International Journal of Pediatric Nursing

MOTHERS MALTREATMENT AND ITS EFFECT ON CHILDREN RECURRENCE OF SAFETY THREAT AMONG HOSPITALIZED CHILDREN

Nagwa A. Zein El1, Sanaa A. Mohamed

nagwa_ahmedzin@ymail.com

Safety, Neglect, Threat, Nursing intervention, Mothers, Maltreatment, hospitalized children.

Mothers' maltreatment is a global problem with serious life-long consequences. In spite of recent national surveys in several low-and middle-income countries, data from many countries are still lacking. Undertaking risk assessment is a significant element of any child safety, mothers role usually should assess harm, and risk of threat to a child, and safety for him. Almost of researches shows that children exposed to threat are at increased risk of being neglected or abused. So, the aims of this study were to 1-assess hospitalized children recurrent threats invading their safety 2-determine the cause of threats among mothers (neglected or abused) for their children and 3-provide mothers with safety guidelines for care plan based on assessment needsto reduce risk of recurrence threats among high risk children. A descriptive analytical design was used for (45) hospitalized mothers with their children exposed to safety threats purposively selected and conducted at Cairo University Specialized Pediatric Hospital, from different department e.g, surgical department, medical and emergency department which contains children who were exposed to any threats as falling, poisoning, accident, trauma, etc…using three tools. The first tool was a biosocial and health history questionnaire. The second tool was the safety assessment tool, adopted from CPS-1 and NCAT (2011) as a standard tool for safety children. It includes questions about mothers' knowledge for safety of children at home, during daily activities as transportation, using a developmental approach, for practice regarding car safety and the prevention of falls, poisonings, cuts, and electrocution. Third tool was Neglect and Abused Index adopted from Ontario Child Protection Tool Manual (2011). The neglect index is a likert Scale consists of 21 factors associated with recurrence of neglect or abused. Results revealed that the majority of children threats occurred among mothers whose have moderate to high neglect. However majority of threaten children whose have low abuse. So, these high levels of neglect lead to recurrence for their children threats. The current study recommended 1-Use of family members, neighbors, as safety resource when discovering neglected or abused mother. 2-Assessment of Safety Plan for each mother should be integrated part in nursing intervention from admission of child with threat. 3-Recommendations for further research to study methods for eliminate social, economical and psychological factors that lead to neglected or abused among mothers in