Dahlbo Madeleine, Jakobsson Liselotte, Lundqvist Pia
1 Department of Health and Society, Kristianstad University, Kristianstad, Sweden.
2 Department of Health Sciences, Lund University, Lund, Sweden.
J Child Health Care. 2017 Mar;21(1):103-111. doi: 10.1177/1367493516686200. Epub 2017 Jan 3.
Child maltreatment can lead to acute and long-term consequences, and it is important that at-risk children are identified early. Child healthcare (CHC) nurses in Sweden are in a position to identify child maltreatment, as they follow children and their parents from the child's birth to school age. Therefore, the aim was to describe CHC nurses' experiences when encountering families in which child maltreatment was identified or suspected. Individual open interviews with eight CHC nurses were performed and analysed using a qualitative content analysis. Findings revealed that keeping the child in focus, while supporting the family was essential for the nurses. This family-centred approach was assumed to benefit the child's interests. Meeting families where child maltreatment was identified or suspected influenced the nurses, emotionally in different ways. Nevertheless, it was important to keep an open mind and communication build on honesty. Furthermore, the nurses requested professional supervision in order to help them learn from the situation ahead of the next time. This knowledge about CHC nurses' experiences may form a basis for the development of interventions that aim to support the CHC nurses in their professional role, and thereby improve support to children and parents in the future.
儿童虐待会导致急性和长期后果，因此尽早识别有风险的儿童非常重要。瑞典的儿童保健（CHC）护士能够识别儿童虐待情况，因为他们从孩子出生到学龄期一直跟踪孩子及其父母。因此，本研究旨在描述CHC护士在遇到已识别或疑似存在儿童虐待情况的家庭时的经历。对八位CHC护士进行了个人开放式访谈，并采用定性内容分析法进行分析。研究结果显示，在支持家庭的同时将儿童放在首位对护士来说至关重要。这种以家庭为中心的方法被认为有利于儿童的利益。遇到已识别或疑似存在儿童虐待情况的家庭以不同方式在情感上影响了护士。然而，保持开放的心态并基于诚实进行沟通很重要。此外，护士们请求进行专业督导，以便帮助他们从此次情况中吸取经验，为下次遇到类似情况做好准备。这些关于CHC护士经历的知识可为制定干预措施提供依据，这些干预措施旨在支持CHC护士履行其专业职责，从而在未来改善对儿童及其父母的支持。
