Saturday, July 12, 2003

This presentation is part of : Child Health

Children's Injuries in Agriculture Related Events: The Effect of Supervision on the Injury Experience

Susan K. Pryor, DNS, RN, Assistant Professor, College of Nursing and Health Sciences/School of Nursing, Southeastern Louisiana University, Baton Rouge, LA, USA, Ann K. Carruth, DNS, RN, Professor, School of Nursing, Southeastern Louisiana University, Hammond, LA, USA, and Carrie McCoy, PhD, MSPH, RN, CEN, Professor of Nursing, Department of Nursing and Health Professions, Northern Kentucky University, Highland Heights, KY, USA.
Learning Objective #1: Identify an international health problem, the leading cause of death in children related to unintentional injuries in the United States and actual injuries that were sustained by farm children in this study
Learning Objective #2: Explore the use of Haddon's Injury Model as the theoretical framework to correlate the types of supervision farm children were receiving at the time of injury and the injury risk in relation to supervision type

Objective: An international health problem and the leading cause of death and disability among rural children in the United States are unintentional injuries. Using Haddon's Injury Model as the theoretical framework, the purpose of this study is to examine injury risk in relation to supervision.

Design: A stratified, random sample design with parishes comprising the strata and simple random selection without replacement within each stratum was used to select addresses in 10 parishes in Louisiana.

Population, Sample, Setting, Years: 657 farm women participated. 177 reported having children and 32 reported having farm children who sustained at least one injury while eight children sustained two injuries within the last year. The children needing medical attention became the sample (n=37).

Concept or Variables Studied Together or Intervention and Outcome Variable: Supervision is consistently identified as a variable effecting the risk of injury in children. Yet, no studies have focused on the relationship of children's supervision type and injury risk on the farm.

Methods: The Louisiana Farm Health and Injury Survey instrument was used to elicit information about characteristics of farm work, prevention practices, and demographics. Caregivers were specifically asked to identify supervision practices and childhood injuries sustained within last 12 months.

Findings: Descriptive and categorical data analysis methods were used to examine the associations between farm-related injury and supervision type. Children were more likely to sustain farm-related injury when they were supervised by a caregiver engaged in farm work versus supervised at home (p=.007).

Conclusions: The findings of this study support Haddon's Injury Model that suggests injuries occur because of an uncontrolled interaction between a host, an agent, and the environment.

Implications: Examining the children's role within the framework of Haddon's Injury Model, will assist researchers in designing evidenced based research that addresses the interaction between the host, agent, and environmental factors.

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Back to 14th International Nursing Research Congress
Sigma Theta Tau International
10-12 July 2003