Clinical trial NCT05925387: Educational Program's Impact on Nursing Students' Knowledge and Awareness of Child Abuse and Neglect
Official title: The Impact of an Educational Program on Child Abuse and Neglect Knowledge and Awareness Levels Among Nursing Students: A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Child Abuse
Child Neglect
Keywords: Child Abuse and Neglect
Child Maltreatment
Nursing Students' Knowledge
Nursing Students' Awareness
Lead sponsor: Yeditepe University
Sponsor class: OTHER
First posted: 2023-06-29
Enrollment: 75
Sex: ALL
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomised Controlled Study
Primary purpose: PREVENTION

Brief summary: Detecting and determining child abuse and neglect can be quite challenging and largely depends on the knowledge and skills of healthcare professionals. In a hospital setting, healthcare professionals frequently come across children who have experienced abuse and/or neglect. Nurses are often the first to encounter the child and their family, initiating the process of taking a medical history and establishing closer interactions during care and treatment. To accurately recognize the case and provide appropriate care using the right approach, nurses need to possess sufficient knowledge and skills related to child abuse and neglect. The lack of adequate education on child abuse and neglect, as well as insufficient research on the subject, can lead to a lack of information and cases being overlooked. To identify and report cases of child abuse and neglect, it is important for nurses, especially before starting their profession, to have a sufficient level of knowledge about the signs and risks of child abuse and neglect. This study aims to examine the impact of an educational program targeting nursing students on their knowledge and awareness levels regarding child abuse and neglect.

Detailed description: Detecting and identifying child abuse and neglect is quite challenging and relies heavily on the knowledge and skills of healthcare professionals (Child Welfare Information Gateway, 2019). In a hospital setting, healthcare professionals frequently encounter children who have experienced abuse and/or neglect. Nurses, who are often the first to interact with the child and their family, play a crucial role starting from the process of taking the medical history to provide care and treatment (Chen et al., 2022). Nurses who have frequent contact with children and their families are in a good position to protect children from abuse and neglect (Bahrami et al., 2021). Particularly in emergency departments, nurses often come across child abuse and neglect, including various types such as Munchausen by Proxy Syndrome, which is a form of physical abuse (Chen et al., 2022). Therefore, it is crucial, especially for nurses, to carefully observe children who may be victims of abuse and evaluate all children who come to the hospital for signs of abuse and neglect (Başdaş \& Bozdağ, 2018). Nurses need to have sufficient knowledge and skills regarding child abuse and neglect to accurately identify cases and provide appropriate care (Jordan \& Moore-Nadler, 2014). They should establish communication with the child and their family, attempt to recognize the signs and symptoms of abuse and neglect, and report the case from a forensic perspective (Chen et al., 2022). To fulfill these roles and responsibilities adequately, nurses need to receive education on child abuse and neglect (Topçu et al., 2022). Insufficient education on child abuse and neglect, as well as inadequate research on the subject, can lead to a lack of knowledge and cases being overlooked. For example, in Turkey, there are only a limited number of universities offering elective courses on child abuse and neglect within nursing curricula (Topçu et al., 2022). Similarly, a limited number of studies have shown that the level of awareness regarding child abuse and neglect is good when it is included in the pediatric nursing curriculum (Özçevik et al., 2018). However, studies conducted in Turkey involving nurses (Başdaş \& Bozdağ, 2018; Burç \& Güdücü Tüfekci, 2015) and particularly nursing students (Erkut et al., 2021; Ozbey et al., 2018; Seferoğlu et al., 2019; Tek \& Karataş, 2021) have revealed that their knowledge levels regarding child abuse and neglect are insufficient, similar to countries like India (Poreddi et al., 2016). In order to identify cases of child abuse and neglect, it is essential for nurses, especially before entering the profession, to have sufficient knowledge about the signs and risks of child abuse and neglect. It has been emphasized that nursing students need to learn their legal responsibilities and receive education to enhance their knowledge and become more competent (Akcan \& Demiralay, 2016; Bağ \& Bozkurt, 2021; Kuşlu \& Bulut, 2021; Seferoğlu et al., 2019).

Eligibility criteria: Inclusion Criteria:

* 1st, 2nd, 3rd, and 4th Grade Undergraduate Nursing Students between the ages of 18-30.
* Being a volunteer,
* Not having any disability,
* Being Turkish literate,
* Having Internet access and a Google account,
* Signing the informed consent form

Exclusion Criteria:

* Being outside the age range,
* Being a prep class student, being illiterate in Turkish

Primary outcomes:
measure: Child Abuse and Neglect Awareness Scale (CANA-S)
timeFrame: Pretest
measure: Child Abuse and Neglect Awareness Scale (CANA-S)
timeFrame: Immediately after the intervention
measure: Child Abuse and Neglect Awareness Scale (CANA-S)
timeFrame: 1 month after the intervention
Secondary outcomes:
measure: 1. Scale for Identification to the Symptom and Risks of Child Abuse and Neglect (SISRCAN)
timeFrame: Pretest
measure: 1. Scale for Identification to the Symptom and Risks of Child Abuse and Neglect (SISRCAN)
timeFrame: Immediately after the intervention
measure: 1. Scale for Identification to the Symptom and Risks of Child Abuse and Neglect (SISRCAN)
timeFrame: 1 month after the intervention
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Yeditepe University
state: Atasehir
Study officials:
affiliation: Yeditepe University
name: Gokce Nz Cakir, BSN
role: STUDY_CHAIR
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