How public health nurses identify and intervene in child maltreatment based on the national clinical guideline.
How public health nurses identify and intervene in child maltreatment based on the national clinical guideline.
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DOI：
10.1155/2014/425460
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发表时间：
2014
影响因子：
1.9
通讯作者：
Leila L
中科院分区：
文献类型：
--
作者：
Eija P;Mika H;Aune F;Leila L
目标。描述芬兰公共卫生护士如何识别和干预儿童虐待，以及他们如何在工作中执行国家临床指南。设计和样品。芬兰367名公共卫生护士的横断面调查。措施。基于指南内容领域的网络调查问卷：识别、干预和实施。结果。受访者报告说，他们对儿童虐待的识别程度中等（平均3.38），更好地进行干预（4.15），并适度执行指南（3.43，评分范围在1到6之间）。那些有虐待儿童工作经验的人报告说，他们比没有经验的人更好地识别虐待儿童（P < 0.001），更好地干预（P < 0.001），并更好地执行指南（P < 0.001）。与不了解该指南、未阅读该指南或未参加此类培训的人相比，了解该指南、阅读过该指南并参加过有关虐待儿童问题培训的人也存在这种差异。结论。公共卫生护士在照顾遭受虐待的儿童和家庭方面做得很好。然而，研究结果指出了几个发展目标，以加强关于虐待儿童的培训，制定关于虐待儿童的建议，并在实践中系统地应用这些建议。
Objectives. To describe how Finnish public health nurses identify and intervene in child maltreatment and how they implement the National Clinical Guideline in their work. Design and Sample. Cross-sectional survey of 367 public health nurses in Finland. Measures. A web-based questionnaire developed based on the content areas of the guideline: identifying, intervening, and implementing. Results. The respondents reported they identify child maltreatment moderately (mean 3.38), intervene in it better (4.15), and implement the guideline moderately (3.43, scale between 1 and 6). Those with experience of working with maltreated children reported they identify them better (P < 0.001), intervene better (P < 0.001), and implement the guideline better (P < 0.001) than those with no experience. This difference was also found for those who were aware of the guideline, had read it, and participated in training on child maltreatment, as compared to those who were not aware of the guideline, had not read it, or had not participated in such training. Conclusions. The public health nurses worked quite well with children who had experienced maltreatment and families. However, the results point out several developmental targets for increasing training on child maltreatment, for devising recommendations for child maltreatment, and for applying these recommendations systematically in practice.