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Judgements of health and social care professionals on a child protection referral of an unborn baby: Factorial survey
Child Abuse & Neglect ( IF 4.863 ) Pub Date : 2021-02-11 , DOI: 10.1016/j.chiabu.2021.104978
Helena Mc Elhinney 1 , Brian J Taylor 2 , Marlene Sinclair 1
Affiliation  

Background

Midwives and children’s services social workers have responsibilities to identify and support pregnant women where there are child protection concerns. Professionals seek to anticipate the risk of harm and initiate interventions to provide support to families. There is little research on how professionals prioritise risk factors and the challenges they face in protecting unborn babies.

Objective

To measure the impact of identified risk factors regarding child protection referrals of unborn babies on the professional judgements of midwives and children’s services social workers.

Methods

A factorial survey design using vignettes with randomised factors within a standardised structure, administered digitally using Qualtrics software.

Participants & setting

Midwives (n = 250) and children’s services social workers (n = 88) from one Health and Social Care Trust in Northern Ireland.

Results

One thousand and ninety-six vignettes were completed by 118 participants. Analysis using multiple regression showed that the risk factors together accounted for 44% of the variance in perceived risk of harm and of the variance on perceived need for a referral. The significant Independent Variables (IVs) in order included: drug use, alcohol use, age, antenatal care attendance, mental wellbeing, domestic violence and the pregnant woman's I the childhood experiences. There were no significant differences between midwives and social workers regarding judgements about important risk factors.

Conclusions

This survey provided an ordering of major risk factors influencing decision making to protect an unborn baby from the perspective of experienced social workers and midwives. The study helps professionals in judging the seriousness of risk factors. The interaction effects between risks requires further research.



中文翻译:

健康和社会保健专业人员对未出生婴儿的儿童保护转介的判断:因子调查

背景

助产士和儿童服务社会工作者有责任在存在儿童保护问题的情况下识别和支持孕妇。专业人员寻求预测伤害风险并启动干预措施以向家庭提供支持。关于专业人员如何优先考虑风险因素以及他们在保护未出生婴儿方面面临的挑战的研究很少。

客观的

衡量已确定的风险因素对未出生婴儿的儿童保护转介对助产士和儿童服务社会工作者的专业判断的影响。

方法

在标准化结构中使用带有随机因素的小插图的析因调查设计,使用 Qualtrics 软件进行数字化管理。

参与者和设置

来自北爱尔兰的一个健康和社会关怀信托基金的助产士(n = 250)和儿童服务社会工作者(n = 88)。

结果

118 名参与者完成了 1096 个小插曲。使用多元回归的分析表明,风险因素加在一起占了感知伤害风险差异的 44%,以及感知转诊需求差异的 44%。重要的自变量 (IV) 依次包括:吸毒、饮酒、年龄、产前护理出勤率、心理健康、家庭暴力孕妇童年经历。助产士和社会工作者对重要危险因素的判断没有显着差异。

结论

该调查从有经验的社会工作者和助产士的角度对影响保护未出生婴儿的决策的主要风险因素进行了排序。该研究有助于专业人士判断风险因素的严重性。风险之间的相互作用需要进一步研究。

更新日期:2021-02-12
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