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Assessing children at risk: organizational and professional conditions within children's hospitals

Artikel i vetenskaplig tidskrift
Författare Veronica Svärd
Publicerad i Child & Family Social Work
Volym 22
Nummer/häfte S4
Sidor 81–91
ISSN 1356-7500
Publiceringsår 2017
Publicerad vid Institutionen för socialt arbete
Sidor 81–91
Språk en
Länkar dx.doi.org/10.1111/cfs.12291
Ämnesord child maltreatment; children at risk; health care professional; inter-professional work; organization; risk management
Ämneskategorier Socialt arbete

Sammanfattning

According to the Swedish Social Services Act, all health personnel are required to report children whom they suspect are subject to maltreatment. This paper describes the organizational and professional conditions in four Swedish children's hospitals regarding the reporting process. Specifically, the study focused on knowledge of risk to children, legal frameworks and the perceptions of organizational support and explored the differences between the hospitals and professional groups. The method used was a quantitative questionnaire, and 295 personnel responded. Hospitals differed in the level of organizational support offered to staff. Importantly, the professional groups showed different levels of knowledge and awareness about structures supporting their reporting obligations, with nurses and nurse assistants showing a lower level of awareness than physicians and hospital social workers. The paper argues that all professional groups need to have equal access to education, with the opportunity to become more involved in the assessment and reporting process and to strengthen multidisciplinary structures. Further, this would reduce risk, dispel the perception that work with children is ‘dirty work’ and counter strategies of avoidance among some professionals.

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