Implementation of a Program to Teach Pediatric Residents and Faculty About Domestic Violence

Background Primary care interventions addressing child traumatic stress exist but their range and effectiveness is unclear. Objectives To systematically assess the evidence base for prevention and treatment of child traumatic stress in primary care settings. Data Sources PubMed, Embase, PsycINFO, Scopus, Academic Search Complete, CINAHL, Web of Science, Cochrane Library, the National Registry of Evidence-based Programs and Practices, the National Child Traumatic Stress Network website, Google search. Study Eligibility Criteria, Participants, and Interventions Studies were eligible for inclusion if they described the results of intervention studies in a primary care setting addressing child traumatic stress. Study participants could include primary care providers, pediatric patients, and their parents or other caregivers. Study Appraisal and Synthesis Methods Each study was assessed for inclusion and each included study was assessed for risk of bias by two reviewers. Results We found 12 articles describing 10 different studies that met the inclusion criteria. The intervention approaches taken in the studies were diverse and included the implementation of screening programs/tools, training clinicians to recognize and discuss psychosocial issues with patients and their families, and providing primary care professionals with community resource lists. Nine out of 10 studies included in the review reported favorable results. Limitations Studies included in the review had relatively short follow-up periods and the diversity of studies identified precluded the possibility of conducting a meta-analysis. Conclusions and Implications of Key Findings Findings suggest that interventions in pediatric primary care settings are feasible and can favorably impact clinical practices and families’ outcomes.

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“…Out of 10 studies, 6 were randomized controlled trials, 23,24,25,26,27,28,29,30 and 4 were observational studies. 31,32,33,34 …”

Section: Resultsmentioning

confidence: 99%

“…The 10 included studies were carried out in diverse settings, including outpatient pediatric clinics of large urban teaching hospitals, 31,32,29 pediatric primary care practices, 23,25,26,27,33 primary care public health clinics, 30 and Women, Infants & Children clinics. 30 Seven studies targeted providers.…”

Section: Resultsmentioning

confidence: 99%

Primary Care Interventions to Prevent or Treat Traumatic Stress in Childhood: A Systematic Review

Flynn

Fothergill

Wilcox

et al. 2015

Academic Pediatrics

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“…48,[66][67][68][69] Several other sites have implemented innovative education programs for students, fellows, and residents on elder abuse, 70 trauma assessment, 21 domestic/intimate partner violence, 27,43,[71][72][73][74] and violence prevention. 75 Continuing education programs for providers also have been described.…”

Section: Efforts To Address Limitations: Professional Training and Comentioning

confidence: 99%

How Much Health Promotion and Disease Prevention Is Enough? Should Chiropractic Colleges Focus on Efficacy Training in Screening for Family Violence?

Terre

Pfefer

2006

Journal of Chiropractic Education

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Introduction:Although family violence has been identified as a major public health issue, it has received little attention in the chiropractic literature. Accordingly, this article provides a conceptual overview on family violence, discusses the role of chiropractors in its detection, and raises several issues germane to chiropractic education that deserve further attention in future chiropractic publications. Methods: A selective review of the empirical literature on family violence was conducted with a focus on issues relevant to chiropractic training and professional identity. Results: Extrapolating from the research, several models for medical training and continuing education have been proposed that emphasize a multidisciplinary, developmental approach to infusing knowledge, skill building, and mentored practice experiences into professional education experiences. Conclusion: As chiropractors become more mainstream portal-of-entry providers, there is a clear need to translate the didactics of family violence into the clinical setting. Clinical education may provide students the opportunity to master basic competencies for managing challenging family violence problems. The clinical environment may be appropriate for inculcating skills commensurate with those of other primary care providers. Yet, the extent to which training priorities and approaches extrapolated from other health care disciplines should be accepted wholesale by the chiropractic profession merits further discussion, including issues around the professional identity of chiropractic, the impact of accreditation standards and practice guidelines on actual professional practice behaviors, and the possible limits and unintended consequences associated with expanding the traditional chiropractic scope of practice from a specialty to a primary care profession.

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“…Alguns estudos tiveram como objetivo a avaliação da capacidade dos profissionais na identificação dos casos de violência, geralmente utilizando instrumentos de avaliação que mensuravam os conhecimentos pré e pós treinamentos realizados (14,22) . Nos textos nacionais, a ênfase maior foi na sensibilização dos profissionais para a problemática: um estudo apresenta roteiro de identificação de casos (20) , 5 trabalhos pontuam o papel do enfermeiro (7,9,19,20,23) e 2 textos buscaram caracterizar o problema através de estudos de prevalência de forma a subsidiar a ação da enfermagem (8,18) .…”

Section: O Diagnóstico: Primeiro Passo Na Atenção à Crianças Vítimas unclassified

A enfermagem e a atenção à criança vítima de violência familiar

Cunha

Assis²,

Pacheco

2005

Rev. Bras. Enferm.

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RESUMOEstudo bibliográfico com o objetivo de refletir sobre a atenção de enfermagem à criança vítima de violência familiar a partir da análise da produção científica acerca desta temática. Foram analisadas 37 publicações (08 nacionais e 29 internacionais) indexadas (BDENF; LILACS e MEDLINE), localizadas no período de 1993-2003. A utilização da técnica de análise de conteúdo possibilitou a categorização do conhecimento em três núcleos temáticos: diagnóstico, capacitação do enfermeiro e atenção de enfermagem à criança vítima de violência familiar. Não se visualizou um crescimento significativo da produção científica da Enfermagem enfocando este tema nos últimos anos. Descritores: Violência doméstica; Criança; Enfermagem pediátrica. ABSTRACT INTRODUÇÃOO enfrentamento da violência e suas conseqüências têm sido um desafio para os profissionais de saúde, embora não seja um problema específico desta área. As crianças estão incluídas entre os grupos humanos mais vulneráveis aos eventos violentos e muitas vezes estas situações ocorrem no contexto familiar, caracterizando-se como um problema de grande relevância social e científica.Algumas pesquisas nacionais têm possibilitado antever a elevada prevalência de violência familiar na infância. Um estudo que permite evidenciar esta realidade foi realizado em 1990(1) com 1328 adolescentes matriculados em escolas num Município do Estado do Rio de Janeiro. Este trabalho constatou que 52,8% dos adolescentes sofriam violência física de um ou de ambos os pais. Entre as práticas violentas citadas destacaram-se: tapas, bofetões, tentar bater ou bater com objetos, ameaçar ou ferir com armas. Outro estudo (2) mais recente, investigou 1685 adolescentes estudantes de escolas públicas e particulares de São Gonçalo/RJ, constatando que 14,6% dos entrevistados sofrem violência física severa de pai ou mãe (atos como chutar, morder ou dar murros, espancar, ameaçar ou efetivamente usar arma de fogo ou arma branca); 11,8% testemunharam ou vivenciaram

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Implementation of a Program to Teach Pediatric Residents and Faculty About Domestic Violence

Cited by 27 publications

References 17 publications

Primary Care Interventions to Prevent or Treat Traumatic Stress in Childhood: A Systematic Review

Primary Care Interventions to Prevent or Treat Traumatic Stress in Childhood: A Systematic Review

How Much Health Promotion and Disease Prevention Is Enough? Should Chiropractic Colleges Focus on Efficacy Training in Screening for Family Violence?

A enfermagem e a atenção à criança vítima de violência familiar

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