Turkiye Klinikleri Journal of Medical Ethics-Law and History

.: RESEARCH
Pediatri Kliniklerinde Çalışan Hekim ve Hemşirelerin Çocuk İstismarı ve İhmali Konusundaki Bilgi ve Farkındalık Düzeyleri
The Levels of Information and Awareness About Child Abuse and Neglect of Doctors and Nurses Working in Pediatric Clinics
Dilek KAPTANa,b, İlknur KAHRİMANb, Şebnem KADERc
aKaradeniz Teknik Üniversitesi Sağlık Uygulama ve Araştırma Merkezi, Yenidoğan Yoğun Bakım Ünitesi, Trabzon, TÜRKİYE
bKaradeniz Teknik Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Trabzon, TÜRKİYE
cKaradeniz Teknik Üniversitesi Tıp Fakültesi, Neonatoloji BD, Trabzon, TÜRKİYE
Turkiye Klinikleri J Med Ethics. 2020;28(2):227-32
doi: 10.5336/mdethic.2019-71509
Article Language: TR
Full Text
ÖZET
 Çalışma, pediatri kliniklerinde çalışan hekim ve hemşirelerin çocuk istismarı ve ihmaline yönelik bilgi ve farkındalıklarını belirlemek amacıyla yapılmıştır. Çalışma tanımlayıcı tipte olup, gerekli izinler alındıktan sonra, Trabzon il merkezine bağlı hastanelerin pediatri kliniklerinde görev yapan ve araştırmaya katılmada gönüllü olan 53 hekim ve 180 hemşire ile Ocak 2016-Aralık 2016 tarihleri arasında yürütülmüştür. Veriler 'Tanıtıcı Bilgi Formu' ve 'Çocuk İstismarı ve İhmalinin Belirti ve Risklerinin Tanılanmasına Yönelik Ölçek Formu' ile toplanmıştır. Araştırmaya katılan hekimlerin %58,5'inin, hemşirelerin ise %97,2'sinin kadın olduğu; hekimlerin %58,5'inin 27-35 yaş arası, hemşirelerin ise tüm yaş gruplarında eşit dağıldığı ve çoğunluğun (hekim %66, hemşire %58,3) evli olduğu belirlenmiştir. Hekimlerin %43,4'ünün, hemşirelerin ise %25'inin çocuk istismar ve ihmali konusunda eğitim aldıkları ve eğitim alma durumları arasında istatistiksel olarak anlamlı fark olduğu saptanmıştır (p=0,01). Hekimlerin çocuk istismar ve ihmalinin belirti ve risklerinin tanılanması formu genel puan ortalamasının (3,92±0,32) hemşirelere (3,63±0,34) oranla daha yüksek olduğu ve yine çocuk istismar ve ihmali konusunda eğitim alan katılımcıların ölçek puan ortalamalarının (hekim 4,05±0,33, hemşire 3,77±0,42) da eğitim almayanlara oranla anlamlı düzeyde yüksek olduğu tespit edilmiştir (p<0,05). Hekim ve hemşirelerin çocuk istismar ve ihmali konusunda bilgi ve farkındalıklarının orta düzeyde olduğu, çoğunun çocuk istismar ve ihmali konusunda daha önce eğitim almadığı, yasal yükümlülük ve bildirim yapma süreci ile ilgili bilgi eksikliklerinin olduğu görülmüştür.

Anahtar Kelimeler: Çocuk istismarı; farkındalık; hekim; hemşire; çocuk
ABSTRACT
 This study was conducted to determine the knowledge and awareness of pediatricians and nurses working in pediatric clinics on child abuse and neglect. The study was descriptive and carried out between January and December 2016 with 53 physicians and 180 nurses who volunteered and work in the pediatric clinics of Trabzon provincial center hospitals after taking the necessary permits. The data were collected by the 'Introductory Information Form' and the 'Scale Form for Diagnosis of Symptoms and Risks of Child Abuse and Neglect'. It was found that 58.5% of participant physicians and 97.2% of nurses were female; 58.5% of the physicians were between 27-35 years of age; nurse group were evenly distributed in all age groups and majority of them (66% of physicians, 58.3% of nurses) were married. It was found that 43.4% of physicians and 25% of nurses were trained on child abuse and neglect and there was a statistically significant difference between their education status (p=0.01). The average score of the physician's diagnosis of symptoms and risks of child abuse and neglect (3.92±0.32) was higher than that of nurses (3.63±0.34) and the average of scale scores of participants trained in child abuse and neglect (physician 4.05±0.33, nurse 3.77±0.42) were found to be significantly higher than those who did not receive education. It was seen that physicians and nurses had a moderate level of knowledge and awareness about child abuse and neglect, lack of knowledge about the legal obligation and notification process and most of them were not educated about child abuse and neglect.

Keywords: Child abuse; awareness; physicians; nurses; child
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