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Journal Article

Citation

Tanoue K, Senda M, An B, Tasaki M, Taguchi M, Kobashi K, Oana S, Mizoguchi F, Shiraishi Y, Yamada F, Okuyama M, Ichikawa K. Pediatr. Int. 2017; 59(7): 764-768.

Affiliation

Department of Emergency Medicine, Kitakyushu City Yahata Hospital, 4-18-1 Nishihonmachi, Yahatahigashi-ku, Kitakyusyu-shi, Fukuoka, Japan.

Copyright

(Copyright © 2017, Japan Pediatric Society, Publisher John Wiley and Sons)

DOI

10.1111/ped.13278

PMID

28295898

Abstract

BACKGROUND: In 2014, we created the training program for personnel in medical institutions in Japan to combat child maltreatment. Our objective was to document the effectiveness of the program for professionals from multiple disciplines working in medical institutions.

METHODS: The questionnaire designed for the training program included demographic questions such years of practice and area of specialty, i.e. physician, nurse, social worker, public health nurse, technician, and others, as well as experience with suspected child maltreatment cases and training in dealing with such cases. The questionnaire included 15 statements designed to ascertain practical knowledge and attitudes relevant to addressing child maltreatment. We compared baseline scores determined before the lecture with those based on answers given after the lecture.

RESULTS: 760 participants completed the survey, including 227 physicians, 223 nurses, 38 technologists, 27 social workers, 11 public health nurses, and 174 with other occupations. There was a significant difference between the baseline scores of participants with versus without experience in suspected child maltreatment or training to deal with child maltreatment cases (F: 16.3; P < 0.001). After the lectures, the average score rose above the baseline (11.18 vs 10.57). The rates of correct answers for 9 questionnaire items increased significantly.

CONCLUSIONS: Professionals from a range of fields need clinical skills and judgement to decide if a child's injuries are due to maltreatment. The combination of increased clinical experience along with a high-quality didactic lecture, appears to be the most effective method of raising awareness and enhancing skills. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.


Language: en

Keywords

Child Abuse; Detection; Lecture; Medical Profession; Reporting

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