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Why Don’t They Report? Factors Influencing Hospital Staff’s Work with Child Maltreatment

Författare och institution:
Veronica Svärd (Institutionen för socialt arbete)
Publicerad i:
Joint World Conference on Social Work, Education and Social Development 2016 - Program Book,
Konferensbidrag, övrigt
Sammanfattning (abstract):
This study took place at the four largest children’s hospitals in Sweden and explores 295 physician’s, nurse’s, nurse assistant’s and hospital social worker’s experiences about reporting children suspected being at risk of harm to social services. Further, it analyzes to what extent a range of possible factors influenced their reporting rate and decisions for not report. Twelve professional and organizational factors and eleven emotional and circumstantial factors were included in the analysis. The results show that every second respondent had never made a report. There were however major differences between the professional groups: Nurse’s and nurse assistant’s odds to be lowreporters were considerable high, compared to physicians and hospital social workers. Longer working-experience, access to guidelines and routines, and feelings of stress were particularly related to deciding not to report. While access to guidelines and routines were shown to increase the report-rate to some extent, this access does not mean that the staff always decides to report. Emotions had fairly no relation to report-rates, but were more clearly involved in decisions to not report. Nurses, nurse assistants and physicians were all highly influenced by feeling insecure to assess the situation as abuse or neglect, ambivalence about how to act, and also circumstances such as the parent’s or youth’s own explanation about an injury. Beside those, the nurse assistants who were the group most influenced by emotions often felt insecure about cultural differences in upbringing and lacked trust in social service’s interventions. Hospital social workers stood out as being sparsely affected by any of the emotions, although a third had felt ambivalent about how to act on a risk-situation. This knowledge about how different factors have various influences on different professional groups is suggested to have implications for how trainings should be designed for the different groups.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Sociologi ->
Socialt arbete
Child Maltreatment, Health care, Hospital Social Work, Mandated Reporting, Risk Assessment, Emotion
Postens nummer:
Posten skapad:
2016-07-05 18:59

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