ArticleActa paediatrica (Oslo, Norway : 1992)2021
How child health care physicians struggle from gut feelings to managing suspicions of child abuse.
Article in Acta paediatrica (Oslo, Norway : 1992), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Article
- The CHILD safeguarding simulation study: Co-designed cHild-centred Interprofessional Learning through Dialogue for healthcare professionals.Advances in simulation (London, England) · 2026Article
- Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimWe examined how gut feelings of child health care physicians' (CHCPs) contribute to the development of a suspicion of child abuse, how they act upon this suspicion and what barriers they experience in their management. To gain insight into the youth health care chain, we compared the diagnostic reasoning and management regarding this issue by CHCPs and family physicians (FPs).
methodsThree focus groups, 20 CHCPs, thematic content analysis.
resultsA gut feeling acted as an early alert to look for the triggering cue(s), by observing more closely and asking relevant questions. CHCPs struggled to distinguish whether the situation involved child abuse or a lack of parenting skills, and how to communicate their concerns with parents. They tried to motivate parents to improve the situation, avoiding the term child abuse and considered involving the Child Abuse Counselling and Reporting Centre (CACRC) a measure of last resort only.
conclusionAs with FPs, gut feelings support CHCPs in becoming attentive to child abuse and to situations which can lead to child abuse. The next step, discussing their suspicion with the parents, is a difficult one, and the CACRC might actually help to make this step easier.
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