Institutionalized child care experiences: the hidden side of work

Gabatz, Ruth Irmgard Bärtschi; Schwartz, Eda; Milbrath, Viviane Marten

doi:10.1590/1983-1447.2019.20180412

Cited by 3 publications

(8 citation statements)

References 9 publications

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“…The experts' assessment of the protocol was of great importance for its analysis and validation. It was also crucial to evaluate its content based on theoretical-methodological references of the area, as recommended by Gabatz et al (2019). According to Coluci et al (2015), it was essential to investigate the national and international literature, which contributed to explore and extend the theoretical basis.…”

Section: Discussionmentioning

confidence: 99%

“…Besides the aspects mentioned above, this protocol demonstrated the importance of reflecting on nurses' responsibilities in an institutional foster care unit for children/ adolescents. In view of this process, nursing professionals should be able to deliver proper care and interventions given that their focus, as recommended by Gabatz et al (2019), links comprehensive and direct care to the health of institutionalized children/adolescents. The experts' validation of the protocol shows that nurses' responsibilities in an institutional foster care unit for children/adolescents can extrapolate the traditional settings of intervention.…”

Section: Discussionmentioning

confidence: 99%

“…In particular, a study previously conducted with nurses points out the importance of their role in the attention to, diagnosis, and early recognition of violence against children/adolescents. Nurses in an institutional foster care unit must have sensitivity and perception, as well as know to listen, observe, investigate, and promote proactive practices for health promotion and violence prevention (Gabatz et al, 2019). In this context, the delivery of care to children and adolescents in institutional foster care facilities goes beyond the daily routine of feeding, hygiene, bathing, dressing, going to school, medication, among other specific aspects of caring for children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

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Atribuições do enfermeiro em serviço de acolhimento institucional de crianças e adolescentes: Um estudo Delphi

Vasconcelos¹,

Lomba²,

Pestana-Santos³

et al. 2022

Rev. Enf. Ref.

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Background: Institutional foster care is a protective strategy for children/adolescents at risk in which nurses are responsible for health education, health promotion, and health care. Objective: To validate a protocol of nurses' responsibilities in institutional foster care settings for children and adolescents. Methodology: Delphi study with two rounds for validation of the protocol that was built after a literature review and field research. A Delphi survey was used to validate the protocol by 12 international experts with experience in clinical practice, teaching, and research. The minimum agreement rate of 80% was considered. The modified Guidance on Conducting and REporting DElphi studies (CREDES) was used. Results:The protocol was validated, with an agreement rate of 90% in the second round, after expert consensus on the items related to the managerial, care, educational, and sociopolitical categories of nurses' responsibilities. Conclusion:The protocol had content and face validity and will be used to define nurses' responsibilities in institutional foster care settings for children/adolescents.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Atribuições do enfermeiro em serviço de acolhimento institucional de crianças e adolescentes: Um estudo Delphi

Vasconcelos¹,

Lomba²,

Pestana-Santos³

et al. 2022

Rev. Enf. Ref.

View full text Add to dashboard Cite

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“…In the first place, in the casita , the professional caregivers change every year, and the volunteers end up leaving, so the attachment bond they create with the girls has an expiration date , which can favor the appearance of increased behavioral problems in girls, as Lemos et al (2021) pointed out. Gabatz et al (2019) highlighted this link as indispensable while stating that strategies must be put in place to avoid developing maladaptive attachment. As noted above, international volunteers with a transcultural nursing profile (i.e., with relevant knowledge of humanitarian aid, colonialism, and privilege, plus the appropriate competencies to provide culturally congruent care) represent a catalytic effect for holistic child care to be present in these institutions (Claeys et al, 2021; Zamora et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…While there is no standardized definition, and it can be given under different names (residential care, public or societal care, children’s homes, orphanages, charitable children’s institutions and others), institutional care is global, with millions of children in institutions (Desmond et al, 2020), offering them basic and social shelter (Omari et al, 2021). However, common threats have been described: isolation, hyper-regulation, intricate relationships between children and professional caregivers, and insufficient attention to psycho-emotional demands (Gabatz et al, 2019). Moreover, these threats have peculiar characteristics in girls: their higher empathy scores may cause them a higher level of emotional stress (Lemos et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Care and Rearing of Institutionalized Girls in Arequipa, Peru: An Ethnographic Approach

et al. 2021

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Introduction: Institutional care for children is a global phenomenon. Despite its advantages, common threats have been described. In Peru, more than 70% of institutionalized children/adolescents have living parents who cannot take care of them. The study aims to understand the care/rearing of institutionalized girls in Arequipa, Peru. Methodology: Ethnographic design, with a sample integrated by 27 institutionalized girls. Data collected based on participant observation and semi-structured interviews. The analysis followed the Method of Constant Comparisons. Results: Five main themes were found: (a) The little house (foster home) is better than my house; (b) They take care of me—even when I am sick—; (c) But . . .; (d) What I have lived is what I am; (e) Happiness fits in this little house. Discussion: An ethnography of care/rearing practices could be helpful for a better understanding of the dimensions of the life of institutionalized girls living in developing countries.

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Analysing conceptions of Zulu kinship system in present times and their influence on orphaned children’s education in KwaZulu-Natal, South Africa.

Jonathan

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The kinship care system is the preferred option, should it become necessary for a child to be removed from home and placed within a safe environment. It is the least restrictive and most family-like out-of-home placement. This study explored the lives of children in KwaZulu- Natal, who have been orphaned or are otherwise vulnerable, in relation to the Zulu kinship care system. Orphanhood has become widespread because of the HIV&AIDS pandemic, though there are also other contributing factors. The main purpose of the study was understanding how the children adapt to a life living with extended family because of being orphaned. The second purpose of the study aimed to find out why the children who have extended families are sent to live in an institution and how they understand both their family circumstances and their present context. The study design is a qualitative case study, designed with an interpretive paradigm. Bronfenbrenner’s ecological systems framework provided the lens for this study. This examines a child’s development within the complex “layers” of environment, each influencing a child’s development. The framework provided a way of approaching and analysing the data. There were 45 orphaned child participants, primarily girls, between the ages of 15 and 18, who were living with their caregivers, 25 of whom were also interviewed. The orphaned children were selected from three high schools in KwaDukuza area of KwaZulu- Natal; selection was undertaken on a systematic sampling basis. In addition, nine children were selected from a childcare facility in Durban, as well as a social worker from the same facility. The data collection strategies included focus group discussions with caregivers, individual interviews with participating teachers and a social worker as well as drawings and interpretation with children. Interviews with caregivers in a township revealed that the families themselves were poor and humble yet had been open to accepting yet another child to care for. The most significant finding is that the Zulu kinship system continues to operate but is under severe stress, and at times is not serving to protect children to the extent needed. The pattern of families intervening to protect and care for children in difficulties still continues, as indicated in the township settings; the caregivers report on their care as a labour of love that entails sacrifice. However, there is evidence from children that, while that is true of some situations, other placements are subject to abuse and exploitation. In many cases the care is inadequate simply because of the poverty of the family. The impact of poverty on schooling, and the degree of ostracism within schools, is a constant problem. In some families, the system has failed to the point that the only option for vulnerable and orphaned children is institutional care. Children in care report fully on the abuse and neglect that led to their placement, while most of those who had been placed with the extended family had enjoyed family life before the loss of parents. An additional finding was on the central role of mothers and on the frequent absence of fathers, before the loss of parents, as well as the major role played in the extended families by grandmothers. Significantly, despite the evidence of abuse and despite the evidence that institutional care was supportive and warm, children in care expressed a longing for family, even some children from families that had failed them completely. There is clearly, as recommended, a pressing need for ongoing visits by a social worker to orphaned children placed with extended families, given the extent of abuse revealed. In terms of further research, proposals are made to explore areas that would buttress the capacity of the kinship system in relation to social work and school, and to understand the possibilities for intervening before families lose their capacity for care.

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Institutionalized child care experiences: the hidden side of work

Cited by 3 publications

References 9 publications

Atribuições do enfermeiro em serviço de acolhimento institucional de crianças e adolescentes: Um estudo Delphi

Atribuições do enfermeiro em serviço de acolhimento institucional de crianças e adolescentes: Um estudo Delphi

Care and Rearing of Institutionalized Girls in Arequipa, Peru: An Ethnographic Approach

Analysing conceptions of Zulu kinship system in present times and their influence on orphaned children’s education in KwaZulu-Natal, South Africa.

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