Enhancing emergency nurses' competence in identifying and reporting child abuse and neglect through simulation-based training

IF 3.4 3区医学 Q1 NURSING Clinical Simulation in Nursing Pub Date : 2024-10-04 DOI:10.1016/j.ecns.2024.101624

Mei-Chuan Shih RN, MN , Jun-Yu Fan RN, PhD, FAAN , Pei-Yu Lee RN, PhD , Chin-Yen Han RN, PhD

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Abstract

Background

Emergency nurses need effective skills to identify and report child abuse and neglect (CAN) because they are often the first healthcare professionals to encounter these cases. This study aims to evaluate the effectiveness of simulation-based training in improving self-efficacy in child abuse and neglect (CAN) reporting among emergency nurses.

Methods

Participants (n = 105) were randomly assigned to receive simulation-based or conventional training. Outcomes were post-training mean differences in CAN reporting self-efficacy scale.

Results

Both groups had significant improvement in CAN cognition, knowledge, and efficacy expectation-suspected (EES). Simulation training had higher efficacy expectation-confirmed (EEK) and outcome expectations (OE) for CAN reporting. Regression analysis showed simulation training was associated with improvement in EEK (1-3yr nursing experience) and OE (10+yr nursing experience) (all p < .05).

Conclusion

Simulation-based training improved self-efficacy in reporting CAN, supporting its integration as part of a training program for emergency nurses.

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通过模拟培训提高急诊护士识别和报告虐待和忽视儿童行为的能力

背景急诊护士需要有效的技能来识别和报告儿童虐待与忽视（CAN），因为他们往往是最先遇到此类病例的医疗保健专业人员。本研究旨在评估模拟培训在提高急诊护士报告虐待和忽视儿童事件（CAN）的自我效能方面的效果。方法参与者（n = 105）被随机分配接受模拟培训或传统培训。结果两组在儿童虐待与忽视（CAN）认知、知识和功效预期（EES）方面均有显著提高。模拟训练对 CAN 报告的功效预期确认（EEK）和结果预期（OE）更高。回归分析表明，模拟训练与 EEK（1-3 年护理经验）和 OE（10 年以上护理经验）的改善相关（所有 p 均为 0.05）。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.