child maltreatment. However, 49 of the 50 States lack mandatory training on child abuse and neglect, and it is unclear how pediatric nurses decide what constitutes abuse. Research demonstrates that suspicion and reporting of child abuse are influenced by patient factors, including minority race/ ethnicity (Flaherty, Sege, Mattson, & Binns, 2002; Land & Barclay, 2008), and healthcare providers’ attitudes toward physical discipline (PD; Ashton, 2000). It is crucial to examine how nurses define various forms of child maltreatment, including child physical abuse (CPA) and its differentiation from PD, in order to enhance our services to different families.

The preliminary findings are based on a larger study that used Q-methodology to examine how pediatric nurses and Chinese American mothers differ in their PD and CPA differentiations. Q-methodology uses a combination of qualitative and quantitative techniques to explore and analyze subjective viewpoints (Akhtar-Danesh, Baumann, & Cordingley, 2008). It allows participants to create their own meanings through the operational medium of a Q-sort (McKeown & Thomas, 1988), and was deemed the most appropriate method for the study given that discipline and abuse are highly sensitive topics. A Q-study is traditionally performed in two sequential phases: (1) Creating a Q-sample (i.e. a list of relevant statements), and (2) Q-sorting.

Using discipline and abuse statements drawn from interviews with 1st and 2nd generation Chinese American mothers, 40 pediatric nurses performed individual Q-sorts using the internet application, Q-Assessor. By-person factor analysis was used to elicit the nurses’ different viewpoints, which were compared and contrasted by examining their viewpoint structures. An overview on the different viewpoints will be presented, and a detailed example of how to conduct a Q-study and the utility of Q-methodology in nursing research will also be discussed.

Keywords:
Q-methodology; Physical discipline; Child abuse
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleHow do Pediatric Nurses Differentiate Physical Discipline from Abuse? Preliminary Findings from a Q-studyen_GB
dc.contributor.authorHo, Grace W.K.en_GB
dc.contributor.departmentNu Betaen_GB
dc.author.detailsGrace W.K. Ho, BSN, RN, gho4@jhu.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308047-
dc.description.abstract<p>Poster presented on: Tuesday, November 19, 2013, Monday, November 18, 2013</p>Nurses are mandated to report any “reasonable suspicion” of child maltreatment. However, 49 of the 50 States lack mandatory training on child abuse and neglect, and it is unclear how pediatric nurses decide what constitutes abuse. Research demonstrates that suspicion and reporting of child abuse are influenced by patient factors, including minority race/ ethnicity (Flaherty, Sege, Mattson, & Binns, 2002; Land & Barclay, 2008), and healthcare providers’ attitudes toward physical discipline (PD; Ashton, 2000). It is crucial to examine how nurses define various forms of child maltreatment, including child physical abuse (CPA) and its differentiation from PD, in order to enhance our services to different families. <p>The preliminary findings are based on a larger study that used Q-methodology to examine how pediatric nurses and Chinese American mothers differ in their PD and CPA differentiations. Q-methodology uses a combination of qualitative and quantitative techniques to explore and analyze subjective viewpoints (Akhtar-Danesh, Baumann, & Cordingley, 2008). It allows participants to create their own meanings through the operational medium of a Q-sort (McKeown & Thomas, 1988), and was deemed the most appropriate method for the study given that discipline and abuse are highly sensitive topics. A Q-study is traditionally performed in two sequential phases: (1) Creating a Q-sample (i.e. a list of relevant statements), and (2) Q-sorting. <p>Using discipline and abuse statements drawn from interviews with 1<sup>st</sup> and 2<sup>nd</sup> generation Chinese American mothers, 40 pediatric nurses performed individual Q-sorts using the internet application, Q-Assessor. By-person factor analysis was used to elicit the nurses’ different viewpoints, which were compared and contrasted by examining their viewpoint structures. An overview on the different viewpoints will be presented, and a detailed example of how to conduct a Q-study and the utility of Q-methodology in nursing research will also be discussed.en_GB
dc.subjectQ-methodologyen_GB
dc.subjectPhysical disciplineen_GB
dc.subjectChild abuseen_GB
dc.date.available2013-12-19T17:26:10Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:10Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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