ArticleAcademic pediatrics
A Qualitative Study Examining Stakeholder Perspectives of a Local Child Abuse Program in Community Emergency Departments.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Building capacity for change: developing an evidence-based competencies framework to power champions.BMJ quality & safety · 2026Article
- Expert consensus on multilevel implementation hypotheses to promote the uptake of youth care guidelines: a Delphi study.Health research policy and systems · 2024Article
- Article
- Creation and evaluation of a participatory child abuse and neglect workshop for medical students.BMC medical education · 2022Article
- Closing the Loop: Program Description and Qualitative Analysis of a Pediatric Posttransfer Follow-up and Feedback Program.Pediatric emergency care · 2021Article
- Social Representations of nurses on the approach to children and adolescents who are victims of violence.Revista latino-americana de enfermagem · 2021Article
- Parents' experiences of seeking health care and encountering allegations of shaken baby syndrome: A qualitative study.PloS one · 2020Article
- Leveraging emergency department visits to connect older adults at risk for malnutrition and food insecurity to community resources: design and protocol development for the BRIDGE study.Pilot and feasibility studies · 2020Article
- HIV Preexposure Prophylaxis Service Delivery Models for Emergency Departments: A Qualitative Study.Journal of the International Association of Providers of AIDS CareArticle
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Authors and funding
6 authors.
Funding
Abstract
objectiveEmergency department (ED) providers may fail to recognize or report child abuse and/or neglect (CAN). To improve recognition and reporting, we designed the Community ED CAN Program, in which teams of local clinicians (nurses, physicians, physician assistants) received training in CAN and 1) disseminated evidence-based education; 2) provided consultation, case follow-up, and access to specialists; and 3) facilitated multidisciplinary case review. The aims of this study were to understand the Program's strengths andchallenges and to explore factors that influenced implementation.
methodsWe used a qualitative research design with semistructured, one-on-one interviews to understand key stakeholders' perspectives of the Community ED CAN Program. We interviewed 27 stakeholders at 3 community hospitals and 1 academic medical center. Researchers analyzed transcribed data using constant comparative method of grounded theory and developed themes.
resultsProgram strengths included 1) comfort in seeking help from local champions, 2) access to CAN experts, 3) increased CAN education/awareness, and 4) improved networks and communication. Facilitators of implementation included: 1) leadership support, 2) engaged local champions and external change agents (eg, CAN experts), 3) positive attributes of the champions, and 4) implementation flexibility. Program challenges/barriers to implementation included 1) variability of institutional support for the champions and 2) variability in awareness about the program.
conclusionsA Community ED CAN Program has the potential to improve recognition and reporting of CAN. Key steps to facilitate implementation include the identification of committed local champions, strong leadership support, connections to experts, program publicity, and support of the champions' time.
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