Social history: A qualitative analysis of child abuse pediatricians' consultation notes.
Social history: A qualitative analysis of child abuse pediatricians' consultation notes.
复制标题
社会史：虐待儿童儿科医生咨询笔记的定性分析。
DOI：
10.1016/j.chiabu.2018.10.003
复制
发表时间：
2018
影响因子：
4.8
通讯作者：
Keenan,HeatherT
中科院分区：
文献类型：
--
作者：
Olson,LenoraM;Campbell,KristineA;Cook,Lawrence;Keenan,HeatherT
BackgroundChild abuse pediatricians (CAPs) are often consulted for injuries when child physical abuse is suspected or when the etiology of a serious injury is unclear. CAPs carefully evaluate the reported mechanism of the child’s injury and the medical findings in the context of the child’s family and social setting to identify possible risk and protective factors for child abuse and the need for social services. It is unknown what population risk indicators along with other social cues CAPs record in the social history of the consultation notes when assessing families who are being evaluated for child physical abuse.Participants and settingThirty-two CAPs representing 28 US child abuse programs.MethodsParticipants submitted 730 completed cases of inpatient medical consultation notes for three injury types: traumatic brain injury, long bone fracture, and skull fracture in hospitalized children 4 years of age and younger. We defineda priori12 social cues using known population risk indicators (e.g., single mother) and identifiedde novo13 negative (e.g., legal engagement) and ten positive social cues (e.g., competent parenting). Using content analysis, we systematically coded the social history for the social cues.ResultsWe coded 3,543 cues resulting in a median of 7 coded cues per case. One quarter of the cues were population indicators while half of the cues were negative and one quarter positive.ConclusionsCAPs choose a wide variety of information, not always related to known population risk indicators, to include in their social histories.
