• Child Health Nursing Research
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• 제22권4호
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• pp.265-278
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• 2016

Purpose: The aim of this study was to conduct a systematic review and to describe the characteristics of child abuse screening instruments. Methods: Articles regarding the development of a child abuse screening instrument were investigated using the systematic review method. A literature search using the keywords "child and abuse or maltreatment and instrument or screening tool" in English, and "child," "abuse," and "instrument" in Korean, was conducted of material published in PubMed, PsycINFO, CINAHL, SCOPUS, ERIC, and RISS. Database and bibliographic searches, and quality appraisal using the Quality Assessment of Diagnostic Accuracy Studies tool that included systemic reviews, yielded 17 records. Results: Key elementary child abuse screening instruments were developed for physical, psychiatric, affective and sexual and child neglect assessment. The instruments' target populations were children at home and in institutions. The reviewed instruments had the advantage of diagnosing past, concurrent, and indirectly, potential child abuse. Conclusion: The results of this study demonstrate that child abuse screening instruments are available for screening and for assessment of abused children in various circumstances. This review of child abuse screening instruments offers evidence for the acceptable use of optimal psychometric tools for child abuse assessment and provides guidelines for child health nursing practice.

• 한국지역사회생활과학회지
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• 제28권2호
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• pp.257-271
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• 2017

The purpose of this study was to suggest basic data for prevention of child abuse by examining the patterns and characteristics of child abuse observed at child-care centers. Data was collected by pre-service early childhood teachers majoring in child studies in an education practice session from May 1 to May 31, 2015 based on examined information and class discussion. This study shows that emotional abuse was performed most often, followed by neglect and physical abuse. Physical abuse was observed as a form of punishment and beating, whereas emotional abuse was observed in the form of force, sarcastic remarks, verbal attacks, and disregard. Neglect was observed as exclusion and indifference. Most crucial prevention against child abuse lies in teachers' personality education and concerns with their own mental health as well as children's rights education.

• 한국응급구조학회지
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• 제27권3호
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• pp.85-99
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• 2023

Purpose: We aimed to identify the awareness and reporting obligation attitude toward child abuse among paramedic students who will become paramedics in the future and play an important role as those with an obligation to report child abuse. Methods: Data were collected from the paramedic students after consent to this study through online. The period of data collection was from July 10 to August 2, 2023 and 142 questionnaires were analyzed using SPSS 27.0 program. Results: 79.6% of the subjects knew who was required to report child abuse, but only 46.5% knew the reporting agency, and 30.3% knew the reporting procedure. Additionally, 83.8% were willing to report child abuse when discovered. Awareness of child abuse was 4.58±0.29 points out of 5. The reporting obligation attitude toward child abuse was 3.53±0.74 out of 5. Awareness of child abuse was determined by whether one was required to report child abuse (p<.05), whether one was aware of the reporting procedure (p<.05), and whether one was willing to report child abuse (p<.05), there appeared to be a significant difference. Attitude toward reporting obligation regarding child abuse was determined by gender (p<.05), whether one was aware of the obligation to report child abuse (p<.05), and willingness to report upon discovery of child abuse (p<.01), it was found that there was a significant difference. Conclusion: It is necessary to develop realistic educational content that can be linked to suspected abuse sites in hospitals and out of hospitals so that students who will become paramedics in the future can play an active role as mandatory reporters of child abuse.

• Child Health Nursing Research
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• 제30권3호
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• pp.187-198
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• 2024

Purpose: This study aimed to implement a child abuse prevention program and evaluate its effectiveness based on the Nursing Model of Resilience and Coping Skills Training Model for unmarried mothers during pregnancy and puerperium. Methods: This study had a prospective single-case, AB design with four repeated self-questionnaire measures and three observational measures. Seven unmarried mothers were provided with 10 sessions child abuse prevention program through individual visits from 32 to 34 weeks of pregnancy to six weeks after childbirth. The questionnaire was composed related to resilience, maternal stress, maternal attitude, parent-child interaction, child abuse potential. The observation was measured by video recording (total 16 times) the interaction of parent-child during feeding and analyzing it by three experts. Data were analyzed by Wilcoxon signed-rank test and Friedman's test. Results: Maternal attitude and parent-child interaction were statistically significantly improved after intervention compared to before intervention. However, maternal stress decreased after intervention compared to before intervention, but it was not statistically significant. Additionally, resilience and child abuse potential were not statistically significant. This program is partially effective in preventing child abuse by promoting parenting attitudes and parent-child interactions. Conclusion: This study focused on individual resilience and applied systematic intervention as coping skills training to prevent child abuse. This study is meaningful in that interventions were conducted through individual visits to unmarried mothers at high risk of child abuse, and the program was applied, including pregnancy and postpartum periods, to prevent child abuse early.

• Clinical and Experimental Pediatrics
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• 제52권11호
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• pp.1194-1199
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• 2009

Child abuse is defined by a recent act or failure to act that results in death, serious physical or emotional harm, sexual abuse or exploitation, or imminent risk of serious harm; involved a child; and is carried out by a parent or caregiver. This report provides guidance in the clinical approach to the evaluation of suspected physical abuse in children, and role of pediatrician. The medical assessment is outlined with obtaining a medical history, physical examination, and diagnostic testing. A minor form of child abuse which only involves skin injury is most frequently seen by a pediatrician. This kind of child abuse can be followed by more severe forms of child abuse, which have high mortality rates and cause serious physical and mental sequelae to the survivor. Therefore, a pediatrician's role in an early detection and prevention of child abuse is very important.

• Child Health Nursing Research
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• 제23권2호
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• pp.229-237
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• 2017

Purpose: The purpose of this study was to investigate nurses' perceptions on child abuse. Methods: In this cross-sectional descriptive study, data were collected using a questionnaire and 217 nurses working in seven general hospitals were surveyed. The perception scale was divided into 4 subscales: physical, psychological, sexual abuse and neglect. Results: Nurses who suspected child abuse accounted for 18.1% of the nurses, and 41.9% of the nurses stated that they did not to report suspected child abuse. The nurses reported receiving only a little education about the prevention of child abuse. The mean score for perception on child abuse was high ($3.59{\pm}0.31$). Recognition of sexual abuse ranked highest, psychological abuse ranked lowest. Conclusion: The findings from this research provide baseline information for understanding nurses' perceptions on child abuse, and may help in the development of appropriate education programs that will enable nurses to report child abuse.

• Clinical and Experimental Pediatrics
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• 제52권11호
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• pp.1185-1193
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• 2009

An act of children's welfare was made in 1961 for the first time in Korea but it had been nothing but the name in view of practical impact to prevention of child abuse. Real undertakings of Child Abuse Prevention were commenced overtly since 2000 in Korea, when the law for children's welfare was revised to put protective settings for the victims and to establish criterion for children's safety. The history of Child Abuse Prevention is very short in Korea but the reporting cases increased very fast from 4,133 cases in 2001 up to 9,570 cases in 2008 with the enthusiastic activities from people of the associated organizations along with the national supports. But the portion reported by the mandated reporters such as teachers or doctors is still low compared to those of the developed countries. The National Child Protection Agency (NCPA) was founded in 2001 by the Ministry of Health and Welfare to prevent child abuse and to aid recovery of abused and neglected children including their families, through the cooperation of related organizations. NCPA refers reported cases of child abuse to appropriate local centers, operates a computer database system for case management, publicizes national reports of child abuse on a yearly basis and technically supports the Local Child Protection Agency (LCPA) by developing scales for assessment of child abuse and neglect and distributing programs for the education of mandatory reporters. LCPAs operate 24-hour telephone hotline, investigate and visit homes and provide in home services networking with local resources, and operate multidisciplinary teams for screening child abuse victims and supervising case management through multimodal systems. We summarized the present state of child abuse in Korea and reviewed the operating systems for child protection in this country. Through this article, we hope that medical peoples are to be informed on the seriousness of child abuse and to be able to devote themselves for the prevention of child abuse.

• 아동학회지
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• 제24권2호
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• pp.63-78
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• 2003

Participants in this study of variables that contribute to child abuse were parents of 1,094 families with children under the age of 18. The instrument, Straus's Parent-Child Conflict Tactics Scales(1998), consists of 3 subscales : physical abuse, emotional abuse, and neglect. The degree of child abuse varied by age of child and parents, parents' marital satisfaction, the stress of bringing up children, social support, and family setting. There was a higher tendency to child abuse among alcoholic parents, dissatisfaction with marriage, parental child rearing stress, and isolation from social support. Educational and social welfare suggestions were made for the prevention and treatment of child abuse.

• 지역사회간호학회지
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• 제12권2호
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• pp.482-490
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• 2001

Purpose I investigated how beliefs in punishment have influence on child abuse. Also, I investigated how socio-demographic variables of parents' have influences on child abuse by parents. Sampling was conveniently and total 160 parents replied to the study. Data analysis was done by descriptive statistics, Pearson's correlation using SPSSWIN. The results were as follows. Mild child abuse: 'Throwing the object at me(21.1%)', 'Clutching, and pushing (21.0%)', 'Slapping on the cheek (19.1 %), Severe child abuse: 'Kicking, pounding and biting(4.1%)', 'Rod, stick, belt, broom beating using a various objects such as(51.7%)', 'Beating all over the body(6.8%)'. Very severe child abuse: 'Burning with cigarette (0%)', 'Threatening me with a knife, a hammer, a naxe, a gimlet the objects such as(0.7%)', 'Injuring me with the objects such as (0%)', 'Hospitalized by belting(0%)'. Correlations of major variables were as follows. Physical child abuse by elementary student's parents has significantly positive correlation with beliefs in punishment(r= .244 p= .003) and has significantly negative correlation with parent's age(r=-.273, p=.001). But physical child abuse has not significant correlations with family income, education. Conclusion: Beliefs in punishment of parents have influences on child abuse. To prevent child abuse, effective parenting program development is required.

• 한국컴퓨터정보학회논문지
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• 제24권5호
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• pp.171-177
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• 2019

In this paper, we analyze the current phenomenon of child abuse crimes based on the information gathered by the National Child Protection Agency. The purpose of this paper is to diagnose the seriousness of child abuse by biological parents based on the analyzed information and propose measures against it. Comprehensive and integrated measures are needed for child abuse committed by biological parents due to abuse concealment, continuity of damage, and inactive national intervention by considering punishment on attackers through national intervention, fundamental in-depth psychological counseling, therapeutic care, promoting recovery of victims, and ultimately continuous and regular management and monitoring as a long-terms measure. To do so, developing customized and individual educational programs and make them obligations can be first presented to identify child abuse in advance and build up preventive systems based on the principle of family preservation. In addition, problems should be addressed at a fundamental level by performing various and active therapeutic treatments such as psychological treatment, mental treatment, or drug treatment gradually and through phases for biological parents who commit child abuse and contributing to recovering the relationship. Furthermore, proper protection and treatment service should be provided to children victimized by abuse by extending professional children care facilities and adopting the professional family commission system as measures by separating family.