Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care

Rolim, Ana Carine Arruda; Moreira, Gracyelle Alves Remigio; Gondim, Sarah Maria Mendes; Paz, Soraya da Silva; Vieira, Luiza Jane Eyre de Souza

doi:10.1590/0104-1169.0050.2515

Acessibilidade / Reportar erro

Brasil

Revista Latino-Americana de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Articles • Rev. Latino-Am. Enfermagem 22 (6) • Dec 2014 • https://doi.org/10.1590/0104-1169.0050.2515 copy

Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care¹ 1 Paper extracted from master's thesis "Mandatory reporting of child abuse in municipalities of Ceará, Brazil", presented to Universidade de Fortaleza, Fortaleza, CE, Brazil. Supported by Fundação Cearense de Apoio ao Desenvolvimento Científico e Tecnológico (FUNCAP), Brazil, process # 306061/2008-2

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.

METHOD:

cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.

RESULTS:

female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.

CONCLUSION:

the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

Mandatory Reporting; Violence; Child; Adolescent; Primary Health Care

Variable		Nurse reported maltreatment				Not adjusted
		Yes		No		Not adjusted
		n	%	n	%	OR (CI95%)	p
Sex (n=317)						1.10 (0.54–2.28)	0.763
	Male	17	12.9	26	14.1
	Female	115	87.1	159	85.9
Age (in years) (n=282)						1.00 (0.60–1.66)	0.979
	21 – 32	64	54.7	90	54.5
	> 32	53	45.3	75	45.5
Marital status (n=317)						1.05 (0.65–1.69)	0.811
	Married	71	53.8	97	52.4
	Not married	61	46.2	88	47.6
Time since graduation (n=317)						2.06 (1.21–3.55)	0.004
	< 5 years	30	22.7	70	37.8
	≥ 5 years	102	77.3	115	62.2
Graduate studies (n=315)						1.56 (0.73–3.43)	0.212
	Yes	118	90.1	157	85.3
	No	13	9.9	27	14.7
Time working within PHC* (n=316)						1.99 (1.20–1.30)	0.004
	< 5 years	38	71.0	83	44.9
	≥ 5 years	93	29.0	102	55.1

Variable		Nurse reported abuse				Not adjusted
		Yes		No		Not adjusted
		n	%	n	%	OR (IC95%)	p
Received training (n=313)						2.46 (1.49–4.06)	<0.001
	Yes	64	48.5	50	27.6
	No	68	51.5	131	72.4
Is familiar with ECA* (n=315)						1.60 (0.81–3.26)	0.146
	Yes	114	87.7	151	81.6
	No	16	12.3	34	18.4
Is familiar with the reporting form (n=315)						3.96 (2.28–6.98)	<0.001
	Yes	107	81.1	95	51.9
	No	25	18.9	88	48.1
Is familiar with the reporting form from the PHC unit^† (n=307)						3.47 (2.10–5.75)	<0.001
	Yes	79	62.7	59	32.6
	No	47	37.3	122	67.4
Trusts in the agencies of protection (n=310)						1.67 (1.02–2.76)	0.030
	Yes	86	67.2	100	54.9
	No	42	32.8	82	45.1
Knows the proper place to refer cases (n=311)						4.17 (2.11–8.71)	<0.001
	Yes	116	89.9	124	68.1
	No	13	10.1	58	31.9
Fears legal involvement (n=309)						1.57 (0.97–2.55)	0.049
	Yes	61	48.0	108	59.3
	No	66	52.0	74	40.7
Reads about the subject (n=317)						1.61 (0.98–2.63)	0.042
	Yes	56	42.4	58	31.3
	No	76	57.6	127	68.7
The subject is discussed at work (n=317)						1.42 (0.88–2.28)	0.121
	Yes	73	55.3	86	46.5
	No	59	44.7	99	53.5
Knows assistance is provided to victims (n=311)						1.20 (0.68–2.10)	0.491
	Yes	33	25.8	41	22.4
	No	95	74.2	142	77.6
Believes reporting within PHC is an advantage^‡(n=314)						2.40 (1.08–5.73)	0.019
	Yes	122	92.4	152	83.5
	No	10	7.6	30	16.5

Variable		Nurse reported abuse				Adjusted
		Yes		No		Adjusted
		N	%	n	%	OR (IC95%)	p
Time working within PHC* (n=316)						3.09 (1.74–5.49)	<0.001
	< 5 years	38	71.0	83	44.9
	≥ 5 years	93	29.0	102	55.1
Reporting form from the PHC unit^† (n=307)						3.73 (2.18–6.38)	<0.001
	Yes	79	62.7	59	32.6
	No	47	37.3	122	67.4
Knows where to refer cases (n=311)						3.33 (1.60–6.93)	0.001
	Yes	116	89.9	124	68.1
	No	13	10.1	58	31.9
Fears legal involvement (n=309)						1.87 (1.09–3.20)	0.021
	Yes	61	48.0	108	59.3
	No	66	52.0	74	40.7
Believes that implementing reporting within PHC is an advantage* (n=314)						2.83 (1.21–6.63)	0.016
	Yes	122	92.4	152	83.5
	No	10	7.6	30	16.5

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding Author: Ana Carine Arruda Rolim Universidade de Fortaleza Av. Washington Soares, 1321 Bairro: Edson Queiroz CEP: 60811-905, Fortaleza, CE, Brasil E-mail: anacarine.rolim@hotmail.com