Staff Responses When Parents Hit Children in a Hospital Setting
Staff Responses When Parents Hit Children in a Hospital Setting
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DOI：
10.1097/dbp.0000000000000343
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发表时间：
2016-11-01
影响因子：
2.4
通讯作者：
Olson-Dorff, Denyse
中科院分区：
文献类型：
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作者：
Font, Sarah A.;Gershoff, Elizabeth T.;Olson-Dorff, Denyse
目的：体罚儿童是一种普遍的做法，受到大多数医疗专业人员的谴责，因为它与儿童遭受身体虐待和其他不良后果的风险增加有关。本研究考察了医疗环境中亲子殴打的发生率以及目睹这种情况的工作人员的干预行为。方法：儿童医疗中心和综合医疗中心的工作人员完成了一项自愿、匿名调查。我们使用描述性统计来检查医生，护士和其他医务人员的经验的差异。我们使用逻辑回归预测干预行为的工作人员谁目睹了父母打孩子。结果如下：在完成调查的医院工作人员（N = 2863）中，我们发现50%的医生，24%的护士，27%的其他直接护理人员和17%的非直接护理人员在过去一年中目睹了父母对孩子的殴打。大多数医生、护士和其他直接护理人员报告有时或总是进行干预。非直接护理人员很少干预。相信工作人员有责任干预，并有舒适的策略与干预干预行为的强烈预测。没有干预的工作人员通常报告说，他们不知道如何应对。结论：许多医疗中心的工作人员目睹了父母对孩子的殴打。虽然一些工作人员报告说，他们干预时，他们目睹了这种行为，调查结果表明，工作人员可能需要培训，以确定何时以及如何他们应该作出反应。
Objective: Physical punishment of children is a prevalent practice that is condemned by most medical professionals given its link with increased risk of child physical abuse and other adverse child outcomes. This study examined the prevalence of parent-to-child hitting in medical settings and the intervention behaviors of staff who witness it. Method: Staff at a children's medical center and a general medical center completed a voluntary, anonymous survey. We used descriptive statistics to examine differences in the experiences of physicians, nurses, and other medical staff. We used logistic regression to predict intervention behaviors among staff who witnessed parent-to-child hitting. Results: Of the hospital staff who completed the survey (N = 2863), we found that 50% of physicians, 24% of nurses, 27% of other direct care staff, and 17% of nondirect care staff witnessed parent-to-child hitting at their medical center in the past year. A majority of physicians, nurses, and other direct care staff reported intervening sometimes or always. Nondirect care staff rarely intervened. Believing staff have the responsibility to intervene, and having comfortable strategies with which to intervene were strongly predictive of intervention behavior. Staff who did not intervene commonly reported that they did not know how to respond. Conclusion: Many medical center staff witness parent-to-child hitting. Although some of the staff reported that they intervened when they witnessed this behavior, the findings indicate that staff may need training to identify when and how they should respond.