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丹麦牙医和口腔保健员如何在虐待和忽视儿童问题中履行自己的职责。

How Danish dentists and dental hygienists handle their role in child abuse and neglect matters.

作者信息

Uldum Birgitte, Christensen Hanne N, Welbury Richard, Haubek Dorte

机构信息

a Municipal Dental Service for Children and Adolescents , Copenhagen , Denmark.

b Department of Pediatrics , Child Protection Centre, Aarhus University Hospital , Aarhus , Denmark.

出版信息

Acta Odontol Scand. 2017 Jul;75(5):332-337. doi: 10.1080/00016357.2017.1307448. Epub 2017 Mar 29.

Abstract

OBJECTIVE

The objective of this study was to identify how the dental team perceives its role in safeguarding children, to identify barriers to referral to social services, to compare data with data previously reported from Denmark, and to assess if increased focus on safeguarding children has had an effect on how the dental team handles its responsibility to refer to social services.

MATERIAL AND METHODS

The study is based on a Danish version of a questionnaire previously used in Scotland and Denmark. The questionnaire was sent to a random sample of the Danish dental team.

RESULTS

The number of returned questionnaires was 964 (67.0%) with valid data. Of these, 40.8% had had a suspicion of child abuse or neglect and 50.0% had referred their concern to social services. Frequently reported barriers to referral were uncertainty about observations, signs, and symptoms of abuse and neglect, and uncertainty about referral procedures. A total of 84 (8.9%) of the respondents had received both undergraduate and postgraduate training on the topic, and 64.4% of the respondents found that the dental staff could recognize signs and symptoms of abuse and neglect.

CONCLUSION

Findings suggest a continuous need for a focus on the awareness and training of the Danish dental staff on the important topic of child abuse and neglect.

摘要

目的

本研究的目的是确定牙科团队如何看待其在保护儿童方面的作用,确定转介至社会服务机构的障碍,将数据与丹麦此前报告的数据进行比较,并评估对保护儿童的更多关注是否对牙科团队履行转介至社会服务机构的责任产生了影响。

材料与方法

本研究基于一份先前在苏格兰和丹麦使用过的问卷的丹麦语版本。该问卷被发送给丹麦牙科团队的一个随机样本。

结果

回收的有效问卷有964份(67.0%)。其中,40.8%的人曾怀疑存在虐待或忽视儿童的情况,50.0%的人已将他们的担忧转介至社会服务机构。经常报告的转介障碍包括对虐待和忽视的观察、体征及症状的不确定性,以及转介程序的不确定性。共有84名(8.9%)受访者接受过关于该主题的本科和研究生培训,64.4%的受访者认为牙科工作人员能够识别虐待和忽视的体征及症状。

结论

研究结果表明,持续需要关注丹麦牙科工作人员在虐待和忽视儿童这一重要主题方面的意识和培训。

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