TY - JOUR
T1 - Child Maltreatment Screening and Anticipatory Guidance
T2 - A Description of Pediatric Nurse Practitioner Practice Behaviors
AU - Hornor, Gail
AU - Bretl, Deborah
AU - Chapman, Evelyn
AU - Herendeen, Pamela
AU - Mitchel, Nancy
AU - Mulvaney, Barbara
AU - Quinones, Saribel Garcia
AU - VanGraafeiland, Brigit B.
PY - 2017
Y1 - 2017
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. 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. 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. 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.
AB - 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. 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. 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. 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.
KW - Child maltreatment
KW - Pediatric nurse practitioner
KW - Screening, anticipatory guidance
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U2 - 10.1016/j.pedhc.2017.05.006
DO - 10.1016/j.pedhc.2017.05.006
M3 - Article
C2 - 28844430
AN - SCOPUS:85028068150
SN - 0891-5245
JO - Journal of Pediatric Health Care
JF - Journal of Pediatric Health Care
ER -