Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT06382870 |
| Other study ID # |
107.2023fbu |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
May 29, 2024 |
| Est. completion date |
June 29, 2024 |
Study information
| Verified date |
April 2024 |
| Source |
Fenerbahce University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Child abuse and neglect is a broad structure that includes physical abuse, sexual abuse,
emotional abuse and neglect. Child neglect and abuse is one of the primary areas of
responsibility of health professionals, which negatively affects child health and threatens
public health in the long term. All healthcare professionals are legally obligated to report
known or suspected cases of child abuse and neglect. Health professionals, in particular,
play an important role in stopping child abuse by assessing children, identifying risk
factors, and reporting suspected child maltreatment to authorities. Early diagnosis of a
neglected and abused child is important in reducing the recurrence of maltreatment.
Regarding the evaluation of child neglect and abuse, healthcare professionals should approach
a child who presents with suspicious injuries, thinking that he or she may be abused. The key
here is to be aware of the problem. Health professionals should carefully examine children
and fulfill their responsibilities by identifying possible clues to abuse and neglect. It is
recommended that clues to recognize neglect and abuse be taught within the scope of
in-service training for healthcare professionals working in hospitals.
Description:
hild maltreatment is a global public health problem that involves the abuse and neglect of
children under the age of 18 and carries serious negative consequences throughout life. The
World Health Organization (WHO) defines child maltreatment as "all forms of physical and
emotional maltreatment, sexual abuse, neglect and exploitation that result in actual or
potential harm to the child's health, development or dignity." Examining child maltreatment
is quite complex and difficult. Therefore, the true extent of cases of neglect and abuse in
children is unknown and continues to be a deep-rooted problem worldwide. International
research shows that 3 out of every 4 children aged 2-4 are constantly exposed to physical
punishment and/or psychological violence by their parents and caregivers; Reports that 1 in 5
women and 1 in 13 men were sexually abused as a child. Child abuse and neglect is a broad
structure that includes physical abuse, sexual abuse, emotional abuse and neglect. Child
neglect and abuse is one of the primary areas of responsibility of health professionals,
which negatively affects child health and threatens public health in the long term. All
healthcare professionals are legally obligated to report known or suspected cases of child
abuse and neglect. Many countries have laws requiring individuals to report abuse if there is
any concern of abuse. Health professionals, in particular, play an important role in stopping
child abuse by assessing children, identifying risk factors, and reporting suspected child
maltreatment to authorities. Early diagnosis of a neglected and abused child is important in
reducing the recurrence of maltreatment.
A multidisciplinary approach is recommended in the evaluation, diagnosis and treatment of
child neglect and abuse. In this regard, healthcare professionals should evaluate that a
child presenting with suspicious injuries may be abused and approach the child. The key here
is to be aware of the problem. Health professionals should examine children carefully and
fulfill their responsibilities by identifying possible clues to abuse and neglect (Erkut and
Gözen 2019). But a significant number of child abuse cases are often overlooked by healthcare
professionals. It is especially difficult to diagnose children who cannot speak or are too
frightened to speak. The lack of witnesses makes identification more difficult. In a study,
obstacles such as time constraints and lack of training were reported among the obstacles
that health professionals face in recognizing and reporting suspected child neglect and
abuse. As a solution to these obstacles, it is recommended to plan training sessions and
create reporting procedures. Training for health professionals to improve reporting of child
abuse and neglect is an important part of a comprehensive public health response. Every
individual who has contact with children throughout their professional life should know the
suspicious situations of child neglect and abuse and how to proceed when faced with these
situations. All professionals who have direct contact with children and families need
training to be equipped with the necessary knowledge, attitudes and skills to report cases of
child abuse and neglect and avoid making false reports. It is recommended that clues to
recognize neglect and abuse be taught within the scope of in-service training for healthcare
professionals working in hospitals. In this way, it will be possible to detect possible and
real abuse cases at an early stage and prevent children from being harmed in later life. Many
studies conducted in Turkey have reported that both nurses and nursing students have
insufficient knowledge about neglect and abuse of children. In a systematic review of studies
in Turkey, it was emphasized that the training needs of nurses on child neglect and abuse
should be met, and the importance of organizing training on this subject in hospitals was
stated.
One of the most important problems in nursing education is the lack of coordination between
theory and practice. This gap between theory and practice makes the learning process and
understanding of nursing terms and concepts difficult. To facilitate this situation,
simulation is used as a teaching technique. There is a lot of use of simulations in health
sciences to improve the competencies of health professionals in order to increase and improve
the quality of health services. The most important difference of simulation as a teaching
method is that it offers participants a safe and guided learning experience in realistic
environments that simulate the real world. By following a specific scenario, students are
enabled to experience the true dimensions of their future professional roles. To increase the
realism in the scenarios, lifelike physical changes are created using special make-up
techniques on mannequins or simulated patients. These physical changes provide participants
with visual and tactile clinical cues to refine diagnoses.
Child abuse and neglect is a public health problem that has negative consequences for
children, families and society. Because children are vulnerable, they need care and
protection against abuse and neglect. Prevention strategies are needed to better manage this
problem. When the literature is examined, despite the increasing literature on child neglect
and abuse, there are very few studies examining the effectiveness of educational programs.
Therefore, in the light of this information, this study was planned as a quasi-experimental
with the aim of increasing nurses' proficiency in being aware of child neglect and abuse
cases through simulation-based training based on role-play.
