“这是必要的恶”：维多利亚州全科医生强制报告虐待儿童的经历和看法。
‘It’s a necessary evil’: Experiences and perceptions of mandatory reporting of child abuse in Victorian general practice.
机构信息
BBmed (Hons), PhD candidate, Department of General Practice, University of Melbourne Carlton, Vic.
BA (Hons), PgDipLaw, PgDipLegalPractice, Lecturer, Department of Management, Sport and Tourism, La Trobe Business School, La Trobe University, Bundoora, Vic
出版信息
Aust J Gen Pract. 2018 Oct;47(10):729-733. doi: 10.31128/AJGP-04-18-4563.
BACKGROUND AND OBJECTIVE
General practitioners (GPs) and practice nurses (PNs) are mandated to report child abuse; however, only 2–4% of reports are made by Victorian health professionals. This is concerning, given that the estimated prevalence of physical child abuse alone in Australia is 5–18%. The aim of this study was to explore GPs’ and PNs’ experiences and perceptions of mandatory reporting of child abuse in Victoria.
METHODS
Semi-structured interviews with 17 Victorian GPs and PNs were undertaken and thematically analysed.
RESULTS
Participants had limited understanding of mandatory reporting in Victoria, struggled with negotiating the risks of reporting child abuse and felt unsupported by their practice and Child Protection Services.
DISCUSSION
GPs and PNs must negotiate their legal obligation, with the emotional burden associated with the decision to report. Updated education on reporting processes and more support for GPs and PNs are recommended.
背景和目的
全科医生（GP）和执业护士（PN）被要求报告儿童虐待；然而，维多利亚州的卫生专业人员中只有 2-4%的人进行了报告。这令人担忧，因为仅在澳大利亚，身体虐待儿童的估计患病率就为 5-18%。本研究的目的是探讨维多利亚州 GP 和 PN 对儿童虐待强制报告的经验和看法。
方法
对 17 名维多利亚州 GP 和 PN 进行了半结构化访谈，并进行了主题分析。
结果
参与者对维多利亚州的强制报告知之甚少，难以权衡报告儿童虐待的风险，并且感到他们的实践和儿童保护服务没有得到支持。
讨论
GP 和 PN 必须在法律义务与报告决定相关的情感负担之间进行权衡。建议对报告程序进行更新教育，并为 GP 和 PN 提供更多支持。
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