International emergency nursing · 2014
Detecting child abuse based on parental characteristics: does the Hague Protocol cause parents to avoid the emergency department?
СтатьяНазвание и аннотация: Перевод в очереди
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Diderich Hester M, Fekkes Minne, Dechesne Mark, Buitendijk Simone E, Oudesluys-Murphy Anne Marie
Аннотация
OBJECTIVES: The Hague Protocol is used by professionals at the adult Emergency Departments (ED) in The Netherlands to detect child abuse based on three parental characteristics: (1) domestic violence, (2) substance abuse or (3) suicide attempt or self-harm. After detection, a referral is made to the Reporting Center for Child Abuse and Neglect (RCCAN). This study investigates whether implementing this Protocol will lead parents to avoid medical care.
METHOD: We compared the number of patients (for whom the Protocol applied) who attended the ED prior to implementation with those attending after implementation. We conducted telephone interviews (n = 14) with parents whose children were referred to the RCCAN to investigate their experience with the procedure.
RESULTS: We found no decline in the number of patients, included in the Protocol, visiting the ED during the 4 year implementation period (2008-2011). Most parents (n = 10 of the 14 interviewed) were positive and stated that they would, if necessary, re-attend the ED with the same complaints in the future.
CONCLUSION: ED nurses and doctors referring children based on parental characteristics do not have to fear losing these families as patients.
METHOD: We compared the number of patients (for whom the Protocol applied) who attended the ED prior to implementation with those attending after implementation. We conducted telephone interviews (n = 14) with parents whose children were referred to the RCCAN to investigate their experience with the procedure.
RESULTS: We found no decline in the number of patients, included in the Protocol, visiting the ED during the 4 year implementation period (2008-2011). Most parents (n = 10 of the 14 interviewed) were positive and stated that they would, if necessary, re-attend the ED with the same complaints in the future.
CONCLUSION: ED nurses and doctors referring children based on parental characteristics do not have to fear losing these families as patients.