A survey on the perception and attitude change of first-line healthcare providers after child abuse education in South Korea: A pilot study

Abstract

We had designed an educational program for early reporting of suspected child abuse for healthcare providers in South Korea. The purpose of study was to evaluate the effectiveness of education program for health care providers as pilot study. The educational program consisted of two 2-hour-long didactic lectures and was held at 15 hospitals between July and December 2016. We conducted a survey study with physicians, nurses, emergency medical technicians, and other hospital staff. Participants completed survey questionnaires before and after the lecture and 3 months later. The questionnaire contained 3 sections: practical knowledge regarding child abuse, confidence in reporting, and willingness to report. A 10-point Likert scale was used to evaluate the responses. A total of 1103 participants working in 15 different hospitals attended the educational program. In all, 663 participants (75.5%) completed the survey with nurses at 61.7% and physicians at 22%. 26.4% had previously received education about child abuse and reporting methods, and 227 (34.2%) had experience with reporting (direct and indirect) child abuse. The score about knowledge improved from 5.28 points before to 8.03 after the educational program, and was 7.1 after 3 months (P < .001), using a 10-point Likert scale. The confidence increased from 4.76 before the program to 7.59 after it, and was 6.6 after 3 months (P < .001). The willingness to report increased from 7.46 before the program to 8.68 after it, and was 8.14 after 3 months (P < .001). Participants' satisfaction with the education program was 8.3 points immediately after education and 7.6 points after 3 months. The recommendation index of curriculum was 8.4 points before program and 8.1 points after 3 months. The educational program on the assessment of child abuse and reporting methods increased healthcare professionals' knowledge and confidence and improved their willingness to report suspected child abuse in a low-perception environment.

Figure 1

Comparison of respondents’ scores immediately post-intervention and 3 months after for satisfaction, understanding, and recommendation of the educational program. A 10-point Likert scale was used to evaluate the responses. N = 663, Wilcoxon signed rank sum test, P-value < .001.

Figure 2

A. Comparison of the number of reported cases in 2015 and 2016 in the educated areas of Seoul, Incheon, and Gyeonggi Province and other areas. B. Comparison of the number of reported cases in educated and non-educated areas in 2015 and 2016.