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保护新西兰的儿童:口腔健康从业者法律和专业框架综述

Protecting children in Aotearoa New Zealand: a review on legal and professional frameworks for oral health practitioners.

作者信息

Han Heuiwon, Koziol-McLain Jane, Diesfeld Kate, Carrington Samuel D, Morse Zac, Lees Amanda B

机构信息

Department of Oral Health, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.

Centre for Interdisciplinary Trauma Research, Auckland University of Technology, Auckland, New Zealand.

出版信息

J R Soc N Z. 2024 Dec 1;55(6):1418-1431. doi: 10.1080/03036758.2024.2430597. eCollection 2025.

Abstract

The United Nations Convention on the Rights of the Child asserts that all children have the right to protection from abuse and exploitation. In Aotearoa New Zealand, the prevalence of child maltreatment requires vigilant action from oral health practitioners (OHPs), who are often among the first in the position to recognise signs of abuse and neglect due to their frequent interactions with children in dental settings. The Dental Council of New Zealand sets professional requirements, highlighting practitioners' roles in responding to potential signs of maltreatment. Multiple statutes, including the Oranga Tamariki Act 1989 and the Family Violence Act 2018, govern OHPs' responses. Despite this, there is a notable gap in OHPs' confidence and understanding of their child protection roles, underlining the need for clear guidance on the legal and professional requirements that inform their responsibilities. This paper critically examines the professional responsibilities and policies governing OHPs in Aotearoa New Zealand regarding child protection responses. It also proposes the development of equity-focused guidelines, that are informed by Te Tiriti o Waitangi, emphasising culturally responsive practices, collaborations with Māori health providers and clear protocols for child protection responses.

摘要

《联合国儿童权利公约》宣称,所有儿童都享有免受虐待和剥削的权利。在新西兰(毛利语为Aotearoa),儿童受虐现象普遍存在,这就要求口腔健康从业者(OHP)保持警惕,采取行动。由于他们在牙科诊疗环境中经常与儿童互动,往往是最早能够识别虐待和忽视迹象的人群之一。新西兰牙科协会制定了专业要求,强调从业者在应对潜在虐待迹象方面的作用。包括1989年《儿童福利法》和2018年《家庭暴力法》在内的多项法规对口腔健康从业者的应对措施进行了规范。尽管如此,口腔健康从业者在对其儿童保护角色的信心和理解方面仍存在明显差距,这凸显了针对指导其职责的法律和专业要求提供明确指引的必要性。本文批判性地审视了新西兰(毛利语为Aotearoa)口腔健康从业者在儿童保护应对方面的专业职责和政策。它还提议制定以公平为重点的指导方针,这些方针以《怀唐伊条约》为依据,强调具有文化响应性的做法、与毛利族医疗服务提供者的合作以及明确的儿童保护应对规程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a605/12315175/df6f08fdedf6/TNZR_A_2430597_F0001_OC.jpg

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