Primary health care nurses and their suspicion of child abuse: the importance of relationship-building with families and interdisciplinary networks.

IF 1.1 Q4 PRIMARY HEALTH CARE

Journal of primary health care Pub Date : 2026-03-26 DOI:10.1071/HC25016

Susan Platt, Shelaine Zambas, Deb Spence, Catherine Cook

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Abstract

Introduction: There is a knowledge gap around the experiences of New Zealand (NZ) primary health care (PHC) registered nurses and nurse practitioners when working with children whom they suspect are being abused or neglected.

Aim: This study aimed to explore what PHC nurses experience when building and nurturing family and interdisciplinary relationships amidst a suspicion that a child is being abused or neglected.

Methods: Using contacts and snowballing to recruit participants, 13 PHC nurses working in the Auckland region were interviewed using semi-structured interviews. Gadamerian hermeneutics guided the analysis, with other philosophers drawn on to deepen the analysis.

Results: Relationship building is precarious due to trust issues, tensions around reporting, and complex power relations. Nurses are central to coordinating interprofessional care.

Discussion: Building relationships with families, children, and colleagues is fundamental to child protection. It is only by knowing what building and nurturing relationships is like amidst suspicion of child abuse or neglect that those whom nurses work with can understand what this work is like.

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初级保健护士及其对虐待儿童的怀疑：与家庭和跨学科网络建立关系的重要性。

导言：新西兰初级卫生保健（PHC）注册护士和执业护士在与他们怀疑被虐待或被忽视的儿童一起工作时，存在知识差距。目的：本研究旨在探讨在怀疑儿童被虐待或忽视的情况下，初级保健护士在建立和培养家庭和跨学科关系时的经验。方法：采用接触法和滚雪球法招募参与者，采用半结构化访谈法对奥克兰地区13名初级保健护士进行访谈。伽达美尔诠释学指导了分析，并与其他哲学家一起深化了分析。结果：由于信任问题、报告紧张和复杂的权力关系，关系的建立是不稳定的。护士是协调跨专业护理的核心。讨论：与家庭、孩子和同事建立关系是儿童保护的基础。只有了解在怀疑虐待或忽视儿童的情况下如何建立和培养关系，那些与护士一起工作的人才能理解这项工作是什么样的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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