Every state includes nurses as mandated reporters of suspected child maltreatment, and each state has its own law and policy regarding what is reportable and reporting requirements. These differences mean that generic training on child abuse and reporting needs to be augmented by practical state-specific information. In nearly every study of nurses, participants report having inadequate child abuse training. This paper presents an analysis of the information states post on their websites to educate nurses to appropriately identify and report suspected child abuse or neglect. Specifically, this study aims to answer the following questions: (1) how do mandated reporting laws that apply to nurses vary by state, (2) what information do states provide on their child protection and Board of Nursing websites about child maltreatment and mandatory reporting, and (3) what training resources do states make available on their websites to educate nurse mandatory reporters to ably fulfill their obligation? Data on state-by-state practices regarding mandated reporting of child abuse were gathered from the Rape, Abuse, & Incest National Network (RAINN) database, review of state statutes, Child Welfare Information Gateway, Board of Nursing sites, and the Nursing Licensure Compact (NLC) website. This analysis found that states provide little guidance or education about their child maltreatment laws, and few have resources targeted for nurses. Given rising membership in the NLC it is critical for nurses to have education about state specific mandated reporting requirements. States should consider adding mandatory reporting training as a requirement for licensure and for continuing education.
BakerA. J. L.LeBlancS.AdebayoT.MathewsB. (2021). Training for mandated reporters of child abuse and neglect: Content analysis of state-sponsored curricula. Child Abuse and Neglect, 113, Article 104932. https://doi.org/10.1016/j.chiabu.2021.104932
3.
BrownL. G.GallagherK. (2014). Mandatory reporting of abuse: A historical perspective on the evolution of states’ current mandatory reporting laws with a review of the laws in the commonwealth of pennsylvania. Villanova Law Review, 59(Tolle lege), 37–80. https://digitalcommons.law.villanova.edu/vlr/vol59/iss6/5.
4.
CaneiraL.MyrickK. M. (2015). Diagnosing child abuse: The role of the Nurse Practitioner. Journal for Nurse Practitioners, 11(6), 640–646. https://doi.org/10.1016/j.nurpra.2015.03.017
DavidovD. M.JackS. M.FrostS. S.CobenJ. H. (2012). Mandatory reporting in the context of home visitation programs: Intimate partner violence and children's Exposure to intimate partner violence. Violence Against Women, 18(5), 595–610. https://doi.org/10.1177/1077801212453278
7.
DudasL.PetrohoyG.Esernio-JenssenD.LansenderferC.StirparoJ.DunstanM.BrowneM. (2019). Every child, every time: Hospital-wide child abuse screening increases awareness and state reporting. Pediatric Surgery International, 35(7), 773–778. https://doi.org/10.1007/s00383-019-04485-2
8.
EisbachS. S.DriessnackM. (2010). Am I sure I want to go down this road? Hesitations in the reporting of child maltreatment by nurses. Journal for Specialists in Pediatric Nursing, 15(4), 317–323. https://doi.org/10.1111/j.1744-6155.2010.00259.x
FlahertyE. G.SegeR. D.BinnsH. J.MattsonC. L.ChristoffelK. L. (2000). Health care providers’ experience reporting child abuse in the primary care setting. Archives of Pediatrics and Adolescent Medicine, 154(5), 489–493. https://doi.org/10.1001/archpedi.154.5.489
11.
FlahertyE. G.SegeR.PriceL. L.ChristoffelK. K.NortonD.O'ConnorK. G. (2006). Pediatrician characteristics associated with child abuse identification and reporting: Results from a national survey of pediatricians. Child Maltreatment, 11(4), 361–369. https://doi.org/10.1177/1077559506292287
12.
HaasJ. J. (2021). The role of the school nurse in detecting and preventing child abuse during this age of online education. NASN School Nurse, 36(1), 16–19. https://doi.org/10.1177/1942602x20958064
13.
HerendeenP. A.BlevinsR.AnsonE.SmithJ. (2014). Barriers to and consequences of mandated reporting of child abuse by nurse practitioners. Journal of Pediatric Health Care, 28(1), e1–3e7. https://doi.org/10.1016/j.pedhc.2013.06.004
14.
HoG.BettencourtA.GrossD. (2017). Reporting and identifying child physical abuse: Howe well are we doing?Research in Nursing and Health, 40(6), 519–527. https://doi.org/10.1002/nur.21818
15.
IBM Corporation (2020). IBM SPSS Statistics for Windows. In (Version 27.0) IBM Corporation.
16.
Iowa Board of Nursing (2020). Mandatory reporters of child and adult abuse: Required course. Retrieved March 3, 2021 from https://nursing.iowa.gov/continuing-education/continuing-ed-licensees/mandatory-reporters-child-and-adult-abuse-required.
KraseK.DeLong-HamiltonT. A. (2015). Comparing reports of suspected child maltreatment in states with and without universal mandated reporting. Children and Youth Services Review, 50(1), 96–100. https://doi.org/10.1016/j.childyouth.2015.01.015
19.
KuruppuJ.McKibbinG.HumphreysC.HegartyK. (2020). Tipping the scales: Factors influencing the decision to report child maltreatment in primary care. Trauma, Violence & Abuse, 21(3), 427–438. https://doi.org/10.1177/1524838020915581
20.
LeviB. H.PortwoodS. G. (2011). Reasonable suspicion of child abuse: Finding a common language. Journal of Law, Medicine and Ethics, 39(1), 62–68. https://doi.org/10.1111/j.1748-720X.2011.00550.x
21.
MerrickM. T., & Latzman N. E. (2014). Child maltreatment: A public health overview and prevention considerations. Online Journal of Issues in Nursing, 19(1), Article Manuscript 2. https://doi.org/10.3912/OJIN.Vol19No01Man02
22.
MudrickN. R.SmithC. J. (2017). Commentary: Mandatory reporting for child protection in health settings and the rights of parents with disabilities. Disability and Health Journal, 10(2), 165–168. https://doi.org/10.1016/j.dhjo.2016.12.012
23.
National Council of State Boards of Nursing (2021). Nurse Licensure Compact (NLC). Retrieved 3/24/2021 from https://www.ncsbn.org/nurse-licensure-compact.htm.
24.
National Council on Disability (2012). Rocking the cradle: Ensuring the rights of parents with disabilities and their children. National Council on Disability. https://www.ncd.gov/publications/2012/Sep272012.
25.
New York Social Services Law, Article 6, Title 6, Section 413 (2021). https://www.nysenate.gov/legislation/laws/SOS/413.
26.
New York State Office of the Professions (2020, September 11). License requirements: Registered professional nursing. New York State Education Department. Retrieved February 15, 2021 from http://www.op.nysed.gov/prof/nurse/nursingrn.htm#.
RazM. (2020). Calling child protectives services is a form of community policing that should be used appropriately: Time to engage mandatory reporters as to the harmful effects of unnecessary reports. Children and Youth Services Review, 110, Article 104817. https://doi.org/10.1016/j.childyouth.2020.104817
31.
SatchidanandN.GunukulaS. K.LamW. Y.McGuiganD.NewI.SymonsA. B.Withiam-LeitchM.AklE. A. (2012). Attitudes of healthcare students and professional toward patients with physical disability: A systematic review. American Journal of Physical Medicine and Rehabilitation, 91(6), 533–545. https://doi.org/10.1097/PHM.0b013e3182555ea4
32.
State of California Department of Consumer Affairs (n.d.). General instructions and application requirements for Public Health Nurse (PHN) certification. Retrieved from https://www.rn.ca.gov/pdfs/applicants/phn-instruct.pdf.
33.
SwedoE.IdaikkadarN.LeemisR.DiasT.RadhakrishnanL.SteinZ.ChenM.AgathisN.HollandK. (2020). Trends in U.S. emergency department visits related to suspected or confirmed child abuse and neglect among children and adolescents aged <18 years before and during the COVID-19 pandemic--United States, January 2019-September 2020 (Morbidity and Mortality Weekly Report, Issue 49). USDHHS Centers for Disease Control and Prevention. https://www.cdc.gov/mmwr/volumes/69/wr/mm6949a1.htm.
34.
The Task Force on Child Protection (2012). Child protection in Pennsylvania: Proposed recommendations. Retrieved from http://www.childprotection.state.pa.us/Resources/press/2012-11-27%20Child%20Protection%20Report%20FINAL.pdf.
U.S. Department of Health and Human Services (2021). Child maltreatment 2019. Washington, D.C.: U.S. Department of Health and Human Services, Administration for Children and Families, Administration for Children, Youth, and Families, Children's Bureau. https://www.acf.hhs.gov/cb/researchdata-technology/statistics-research/child-maltreatment.
