This study aimed to determine the effects of audiovisual distraction on pain in children during laceration repair in emergency room settings. This study was designed as a randomized controlled trial. Eighty-four children aged 3-10 years were randomized to either the experimental group or the control group. Pain response was assessed by the Faces Pain Rating Scale, a visual analogue scale and the Procedure Behaviour Checklist. We measured salivary cortisol levels as a physiological pain response. The results showed that the sensory and affective pain responses were significantly lower in magnitude in the experimental group than in the control group. There was no statistically significant difference in physiological pain responses between the two groups. Audiovisual distraction might be a helpful method to reduce children's pain during laceration repair in emergency room settings.

The purpose of this study was to facilitate home visits to assess the current rate of child abuse in order to provide an agenda for the early detection and prevention of child abuse and neglect in Korea. Methods: For this retrospective descriptive research, 20 public health centers were selected, 1,991 families were visited and 2,680 children were assessed. Results: We found 415 cases (15.5%) of potential abuse and 7 cases (0.3%) of actual abuse. The greatest risk group was to children age 4 to 6 years. According to the HOME Inventory, there were 17 infants (5.8%) presenting a potential risk for child abuse and neglect. Conclusion: Visitation screening is highly recommended for prevention in the high-risk preschool age group.

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This study aimed to investigate perceptions of child abuse and factors influencing those perceptions among nursing students. Methods: A descriptive research design was used with a convenience sample of 669 nursing students. Data was collected from September 1 to 25, 2016 using self-report questionnaires and analyzed with descriptive statistics, the t-test, analysis of variance, the Pearson correlation coefficient, and multiple regression analysis in SPSS for Windows version 21.0. Results: The mean score for perceptions of child abuse was 3.52±0.41, and the scores by subcategory were as follows: physical abuse, 3.61±0.39; emotional abuse, 3.54±0.53; neglect, 3.17±0.69; sexual abuse, 3.85±0.35. A significant correlation was found between perceptions of child abuse and parental acceptance-rejection attitude (warmth/affection, indifference/neglect, undifferentiated rejection). The factors influencing perceptions of child abuse were gender, experiences of child abuse, and perceived parental attitudes of warmth/affection and undifferentiated rejection, which explained 5.1% of the variances. Conclusion: Based on the finding of this study, educational programs and guidelines should be developed to help nursing students improve their perceptions of child abuse.