Is protecting children bad for your health?
نویسنده
چکیده
Abuse other clinical conundrums, often remain unresolved either by investigations or by the passage of time. Management of suspected child abuse is usually shared with or handed to other professionals such as social workers or the police and, for many health staff, this loss of control and a lack of mutual trust and respect between disciplines add to their anxiety. For community based staff, working in deprived areas away from the (relative) safety of the hospital, there is a growing concern about intimidation, violence, and personal safety whenever child care or protection issues are raised. But these issues are not new and do not account for the recent reluctance of many paediatric staff to deal with these problems. It is widely believed—though hard to confirm—that the change in attitude to child protection is primarily the result of high profile complaints against profes sionals by aggrieved parents. Doctors are the usual subjects of such com plaints, though nurses have also been involved. A minority of cases involve straightforward clinical errors in diag nosis, such as mistaking osteogenesis imperfecta for nonaccidental injury, but most have been related to the contentious issues of multiple unex plained infant deaths in a family or to suspected fabricated or factitious illness. There have also been a number of fiercely contested cases of chronic fati gue syndrome, where professional per ceptions clash with those of the parents to the extent that child protection proceedings are considered. Complaints of this kind can be launched through several different routes and it may be years before the matter is resolved. Parents who wish to pursue a grievance can obtain informa tion and network with others in similar circumstances around the world, using the internet. Websites are used to name and abuse those who are perceived to be responsible for initiating child protec tion proceedings. Verbal and even physical assaults on other members of doctors’ families have been reported. Systematic and unrelenting attacks on some staff are undoubtedly designed to destroy their careers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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ورودعنوان ژورنال:
- Archives of disease in childhood
دوره 90 11 شماره
صفحات -
تاریخ انتشار 2005