Aims: Child abuse is a health issue that poses high health risks and is attracting attention as a health problem that threatens children’s human rights and safety. In Japan, local governments are required by the Child Welfare Act and the Maternal and Child Health Act to prevent and detect abuse early. The number of consultations is increasing, and specialized responses are required. In nursing education, topics related to child abuse are included in the curriculum. However, there is no data on case analysis of infant neglect for nursing students. This study aims to analyze the responses and perspectives of nursing students at A University regarding a case of infant neglect presented as a class survey to gain insights to guide future directions in nursing education. Methods: A survey regarding cases of infant neglect was conducted among 63 second-year nursing students at A Comprehensive University. The survey was administered using Microsoft Forms and sent to the entire class simultaneously, allowing students to respond anonymously. The study was primarily qualitative, using the KJ method, with some quantitative analysis as a supplement. The content of the task is about the case where a 30-year-old mother who killed her baby because of leaving her baby alone at home for 16 hours was arrested on suspicion of abuse. The questions are: (Q1) Why did the mother leave the baby alone? (Q2) What could a nurse have done to prevent the incident? (Q3) What kind of words could a nurse offer the mother now? Participants were also asked whether their mothers’ behavior was abusive. Results: Regarding Q1, the concepts were classified into lack of affection, childcare stress, carelessness in childcare, escape from childcare, lack of awareness of childcare, childcare fatigue, financial difficulties, and personal priority. Regarding Q2, the concept is classified into childcare environment analysis, childcare guidance, childcare consultation, family support, home visits, medical examination observation, social resource introduction, understanding infant characteristics, and listening to anxiety/ worries. Q3 was categorized into asking, empathy, listening, reprimand, introspection, and questioning. All participants (63/63) reported that the mother’s actions in this case were abuse. Conclusion: We conducted a case analysis of infant neglect by nursing students. In order to prevent infant neglect, nursing students need to learn how to observe mothers and children and what kind of care should be given to mothers and children before
References
[1]
Fukushima, M., Tajiri, R. and Kubo, A. (2024) Nursing College Students’ Perceptions of Child Abuse a Comparison of Freshmen and Sophomores Using A: Vignette Survey. JournalofJapanAcademyofNursingScience, 44, 516-525. https://doi.org/10.5630/jans.44.516
[2]
Saito, S. and Kano, R. (2008) Learning from Empowerment of a Person to Abused: The Viewpoint of Community Health Nurse Students and Midwifery Students. Bulletin of the University of Shimane Izumo Campus, 2, 125-135. https://cir.nii.ac.jp/crid/1050001201680990464
[3]
Lupariello, F., Mattioda, G. and Di Vella, G. (2023) Knowledge of Child Abuse and Neglect in Nursing Students: Assessment and Perspectives. JournalofForensicSciences, 68, 2012-2020. https://doi.org/10.1111/1556-4029.15361
[4]
Offidani, C., Villani, A., Reale, A., Marchili, M.R., Aufiero, L.R., Moras, P., et al. (2022) Early Recognition of Child Abuse through Screening Indicators at the Emergency Department: Experience of a Tertiary Urban Pediatric Hospital. ItalianJournalofPediatrics, 48, Article No. 32. https://doi.org/10.1186/s13052-022-01214-9
[5]
DePanfilis, D. (2006) Child Neglect: A Guide for Prevention, Assessment, and Intervention. University of Michigan Library, 1-116. https://ocfcpacourts.us/wp-content/uploads/2022/02/3.-Child-Neglect-Guide..pdf
[6]
Ishii, K., Watanabe, K. and Goto, A. (2021) Implementation of a Child-Rearing Support Program to Enhance Empathy between Married Couples for Nursing University Students and Its Effects. Bulletin of Fukushima Medical University School of Nursing, 23, 27-33. https://fmu.repo.nii.ac.jp/records/2000634
[7]
Donohue, B., Carpin, K., Alvarez, K.M., Ellwood, A. and Jones, R.W. (2002) A Standardized Method of Diplomatically and Effectively Reporting Child Abuse to State Authorities: A Controlled Evaluation. BehaviorModification, 26, 684-699. https://doi.org/10.1177/014544502236657
[8]
Child Abuse Prevention and Treatment Act—Japanese/English—Japanese Law Translation, Definition of Child Abuse. https://www.japaneselawtranslation.go.jp/en/laws/view/4033
[9]
Writing a Case Analysis Paper—Organizing Your Social Sciences Research Assignments—Research Guides at University of Southern California. https://libguides.usc.edu/writingguide/assignments/caseanalysis
[10]
McClure, N., Nelson, B., Anderson, M., Donnell, C. and Knox, D. (2020) Child Abuse Response Simulation for Advanced Practice Nursing Students. ClinicalNurseSpecialist, 34, 157-161. https://doi.org/10.1097/nur.0000000000000529
[11]
Kabaya, H. (1989) Improving Student’s Japanese Spoken and Written Expression Using an Application of the KJ-Method. Bulletin of Center for Japanese Language, Waseda University, 1, 65-84. https://cir.nii.ac.jp/crid/1050282677438138240
Ney, P.G., Fung, T. and Wickett, A.R. (1992) Causes of Child Abuse and Neglect. TheCanadianJournalofPsychiatry, 37, 401-405. https://doi.org/10.1177/070674379203700609
[14]
Fusar‐Poli, P., Estradé, A., Mathi, K., Mabia, C., Yanayirah, N., Floris, V., et al. (2025) The Lived Experience of Postpartum Depression and Psychosis in Women: A Bottom‐up Review Co‐written by Experts by Experience and Academics. WorldPsychiatry, 24, 32-45. https://doi.org/10.1002/wps.21264
[15]
McCarroll, J.E., Fisher, J.E., Cozza, S.J., Robichaux, R.J. and Fullerton, C.S. (2017) Characteristics, Classification, and Prevention of Child Maltreatment Fatalities. MilitaryMedicine, 182, e1551-e1557. https://doi.org/10.7205/milmed-d-16-00039
[16]
Ishii, K., Watanabe, K., Tsutomi, H., Sasaki, M., Saito, M., Ota, M., Shibata, S. and Goto, A. (2023) Expanding Participation in a Childcare Support Program Beginning from Pregnancy. Journal of the Japan Maternal and Infant Care Association, 16, 34-46. https://webview.isho.jp/journal/detail/abs/10.11477/mf.7011200123
[17]
Sanders, M.R., Burke, K., Prinz, R.J. and Morawska, A. (2017) Achieving Population-Level Change through a System-Contextual Approach to Supporting Competent Parenting. ClinicalChildandFamilyPsychologyReview, 20, 36-44. https://doi.org/10.1007/s10567-017-0227-4
[18]
Raymond, J.E. (2009) ‘Creating a Safety Net’: Women’s Experiences of Antenatal Depression and Their Identification of Helpful Community Support and Services during Pregnancy. Midwifery, 25, 39-49. https://doi.org/10.1016/j.midw.2007.01.005
[19]
Saito, S. and Kano, R. (2008) Learning from Empowerment of a Person to Abused: The Viewpoint of Community Health Nurse Students and Midwifery Students. Bulletin of the University of Shimane Izumo Campus, 2, 125-35. https://cir.nii.ac.jp/crid/1050001201680990464
[20]
Yamashita, H. and Yoshida, K. (2003) Screening and Intervention for Depressive Mothers of New-Born Infants. Seishin Shinkeigaku Zasshi, 105, 1129-1135. https://pubmed.ncbi.nlm.nih.gov/14639935/
[21]
Ferri, P., Rovesti, S., Padula, M.S., D’Amico, R. and Di Lorenzo, R. (2019) Effect of Expert-Patient Teaching on Empathy in Nursing Students: A Randomized Controlled Trial. PsychologyResearchandBehaviorManagement, 12, 457-467. https://doi.org/10.2147/prbm.s208427
