A Model to Improve Detection of Nonaccidental Pediatric Burns

Nigro, Lauren C.; Feldman, Michael J.; Foster, Robert J.; Pozez, Andrea L.

doi:10.1001/journalofethics.2018.20.6.org1-1806

Cited by 4 publications

(1 citation statement)

References 19 publications

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“…A recent mapping review suggested that health and social care services aiming to improve awareness of safeguarding issues may benefit from service development interventions that go beyond high‐quality training provision (Chambers et al, 2021). Another recent study found that the implementation of a multidisciplinary model whereby all paediatric burns were evaluated by an internal child protection team may provide a more consistent and reliable method of identifying abuse cases (Nigro et al, 2018). SWs and HVs would benefit from further training in the clinical features of abusive and neglectful burns.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Clinicians', Health Visitors' and Social Workers' Professional Judgements, Decision‐Making and Multidisciplinary Collaboration When Safeguarding Children with Burn Injuries: A Qualitative Study

Cowley,

Bennett,

Quinn‐Scoggins

et al. 2024

Child Abuse Review

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Burns are a common injury to young children, sometimes related to neglect or physical abuse. Emergency department (ED) clinicians, health visitors and social workers must work collaboratively when safeguarding children with burns; however, little is known about the factors influencing their professional judgements, decision‐making and multidisciplinary collaboration. Objective was to explore factors affecting ED clinicians', health visitors' and social workers' professional judgements and decision‐making when children present to the ED with burns, and experiences of multidisciplinary collaboration, to identify areas for improvement. This was a qualitative semi‐structured interview study using purposive and snowball sampling to recruit participants. Data were analysed using ‘codebook’ thematic analysis. Four themes were identified: ‘perceived roles and responsibilities when safeguarding children with burn injuries’, ‘factors influencing judgment of risk and decision‐making’, ‘information sharing’ and ‘barriers and facilitators to successful multidisciplinary collaboration’. There is limited understanding between the groups about each other's roles. Each agency is dependent on one another to understand the full picture; however, information sharing is lacking in detail and context and hindered by organisational and resource constraints. Formal opportunities for multiagency team working such as strategy meetings can be facilitators of more successful collaborations. Professionals may benefit from multiagency training to improve understanding of one another's roles. Greater detail and context are needed when notifying health visitors of burn injuries in children or making a referral to children's services.

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Section: Discussionmentioning

confidence: 99%

Factors Influencing Clinicians', Health Visitors' and Social Workers' Professional Judgements, Decision‐Making and Multidisciplinary Collaboration When Safeguarding Children with Burn Injuries: A Qualitative Study

Cowley,

Bennett,

Quinn‐Scoggins

et al. 2024

Child Abuse Review

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Identifying Abuse and Neglect in Hospitalized Children With Burn Injuries

Quiroz

Parreco

Khosravani

et al. 2021

Journal of Surgical Research

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A Systematic Review of Pediatric Nonaccidental Burns

Gasteratos,

McCarthy,

Chatziathanasiou

et al. 2023

Ann Plast Surg

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BackgroundInflicted burns on children are a particularly difficult medical and psychosocial issue. Pediatric nonaccidental burns (PNABs) are unfortunately relatively common. In our study, we aim to present the key findings on PNABs with the intention of raising awareness, improving early, and recognizing accurately by identifying red flags, developing triage tools, and establishing prevention strategies for this sensitive issue.MethodsA computerized literature search was conducted on PubMed, Google Scholar, and Cochrane for articles published until November 2020. The online screening process was performed by 3 independent reviewers with the Covidence tool against set inclusion/exclusion criteria. The protocol was reported using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) protocol. The study was registered with the International Prospective Register of Systematic Reviews (PROSPERO).ResultsA total of 12 studies were included for analysis. Scald burns via forced immersion accounted for the majority of reported PNABs affecting both feet and hands. Complications included wound infection, sepsis, requiring systemic antibiotics, or intensive care. Abused children's parents had a history of mental illness, unemployment, substance abuse, incarceration, and/or low annual income.ConclusionsScalds via forced immersion remain the most common mechanism of PNABs. All health care professionals must remain vigilant, be able to recognize subtle signs of abuse, triage patients appropriately, report to police and/or social services, and ensure no further harm is made to the child or children. Repeated abuse with burns can lead to death. Prevention and education are the cornerstones for addressing this social phenomenon.

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A Model to Improve Detection of Nonaccidental Pediatric Burns

Abstract: Our multidisciplinary method might provide a more consistent and reliable method for identifying cases of suspected abuse.

Cited by 4 publications

References 19 publications

Factors Influencing Clinicians', Health Visitors' and Social Workers' Professional Judgements, Decision‐Making and Multidisciplinary Collaboration When Safeguarding Children with Burn Injuries: A Qualitative Study

Factors Influencing Clinicians', Health Visitors' and Social Workers' Professional Judgements, Decision‐Making and Multidisciplinary Collaboration When Safeguarding Children with Burn Injuries: A Qualitative Study

Identifying Abuse and Neglect in Hospitalized Children With Burn Injuries

A Systematic Review of Pediatric Nonaccidental Burns

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