Emergency Department Evaluation of Child Abuse

Leetch, Aaron N.; Woolridge, Dale

doi:10.1016/j.emc.2013.04.003

Cited by 22 publications

(14 citation statements)

References 54 publications

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“…The participants also reported that where abuse is evident in children, this should be referred to police services. However, the diagnosis of child abuse is emotional and clinically challenging [31]. The reporting of child abuse is mandatory and healthcare providers in EDs are ideally placed to identify and act in order to protect the children in their care.…”

Section: Discussionmentioning

confidence: 99%

Forensic patients in the emergency department: Who are they and how should we care for them?

Filmalter

Heyns

Ferreira

2018

International Emergency Nursing

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Section: Discussionmentioning

confidence: 99%

Forensic patients in the emergency department: Who are they and how should we care for them?

Filmalter

Heyns

Ferreira

2018

International Emergency Nursing

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“…Coupled with a heavy workload, this environment provides small prospect for opportunistic interaction and formal or informal consultations about patients. An overwhelming burden is placed on the individual clinician to investigate and independently arrive at a decision of the parent’s guilt, investigations of which are not appropriate in the emergency setting (Leetch & Woolridge, 2013). These challenges contribute trickle-down effects on reporting practice.…”

Section: Discussionmentioning

confidence: 99%

Clinician Response to Child Abuse Presentations in the Vietnamese Hospital Emergency Setting

Flemington

Fowler

Tran

et al. 2017

J Interpers Violence

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Ongoing fiscal stability has enabled the National Assembly in Vietnam to turn its attention to improving the health and well-being of women and children. Training pediatric health care professionals in the recognition and response to child abuse presentations in the emergency setting has the potential to improve outcomes for the disproportionate number of vulnerable children presenting to the emergency setting with nonaccidental injuries. This study explored the training needs and expectations of the staff preparing to undertake such a clinical training program. This qualitative study is based on semistructured interviews with 16 clinicians from the emergency setting of a leading pediatric hospital in Vietnam. Interview questions focused on current practice in recognizing and responding to child abuse and neglect presentations, the level of training and experience of participants, and subjective reports of confidence in recognizing abuse. Interviews were conducted in English and Vietnamese, with check-translation of transcripts performed by an independent translator. A culture of collegiality and innovative workplace practices was revealed. Analysis revealed two overarching themes that were related to the need for evidence, forensic analysis, respecting families, and consultation. Despite participant confidence in recognizing and reporting child abuse and neglect presentations, knowledge deficits were found. This article presents a critical analysis of the context within which the first evidence-based clinical training program of its kind in Vietnam was developed and implemented in a pediatric children's hospital. Clinicians felt a strong moral obligation to protect children from further harm, however encountered a number of barriers inhibiting this process. Findings significantly shaped the Safe Children Vietnam training program and will also contribute to the development of protocols and improvement of community support services at the study site.

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“…11 In a study of 44 children who died of child abuse, Leetch and Woolridge 11 found that 19% of the children had been treated in the emergency department within 1 month of their deaths; however, they were not identified as being abused or at risk of abuse at the time of the initial visit. Emergency nurses need to be knowledgeable in the recognition of sentinel injuries, which can appear minor on presentation, to intervene before serious abuse injuries occur.…”

Section: Secondary Prevention Strategies: Early Detection Of Abusementioning

confidence: 98%

Handle With Care: Preventing Abusive Head Trauma

Samaha¹,

Barnard²,

Valdez³

2015

Journal of Emergency Nursing

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Emergency Department Evaluation of Child Abuse

Cited by 22 publications

References 54 publications

Forensic patients in the emergency department: Who are they and how should we care for them?

Forensic patients in the emergency department: Who are they and how should we care for them?

Clinician Response to Child Abuse Presentations in the Vietnamese Hospital Emergency Setting

Handle With Care: Preventing Abusive Head Trauma

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