Determining the skills for child protection practice: emerging from the quagmire!

Keys, Marjorie

doi:10.1002/car.1089

Cited by 16 publications

(12 citation statements)

References 40 publications

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“…20 An extensive literature review of the skills required to work in child protection demonstrated that managing the emotional impact was not regularly recognised as a crucial part of the process. 23 This supports the experiences of the midwives in our study who agreed that the level of emotional work required was not addressed in the child protection training they had attended.…”

Section: Discussionsupporting

confidence: 79%

Midwives experiences of removal of a newborn baby in New South Wales, Australia: Being in the ‘head’ and ‘heart’ space

Everitt

Fenwick

Homer³

2015

Women and Birth

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Background: A newborn baby is removed from his or her mother into formal care when he/she is considered at risk of serious harm and it is not in the best interests to go home with their parent(s) or carer(s). In New South Wales (NSW), this removal is known as an "assumption of care". This process is challenging for all involved especially when it occurs soon after birth. There is very limited research to inform midwives in this area of practice. Aim:To explore the experiences of midwives who had been involved in the assumption of care of a baby soon after birth or in the early postnatal period.Method: A qualitative descriptive approach was used. Ten midwives involved with the assumption of care of a baby were interviewed. A thematic analysis was undertaken.Findings: There were two overarching themes. "Being in the head space" represented the activities, tasks and/or processes midwives engaged in when involved in an assumption of care. "Being in the heart space" described the emotional impact on midwives, as well as their perceptions on how women were affected. Conclusion:Midwives described feeling unprepared and unsupported, in both the processes and the impact of assumption of care. They were confronted by this profound emotional work and described experiencing professional grief, similar to that felt when caring for a woman experiencing a stillbirth. In the future, midwives need to be provided with support to ensure that they can effectively care for these women and also manage the emotional impact themselves.

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Section: Discussionsupporting

confidence: 79%

Midwives experiences of removal of a newborn baby in New South Wales, Australia: Being in the ‘head’ and ‘heart’ space

Everitt

Fenwick

Homer³

2015

Women and Birth

View full text Add to dashboard Cite

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“…Official rates of child maltreatment indicate less than a tenth of other estimates (Gilbert et al ., , ), and also that there is a lack of awareness both of the signs of child maltreatment and of the processes for reporting it. Appleton () and Keys (, ) also stress the need for improving the quality of recognition and intervention practices. Strategies to improve recognition and evidence‐based guidelines should be created in different countries, as has been done in the UK (Appleton and Glaser, ).…”

mentioning

confidence: 99%

National Clinical Nursing Guideline for Identifying and Intervening in Child Maltreatment within the Family in Finland

Paavilainen

Flinck

2012

Child Abuse Review

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The purpose of this article is to present the clinical nursing guideline we developed to help nurses to identify and intervene in child maltreatment, defined as physical and psychological abuse and neglect. The guideline is based on a review of 77 research articles and review and discussion papers searched systematically from databases. According to this review, child maltreatment is associated with risk factors which may manifest themselves in the child, the parents or in the whole family. Knowledge and assessment of these risk factors are of the utmost importance. Particular attention needs to be paid to the accumulation of risks in the family. Physical and other signs caused by maltreatment are central to the identification of maltreatment. Important opportunities for identification and intervention are home visits to families with children, and during clinic visits, with questions and discussion about child‐rearing practices, the parents' or carers' relationship and violence which might be present in family life. The guideline summarises the most compelling multidisciplinary research evidence in order to make recommendations which guide nurses and other professionals on providing care to families with children and in developing identification and intervention practices. Copyright © 2013 John Wiley & Sons, Ltd. Key Practitioner Messages The guideline is based on a systematic review which presents research evidence for developing identification and intervention practices concerning child maltreatment.Important issues are the occurrence of risk factors, signs of maltreatment in a child and methods of identification and intervention.Next steps are implementing the knowledge into multiprofessional practice and evaluating its usefulness by further research.

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“…This links to Keys' () use of the concept of pro‐social modelling which takes place through the manner in which professionals behave and interact. This role‐modelling creates an unspoken set of ground rules, and in cases of good practice seeks to imply respect and courtesy toward the person and his\her feelings.…”

Section: Work With Fathers and Families Pre‐conferencementioning

confidence: 92%

The Participation of Fathers in Child Protection Conferences: A Practitioner's Perspective

Goff

2012

Child Abuse Review

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Fathers’ involvement in child protection processes appears to remain low and is problematic given their influence over the lives and wellbeing of their children and partners. Men's views need to be taken into account, as part of consideration of risk and the meaning of their participation for others in the family. While the risk or presence of abuse may necessarily limit how the participation of a father is managed in case conferences, and needs to be explored and challenged, in most cases it does not justify failing to contact or seeking to involve fathers. Involving fathers is crucial to actively managing and tackling risks. Most work on engaging fathers has been focused on engaging them one‐to‐one or in families. This article focuses on the neglected issue of the participation of fathers in child protection conferences and subsequent inter‐agency team work on the child protection plan recommended at the child protection conference. It argues that, with careful preparation and chairing, fathers’ participation can be managed using the skills of relationship‐based and authoritative practice in tandem. Copyright © 2012 John Wiley & Sons, Ltd. Key Practitioner Messages Including fathers' participation and views should be a requirement of good practice and forms an integral part of the assessment and management of risks; the extent of live participation depends on, and needs to be limited to manage, the immediate risks. Even in complex cases involving multiple fathers, careful planning and skilled chairing can make it possible to include all the men in conferences. The energy and commitment that can be generated for fathers at conferences can be harnessed to help enable them to change.

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Determining the skills for child protection practice: emerging from the quagmire!

Cited by 16 publications

References 40 publications

Midwives experiences of removal of a newborn baby in New South Wales, Australia: Being in the ‘head’ and ‘heart’ space

Midwives experiences of removal of a newborn baby in New South Wales, Australia: Being in the ‘head’ and ‘heart’ space

National Clinical Nursing Guideline for Identifying and Intervening in Child Maltreatment within the Family in Finland

The Participation of Fathers in Child Protection Conferences: A Practitioner's Perspective

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