TY - JOUR PY - 2020// TI - Tipping the scales: factors influencing the decision to report child maltreatment in primary care JO - Trauma, violence, and abuse A1 - Kuruppu, Jacqueline A1 - McKibbin, Gemma A1 - Humphreys, Cathy A1 - Hegarty, Kelsey SP - ePub EP - ePub VL - ePub IS - ePub N2 - Child maltreatment (CM) is an important public health issue linked to significant physical and mental health complications across the life span. Given the association between CM and health, general practitioners (GPs) and primary care nurses (PNs) are well-placed to identify and respond to this issue and are mandated to report suspected CM in many jurisdictions. Research has found that primary care doctors and nurses need support when responding to CM. This scoping review sought to answer the following question: What factors influence GPs and PNs decision to report CM when fulfilling their mandatory reporting duty? By exploring these factors, areas where support is needed were pinpointed. A systematic search was run across four databases: Medline (Ovid), PsycINFO, Embase, and CINAHL. Articles that reported on studies conducted in a location that had mandatory reporting legislation specific to CM and had a study population sampled from primary care were included in analysis. Thirty-three articles met the inclusion criteria. This review found that four principal factors influenced the decision to report CM: personal threshold of suspicion of abuse, relationship with the family, faith in the child protection system, and education and discussion. We conclude that improving the support and training to address these four areas may be beneficial for GPs and PNs in responding to CM.

Language: en

LA - en SN - 1524-8380 UR - http://dx.doi.org/10.1177/1524838020915581 ID - ref1 ER -