- •The current state of scientific knowledge on child physical abuse indicates that early detection of abuse reduces the rate of subsequent reinjury and death by as much as 50%.
- •The main findings of this research are that educational sessions, combined with a systematic screening protocol and the validated Escape Instrument, increase ED health care providers’ knowledge and confidence in screening for and recognizing child physical abuse.
- •Key implications for emergency nursing practice from this research are great. Emergency nurses are uniquely positioned to improve the detection of nonaccidental childhood injuries and reduce the rate of subsequent reinjury and death by implementing comprehensive child physical abuse screening programs in their facilities.
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- Hospital-based emergency department visits attributed to child physical abuse in United States: predictors of in-hospital mortality.PLoS ONE. 2013; 9: e100110https://doi.org/10.1371/journal.pone.0100110
- Development of a systematic protocol to identify victims of non-accidental trauma.Pediatr Surg Int. 2016; 32: 377-386https://doi.org/10.1007/s00383-016-3863-8
- Physical abuse of children.Pediatr Rev. 2016; 37: 146-156https://doi.org/10.1542/pir.2015-0012
- Detection of the awareness rate of abuse in pediatric patients admitted to emergency medicine department with injury.Turk J Emerg Med. 2016; 16: 102-106https://doi.org/10.1016/j.tjem.2016.06.001
- Children at risk of maltreatment: identification and intervention in the emergency department.Adv Emerg Nurs J. 2014; 36: 97-106https://doi.org/10.1097/TME.0000000000000011
- Value of systematic detection of physical child abuse at emergency rooms: a cross-sectional diagnostic accuracy study.BMJ Open. 2016; 6e010788https://doi.org/10.1136/bmjopen-2015-010788
- Educational paper: detection of child abuse and neglect at the emergency room.Eur J Pediatr. 2012; 171: 877-885https://doi.org/10.1016/j.ienj.2015.05.002
- Barriers and facilitators to detecting child abuse and neglect in general emergency departments.Ann Emerg Med. 2015; 66: 447-454https://doi.org/10.1016/j.annemergmed.2015.06.020
- Facilitators and barriers to screening for child abuse in the emergency department.BMC Pediatr. 2012; 12: 167-172https://doi.org/10.1186/1471-2431-12-167
- Results of the implementation of a new screening protocol for child maltreatment at the emergency department of the academic medical center in Amsterdam.Int Emerg Nurs. 2016; 24: 9-15https://doi.org/10.1016/j.ienj.2015.05.002
- Effects of systematic screening and detection of child abuse in emergency departments.Pediatrics. 2012; 130: 457-464https://doi.org/10.1542/peds.2011-3527
- Utility of a child abuse screening guideline in an urban pediatric emergency department.J Trauma Acute Care Surg. 2014; 76: 871-877https://doi.org/10.1097/TA.0000000000000135
- Accuracy of a screening instrument to identify potential child abuse in emergency departments.Child Abuse Negl. 2014; 38: 1275-1281https://doi.org/10.1016/j.chiabu.2013.11.005
- Potential child abuse screening in emergency department: a diagnostic accuracy study.Emergency. 2017; 5: e8https://doi.org/10.22037/emergency.v5i1.12396
Earn Up to 7.5 CE Hours. See page 684.