The aim of this systematic narrative literature review is to explore empirical evidence as to how a multiprofessional approach to child protection decision making is implemented in hospitals settings. Child protection cases where there is a suspicious serious injury suspected sexual abuse or serious neglect are often investigated in hospital, involving a number of relevant professions. Five electronic bibliographic databases were used for the search. To be included in the review studies had to be published in a peer-reviewed journal, report on empirical research, be available full text in English, and have used an identifiable research design. The search was restricted to 10 years, from January 1, 2010, to December 31, 2019, and retrieved 6,934 studies. The review includes 26 studies undertaken in 10 countries. In all the hospital-based settings studied, child protection decision-making tasks were assigned to a designated multiprofessional team. However, there was remarkable diversity in models of team structure, regulation of workflow, structured procedures, and standardized tools through which practice was carried out. Research focused on evaluating the teams’ effectiveness in fulfilling their duties which were, first and foremost, the identification of possible child maltreatment. The analysis identifies various systemic approaches and quality improvement methods to promote effective team-based decision-making processes in hospitals. The interactional aspect of collaborative team-based practice was generally missing from the published research. This article discusses next steps for the development of practice, policy, and research to enhance useful multiprofessional child protection team working in hospitals.

这篇系统的叙述性文献综述的目的是探索关于如何在医院环境中实施多专业方法来制定儿童保护决策的经验证据。疑似性虐待或严重忽视的疑似重伤儿童保护案件往往在医院进行调查，涉及多个相关专业。检索使用了五个电子书目数据库。要包含在审查研究中，必须在同行评审的期刊上发表，实证研究报告，提供英文全文，并使用可识别的研究设计。检索时间限定为 10 年，从 2010 年 1 月 1 日到 2019 年 12 月 31 日，共检索到 6,934 项研究。该审查包括在 10 个国家/地区进行的 26 项研究。在所有研究的医院环境中，儿童保护决策任务被分配给一个指定的多专业团队。然而，在团队结构模型、工作流规则、结构化程序和用于实践的标准化工具方面存在显着差异。研究的重点是评估团队履行职责的有效性，这些职责首先是确定可能的虐待儿童行为。该分析确定了各种系统方法和质量改进方法，以促进医院有效的基于团队的决策过程。已发表的研究通常缺少基于协作团队的实践的交互方面。本文讨论了实践、政策发展的后续步骤，