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Cited by 172Child Abuse and Related TraumaChild Abuse and TraumaMilitary, Security, and Education Studies

Factors influencing child abuse and neglect recognition and reporting by nurses: A multivariate analysis

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Fraser, Jennifer A., Mathews, Ben, Walsh, Kerryann, Chen, Linping, Dunne, Michael·2010·International Journal of Nursing Studies
DOI 10.1016/j.ijnurstu.2009.05.015
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Abstract

Background Reporting of known and suspected child abuse and neglect is a fundamental responsibility of health professionals in many countries including Australia. Nurses' duties to report child abuse and neglect are expressed in legislation, or in occupational policy documents. In this paper factors influencing nurses' compliance with mandated reporting are examined.Objective The purpose of this study was to examine the relationship between nurse characteristics, training, knowledge of legislative reporting duty and attitudinal factors on the reporting by nurses of different types of child abuse and neglect.Methods Logistic regression analyses were conducted to examine relationships between variables.Design, setting and participants A cross-sectional survey using the Child Abuse and Neglect Nurses' Questionnaire (CANNQ) was conducted. The respondents were 930 Registered Nurses (RNs) currently working across metropolitan, rural and remote locations throughout the state of Queensland, Australia.Results Nurses were confident and knowledgeable in their obligation to report physical [CPA] and sexual [CSA] abuse. They were less confident and knowledgeable about emotional abuse [CEA] and neglect [CN]. Recognition of the extent of harm to abused and neglected children was poor. Positive attitudes to mandatory reporting influenced better recognition of all forms of abuse and neglect and the likelihood of reporting CSA, CEA and CN; parenting experience influenced intention to report child sexual abuse, and CAN training predicted reporting of child neglect.Conclusions and practice implications Results indicate that with training, nurses are a key choice for mandating child abuse and neglect reporting. Educational preparation and training for nurses should emphasise the serious impact of child abuse and neglect on children and families to improve recognition of the extent of harm and the likelihood of reporting. From a perspective of increasing compliance with the legislative duty, particular attention needs to be paid to recognition and reporting of CEA and CN. Further research is needed to determine whether factors influencing sound reporting can be successfully modified.

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  • Training on child abuse of all types increases identification and reporting by pediatricians, nurses, and teachers.

    “Our findings align with studies suggesting that training on child abuse of all types increases identification and reporting by pediatricians, nurses, and teachers (Ferrara et al., 2017; Fraser et al., 2010; Walsh et al., 2012).”

    From Child abuse prevention education policies increase reports of child sexual abuse (2022) · cites this paper as Fraser et al., 2010

    Section 3.4 (page not provided) reports that nurses with child-protection training were more likely to have reported suspected cases. The Discussion (page not provided) links training specifically to nurses’ likelihood of reporting child neglect, but says recent training did not affect their perceptions of the seriousness of abuse and neglect. This paper does not establish increased identification and reporting of all abuse types across pediatricians, nurses, and teachers. (LLM, conf=0.88)

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  1. Daro, D. (Ed.), 2007. World Perspectives on Child Abuse. 7th ed. International Society for Prevention of Child Abuse and Neglect, Chicago.

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Authors
Fraser, J. A., Mathews, B., Walsh, K., Chen, L., & Dunne, M.
Affiliations
Queensland University of Technology (AU)
Corresponding author
Fraser, Jennifer A.
ORCID
Venue
International Journal of Nursing Studies
Publisher
Elsevier BV
Published
2010-02
Volume
47
Issue
2
Pages
146-153
ISSN
0020-7489 (ISSN-L)
DOI
10.1016/j.ijnurstu.2009.05.015
OpenAlex
W1972810233
Cited by
171
References
20
Citations by year
2026: 8 · 2025: 10 · 2024: 13 · 2023: 10 · 2022: 17 · 2021: 15 · 2020: 18 · 2019: 15 · 2018: 5 · 2017: 16 · 2016: 8 · 2015: 11 · 2014: 8 · 2013: 5 · 2012: 8
FWCI
3.53
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Nursing Studies (publishedVersion)
  • PubMed (publishedVersion)
  • QUT ePrints (Queensland University of Technology) (submittedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child Abuse and Related Trauma
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
Keywords
child abuse, mandatory reporting, nurses, reporting compliance, child sexual abuse, child physical abuse, childhood emotional abuse, child neglect, nurse training, parental experiences, Queensland
MeSH terms
Attitude of Health Personnel, Australia, Child, Child Abuse, Cross-Sectional Studies, Humans, Nurses, Surveys and Questionnaires, Multivariate Analysis, Mandatory Reporting

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