Identifying Children Potentially at Risk of Abuse at the Emergency Setting: A Qualitative Study on Healthcare Professionals

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Authors

  • Anne Noor Sri Juwaneeta Jamaludin Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Selangor; Perdana University-Royal College of Surgeons in Ireland, MAEPS Building, Jalan MAEPS Perdana, Serdang, Selangor Darul Ehsan, Malaysia
  • Jennifer Anne Oxley Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Selangor; Perdana University-Royal College of Surgeons in Ireland, MAEPS Building, Jalan MAEPS Perdana, Serdang, Selangor Darul Ehsan, Malaysia
  • Quek Kia Fatt Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Selangor; Perdana University-Royal College of Surgeons in Ireland, MAEPS Building, Jalan MAEPS Perdana, Serdang, Selangor Darul Ehsan, Malaysia

DOI:

https://doi.org/10.17140/PHOJ-3-124

Keywords:

Healthcare professionals; Non-accidental injuries.

Abstract

ObjectiveTo examine the current indicators used by medical healthcare professionals to identify the intent of child injury and the processes that are undertaken once potential child neglect, maltreatment or abuse is identified.Materials and MethodsThirty in-depth interviews were conducted at the ETD in three major hospitals in the Klang Valley, Malaysia which consists of specialists, medical officers, nurses and medical assistants.ResultsThe study found that there is a significant gap identified in medical professionals’ knowledge and skills related to understanding, identifying and detecting child abuse and neglect (CAN), particularly among medical officers who are in charge of diagnosis and reports in the hospital.ConclusionThere is a need to provide more comprehensive and specific training for medical health professionals in the emergency department (ED) regardless of their level and status. This will enhance their understanding on identifying children at risk of abuse. The need for a proper and standardized screening tool for identification is utmost important if all children attending ED is being screened.KeywordsChild abuse and neglect (CAN); Emergency department (ED); Qualitative study; Healthcare professionals; Non-accidental injuries.AbbreviationsCAN: Child Abuse and Neglect; ED: Emergency Department; SCAN: Suspected Child Abuse and Neglect; OSCC: One-Stop Crisis Centre; SOPs: Standard Operating Procedures; GPs: General practitioners.  

References

Peden MM. World Report on Child Injury Prevention. World Health Organization; 2008: 233.

Roach JO. Injuries kill over 20000 children a year in developed countries. BMJ. 2001; 322(7282): 317. Original Research | Volume 3 | Issue 1| Jamaludin ANSJ, et al

UNICEF. World Report on Child Injury Prevention [Internet]. 2008. Web site. https://www.unicef.org/eapro/World_report.pdf. Accessed February 7, 2017.

WHO | Child maltreatment [Internet]. WHO. 2016. Web site. http://www.who.int/mediacentre/factsheets/fs150/en/. Accessed May 10, 2017.

Felitti F, Vincent J, Anda M, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med. 1998; 14(4): 245-258. doi: 10.1016/S0749- 3797(98)00017-8

Repetti RL, Taylor SE, Seeman TE. Risky families: Family social environments and the mental and physical health of offspring. Psychol Bull. 2002;128(2): 330-366. doi: 10.1037/0033- 2909.128.2.330

Child Welfare Information Gateway. Long-term consequences of child abuse and neglect [Internet]. 2008. Web site. www. childwelfare.gov/pubs/factsheets/long_term_consequences.pdf. Accessed April 26, 2017.

Meltzer H, Doos L, Vostanis P, Ford T, Goodman R. The mental health of children who witness domestic violence. Child Fam Soc Work. 2009; 14(4): 491-501. doi: 10.1111/j.1365-2206.2009.00633.x

Schols MW, de Ruiter C, Öry FG. How do public child healthcare professionals and primary school teachers identify and handle child abuse cases? A qualitative study. BMC Public Health. 2013; 13: 807. doi: 10.1186/1471-2458-13-807

De Vries H. I-Change Model [Internet]. 2013. Web site. http:// www.maastricht-university.eu/hein.devries/interests/change. Accessed January 16, 2017.

Azjen I. The theory of planned behaviour. Organ Behav Hum Decis Process. 1991; (50): 1-33.

Bandura A. Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ, US: Prentice-Hall; 1986: 642.

Prochaska J, DiClemente C. Stages and processes of self change of smoking: Toward an integrative model of change. J Consult Clin Psychol. 1983; (51): 390-395.

Janz N, Becker M. The health belief model: A decade later. Health Educ Q; 1984; 11: 1-47.

King JT, Wheeler M, Fernandez A, et al. Medical Management of Vulnerable & Underserved Patients: Principles, Practice, Population. Pennsylvania Plaza, New York, NY, USA: McGraw Hill Professional; 2006: 473.

Lazenbatt A, Freeman R. Recognizing and reporting child physical abuse: A survey of primary healthcare professionals. J Adv Nurs. 2006; 56(3): 227-236. doi: 10.1111/j.1365-2648.2006.04030.x

Fraser JA, Mathews B, Walsh K, Chen L, Dunne M. Factors influencing child abuse and neglect recognition and reporting by nurses: A multivariate analysis. Int J Nurs Stud. 2010; 47(2): 146-153. doi: 10.1016/j.ijnurstu.2009.05.015

The Australian Nursing & Midwifery Federation. Position Statement on Child Abuse and Neglect [Internet]. 2007. Web site. http://anmf.org.au/documents/policies/PS_Child_abuse_and_ neglect.pdf. Accessed February 10, 2017.

King’s College Hospital. Safeguarding children - King’s College Hospital NHS Foundation Trust [Internet]. 2017. Web site. https://www.kch.nhs.uk/about/corporate/care-standards/ safeguarding-patients/children. Accessed June 9, 2017.

Zachariadou T, Zannetos S, Pavlakis A. Organizational culture in the primary healthcare setting of Cyprus. BMC Health Serv Res. 2013; 13: 112. doi: 10.1186/1472-6963-13-112 Submit your article to this journal | https://openventio.org/submit-manuscript/

Alrimawi I, Saifan AR, AbuRuz M. Barriers to child abuse identification and reporting. J Appl Sci. 2014; 14: 2793-2803. 10.3923/jas.2014.2793.2803

Chavis A, Hudnut-Beumler J, Webb MW, et al. A brief intervention affects parents’ attitudes toward using less physical punishment. Child Abuse Negl. 2013; 37(12): 1192-1201. doi: 10.1016/j.chiabu.2013.06.003

Elbedour S, Abu-Bader S, Onwuegbuzie AJ, Abu-Rabia A, El-Aassam S. The scope of sexual, physical, and psychological abuse in a Bedouin-Arab community of female adolescents: The interplay of racism, urbanization, polygamy, family honor, and the social marginalization of women. Child Abuse Negl. 2006; 30(3): 215-229. doi: 10.1016/j.chiabu.2005.10.010

Louwers ECFM, Korfage IJ, Affourtit MJ, et al. Accuracy of a screening instrument to identify potential child abuse in emergency departments. Child Abuse Negl. 2014; 38(7): 1275-1281. doi: 10.1016/j.chiabu.2013.11.005

Published

2025-09-03

How to Cite

Anne Noor Sri Juwaneeta Jamaludin, Jennifer Anne Oxley, & Quek Kia Fatt. (2025). Identifying Children Potentially at Risk of Abuse at the Emergency Setting: A Qualitative Study on Healthcare Professionals. Public Health - Open Journal, 3(1), 1–12. https://doi.org/10.17140/PHOJ-3-124