'We aren't valued for who we are': Australian nurses' and midwives' perceptions of challenges and barriers to safeguarding children.

Autor: Lines LE; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide 5001, South Australia, Australia. Electronic address: lauren.lines@flinders.edu.au., Kakyo TA; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide 5001, South Australia, Australia. Electronic address: tracy.kakyo@flinders.edu.au., Grant JM; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide 5001, South Australia, Australia; School of Nursing, Midwifery & Indigenous Health, Charles Sturt University, Panorama Avenue, Bathurst, New South Wales 2795, Australia. Electronic address: jugrant@csu.edu.au., Hutton A; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide 5001, South Australia, Australia; School of Nursing and Midwifery, University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia. Electronic address: alison.hutton@newcastle.edu.au.
Jazyk: angličtina
Zdroj: Journal of pediatric nursing [J Pediatr Nurs] 2024 Jul-Aug; Vol. 77, pp. e16-e23. Date of Electronic Publication: 2024 Mar 08.
DOI: 10.1016/j.pedn.2024.03.002
Abstrakt: Purpose: Professionals working with children, including nurses and midwives, are foundational to effectively safeguarding children from maltreatment. However, little is known about the full nature and scope of nurses' and midwives' roles in safeguarding children in Australia presenting barriers to effective workforce preparation and support.
Design and Methods: This study reports an inductive analysis of qualitative responses (n = 51 Round 1, n = 17 Round 2) from a two-round Delphi study. The Delphi study aimed to build consensus on the nature and scope of nursing and midwifery practice in safeguarding children, and this manuscript presents findings of an inductive analysis of qualitative responses beyond the scope of the Delphi study. Participants were Australian nurses and midwives (n = 51, n = 17) from diverse child-focussed settings.
Results: Nurses and midwives experienced many factors outside of their control that restricted their capacity to safeguard children. Influences included high workloads, burnout, lack of support, poor collaboration, structural barriers and inaccessible services for children.
Conclusions: Nurses and midwives are advocates for children but experienced many factors preventing them from effectively safeguarding children. Future approaches to reducing child maltreatment must be underpinned by support for frontline professionals to promote workforce capacity and sustainability.
Practice Implications: Despite nurses' and midwives' best intentions, their attempts to prevent and respond to child maltreatment were hampered by systemic factors beyond their control. This study highlighted the need to address broader influences on nursing and midwifery practice to reduce the impacts of child maltreatment and support children to thrive.
Competing Interests: Declaration of competing interest The authors have no competing interests to declare.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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