Appleton Jane V
School of Health and Social Care, Oxford Brookes University.
Community Pract. 2011 Nov;84(11):21-5.
This paper aims to reinforce the importance of a well funded health visiting service in safeguarding and protecting children. While the issues involved in safeguarding and child protection have not really changed in essence, in recent years the practice context, organisational climate and policy drivers have. This paper briefly outlines health visitors' work with children and families, reiterating the profession's track record in safeguarding and protecting children work and discussing how important the health visitor role is and how eroded it has become. The small body of research evidence in this area is discussed, current policy drivers examined and obstacles to good safeguarding practice described. Health visitors' work in child protection is important, and part of a continuum of public health activity including universal preventative work, identifying and working with vulnerable children and their families, and protecting children from abuse and neglect.
本文旨在强化资金充足的健康访视服务在保障和保护儿童方面的重要性。虽然保障和儿童保护所涉及的问题本质上并未真正改变,但近年来实践背景、组织氛围和政策驱动因素发生了变化。本文简要概述了健康访视员与儿童及家庭的工作,重申了该职业在保障和保护儿童工作方面的良好记录,并讨论了健康访视员角色的重要性以及它已受到多大程度的削弱。本文讨论了该领域少量的研究证据,审视了当前的政策驱动因素,并描述了良好保障实践的障碍。健康访视员在儿童保护方面的工作很重要,并且是公共卫生活动连续统一体的一部分,包括普遍的预防工作、识别弱势儿童及其家庭并与之合作,以及保护儿童免受虐待和忽视。