Factors Influencing Clinicians', Health Visitors' and Social Workers' Professional Judgements, Decision‐Making and Multidisciplinary Collaboration When Safeguarding Children with Burn Injuries: A Qualitative Study.
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| Title: | Factors Influencing Clinicians', Health Visitors' and Social Workers' Professional Judgements, Decision‐Making and Multidisciplinary Collaboration When Safeguarding Children with Burn Injuries: A Qualitative Study. |
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| Authors: | Cowley, Laura E., Bennett, C. Verity, Quinn‐Scoggins, Harriet D., Nuttall, Diane, Wilkins, David, Kemp, Alison M. |
| Source: | Child Abuse Review. Jan2024, Vol. 33 Issue 1, p1-18. 18p. |
| Subjects: | Prevention of child abuse, Burns & scalds prevention, Prevention of injury, Community health nurses, Judgment (Psychology), Hospital emergency services, Social workers, Research methodology, Medical personnel, Interviewing, Qualitative research, Interprofessional relations, Health care teams, Psychosocial factors, Emergency medical services, Research funding, Decision making in clinical medicine, Judgment sampling, Statistical sampling, Thematic analysis, Children |
| Geographic Terms: | United Kingdom |
| Abstract: | Burns are a common injury to young children, sometimes related to neglect or physical abuse. Emergency department (ED) clinicians, health visitors and social workers must work collaboratively when safeguarding children with burns; however, little is known about the factors influencing their professional judgements, decision‐making and multidisciplinary collaboration. Objective was to explore factors affecting ED clinicians', health visitors' and social workers' professional judgements and decision‐making when children present to the ED with burns, and experiences of multidisciplinary collaboration, to identify areas for improvement. This was a qualitative semi‐structured interview study using purposive and snowball sampling to recruit participants. Data were analysed using 'codebook' thematic analysis. Four themes were identified: 'perceived roles and responsibilities when safeguarding children with burn injuries', 'factors influencing judgment of risk and decision‐making', 'information sharing' and 'barriers and facilitators to successful multidisciplinary collaboration'. There is limited understanding between the groups about each other's roles. Each agency is dependent on one another to understand the full picture; however, information sharing is lacking in detail and context and hindered by organisational and resource constraints. Formal opportunities for multiagency team working such as strategy meetings can be facilitators of more successful collaborations. Professionals may benefit from multiagency training to improve understanding of one another's roles. Greater detail and context are needed when notifying health visitors of burn injuries in children or making a referral to children's services. Key Practitioner Messages: Emergency department clinicians, social workers and health visitors need a better understanding of each other's roles and responsibilities in safeguarding children with burn injuries.To make decisions in individual cases, professionals need to be aware of the risk factors that are known to each agency.Social workers and health visitors may benefit from further training in the clinical features of abusive and neglectful burns.Emergency department clinicians could improve the level of detail and context that they provide when notifying a health visitor about burn injuries in young children or making a child protection referral to a social worker.All professionals could improve information sharing by providing regular feedback on individual cases and attending multidisciplinary meetings. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Burns are a common injury to young children, sometimes related to neglect or physical abuse. Emergency department (ED) clinicians, health visitors and social workers must work collaboratively when safeguarding children with burns; however, little is known about the factors influencing their professional judgements, decision‐making and multidisciplinary collaboration. Objective was to explore factors affecting ED clinicians', health visitors' and social workers' professional judgements and decision‐making when children present to the ED with burns, and experiences of multidisciplinary collaboration, to identify areas for improvement. This was a qualitative semi‐structured interview study using purposive and snowball sampling to recruit participants. Data were analysed using 'codebook' thematic analysis. Four themes were identified: 'perceived roles and responsibilities when safeguarding children with burn injuries', 'factors influencing judgment of risk and decision‐making', 'information sharing' and 'barriers and facilitators to successful multidisciplinary collaboration'. There is limited understanding between the groups about each other's roles. Each agency is dependent on one another to understand the full picture; however, information sharing is lacking in detail and context and hindered by organisational and resource constraints. Formal opportunities for multiagency team working such as strategy meetings can be facilitators of more successful collaborations. Professionals may benefit from multiagency training to improve understanding of one another's roles. Greater detail and context are needed when notifying health visitors of burn injuries in children or making a referral to children's services. Key Practitioner Messages: Emergency department clinicians, social workers and health visitors need a better understanding of each other's roles and responsibilities in safeguarding children with burn injuries.To make decisions in individual cases, professionals need to be aware of the risk factors that are known to each agency.Social workers and health visitors may benefit from further training in the clinical features of abusive and neglectful burns.Emergency department clinicians could improve the level of detail and context that they provide when notifying a health visitor about burn injuries in young children or making a child protection referral to a social worker.All professionals could improve information sharing by providing regular feedback on individual cases and attending multidisciplinary meetings. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 09529136 |
| DOI: | 10.1002/car.2862 |
