TY  - JOUR
PY  - 2017//
TI  - Child maltreatment screening and anticipatory guidance: a description of pediatric nurse practitioner practice behaviors
JO  - Journal of Pediatric Health Care
A1  - Hornor, Gail
A1  - Bretl, Deborah A.
A1  - Chapman, Evelyn
A1  - Herendeen, Pamela
A1  - Mitchel, Nancy
A1  - Mulvaney, Barbara
A1  - Quinones, Saribel Garcia
A1  - VanGraafeiland, Brigit
SP  - e35
EP  - e44
VL  - 31
IS  - 6
N2  - INTRODUCTION: Given the number of children affected by child maltreatment and the dire consequences that can develop, prompt identification of child maltreatment is crucial. The purpose of this study was to describe pediatric nurse practitioner (PNP) practice behaviors related to screening and providing anticipatory guidance for child maltreatment and its psychosocial risk factors. <br><br>METHOD: The Risk Assessment Survey was developed for this study by 12 PNPs, all of whom were members of NAPNAP's Child Maltreatment Special Interest Group to ensure face validity; all 12 PNPs were content experts in child maltreatment. The content of the survey was derived from key characteristics from the evidence on child maltreatment. The survey was emailed to the more than 8500 NAPNAP members. <br><br>RESULTS: Two hundred forty-three PNPs responded to the survey, which represents a response rate of 3%. Approximately half of the participants (n = 121; 51%) stated that they never/rarely ask parents questions about domestic violence, more than one-fourth (n = 71; 30%) reported that they never/rarely ask parents questions about discipline, and half of the responding PNPs (n = 120; 50%) reported that they perform an ano-genital exam at well visits. <br><br>DISCUSSION: This study demonstrates that a significant number of PNPs do not routinely screen for child maltreatment and psychosocial risk factors. This is especially true in regards to sexual abuse screening and anticipatory guidance.<br><br>Copyright © 2017 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0891-5245
UR  - http://dx.doi.org/10.1016/j.pedhc.2017.05.006
ID  - ref1
ER  -