A qualitative exploration of factors that facilitate and impede adherence to child abuse prevention guidelines in <scp>D</scp>utch preventive child health care

Konijnendijk, Annemieke Ariënne Johanneke; Boere-Boonekamp, Magdalena M.; Haasnoot-Smallegange, Riet M.E.; Need, Ariana

doi:10.1111/jep.12155

Cited by 18 publications

(57 citation statements)

References 36 publications

(56 reference statements)

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“…In contrast to previous research outcomes [90,108,111,113], the extent to which participants experienced barriers regarding intra-organisational cooperation was not associated with adherence to the CAN guideline in this study. Also, the finding that personal drawbacks (e.g.…”

Section: Determinantscontrasting

confidence: 55%

“…The selection and operationalisation of these determinants were largely based on the Measurement Instrument for Determinants of Innovations (MIDI) [119] and on results from a qualitative study on determinants of adherence to the CAN guideline in preventive CHC [108]. The MIDI is a generic survey-format that describes how determinants related to four categories of determinants (innovation, professional, organisational context and socio-political context), should best be measured.…”

Section: Determinantsmentioning

confidence: 99%

“…One study on the evaluation of guidelines on positive parenting and family violence prevention demonstrated that lack of time, the complex structure of the guidelines and competing organisational demands and priorities impeded integrating the guidelines in public health nurses' practice [85]. In an earlier study, Konijnendijk, Boere-Boonekamp, Haasnoot & Need [108] identified poor self-efficacy, poor inter-organisational cooperation and poor caregiver willingness to cooperate as impeding factors for Child Health Care (CHC) professionals' adherence to a guideline on CAN prevention.…”

Section: Introductionmentioning

confidence: 99%

“…Many reasons have been reported in literature that can explain why professionals do not recognize CAN or respond adequately to CAN concerns, including poor knowledge of CAN symptoms [87], uncertainty whether there is enough reasonable cause to suspect CAN [106,131], fear of making mistakes [132], poor perceived abilities to respond [108,133,134], fear to lose the relationship of trust with the family [133], adverse experiences with reporting a case to child protective services [90,99,100,113,131], not integrating use of guidelines into work routines [130] and lack of time [133,135,136].…”

Section: Introductionmentioning

confidence: 99%

“…The Netherlands (further referred to as the CAN guideline), found that Dutch preventive child health care professionals with suspicions of CAN had not fully adhered to this guideline [38,108,130].…”

Section: Introductionmentioning

confidence: 99%

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Fragile, please handle with care : understanding and supporting professionals' response to suspicions of child abuse and neglect

Konijnendijk¹

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Understanding and supporting professionals' response to suspicions of child abuse and neglect FRAGILE, PLEASE HANDLE WITH CARE UNDERSTANDING AND SUPPORTING PROFESSIONALS' RESPONSE TO SUSPICIONS OF CHILD ABUSE AND NEGLECTReferences 181 Summary 193Samenvatting 201 Dankwoord (Acknowledgements) 209 Curriculum Vitae 217Publications and other contributions 221 CHAPTER 1General introduction Child maltreatment traumatises millions of children across the globe [4]. A meta-analysis that included articles published between 1980 and 2008 on the prevalence of child abuse and neglect reported the following overall estimated rates for self-report studies that mainly assessed lifetime prevalence rates: 12.7% for sexual abuse, 22.6% for physical abuse, 36.3% for emotional abuse, 16.3% for physical neglect and 18.4% for emotional neglect. For studies using informants that mainly assessed one-year prevalence rates, the estimated prevalence rates were 0,4% for sexual abuse, and 0,3% for both physical and emotional abuse [4]. Child abuse and neglect in the NetherlandsChild abuse and neglect remains a major societal problem in high-income countries, as a considerable number of children continue to be maltreated and exploited [5]. In the Netherlands, the following definition of child abuse and neglect is currently in use, officially documented in the Kindermishandeling, Veilig Thuis since 2015) on child abuse and neglect reports, and self-reports of students in secondary school. In 2016, the nation-wide prevalence study was limited to self-reports of secondary school students. In 2010, the overall estimated one-year prevalence was 3.4% based on the results of the informants study and the official registration of Veilig Thuis [7]. This prevalence rate is 0.4% higher than found in 2005 [8]. In 2003, the yearly report of the Dutch Advice and Reporting Centre [9] showed the organisation was consulted 47,000 times, and investigated 20,000 suspected cases (0.6% of all Dutch children in 2013 [10]). One-year prevalence rates based on self-report study alone remained stable between 2005 and 2010, 9.9% of students between eleven and seventeen years old reported to have experienced child abuse and neglect [7,8]. The self-report study among secondary school students (in one of the first four years of secondary schools) performed in 2016 (6.5%) showed a decline of the one-year prevalence rate compared to 2005 and 2010 [11].In 2010, the most prevalent types of child maltreatment were physical, emotional and educational neglect, i.e. not attending to children's academic needs. Furthermore, the study concluded that almost a quarter of victims underwent sexual and/or physical abuse in 2010. Compared to 2005, emotional neglect (including being a witness of domestic violence) and educational neglect were reported more often, while sexual abuse and physical neglect were reported less often [7]. Causes and consequencesIn the last two decades, research has increased public knowledge about risk factors and protective factors of child abuse and neglect. It b...

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Section: Determinantscontrasting

confidence: 55%

Section: Determinantsmentioning

confidence: 99%