Implementation of a Comprehensive Program to Improve Child Physical Abuse Screening and Detection in the Emergency Department

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Sheri M Carson

Abstract

Children often present to the emergency department for treatment of abuse-related injuries. ED providers-including emergency nurses-do not consistently screen children for abuse, which may allow abuse to go undetected and increases the risk for reinjury and death. ED providers frequently cite lack of knowledge or confidence in screening for and detecting child abuse. The purpose of this quality improvement project was to implement an evidence-based screening program that included provider education on child physical abuse, a systematic screening protocol, and use of the validated Escape Instrument. A pre-test/post-test design was used to measure the effect of a 20-minute educational session on ED provider knowledge and confidence in screening for and recognizing child physical abuse. Diagnostic codes for child physical abuse were analyzed for a 30-day period before and after implementation of the screening protocol. A final survey was administered 4 months after project implementation to evaluate the impact of the screening program. There were significant increases in provider knowledge and confidence scores for child physical abuse screening and recognition (P < .001). There was no difference in providers' diagnostic coding of...Continue Reading

References

Sep 2, 2011·European Journal of Pediatrics·Arianne Hélène TeeuwRick R van Rijn
Aug 29, 2012·Pediatrics·Eveline C F M LouwersHarry J de Koning
Oct 25, 2012·BMC Pediatrics·Eveline C F M LouwersHenriëtte A Moll
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Feb 4, 2014·Advanced Emergency Nursing Journal·Kathleen Sanders Jordan, Margaret Moore-Nadler
Feb 21, 2014·The Journal of Trauma and Acute Care Surgery·Nicole HigginbothamNilda M Garcia
Aug 2, 2015·Annals of Emergency Medicine·Gunjan TiyyaguraKirsten Bechtel
Jan 27, 2016·Pediatric Surgery International·Mauricio A EscobarElizabeth C Pohlson
Apr 3, 2016·Pediatrics in Review·Jill C GlickKristen R Bilka

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Citations

Mar 25, 2021·PloS One·Alex AregbesolaTerry P Klassen
Sep 6, 2020·Journal of Pediatric Surgery·Alejandra M Casar BerazaluceRichard A Falcone

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