The World Health Organization (WHO), concludes that child maltreatment is a global concern calling for a multi sectoral interdisciplinary approach. School professionals, such as social workers, teachers, and health care professionals are in positions to discover and report maltreatment enabling social workers to intervene. However, a variety of reports reveal an evident gap between incidences and frequency of number of cases reported. A review of relevant research indicates that the problem of “not reporting” suggests that moral conflicts are activated in the process of decision-making. The aim was to gain a deeper understanding of school professionals’ experiences of reporting suspected neglect and abuse to the Social Welfare Board. In a mixed method approach 32 school professionals, such as teachers, social workers, nurses and psychologists participated in interviews and responded to questionnaires. Findings from the qualitative content analysis were compared to the quantitative analysis in a meta-analysis. Moral conflicts occur when faced with making decisions about how to best deal with a child’s situation. Thoughts about the child’s best interest and relationship with his/her parents as well as the informants´ own safety, were central. The comparative meta- analysis of both data sets revealed these conflicts commence with a moral sensitivity of possible negative consequences for the child. Moral sensitivity can be viewed as a “good” personal attribute, it paradoxically might lead to moral stress despite an open ethical climate. Based on the results of this study, further research on the interpersonal aspects of dealing with moral conflicts involved in reporting suspected child abuse is indicated.

世界卫生组织 (WHO) 得出的结论是，虐待儿童是一个全球关注的问题，需要采取多部门、跨学科的方法。社会工作者、教师和医疗保健专业人员等学校专业人员能够发现和报告虐待行为，使社会工作者能够进行干预。然而，各种报告揭示了发生率和报告病例数频率之间的明显差距。对相关研究的回顾表明，“不报告”问题表明在决策过程中激活了道德冲突。目的是更深入地了解学校专业人员向社会福利委员会报告涉嫌忽视和虐待的经历。在混合方法中，32 名学校专业人员，如教师、社会工作者、护士和心理学家参加了访谈并回答了问卷。定性内容分析的结果与荟萃分析中的定量分析进行了比较。当面临如何最好地处理儿童处境的决定时，就会发生道德冲突。关于孩子的最大利益和与他/她的父母的关系以及线人自身安全的想法是核心。对两个数据集的比较元分析显示，这些冲突始于对儿童可能产生的负面后果的道德敏感性。道德敏感性可以被视为一种“良好”的个人属性，尽管开放的道德氛围，它反而可能导致道德压力。根据这项研究的结果，