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Survey data showed that SEEK nurses rated to a greater degree that they possessed adequate knowledge, competence and sense of security to address psychosocial risk factors in their work. This study indicates that using SEEK can strengthen the nurses in identifying and responding to families in need of psychosocial support. This study indicates that using SEEK can strengthen the nurses in identifying and responding to families in need of psychosocial support. Child maltreatment and caregiver history of abuse is negatively associated with