From Suspicion of Physical Child Abuse to Reporting: Primary Care Clinician Decision-Making

Flaherty, Emalee G.; Sege, Robert; Griffith, John L.; Price, Lori Lyn; Wasserman, Richard C.; Slora, Eric J.; Dhepyasuwan, Niramol; Harris, Donna; Norton, D. P.; Angelilli, Mary Lu; Abney, Dianna E.; Binns, Helen J.

doi:10.1542/peds.2007-2311

Cited by 225 publications

(188 citation statements)

References 36 publications

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“…This study indicates that decisions to report suspicious injuries were less tied to definitions, statistics, and reporting laws than to a variety of factors related to patient-physician relationships and experiences with CPS [4,5].…”

mentioning

confidence: 87%

“…The number of children who are maltreated annually in the United States is difficult to document because: (1) definitions vary across tribal, state, and federal jurisdictions; (2) the standards and methods of collecting data vary considerably; and (3) many cases go unrecognized and unreported [5]. In 2006, the national rate of child maltreatment was 12.1 per 1,000 children under age 18 [2].…”

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confidence: 99%

“…A 2008 study found that pediatricians in an office-based setting do not always report suspicious injuries [4,5]. Physicians from two national pediatric practice-based research networks were recruited and 434 reported information from more than 15,000 injuries seen in their offices.…”

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confidence: 99%

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To Report or Not Report: A Physician's Dilemma

Shanley

Shropshire²,

Bonner³

2009

AMA Journal of Ethics

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mentioning

confidence: 87%

mentioning

confidence: 99%

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To Report or Not Report: A Physician's Dilemma

Shanley

Shropshire²,

Bonner³

2009

AMA Journal of Ethics

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“…A literatura aponta dados divergentes sobre a notificação dessa violência entre os profissionais médicos. Nos Estados Unidos, pesquisa envolvendo 434 médicos constatou que 76% dos casos suspeitos de abuso infantil não foram comunicados aos órgãos de proteção por esses profissionais (Flaherty et al, 2008). Em Israel, investigação realizada com médicos e enfermeiros que trabalhavam com crianças em vários departamentos de uma instituição de saúde verificou que 60% dos participantes não relataram incidentes de maus-tratos infantis no último ano (Natan et al, 2012).…”

Section: Interpretação Dos Achados à Luz Da Saúde Coletivaunclassified

“…O conhecimento insuficiente sobre a identificação deste problema e dificuldades técnicas no processo de notificar têm inibido a incorporação desse ato como conduta padrão no Brasil e em várias partes do mundo (Bannwart e Brino, 2011;Flaherty et al, 2008;Natan et al, 2012;Pietrantonio et al, 2013).…”

Section: Introductionunclassified

Identificação E Notificação De Maus-Tratos Em Crianças E Adolescentes Por Médicos De Família No Ceará

et al. 2017

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Re su mo O objetivo deste estudo foi analisar os fatores associados à identificação e notificação de maus-tratos em crianças e adolescentes no exercício da prática de médicos que atuam na atenção primária, assim como a influência de sua formação para essa prática. A pesquisa abrangeu 227 médicos da Estratégia Saúde da Família em municípios cearenses, nos anos de 2010 a 2012. Realizaram-se análises bivariada e multivariada por regressão logística de dados de questionários dirigidos aos participantes. A maioria referiu não ter participado de treinamento sobre o assunto na graduação (73,6%), não conhecia a ficha de notificação de violên-cia (59%) e relatou que a unidade em que trabalhava não tinha a ficha (80,5%). A maior parte também referiu não conhecer instituições de assistência às vítimas de maus-tratos (85,6%). Dos participantes, 53,1% identificaram pelo menos um caso de maus-tratos contra criança e adolescente durante a prática profissional, e destes, 52,6% notificaram o caso. Tempo de formado, conhecimento da ficha de notificação e confiança nos órgãos de proteção estavam associados à identificação de maus-tratos. Os fatores para a notificação foram: presença da ficha de notificação na unidade e conhecimento de local para onde encaminhar as vítimas. Concluiu-se que a identificação desse problema e o manejo de sua notificação deveriam ser discutidos e orientados durante a formação médica. Pa la vras-cha ve violência doméstica; criança; adolescente; notificação de abuso; atenção primária à saúde. Abs tractThe aim of this study was to analyze factors associated with the identification and reporting of abuse of children and adolescents in the course of the practice of physicians working in primary care, as well as the influence their training had in this practice. Carried out between 2010 and 2012, the survey involved 227 Family Health Strategy physicians in municipalities of the state of Ceará, Brazil. Bivariate and multivariate logistic regression analyses were done based on data from questionnaires the participants responded to. Most reported not having been trained in the subject during their undergraduate studies (73.6%), that they did not know the form used to report violence (59%), and that the unit where they worked did not have such a form available (80.5%). Most also reported not knowing institutions they could refer victims of abuse to (85.6%). Of the participants, 53.1% had already identified at least one case of abuse of children and adolescents during their professional practice and 52.6% reported the case. Time since graduation, awareness of the notification form, and confidence in protection agencies were associated with the identification of abuse. The availability of the notification form at the unit and knowledge of a place to refer the victims to were factors for notification. It was concluded that there is a need to discuss and guide training physicians in the identification of this issue and in the handling of its notification.

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How Should Clinicians and Students Cope With Secondary Trauma When Caring for Children Traumatized by Abuse or Neglect?

Bennett

Christian

2023

AMA Journal of Ethics

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When health care professionals encounter child abuse and neglect, they can experience a range of emotions, such as anger, sadness, and frustration. Such feelings can cloud judgment, compromise care, or even undermine one's capacity to complete evaluation of a child. This article discusses key ethical values of honesty, objectivity, compassion, professionalism, respect for persons, and justice, which can be used to guide one's approaches to navigating secondary trauma during and after clinical interactions with children who have suffered abuse or neglect. Strategies for coping with intense feelings, especially during interactions with abused and neglected children's families, are also offered herein.The American Medical Association designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™ available through the AMA Ed Hub TM . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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From Suspicion of Physical Child Abuse to Reporting: Primary Care Clinician Decision-Making

Cited by 225 publications

References 36 publications

To Report or Not Report: A Physician's Dilemma

To Report or Not Report: A Physician's Dilemma

Identificação E Notificação De Maus-Tratos Em Crianças E Adolescentes Por Médicos De Família No Ceará

How Should Clinicians and Students Cope With Secondary Trauma When Caring for Children Traumatized by Abuse or Neglect?

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