Astrid Durdei Midtsund, Eva Marie Røsholt Hansen, Helene Eikeskog Burger, Turid Kristin Sundar, Lena Henriksen, Mirjam Lukasse, Lisbeth Valla
{"title":"预防儿童早期虐待：初级保健公共卫生护士的临床作用。","authors":"Astrid Durdei Midtsund, Eva Marie Røsholt Hansen, Helene Eikeskog Burger, Turid Kristin Sundar, Lena Henriksen, Mirjam Lukasse, Lisbeth Valla","doi":"10.1111/jocn.70092","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim and objective: </strong>To explore how public health nurses at child and family health clinics work to prevent maltreatment and the experiences of public health nurses in the maltreatment prevention efforts.</p><p><strong>Background: </strong>Child maltreatment is a serious societal issue with major consequences. Preventive efforts are increasing and have broad political support. A key objective of the child and family health clinic services is to prevent, identify, and stop maltreatment, abuse, and neglect. National clinical guidelines outline, in general terms, how such work should be conducted. However, limited research exists on how public health nurses prevent maltreatment and the effectiveness of their methods.</p><p><strong>Design and method: </strong>A qualitative and explorative design was used, based on semi-structured interviews with 14 public health nurses conducted as part of the project 'Public Health Nurses in Child and Family Clinics' Role in Preventing and Detecting Child Maltreatment' at Oslo Metropolitan University. The interviews were carried out between August and November 2021. We used qualitative content analysis with an inductive approach to analyse the data.</p><p><strong>Result: </strong>Three main categories were developed: 1. Structure and system: weaving prevention into daily practice; 2. To dare and endure: a negotiation of courage and understanding, and 3. To empower and uphold: the goal of strengthening and supporting parents. The results show the importance of early intervention, barriers to discussing maltreatment with parents, and the importance of building trust and empowering parents.</p><p><strong>Conclusion: </strong>Preventing maltreatment is a key part of public health nurses' clinical work, focusing on early risk identification and parental guidance. While building trust with families is prioritised, structural, resource, and guideline-related challenges persist.</p><p><strong>Implications for practice: </strong>This study provides knowledge about Norwegian public health nurses clinical work with child maltreatment at the child and family health clinics, which can serve as a valuable foundation for further research as well as for collaborating services.</p><p><strong>Reporting method: </strong>EQUATOR guidelines were followed, using the COREQ checklist.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Preventing Child Maltreatment in Early Childhood: The Clinical Role of Public Health Nurses in Primary Care.\",\"authors\":\"Astrid Durdei Midtsund, Eva Marie Røsholt Hansen, Helene Eikeskog Burger, Turid Kristin Sundar, Lena Henriksen, Mirjam Lukasse, Lisbeth Valla\",\"doi\":\"10.1111/jocn.70092\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim and objective: </strong>To explore how public health nurses at child and family health clinics work to prevent maltreatment and the experiences of public health nurses in the maltreatment prevention efforts.</p><p><strong>Background: </strong>Child maltreatment is a serious societal issue with major consequences. Preventive efforts are increasing and have broad political support. A key objective of the child and family health clinic services is to prevent, identify, and stop maltreatment, abuse, and neglect. National clinical guidelines outline, in general terms, how such work should be conducted. However, limited research exists on how public health nurses prevent maltreatment and the effectiveness of their methods.</p><p><strong>Design and method: </strong>A qualitative and explorative design was used, based on semi-structured interviews with 14 public health nurses conducted as part of the project 'Public Health Nurses in Child and Family Clinics' Role in Preventing and Detecting Child Maltreatment' at Oslo Metropolitan University. The interviews were carried out between August and November 2021. We used qualitative content analysis with an inductive approach to analyse the data.</p><p><strong>Result: </strong>Three main categories were developed: 1. Structure and system: weaving prevention into daily practice; 2. To dare and endure: a negotiation of courage and understanding, and 3. To empower and uphold: the goal of strengthening and supporting parents. The results show the importance of early intervention, barriers to discussing maltreatment with parents, and the importance of building trust and empowering parents.</p><p><strong>Conclusion: </strong>Preventing maltreatment is a key part of public health nurses' clinical work, focusing on early risk identification and parental guidance. 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Preventing Child Maltreatment in Early Childhood: The Clinical Role of Public Health Nurses in Primary Care.
Aim and objective: To explore how public health nurses at child and family health clinics work to prevent maltreatment and the experiences of public health nurses in the maltreatment prevention efforts.
Background: Child maltreatment is a serious societal issue with major consequences. Preventive efforts are increasing and have broad political support. A key objective of the child and family health clinic services is to prevent, identify, and stop maltreatment, abuse, and neglect. National clinical guidelines outline, in general terms, how such work should be conducted. However, limited research exists on how public health nurses prevent maltreatment and the effectiveness of their methods.
Design and method: A qualitative and explorative design was used, based on semi-structured interviews with 14 public health nurses conducted as part of the project 'Public Health Nurses in Child and Family Clinics' Role in Preventing and Detecting Child Maltreatment' at Oslo Metropolitan University. The interviews were carried out between August and November 2021. We used qualitative content analysis with an inductive approach to analyse the data.
Result: Three main categories were developed: 1. Structure and system: weaving prevention into daily practice; 2. To dare and endure: a negotiation of courage and understanding, and 3. To empower and uphold: the goal of strengthening and supporting parents. The results show the importance of early intervention, barriers to discussing maltreatment with parents, and the importance of building trust and empowering parents.
Conclusion: Preventing maltreatment is a key part of public health nurses' clinical work, focusing on early risk identification and parental guidance. While building trust with families is prioritised, structural, resource, and guideline-related challenges persist.
Implications for practice: This study provides knowledge about Norwegian public health nurses clinical work with child maltreatment at the child and family health clinics, which can serve as a valuable foundation for further research as well as for collaborating services.
Reporting method: EQUATOR guidelines were followed, using the COREQ checklist.
Patient or public contribution: No patient or public contribution.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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