急診護理人員對兒童虐待通報知識、態度及行為-以南部某醫學中心為例

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Title:	急診護理人員對兒童虐待通報知識、態度及行為-以南部某醫學中心為例 To Explore the Knowledge, Attitude and Behaviors of Emergency Nurses concerning Reporting Child Abuse -A Case of A Southern Taiwan Medical Center 背景:兒童虐待近年來事件頻傳且造成孩童身體傷痛、心理受損甚至有致死情形，身為急診第一線護理人員，有必要瞭解兒童虐待相關知識及敏感度以增加早期發現兒虐，避免孩童繼續遭受虐待。目的:本研究主要探討急診護理人員對兒童虐待通報的認知態度。研究目的一、瞭解急診護理人員對兒童虐待的知識、態度、行為之現況；二、瞭解急診護理人員人口變項對兒虐通報行為之差異，以及其知識、態度、對於通報行為之影響。方法:本研究以南部某醫學中心急診室為研究單位，以編制內在職領有護理師執照護理人員為對象，調查時間自109年2月6日起至109年3月2日採立意取樣方法進行問卷調查，共發出問卷129份，實際回收129份，回收率100%。研究工具:為採用成大護理系馮瑞鶯教授發展的兒童虐待報告意圖量表(CARIS量表)，探討急診護理人員對兒童虐待知識、態度、行為。資料處理以IBM SPSS Statistics 25.0 統計軟體進行迴歸分析、描述性統計、卡方檢定與推論性統計分析資料與處理。結果：知識、態度、行為對兒童虐待通報的認知態度皆有顯著正向關係。統計分析發現年齡、工作年資、護理專業能力分級、是否進修、是否撫養子女及曾接受相關兒虐課程議題對於兒童虐待通報認知態度皆有顯著差異。結論：對於兒童虐待知識態度行為相輔相成，能增加臨床不定時在職教育經驗分享，增強臨床護理人員新知，發揮早期發現及通報的功能。 Purpose: Child abuse has been frequent in recent years and has caused physical pain, psychological damage and even death in children. As an emergency nurse, it is necessary to understand the knowledge and sensitivity of child abuse to increase early detection of child abuse and avoid children continuously being abused. This study mainly explored the emergency nurses' cognitive attitudes towards child abuse reporting. The purpose of the study is to understand the current situation of emergency nurses’ 'knowledge, attitude and behavior of child abuse;second, to understand the difference of sociological demographic variables on emergency nurses' reporting behaviors, and the impact of their knowledge and attitude on reporting behaviors. In this study, the emergency room of a medical center in the south Taiwan was used as the research unit, and the nursing staff with in-service licensed nurses were the research subjects. The survey time was from February 6, 109 to March 2, 109. The questionnaire survey was carried out by the purposively sampling method. A total of 129 questionnaires were sent, and 129 were actually recovered, with a recovery rate of 100%. The research tool used the The Child Abuse Report Intention Scale (CARIS scale) developed by Professor Feng Ruiying of the Department of Nursing of Chengda University to discuss the knowledge, attitudes and reporting behaviors of child abuse by emergency nursing staff. For data processing, IBM SPSS Statistics 25.0 statistical software was used for regression analysis, descriptive statistics, chi-square test and inferential statistical analysis. Results: Knowledge and attitudes have a significant positive impact on the child abuse reporting. a Age, working experience, nursing level, advanced education, with children or not, and having received relevant child abuse curriculum issues have different behaviors of child abuse reporting. Conclusion: Knowledge, attitudes and behaviors complement each other, which can increase the on-the-job education and sharing of clinical experience in real time, update the knowledge of clinical nursing staff, and play the role of early detection and notification of child abuse reporting.
Authors:	林育瑩
Contributors:	醫務管理系張碩芳
Keywords:	通報兒童虐待急診
Date:	2020
Issue Date:	2022-10-21 10:33:46 (UTC+8)
Relation:	電子全文公開日期：2025-09-09 學年度：108， 76頁
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Dissertations and Theses

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