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Facilitators and barriers to screening for child abuse in the emergency department.

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dc.contributor.author Louwers, E., Korfage, I., Affourtit, M., De Koning, H., & Moll, H.
dc.date.accessioned 2013-10-02T14:44:51Z
dc.date.available 2013-10-02T14:44:51Z
dc.date.issued 2012
dc.identifier.citation Louwers, E., Korfage, I., Affourtit, M., De Koning, H., & Moll, H. (2012). Facilitators and barriers to screening for child abuse in the emergency department. BMC pediatrics, 12(1), 167. en_US
dc.identifier.uri http://hdl.handle.net/11212/1184
dc.identifier.uri http://www.biomedcentral.com/content/pdf/1471-2431-12-167.pdf
dc.description.abstract Background: To identify facilitators of, and barriers to, screening for child abuse in emergency departments (ED) through interviews with ED staff, members of the hospital Board, and related experts. Methods: This qualitative study is based on semi-structured interviews with 27 professionals from seven Dutch hospitals (i.e. seven pediatricians, two surgeons, six ED nurses, six ED managers and six hospital Board members). The resulting list of facilitators/barriers was subsequently discussed with five experts in child abuse and one implementation expert. The results are ordered using the Child Abuse Framework of the Dutch Health Care Inspectorate that legally requires screening for child abuse. Results: Lack of knowledge of child abuse, communication with parents in the case of suspected abuse, and lack of time for development of policy and cases are barriers for ED staff to screen for child abuse. For Board members, lack of means and time, and a high turnover of ED staff are impediments to improving their child abuse policy. Screening can be promoted by training ED staff to better recognize child abuse, improving communication skills, appointing an attendant specifically for child abuse, explicit support of the screening policy by management, and by national implementation of an approved protocol and validated screening instrument. Conclusions: ED staff are motivated to work according to the Dutch Health Care Inspectorate requirements but experiences many barriers, particularly communication with parents of children suspected of being abused. Introduction of a national child abuse protocol can improve screening on child abuse at EDs. en_US
dc.language.iso en_US en_US
dc.publisher BMC pediatrics en_US
dc.subject child abuse en_US
dc.subject research en_US
dc.subject screening en_US
dc.subject medical en_US
dc.title Facilitators and barriers to screening for child abuse in the emergency department. en_US
dc.type Article en_US


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