Nursing Care Challenges of Child Violence Victims: A Qualitative Study

Nazila Vosoghi, Masoud Fallahi‑Khoshknab, Mohammadali Hosseini, Fazlollah Ahmadi

Abstract


Background: Violence against children is a serious global phenomenon. The severity of the injuriescaused due to violence toward a child is sometimes so great that it sends them to the hospital.Nurses have the first contact with Child Violence Victims (CVVs). These nurses experience differentchallenges. This study was aimed at exploring nurses’ experiences of challenges in care provisionto CVVs.

Materials and Methods: This conventional content analysis and qualitative study wasconducted in 2018–2019. Using a purposive sampling method, 17 nurses with experience in caredelivery to CVVs were recruited from among those working in Children’s Medical Center, Tehran,Iran, and Bu‑Ali Subspecialty Hospital, Ardabil, Iran. In‑depth semi‑structured interviews wereconducted to collect the required data. Data were analyzed through the conventional content analysismethod.

Results: During data analysis, the 3 main categories of role conflict, lack of continuity ofcare, and emotional resentment and 9 subcategories were identified. Nurses experience challenges incare provision to CVVs. They do not have enough knowledge about CVVs, are unable to maintainthe continuity of care, and experience role conflicts and emotional resentment.

Conclusions: Nursesexperience some difficulties and challenges in the process of care delivery to CVVs. They tried toovercome emotional resentment, different conflicts, and concerns about the lack of continuity ofcare without adequate support and resources. Thus, planning to support nurses in this regard seemsessential.



Keywords


Iran, nursing, qualitative research, violence

Full Text:

PDF

References


Jud A, Voll P. The definitions are legion: Academic views andpractice perspectives on violence against children. Victim,Perpetrator, or What Else? Emerald Publishing Limited; Ulm,Germany 2019.

Unicef. A familiar face: Violence in the lives of children andadolescents. 2017. Available from https://data.unicef.org/resources/a‑familiar‑face/. [Last accessed on 2017 Nov].

Angelo M, Prado SI, Cruz AC, Ribeiro MO. Nurses’ experiencescaring for child victims of domestic violence: A phenomenologicalanalysis. Texto Contexto‑Enferm 2013;22:585‑92.

Borimnejad L, Fomani KF. Child abuse reporting barriers: Iraniannurses’ experiences. Iran Red Crescent Med J 2015;17:e22296.

Lines L, Grant J, Hutton A. How do nurses keep childrensafe from abuse and neglect, and does it make a difference? Ascoping review. J Pediatr Nurs 2018;43:e75‑84.

Skarsaune K, Bondas T. Neglected nursing responsibility whensuspecting child abuse. Clin Nurs Stud 2015;4:24.

Fallahi‑Khoshknab M, Oskouie F, Najafi F, Ghazanfari N,Tamizi Z, Afshani S. Physical violence against health careworkers: A nationwide study from Iran. Iran J Nurs MidwiferyRes 2016;21:232‑8.

UNICEF. Protecting children from violence in the timeof COVID‑19: Disruptions in prevention and responseservices. UNICEF; 2020. https://www.unicef.org/reports/protecting‑children‑from‑violence‑covid‑19‑disruptions‑inprevention‑and‑response‑services‑2020.[Last accessed on 2020Aug 18].

Hillis SD, Mercy JA, Saul JR. The enduring impact of violenceagainst children. Psychol Health Med 2017;22:393‑405.

Conrad-Hiebner A, Wallio S, Schoemann A, Sprague-Jones J.The impact of child and parental age on protective factors againstchild maltreatment. Child Fam Soc Work 2019;24:264‑74.

Ismayilova L, Karimli L. Harsh parenting and violence againstchildren: A trial with ultrapoor families in Francophone WestAfrica. J Clin Child Adolesc Psychol 2020;49:18‑35.

WHO. Available from: https://sustainabledevelopment.un.org/topics/violenceagainstchildren [Last accessed on 2017 Dec12].

Pabis M, Wronska I, Slusarska B, Cuber T. Paediatric nurses’identification of violence against children. J Adv Nurs2011;67:384‑93.

Fraser JA, Mathews B, Walsh K, Chen L, Dunne M. Factorsinfluencing child abuse and neglect recognition and reporting bynurses: A multivariate analysis. Int J Nurs Stud 2010;47:146‑53.

Tingberg B, Bredlov B, Ygge BM. Nurses’ experience in clinicalencounters with children experiencing abuse and their parents.J Clin Nurs 2008;17:2718‑24.

Lavigne JL, Portwood SG, Warren‑Findlow J, Huber LRB.Pediatric inpatient nurses’ perceptions of child maltreatment.J Pediatr Nurs 2017;34:17‑22.

Herendeen PA, Blevins R, Anson E, Smith J. Barriers to andconsequences of mandated reporting of child abuse by nursepractitioners. J Pediatr Health Care 2014;28:e1‑7.

Feng J‑Y, Chen Y‑W, Fetzer S, Feng M‑C, Lin C‑L. Ethical andlegal challenges of mandated child abuse reporters. Child YouthServ Rev 2012;34:276‑80.

Finn C. Forensic nurses’ experiences of receiving child abusedisclosures. J Spec Pediatr Nurs 2011;16:252‑62.

Keim-Malpass J, Croson E, Allen M, Deagle C, DeGuzman P.Towards translational health policy: Findings from a stateevaluation of programs targeting children with special healthcare needs. J Spec Pediatr Nurs 2019;24:e12240.

Cho OH, Cha KS, Yoo YS. Awareness and attitudes towardsviolence and abuse among emergency nurses. Asian NursRes (Korean Soc Nurs Sci) 2015;9:213‑8.

Graneheim UH, Lindgren B‑M, Lundman B. Methodologicalchallenges in qualitative content analysis: A discussion paper.Nurse Educ Today 2017;56:29‑34.

Holloway I, Galvin K. Qualitative Research in Nursing andHealthcare. John Wiley & Sons; New Jersey; 2016.

Lincoln YS, Guba EG. But is it rigorous? Trustworthinessand authenticity in naturalistic evaluation. New Dir Prog Eval1986;1986:73‑84.

Janesick VJ. Peer debriefing. The Blackwell Encyclopediaof Sociology 2007. https://onlinelibrary.wiley.com/doi/abs/10.1002/9781405165518.wbeosp014.pub2. [Last accessed on2015 Oct 26].

Nunes CB, Sarti CA, Ohara CVdS. Health care professionals’approaches to address family violence against children andteenagers. Acta Paul Enferm 2009;22(SPE):903‑8.

Barrett E, Denieffe S, Bergin M, Gooney M. An exploration ofpaediatric nurses’ views of caring for infants who have sufferednonaccidental injury. J Clin Nurs 2017;26:2274‑85.

Saifan AR, Alrimawi IA, Bashayreh I. Nurses’ perceptions aboutchild abuse. Int J Adv Nurs Stud 2015;4:30.29. Buicko JL, Parreco J, Willobee BA, Wagenaar AE, Sola JE. Riskfactors for nonelective 30‑day readmission in pediatric assaultvictims. J Pediatr Surg 2017;52:1628‑32.

Guideline N. Transition between inpatient hospital settings andcommunity or care home settings for adults with social careneeds. National Institute for Health and Care Excellence 2016.

Farsi Z, Dehgan-Nayeri N, Negarandeh R, Broomand S. Nursingprofession in Iran: An overview of opportunities and challenges.Jpn J Nurs Sci 2010;7:9‑18.

Taylor J, Bradbury‑Jones C. Child maltreatment: Every nurse’sbusiness. Nurs Stand 2015;29:53‑9.

Ghorbani F, Rahkar Farshi M. Comparison of Master’scurriculum of pediatric nursing in Iran and United states. J NursEduc 2015;4:41‑7.

Vosoghi N, Fallahi-Khoshknab M, Hosseini M, Ahmadi F. IranianNurses' experiences of their roles in care provision to the victimsof child violence: A qualitative study. Nursing and MidwiferyStudies 2021;10;27-33.


Refbacks

  • There are currently no refbacks.