Consensus and Difference Among Hospital Professionals in Evaluating Child Maltreatment
Consensus and Difference Among Hospital Professionals in Evaluating Child Maltreatment
复制标题
医院专业人员评估虐待儿童的共识和差异
DOI：
10.1891/0886-6708.1.2.125
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发表时间：
1986
影响因子：
1.1
通讯作者：
E. Newberger
中科院分区：
文献类型：
--
作者：
J. C. Snyder;E. Newberger
对虐待儿童的可疑案件作出决定的过程包括达成专业间的共识。通过调查来自五个职业的295名儿科医院专业人员的39个案例的小插曲评级，研究了虐待事件的福利严重性评级的跨专业共识。调查工具来自Giovannoni和Becerrra（1979年）的研究。探索性因素分析产生了五类虐待：身体虐待，性虐待，一般失败的照顾，轻微的忽视/纪律，和生活方式/价值观。第六类，父母的性偏好，被评为不是很严重，似乎不属于虐待领域。护士和社会工作者将事件评定为最严重，与精神科医生以及医生和心理学家有很大不同。专家们同意按严重性对类别进行排序。变量，如性别，父母身份的地位，多年的经验，和医疗专业表现出一定的关系，在一些专业群体的评级。
The decision-making process in suspected cases of child maltreatment involves reaching interprofessional consensus. Interprofessional consensus in seriousness ratings of maltreatment incidents for the welfare of the child was examined by surveying 39 case vignette ratings by 295 pediatric hospital professionals from five occupations. The survey instrument was derived from research by Giovannoni and Becerrra (1979). An exploratory factor analysis yielded five categories of maltreatment: physical abuse, sexual abuse, general failures in care, minor neglect/discipline, and lifestyles/ values. A sixth category, parental sexual preference, was rated not very serious and did not appear to belong in the maltreatment domain. Nurses and social workers rated incidents as most serious, differing significantly from psychiatrists and, often, from physicians and psychologists. Professions agreed on rank ordering of categories by seriousness. Variables such as sex, parenthood status, years of experience, and medical specialty showed some relationship to ratings within some professional groups.