Child abuse and neglect is a complex problem that needs to be addressed through a multidisciplinary approach. Nurses internationally have frequent contact with children and are ideally placed to respond to children experiencing abuse and neglect. Nurses' roles can include reporting abuse to child protection services (CPS). This paper reports on one aspect of the findings of a qualitative study exploring Australian nurses' perceptions and experiences of keeping children safe from abuse. Specifically, this paper reports on the theme relating to nurses' experiences of communicating their concerns to CPS and the family when reporting abuse and neglect. This qualitative study was underpinned by social constructionism, with data collected through semi-structured interviews with 21 nurses working with children in Australia. Key findings reported are: (1) being heard; (2) [feeling] disappointed, discouraged and disenfranchised; and (3) managing tensions between engagement and reporting. Nurses at times perceived that they were not taken seriously by CPS and felt powerless to enact change for children. Nurses subsequently had to decide how, and if, to discuss their report with families to mitigate negative reactions and maintain engagement. This study highlights the need for more effective multidisciplinary collaboration between nurses and CPS to promote change for children affected by abuse in Australia.

中文翻译：

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构建一个引人注目的案例：护士交流虐待和忽视的经验

虐待和忽视儿童是一个复杂的问题，需要通过多学科方法加以解决。国际护士经常与儿童接触，是应对遭受虐待和忽视的儿童的理想选择。护士的角色可以包括向儿童保护服务机构 (CPS) 报告虐待行为。本文报告了一项定性研究结果的一个方面，该研究探索了澳大利亚护士在保护儿童免受虐待方面的看法和经验。具体而言，本文报告了与护士在报告虐待和忽视时向 CPS 和家人传达他们的担忧的经验相关的主题。这项定性研究以社会建构主义为基础，通过对 21 名在澳大利亚从事儿童工作的护士进行半结构化访谈收集数据。报告的主要调查结果是：(1) 被听到；(2) [感觉] 失望、气馁和被剥夺权利；(3) 管理参与和报告之间的紧张关系。护士有时会认为他们没有被 CPS 认真对待，并感到无力为儿童做出改变。护士随后必须决定如何以及是否与家人讨论他们的报告，以减轻负面反应并保持参与。这项研究强调了护士和 CPS 之间需要更有效的多学科合作，以促进澳大利亚受虐待影响的儿童的改变。护士随后必须决定如何以及是否与家人讨论他们的报告，以减轻负面反应并保持参与。这项研究强调了护士和 CPS 之间需要更有效的多学科合作，以促进澳大利亚受虐待影响的儿童的改变。护士随后必须决定如何以及是否与家人讨论他们的报告，以减轻负面反应并保持参与。这项研究强调了护士和 CPS 之间需要更有效的多学科合作，以促进澳大利亚受虐待影响的儿童的改变。