Evidence map›Paper›PMID 30456149›Full record

ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2018

A cross-sectional survey of child abuse management knowledge among emergency medicine personnel in Cape Town, South Africa.

Bruna Dessena, Paul C Mullan

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Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Bruna DessenaAnglo Gold Ashanti Mine Hospital, Emergency Medical Care Training, Koron Hospital, Siuguiri, Guinea.
Paul C MullanDivision of Emergency Medicine, Department of Pediatrics, Children's Hospital of the King's Daughters, Eastern Virginia Medical School, 601 Children's Lane, Norfolk, VA 23509, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChild abuse is a common condition in the emergency centres of South Africa. It is critical for both prehospital emergency care practitioners and emergency centre-based emergency medicine registrars to be competent in screening, diagnosing, treating, and documenting child abuse. Our goal was to assess the knowledge of child abuse management in a sample of prehospital emergency care practitioners and emergency medicine registrars in Cape Town, South Africa.

methodsA mixed-methods approach of quantitative and qualitative data was used to survey a sample of 120 participants (30 emergency medicine registrars and 90 prehospital emergency care practitioners: 30 Basic Life Support, 30 Intermediate Life Support, and 30 Advanced Life Support). An expert panel created the survey to ensure content validity and survey questions were designed to assess the perceived and actual knowledge of participants. We hypothesised that there would be significantly higher levels of perceived and actual knowledge in emergency medicine registrars compared to emergency care practitioners. An open-ended question on how participants felt dealing with child abuse was qualitatively analysed using thematic analysis.

resultsThere were significant differences in the levels of perceived knowledge (58% of emergency medicine registrars agreed that they felt adequately trained overall, versus 39% of emergency care practitioners; -19% difference, 95% CI -26% to -12%) and actual knowledge (83% of emergency medicine registrars with correct answers, versus 62% of emergency care practitioners; -21% difference, 95% CI -26% to -16%) among participants. Themes that emerged from qualitative analysis included personal distress, retaliation, frustration, medical system frustration, and personal competence concerns. DISCUSSION: Significant perceived and actual knowledge deficits of child abuse management exist among both emergency care practitioners and emergency medicine registrars in this setting. Future interventions should address the need for guidelines and increased training opportunities to ensure the health and safety of abused children.

Indexed as

AssessmentChild abusePaediatricsSouth Africa

Identifiers

PMID30456149
PMCPMC6223591

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