Nurses who regularly see children in their practice are currently treating victims of child abuse, including sexual abuse and neglect, whether they know it or not. The causes of child abuse and neglect are complex and varied, and occur in all types of families and settings. Nurses must always remain alert to the possibility that abuse may be occurring in any family, regardless of their socioeconomic status. Nationally, in 1993, averages of 42.9 children per 1,000 were reported to authorities as victims of alleged abuse or neglect. A 1995 Gallop Poll of 1,000 parents yielded the estimate that 3 million U.S. children were victims of physical abuse by their parents, or about 44 per 1,000 children (The future of children, 1998). Child characteristics may include, the child was prematurely born, the child has disabilities, either mentally or physically, the child exhibits certain behaviors of infancy and childhood, such as persistent crying, the child is chronically ill, and the child has already been victimized. Family characteristics may include, there is other violence in the home, substances, including alcohol, are abused by the parents or caretakers, the parents of caretakers lack necessary maturity, skills or knowledge to care for the child, parental expectations are inconsistent with the childs developmental abilities, the caretaker is socially isolated, the family is experiencing high levels of stress from events such as loss of a job, increased financial burdens, serious illness, death in the family, separation or divorce, adult members of the family have themselves been abused as children (Ohio State Medical Association, 1992). Definitions of the major forms of maltreatment are as follows: Physical Abuse- An act of commission by a caregiver that results or is likely to result in physical harm, including death of a child. Examples of physical abuse acts include kicking, biting, shaking, stabbing, or punching of a child. Sexu...
