Accuracy of a screening instrument to identify potential child abuse in emergency departments     

Eveline C.F.M. Louwers  Ida J. Korfage  Marjo J. Affourtit  Madelon Ruige  Annette P.M. van den Elzen  Harry J. de Koning  Henriëtte A. Moll 《Child abuse & neglect》2014

Although screening for child abuse at emergency departments (EDs) increases the detection rate of potential child abuse, an accurate instrument is lacking. This study was designed to measure the accuracy of a screening instrument for detection of potential child abuse used in EDs. In a prospective cohort study at three Dutch EDs, a 6-item screening instrument for child abuse, Escape, was completed for each child visiting the ED. The data from the completed Escape instrument was used to calculate sensitivity, specificity, and the positive/negative predictive value per item. The clinical notes and conclusions of the screen instruments of all potentially abused children reported to the hospitals’ Child Abuse Teams were collected and reviewed by an expert panel. A logistic regression model was used to evaluate the predictors of potential abuse. Completed Escape instruments were available for 18,275 ED visits. Forty-four of the 420 children with a positive screening result, and 11 of the 17,855 children with a negative result were identified as potentially abused. Sensitivity of the Escape instrument was 0.80 and specificity was 0.98. Univariate logistic regression showed that potentially abused children were significantly more likely to have had an aberrant answer to at least one of the items, OR = 189.8, 95% CI [97.3, 370.4]. Most of the children at high risk for child abuse were detected through screening. The Escape instrument is a useful tool for ED staff to support the identification of those at high risk for child abuse.  相似文献   

Teacher education graduates’ choice (not) to enter the teaching profession: does teacher education matter?     

Isabel Rots  Antonia Aelterman  Geert Devos 《欧洲师范教育杂志》2014,37(3):279-294

In an era of recurring teacher shortages, Flanders struggles with a considerable proportion of teacher education graduates who do not enter the teaching profession. This study identifies the predictors of teacher education graduates’ choice on job entry (teaching profession or not). A prospective research design with two data collection phases is adopted. Student teachers (subsequently graduates) (N = 217) of integrated teacher training for secondary education were surveyed shortly before as well as shortly after graduation. Results of chi-squared and t-tests indicate that gender, initial motivation for teaching, mentor support, teacher education preparation, teacher efficacy, learner-oriented beliefs, performance in teacher education, and employment opportunities show differences (at 1% level) between graduates who entered and those who did not enter the teaching profession. Results of the subsequent logistic regression validate the importance of teacher education (i.e. mentor support) – beside initial motivation and labour market factors – to explain graduates’ decision on job entry.  相似文献   

‘You can tell kind of about the body’: young children,health, fitness and fatness     

Ria Pugmire  Antonia C. Lyons 《Sport, Education and Society》2018,23(6):533-546

Fears of an ‘obesity epidemic’ in New Zealand and elsewhere have led to a growing focus on children’s weight, diet and activities. The aim of this research project was to highlight children’s voices, stepping back from obesity interventions to explore how health and obesity discourses are taken up by young primary school children. Nine 6 and 7-year-olds took part in individual semi-structured interviews which involved play and craft activities to focus discussion. Discourse analysis was used to explore how children talked about bodies, health, fitness and fatness. Children primarily drew on a series of clear-cut dichotomies around good foods and bad foods, and being active, able and fit, as well as constructing health in relation to the body in two distinct ways: fat vs. thin, and big-and-strong vs. small-and-weak. These findings support previous research suggesting that children, from a young age, are taking up narrow corporeal constructions of health in relation to food and fitness ‘choices’, and additionally children assume that these constructions can be ‘read’ off the body. On the other hand, children were also often hesitant, and at times resisted or problematised these straight-forward constructions, occasionally drawing on alternate understandings, including notions of pleasure and practicality, moderation, and being happy and healthy. Future research could explore these ideas further, investigating how children and adults utilise alternate meanings to negotiate the complexity of bodies, health, fitness and fatness.  相似文献   

Separate counselling services in Norwegian upper secondary schools. A possibility for a collective holistic approach?     

Mathiesen  Ida Holth  Gunnarsdottir  Hulda Mjöll 《International Journal for Educational and Vocational Guidance》2022,22(3):557-576

International Journal for Educational and Vocational Guidance - Guidance counsellors hold an important role in youth’s educational and vocational choices, well-being and future careers....  相似文献