The significance of continuing education on the intention of advanced practice registered nurses to report child maltreatment
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Adaorah N. U. Azotam, PhD, APRN, CPNP-PC
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The Centers for Disease Control have recognized child maltreatment as a national epidemic that calls for healthcare providers to focus on early identification and prevention of violence against children. Even though society has this expectation for healthcare professionals, research has shown that there is still a pervasive phenomenon of underreporting this societal ill. Current nursing research identifies education as a significant factor in determining the decision to report child maltreatment in the mandatory reporter role. Based on this conclusion, the Theory of Planned Behavior (TPB) served as the research framework to understand the pertinent facilitating components of intended reporting behaviors in Advanced Practice Registered Nurses (APRNs).
This study investigated the roles and influences of continuing education, APRNs’ attitudes, knowledge, subjective norms, and perceived behavioral control on intended mandatory reporting behaviors. It also evaluated the empirical adequacy of the theoretical framework, the Theory of Planned Behavior (TPB) as applied to professional experiences with child maltreatment. To accomplish these goals, a non-experimental, comparative, cross-sectional
perspective was chosen to further investigate the variables under study. The sampling frame for this study was derived from the National Association of Pediatric Nurse Practitioners membership e-mail database. Participants accessed an encrypted third-party email link to the measurement instrument, the Child Abuse Report Intention Scale (CARIS) as well as child maltreatment vignettes to capture intended reporting behaviors.
Overall, this study revealed a weak but significant correlation between the TPB variables and intended reporting behaviors. There was no significant relationship between specialized child maltreatment education and APRNs intended reporting behaviors but there was an increased sense of perceived behavioral control among those who received continuing education on child maltreatment.
The best predictors for intended reporting behaviors in this APRN population were attitudes regarding punishment and culpability of offenders or victims of CM, attitudes regarding professional responsibility, knowledge of child abuse and reporting law, and perceived behavioral control over reporting CM. APRNs in this study were more likely to report child maltreatment if they: (1) were less approving of child physical discipline; (2) were more agreeable to punishing CM perpetrators; (3) were more positive about their professional responsibility to report CM; (4) were more knowledgeable about CM and the reporting law; (5) had more positive perceptions that significant others felt they should report CM; and (6) had more control or perception of control over their reporting behaviors. These findings support evidence from previous nursing research supporting the adequacy of the theoretical framework, despite limitations identified in this study. Future implications for research and recommendations for nursing education are offered based on this study’s conclusions.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 27744534; ProQuest document ID: 2389595507. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Descriptive/Correlational |
Research Approach | Other |
Keywords | Theory of Planned Behavior; Advanced Practice Registered Nurses; Child Abuse; Reporting Abuse; Reporting Behaviors |
Grantor | Villanova University |
Advisor | Cantrell, Mary Ann; Dowdell, Elizabeth B. |
Level | PhD |
Year | 2017 |
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