How child health care physicians struggle from gut feelings to managing suspicions of child abuse.
child abuse suspicion
child health care physicians
communication with parents
family physicians
gut feelings
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
revised:
04
12
2020
received:
26
08
2020
accepted:
23
12
2020
pubmed:
29
12
2020
medline:
9
6
2021
entrez:
28
12
2020
Statut:
ppublish
Résumé
We examined how gut feelings of child health care physicians' (CHCPs) contribute to the development of a suspicion of child abuse, how they act upon this suspicion and what barriers they experience in their management. To gain insight into the youth health care chain, we compared the diagnostic reasoning and management regarding this issue by CHCPs and family physicians (FPs). Three focus groups, 20 CHCPs, thematic content analysis. A gut feeling acted as an early alert to look for the triggering cue(s), by observing more closely and asking relevant questions. CHCPs struggled to distinguish whether the situation involved child abuse or a lack of parenting skills, and how to communicate their concerns with parents. They tried to motivate parents to improve the situation, avoiding the term child abuse and considered involving the Child Abuse Counselling and Reporting Centre (CACRC) a measure of last resort only. As with FPs, gut feelings support CHCPs in becoming attentive to child abuse and to situations which can lead to child abuse. The next step, discussing their suspicion with the parents, is a difficult one, and the CACRC might actually help to make this step easier.
Identifiants
pubmed: 33370460
doi: 10.1111/apa.15736
pmc: PMC8248234
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1847-1854Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2020 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
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