Parental Perceptions of Hospital Care in Children with Accidental or Alleged Non-Accidental Trauma

Autor/inn/en	Ince, Elif E.; Rubin, David; Christian, Cindy W.
Titel	Parental Perceptions of Hospital Care in Children with Accidental or Alleged Non-Accidental Trauma
Quelle	In: Child Abuse & Neglect: The International Journal, 34 (2010) 6, S.403-406 (4 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-2134
DOI	10.1016/j.chiabu.2009.10.008
Schlagwörter	Medical Services; Child Abuse; Hospitals; Injuries; Identification; Likert Scales; Parent Attitudes; Urban Youth; Surveys; Medical Evaluation; Accidents; Comparative Analysis; Child Welfare; Public Agencies + Suchen Sie Ihr Suchwort? Arzt; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Krankengymnast; Krankenhaus; Identifikation; Identifizierung; Likert-Skala; Elternverhalten; Urban area; Urban areas; Youth; Stadtregion; Stadt; Jugend; Survey; Umfrage; Befragung; Kindeswohl; Öffentliche Einrichtung
Abstract	Objective: To determine whether a suspicion or diagnosis of child abuse during hospitalization influences parental perceptions of hospital care in families of children admitted with traumatic injuries. Method: Parents of children younger than 6 years of age admitted with traumatic injuries to a large urban children's hospital were recruited to complete a survey regarding their perceptions of care and communication during hospitalization. Questions related to communication with staff, adequacy of medical care, and satisfaction with care were rated using a 5-point Likert scale. Results: The 120 families in the study included 66 (55%) with no concern for abuse, 28 (23.3%) who underwent a child abuse evaluation with no diagnosis of abuse, and 26 (21.7%) whose injuries were found to be suspicious for or diagnostic of abuse. All parents who received a hospital child abuse evaluation, regardless of whether the case determination was accidental or abuse, were more likely to feel less informed by hospital staff about their child's care. Parents of children with confirmed abuse were significantly less likely to feel they were treated with respect (p=0.001) or that medical staff were honest with them (p=0.001) when compared to parents of children in the no concern group. Conclusions: Families of children who received a hospital child abuse evaluation were less likely to feel they were given thorough information, or treated honestly or respectfully when compared to families of children with accidental injuries. These perceived differences in hospital care were not solely influenced by a decision to report a concern to child protective services. Practice implications: In caring for families receiving child abuse evaluations, healthcare providers must recognize and work to overcome potential differences in communication that can influence outcomes for children and families. (Contains 2 tables.) (As Provided).
Anmerkungen	Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10