PDF(Pubmed)
Abstract：
BACKGROUND: Child maltreatment is a global problem that puts children at risk of mental illness, substance abuse, and premature death. Interdisciplinary collaboration is important in preventing and detecting child maltreatment. In Norway, children undergo universal preventive health assessments and receive complimentary follow-up care from specialized public health nurses in child and family health clinics. These nurses conduct regular check-ups and home visits to monitor children for signs of maltreatment.
OBJECTIVE: The objective of this study is to describe how public health nurses at child and family health clinics follow the National Clinical Guidelines to prevent and detect child maltreatment, with a particular focus on clinical procedures and interdisciplinary collaboration. Furthermore, we aim to determine factors that are associated with identification of child maltreatment.
METHODS: A cross-sectional online survey was conducted among public health nurses working in primary care between October 24th and December 31st, 2022. Public health nurses who worked with children aged 0-5 years and had consultations with families were eligible to participate, resulting in 554 responses. The study employed descriptive analysis, including frequency, percentage and mean, as well as a two-step logistic regression analysis. The study was approved by the relevant authority, and informed consent was obtained through questionnaire completion.
RESULTS: The public health nurses in this study displayed strong adherence to the guidelines and utilized various comprehensive assessment procedures to monitor child well-being, growth, and development. However, there was limited and infrequent collaboration with other professionals, such as child protection services, general practitioners, and hospitals. Most public health nurses reported occasional suspicion of child maltreatment, with age and years of experience in child and family clinics influencing these suspicions. Older public health nurses were more likely to suspect physical violence, while those with less than two years of experience reported less experience in suspecting maltreatment. Additional education increased the probability of suspecting sexual violence.
CONCLUSIONS: This study provides insights into the practices of public health nurses in Norway regarding the detection and prevention of child maltreatment in child and family clinics. While adherence to guidelines is strong, suspicion of maltreatment is relatively rare. Collaboration across agencies is crucial in addressing child maltreatment. Age and experience may influence the detection of maltreatment. Improved collaboration, targeted guidelines, and ongoing professional development are needed to enhance child protection.
OBJECTIVE: The objective of this study is to describe how public health nurses at child and family health clinics follow the National Clinical Guidelines to prevent and detect child maltreatment, with a particular focus on clinical procedures and interdisciplinary collaboration. Furthermore, we aim to determine factors that are associated with identification of child maltreatment.
METHODS: A cross-sectional online survey was conducted among public health nurses working in primary care between October 24th and December 31st, 2022. Public health nurses who worked with children aged 0-5 years and had consultations with families were eligible to participate, resulting in 554 responses. The study employed descriptive analysis, including frequency, percentage and mean, as well as a two-step logistic regression analysis. The study was approved by the relevant authority, and informed consent was obtained through questionnaire completion.
RESULTS: The public health nurses in this study displayed strong adherence to the guidelines and utilized various comprehensive assessment procedures to monitor child well-being, growth, and development. However, there was limited and infrequent collaboration with other professionals, such as child protection services, general practitioners, and hospitals. Most public health nurses reported occasional suspicion of child maltreatment, with age and years of experience in child and family clinics influencing these suspicions. Older public health nurses were more likely to suspect physical violence, while those with less than two years of experience reported less experience in suspecting maltreatment. Additional education increased the probability of suspecting sexual violence.
CONCLUSIONS: This study provides insights into the practices of public health nurses in Norway regarding the detection and prevention of child maltreatment in child and family clinics. While adherence to guidelines is strong, suspicion of maltreatment is relatively rare. Collaboration across agencies is crucial in addressing child maltreatment. Age and experience may influence the detection of maltreatment. Improved collaboration, targeted guidelines, and ongoing professional development are needed to enhance child protection.
摘要：
背景：儿童虐待是一个全球性问题，使儿童面临精神疾病的风险，药物滥用,过早死亡。跨学科合作对于预防和检测虐待儿童很重要。在挪威,儿童接受普遍的预防性健康评估，并在儿童和家庭健康诊所接受专业公共卫生护士的免费随访护理。这些护士进行定期检查和家访，以监测儿童是否有虐待的迹象。
目的：本研究的目的是描述儿童和家庭保健诊所的公共卫生护士如何遵循国家临床指南来预防和发现儿童虐待，特别关注临床程序和跨学科合作。此外，我们的目标是确定与儿童虐待识别相关的因素。
方法：对10月24日至12月31日在初级保健工作的公共卫生护士进行了一项横断面在线调查，2022年。与0-5岁儿童一起工作并与家人协商的公共卫生护士有资格参加，产生554个响应。这项研究采用了描述性分析，包括频率,百分比和平均值，以及两步逻辑回归分析。这项研究得到了有关当局的批准,并通过问卷填写获得知情同意。
结果：本研究中的公共卫生护士表现出对指南的强烈坚持，并利用各种综合评估程序来监测儿童的健康状况，增长,和发展。然而,与其他专业人士的合作有限且不频繁，如儿童保护服务，全科医生,和医院。大多数公共卫生护士报告偶尔怀疑虐待儿童，年龄和在儿童和家庭诊所的经验影响了这些怀疑。年长的公共卫生护士更有可能怀疑身体暴力，而那些有不到两年经验的人报告说，怀疑虐待的经验较少。额外的教育增加了怀疑性暴力的可能性。
结论：这项研究提供了对挪威公共卫生护士在儿童和家庭诊所中发现和预防儿童虐待行为的见解。虽然坚持准则很强烈，虐待的嫌疑相对罕见。各机构之间的合作对于解决虐待儿童的问题至关重要。年龄和经验可能会影响虐待的检测。改进协作，有针对性的指导方针，需要持续的专业发展来加强儿童保护。
目的：本研究的目的是描述儿童和家庭保健诊所的公共卫生护士如何遵循国家临床指南来预防和发现儿童虐待，特别关注临床程序和跨学科合作。此外，我们的目标是确定与儿童虐待识别相关的因素。
方法：对10月24日至12月31日在初级保健工作的公共卫生护士进行了一项横断面在线调查，2022年。与0-5岁儿童一起工作并与家人协商的公共卫生护士有资格参加，产生554个响应。这项研究采用了描述性分析，包括频率,百分比和平均值，以及两步逻辑回归分析。这项研究得到了有关当局的批准,并通过问卷填写获得知情同意。
结果：本研究中的公共卫生护士表现出对指南的强烈坚持，并利用各种综合评估程序来监测儿童的健康状况，增长,和发展。然而,与其他专业人士的合作有限且不频繁，如儿童保护服务，全科医生,和医院。大多数公共卫生护士报告偶尔怀疑虐待儿童，年龄和在儿童和家庭诊所的经验影响了这些怀疑。年长的公共卫生护士更有可能怀疑身体暴力，而那些有不到两年经验的人报告说，怀疑虐待的经验较少。额外的教育增加了怀疑性暴力的可能性。
结论：这项研究提供了对挪威公共卫生护士在儿童和家庭诊所中发现和预防儿童虐待行为的见解。虽然坚持准则很强烈，虐待的嫌疑相对罕见。各机构之间的合作对于解决虐待儿童的问题至关重要。年龄和经验可能会影响虐待的检测。改进协作，有针对性的指导方针，需要持续的专业发展来加强儿童保护。
