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THE JOURNAL OF SCHOOL AND UNIVERSITY MEDICINE - Volume 8 issue 4, October-December 2021

Pages: 24-33
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Author: Nurten ARSLAN ISIK

Category: Medical


PURPOSE: This study was conducted to compare the pre- and post-training knowledge and approaches of the nursing students on child abuse and neglect.

DESIGN AND METHODS: This quasi-experimental study was conducted with 55 students studying in the nursing department of a university.

RESULTS AND DISCUSSIONS: The results of the study showed that "awareness training" was an effective program for increasing awareness of child abuse and neglect prevention.

CONCLUSIONS: The results of our study show that nursing students have inadequate knowledge and awareness of child abuse and neglect as well as wrong attitudes and behaviors. It is observed that education significantly increases the level of knowledge of nurses about child neglect and abuse.

Keywords: child abuse and neglect, university student, education

DOI: 10.51546/JSUM.2021.8402



1. Whealin, J. M., Jenchura, E. C., Wong, A. C., & Zulman, D. M. (2016). How Veterans With Post-Traumatic Stress Disorder and Comorbid Health Conditions Utilize eHealth to Manage Their Health Care Needs: A Mixed-Methods Analysis. Journal of medical Internet research, 18(10), e280.

2. Armfield, J. M., Gnanamanickam, E. S., Johnston, D. W., Preen, D. B., Brown, D. S., Nguyen, H., & Segal, L. (2021). Intergenerational transmission of child maltreatment in South Australia, 1986-2017: a retrospective cohort study. The Lancet. Public health, S2468-2667(21)00024-4. Advance online publication.

3. Hughes, K., Bellis, M. A., Hardcastle, K. A., Sethi, D., Butchart, A., Mikton, C., Jones, L., & Dunne, M. P. (2017). The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. The Lancet. Public health, 2(8), e356–e366.

4. UNICEF. Convention on the rights of the child (2019). https://www. (accessed May 20, 2021).

5. Fegert, J. M., & Stötzel, M. (2016). Child protection: a universal concern and a permanent challenge in the field of child and adolescent mental health. Child and adolescent psychiatry and mental health, 10, 18.

6. Nguyen, K. H., Kress, H., Villaveces, A., & Massetti, G. M. (2019). Sampling design and methodology of the Violence Against Children and Youth Surveys. Injury prevention, 25(4), 321-327.

7. Wilkes, J., & Speer, S. A. (2021). ‘Child's time’: Kinship carers' use of time reference to construct parental identities. Journal of Pragmatics, 175, 14-26.

8. Guha, A., Luebbers, S., Papalia, N., & Ogloff, J. (2020). Long-term healthcare utilisation following child sex abuse: A follow-up study utilising five years of medical data. Child abuse & neglect, 106, 104538.

9. Stern, A., Agnew-Blais, J., Danese, A., Fisher, H. L., Jaffee, S. R., Matthews, T., Polanczyk, G. V., & Arseneault, L. (2018). Associations between abuse/neglect and ADHD from childhood to young adulthood: A prospective nationally-representative twin study. Child abuse & neglect, 81, 274–285.

10. Widom, C. S. (2017). Long?term impact of childhood abuse and neglect on crime and violence. Clinical psychology: science and practice, 24(2), 186-202.

11. Lippard, E., & Nemeroff, C. B. (2020). The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders. The American journal of psychiatry, 177(1), 20–36.

12. Sharley, V. (2020). Identifying and responding to child neglect within schools: Differing perspectives and the implications for inter-agency practice. Child indicators research, 13(2), 551-571.

13. Drouineau, M. H., Guenego, E., Sebille-Rivain, V., Vrignaud, B., Balençon, M., Blanchais, T., Levieux, K., Vabres, N., Picherot, G., & Guen, C. G. (2017). Do abused young children feel less pain?. Child abuse & neglect, 65, 248–254.

14. Devkota, A. (2017). Exploring barriers and consequences related to nurses reporting child abuse. Honors Undergraduate Theses. 208. / honorstheses /208

15. Lines, L. E., Hutton, A. E., & Grant, J. (2017). Integrative review: nurses' roles and experiences in keeping children safe. Journal of advanced nursing, 73(2), 302–322.

16. Lee, H. M., & Kim, J. S. (2018). Predictors of Intention of Reporting Child Abuse among Emergency Nurses. Journal of pediatric nursing, 38, e47–e52.

17. Engh Kraft, L., Rahm, G., & Eriksson, U. B. (2017). School Nurses Avoid Addressing Child Sexual Abuse. The Journal of school nursing : the official publication of the National Association of School Nurses, 33(2), 133–142.

18. Coore Desai, C., Reece, J. A., & Shakespeare-Pellington, S. (2017). The prevention of violence in childhood through parenting programmes: a global review. Psychology, health & medicine, 22(sup1), 166–186.

19. Poreddi, V., Pashapu, D. R., Kathyayani, B. V., Gandhi, S., El-Arousy, W., & Math, S. B. (2016). Nursing students' knowledge of child abuse and neglect in India. British journal of nursing(Mark Allen Publishing), 25(5), 264–268.

20. Elarousy, W., & Abed, S. (2019). Barriers that inhibit reporting suspected cases of child abuse and neglect among nurses in a public hospital, Jeddah, Saudi Arabia. Eastern Mediterranean health journal, 25(6), 413–421.

21. Flemington, T., & Fraser, J. (2017). Building workforce capacity to detect and respond to child abuse and neglect cases: A training intervention for staff working in emergency settings in Vietnam. International emergency nursing, 34, 29–35.

22. Dodge, K. A., Goodman, W. B., Bai, Y., O'Donnell, K., & Murphy, R. A. (2019). Effect of a community agency-administered nurse home visitation program on program use and maternal and ?nfant health outcomes: a randomized clinical trial. JAMA network open, 2(11), e1914522.

23. Lee, I. S., & Kim, K. J. (2018). Factors That Influence Mandatory Child Abuse Reporting Attitudes of Pediatric Nurses in Korea. Journal of forensic nursing, 14(1), 31–41.

24. Honda, C., Yoshioka-Maeda, K., & Iwasaki-Motegi, R. (2020). Child abuse and neglect prevention by public health nurses during the COVID-19 pandemic in Japan. Journal of advanced nursing, 76(11), 2792–2793.

25. Lines, L. E., Hutton, A., & Grant, J. M. (2020). Navigating and negotiating meanings of child abuse and neglect: Sociocultural contexts shaping Australian nurses' perceptions. Health & social care in the community, 28(3), 941–949.

26. Jack, S. M., Gonzalez, A., Marcellus, L., Tonmyr, L., Varcoe, C., Van Borek, N., Sheehan, D., MacKinnon, K., Campbell, K., Catherine, N., Kurtz Landy, C., MacMillan, H. L., & Waddell, C. (2021). Public health nurses' professional practices to prevent, recognize, and respond to suspected child maltreatment in home visiting: An interpretive descriptive study. Global qualitative nursing research, 8, 2333393621993450.

27. Laurin, J., Wallace, C., Draca, J., Aterman, S., & Tonmyr, L. (2018). Youth self-report of child maltreatment in representative surveys: a systematic review. Maltraitance envers les enfants déclarée par les jeunes eux-mêmes à l'occasion d'enquêtes représentatives de la population : revue systématique. Health promotion and chronic disease prevention in Canada : research, policy and practice, 38(2), 37–54.

28. Jack, S. M., Gonzalez, A., Marcellus, L., Tonmyr, L., Varcoe, C., Van Borek, N., Sheehan, D., MacKinnon, K., Campbell, K., Catherine, N., Kurtz Landy, C., MacMillan, H. L., & Waddell, C. (2021). Public Health Nurses' Professional Practices to Prevent, Recognize, and Respond to Suspected Child Maltreatment in Home Visiting: An Interpretive Descriptive Study. Global qualitative nursing research, 8, 2333393621993450.

29. Einboden, R., Rudge, T., & Varcoe, C. (2019). Beyond and around mandatory reporting in nursing practice: Interrupting a series of deferrals. Nursing inquiry, 26(2), e12285.

30. Atencion, B. C. S., Alingalan, A. F., Cordova, J. D. N., Dumaguing, M. C. M., & Suaboksan, M. T. T. (2019). Factors associated with intention to report child abuse among district hospital nurses in Iloilo, Philippines. International Journal of Caring Sciences, 12(1), 210-217.

31. James, F., & Green, J. (2018). Long term effects of child abuse: lessons for Australian paediatric nurses. Australian Journal of advanced nursing.

32. Lavigne, J. L., Portwood, S. G., Warren-Findlow, J., & Brunner Huber, L. R. (2017). Pediatric Inpatient Nurses' Perceptions of Child Maltreatment. Journal of pediatric nursing, 34, 17–22.

33. Min, H. Y., Kim, S. J., Lee, J. M., Kang, S. R., & Lee, J. E. (2017). A survey of nurses' perceptions on child abuse. Child Health Nursing Research, 23(2), 229-237.

34. Dahlbo, M., Jakobsson, L., & Lundqvist, P. (2017). Keeping the child in focus while supporting the family: Swedish child healthcare nurses experiences of encountering families where child maltreatment is present or suspected. Journal of child health care : for professionals working with children in the hospital and community, 21(1), 103–111.

35. WHO. (2016). Child maltreatment. https: // www. who. int / newsroom / fact-sheets / detail/ child -maltreatment (accessed May 20, 2021).

36. Altan, H., Budako?lu, I. ?., ?ahin-Da?l?, F., & Oral, R. (2018). Measuring awareness about child abuse and neglect: Validity and reliability of a newly developed tool-child abuse and neglect awareness scale. The Turkish journal of pediatrics, 60(4), 392–399.

37. Koca, B., Bekta?, M., & Ça?an, Ö. (2019). Determining the sensitivity of university students to violence toward children. Perspectives in psychiatric care, 55(4), 767–772.

38. Geçkil, E . (2017). Çocuklarda fiziksel istismar ve hem?irelik yakla??m?. Gümü?hane Üniversitesi Sa?l?k Bilimleri Dergisi, 6 (1), 129-139 Retrieved from

39. Solak, Y., Yoldascan, B. E., & Okyay, R. A. (2020). Assessment of the knowledge, awareness, and attitudes of family physicians in Adana regarding child abuse and neglect. Journal of Public Health, 1-8.

40. Külcü, D. P., & Karata?, H. (2016). Çocuk kliniklerinde çal??an hem?irelerin çocuk istismar? ve ihmali konusunda bilgi düzeylerinin incelenmesi. Ege Üniversitesi Hem?irelik Fakültesi Dergisi, 32(1), 48-58. Retrieved from https://dergipark. org. tr/ en/ pub /egehemsire/ issue /49333/ 630127

41. Kurt, G., Dönmez, S., Eren, Ö., Balc?, E., & Günay, O. (2017). Üç farkl? disiplinde okuyan üniversite son s?n?f ö?rencilerinin istismar, ihmal ve aile içi ?iddet alg?lar?. Journal of International Social Research, 10(50).

42. Bozkurt, G., & Ba?, Ö. F. (2021). Hem?irelerin çocuk ihmal ve istismar?na ili?kin fark?ndal?klar?n? etkileyen faktörlerin incelenmesi. Anadolu Hem?irelik ve Sa?l?k Bilimleri Dergisi, 24(1), 17-24.

43. Wismayanti, Y. F., O'Leary, P., Tilbury, C., & Tjoe, Y. (2019). Child sexual abuse in Indonesia: A systematic review of literature, law and policy. Child abuse & neglect, 95, 104034.

44. Li, E. T., Carracher, E., & Bird, T. (2020). Linking childhood emotional abuse and adult depressive symptoms: The role of mentalizing incapacity. Child abuse & neglect, 99, 104253.

45. Lawson, M., Piel, M. H., & Simon, M. (2020). Child Maltreatment during the COVID-19 Pandemic: Consequences of Parental Job Loss on Psychological and Physical Abuse Towards Children. Child abuse & neglect, 110(Pt2), 104709.

46. U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. “Child Maltreatment 2018.” Accessed May 20, 2021. /statistics-research/child-maltreatment

47. Yüksel, D., & Yard?mc?, F. (2020). The Advocacy and Case Management Role of Nurses in Child Abuse and Neglect. Advances in Health Sciences Research, 23.

48. Bross, D. C., & Krugman, R. D. (2020). Health and public health approach to ending child abuse and neglect. Child abuse & neglect, 110(Pt1), 104619.

49. López-Madrigal, C., de la Fuente, J., García-Manglano, J., Martínez-Vicente, J. M., Peralta-Sánchez, F. J., & Amate-Romera, J. (2021). The Role of Gender and Age in the Emotional Well-Being Outcomes of Young Adults. International journal of environmental research and public health, 18(2), 522.

50. Lefebvre, R., Fallon, B., Van Wert, M., & Filippelli, J. (2017). Examining the Relationship between Economic Hardship and Child Maltreatment Using Data from the Ontario Incidence Study of Reported Child Abuse and Neglect-2013 (OIS-2013). Behavioral sciences (Basel, Switzerland), 7(1), 6.

51. Bak?r, E., & Kapucu, S. (2017). Çocuk ihmali ve istismar?n?n Türkiye’de yap?lan ara?t?rmalara yans?mas?: Bir literatür incelemesi. Hacettepe Üniversitesi Hem?irelik Fakültesi Dergisi, 4(2), 13-24.

52. Sathiadas, M. G., Viswalingam, A., & Vijayaratnam, K. (2018). Child abuse and neglect in the Jaffna district of Sri Lanka - a study on knowledge attitude practices and behavior of health care professionals. BMC pediatrics, 18(1), 152.

53. Özçevik, D , Güne?, Ö , Ocakç?, A . (2018). Hem?irelik Ö?rencilerinin Sosyo-kültürel ve Demografik Özelliklerinin Çocuk ?stismar? ve ?hmali Fark?ndal??? ?le ?li?kisi . Ankara Sa?l?k Hizmetleri Dergisi, 17 (2), 16-27. Retrieved from

54. O'Donohue, W., Cummings, C., & Willis, B. (2018). The Frequency of False Allegations of Child Sexual Abuse: A Critical Review. Journal of child sexual abuse, 27(5), 459–475.

55. Saini, M., Laajasalo, T., & Platt, S. (2020). Gatekeeping by allegations: An examination of verified, unfounded, and fabricated allegations of child maltreatment within the context of resist and refusal dynamics. Family Court Review, 58(2), 417-431.

56. Ferragut, M., Rueda, P., Cerezo, M. V., & Ortiz-Tallo, M. (2020). What do we know about child sexual abuse? Myths and truths in Spain. Journal of interpersonal violence.