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Bringing ‘care’ back into locked residential institutions: What can we learn from adolescents' experiences of secure care? 将 "关爱 "带回上锁的寄宿机构:我们能从青少年的安全看护经历中学到什么?
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-08-08 DOI: 10.1002/car.2891
Mathilde Turcotte, François Fenchel

In Canada and elsewhere, efforts have been made to regulate the use of secure care on welfare grounds. Yet, studies raise questions about its usefulness as a psychosocial intervention since it appears to be mostly experienced as a punishment. The main objective of the current study was therefore to explore adolescents' experiences of secure care. We conducted qualitative interviews with 25 adolescents aged 14 to 17 years old while they were placed in secure care units in the province of Quebec, Canada. Uncertainty regarding how to exit secure care was the most important theme that emerged. Participants did not always understand the words used by practitioners to frame their expectations. Adolescents were also uncertain about how to prove they no longer presented a risk to others or themselves while being in locked settings. This uncertainty generated a lot of anger and distress. To get some control back, adolescents chose to just comply and pretend to agree with practitioners. The present paper questions the utility and even legitimacy of secure care as it is currently used. However, we argue that if an ethic of care predominated our conceptualisation of secure care, rather than an ethic of justice, adolescents could feel both secure and cared for.

在加拿大和其他国家,人们以福利为由,努力规范安全护理的使用。然而,研究却对其作为一种社会心理干预措施是否有用提出了质疑,因为它似乎主要是一种惩罚。因此,本研究的主要目的是探讨青少年对安全看护的体验。我们对加拿大魁北克省被安置在安全看护机构的 25 名 14 至 17 岁青少年进行了定性访谈。对如何离开安全看护的不确定性是出现的最重要的主题。参与者并不总是能理解从业人员在表达他们的期望时所使用的词语。青少年也不确定如何证明他们在被锁闭的环境中不再对他人或自己构成危险。这种不确定性产生了许多愤怒和痛苦。为了重新获得一些控制权,青少年选择了顺从,假装同意从业人员的做法。本文对目前使用的安全护理的实用性甚至合法性提出了质疑。不过,我们认为,如果我们对安全护理的概念能够以关爱伦理为主导,而不是以正义伦理为主导,那么青少年就会感到既安全又受到关爱。
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引用次数: 0
‘My childhood life falling apart’: A retrospective study of young carers managing parental mental illness in Taiwan 我的童年生活分崩离析台湾年轻照顾者应对父母精神疾病的回顾性研究
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-07-11 DOI: 10.1002/car.2893
Esabella Hsiu-Wen Yuan, Yeun-Wen Ku

The population of young carers of parents with mental illness is more likely to be hidden in the community due to the family's concerns related to stigma. Many young carers struggle with caring difficulties with a lack of social support. The aim of this study was to gain insight into the difficulties of young carers managing parental mental illness in Taiwan from retrospective perspectives. Semi-structured interviews were conducted with 19 participants who used to be young carers of parents with mental illness. Interviews were analysed using thematic analysis. Three themes emerged. First, participants experienced grief over the loss of their parent's normality and the disruption of the parent–child relationship. Having to deal with issues alone, they described their childhood lives as falling apart. Second, families tended to conceal mental illness by refusing to seek outside support, resulting in young carers struggling in vulnerable situations. Third, participants used coping strategies to find a balance between maintaining parental mental illness and reducing the impact on their well-being. Most participants used solitary strategies to cope with their emotional distress. Some participants used destructive ways to suppress their pain and sorrow when there seemed no way to improve their family situation. The findings reflect on the vulnerabilities of young carers of parents with mental illness. Services and practitioners should work together to recognise young carers' identities and provide suitable resources to young carers to help them deal with life crises and meet their developmental needs.

父母患有精神疾病的年轻照顾者群体更有可能隐藏在社区中,因为他们的家庭担心会因此 而蒙受耻辱。许多年轻的照护者在缺乏社会支持的情况下,在照护困难中挣扎。本研究旨在从回顾性的角度深入了解台湾年轻照顾者在处理父母精神疾病时遇到的困难。我们对 19 位曾经是父母患有精神疾病的年轻照顾者的参与者进行了半结构化访谈。访谈采用主题分析法进行分析。结果发现了三个主题。首先,参与者经历了失去父母正常生活和亲子关系中断的悲痛。由于必须独自处理问题,他们将自己的童年生活描述为分崩离析。其次,家庭往往会通过拒绝寻求外部支持来掩盖精神疾病,从而导致年轻的照护者在脆弱的环境中挣扎。第三,参与者使用应对策略,在维持父母的精神疾病和减少对其福祉的影响之间寻找 平衡。大多数参与者使用孤独的策略来应对他们的情绪困扰。当家庭状况似乎无法得到改善时,一些参与者采用了破坏性的方式来压抑自己的痛苦和悲伤。研究结果反映了父母患有精神疾病的年轻照顾者的脆弱性。服务机构和从业者应共同认识到年轻照顾者的身份,并为年轻照顾者提供合适的资源,帮助他们应对生活危机,满足他们的发展需要。
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引用次数: 0
Case recording in child protection: An exploration of the evidence base and good practice 儿童保护中的个案记录:对证据基础和良好做法的探索
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-07-11 DOI: 10.1002/car.2894
Rebecca O'Keefe

There is a statutory duty for all practitioners to record information in child protection work in England. Case recording is a daily task for practitioners, yet an under-researched area of practice. This continuing professional development (CPD) paper will consider the context in which case recording takes place and highlight messages from child protection reviews and enquiries before exploring learning from contemporary research. The complexities of case recording will be considered and how practitioners can reflect upon and improve their daily case recording skills. Practitioners are encouraged to keep the child's views and experiences central and consider the long-term impact of case recording on adults who have experienced abuse and neglect in childhood.

在英格兰,所有从业人员都有记录儿童保护工作信息的法定义务。个案记录是从业人员的一项日常工作,但对这一实践领域的研究却不足。这篇继续职业发展(CPD)论文将考虑个案记录的背景,并在探讨从当代研究中学习之前,强调来自儿童保护审查和调查的信息。论文将探讨个案记录的复杂性,以及从业人员如何反思和改进其日常个案记录技能。我们鼓励从业人员始终以儿童的观点和经历为中心,并考虑个案记录对童年时期遭受虐待和忽视的成年人的长期影响。
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引用次数: 0
Evaluation of incest cases in Sivas: Ten-year retrospective study 对锡瓦斯乱伦案件的评估:十年回顾性研究
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-07-09 DOI: 10.1002/car.2888
Celal Butun, Fatma Yucel Beyaztas, Seda Aybuke Sari, Ayla Uzun Çiçek, Asiye Burcu Kaya

Although incest is generally perceived as all kinds of verbal, non-verbal, physical and visual sexual behaviour of family members and close relatives toward children, it is also a special type of sexual abuse defined as consensual sexual intercourse between close relatives or between minors who are legally prohibited from marrying. This study aimed to analyse the sociodemographic data, physical-mental examination and laboratory findings of the incest cases. Incest cases among sexual abuse and sexual assault cases sent to Sivas Cumhuriyet University Hospital Forensic Medicine outpatient clinic for examination between 2012 and 2021 were evaluated. Statistical analysis of the data was performed using the SPSS 23.0 program. P-values below 0.05 were considered significant. The records of 61 incest victims were retrospectively analysed. The cases were examined in terms of age, gender, incident, perpetrator, type of abuse, examination findings and mental status. Fifty-four (88.5%) of the incest victims were female, and the highest rate (n = 9, 14.8%) was 16 years old. Most of the victims were high school graduates (29%), 56% were in a nuclear family 57.4% of the assailants were family members, most of the case reports (73.8%) were made by the victim herself/himself, and the most common place of incident (70.3%) was the victim's home. In this study, the clinical, social and forensic outcomes of incest cases, which have many causes and tragic consequences, were investigated, and it was aimed to contribute to the solution of the problem by discussing the literature.

虽然乱伦一般被认为是家庭成员和近亲对儿童的各种语言、非语言、身体和视觉性行为,但它也是一种特殊的性虐待,被定义为近亲之间或法律禁止结婚的未成年人之间自愿发生的性行为。本研究旨在分析乱伦病例的社会人口学数据、身心检查和实验室结果。研究评估了 2012 年至 2021 年期间送往锡瓦斯库姆胡里耶特大学医院法医门诊进行检查的性虐待和性侵犯案件中的乱伦案件。使用 SPSS 23.0 程序对数据进行了统计分析。P值低于0.05为显著。对61名乱伦受害者的记录进行了回顾性分析。根据年龄、性别、事件、施暴者、虐待类型、检查结果和精神状态对这些病例进行了研究。54名(88.5%)乱伦受害者为女性,其中16岁的比例最高(9人,14.8%)。大多数受害者是高中毕业生(29%),56%的受害者生活在核心家庭中,57.4%的施暴者是家庭成员,大多数案件报告(73.8%)是由受害者本人提出的,最常见的事发地点(70.3%)是受害者的家中。本研究调查了乱伦案件的临床、社会和法医结果,乱伦案件的原因很多,造成的后果也很悲惨,本研究旨在通过对文献的讨论,为解决问题做出贡献。
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引用次数: 0
Early maternal death following child removal—A short report using observational data 孩子被带走后产妇过早死亡--利用观察数据的简短报告
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-07-09 DOI: 10.1002/car.2892
John Devaney, Caroline Bradbury-Jones, Amy Charles, Helen L. Daniel, Emily Dobie, Ellen Marks, Katherine Osthwaite, Julie Taylor
<p>There continues to be a significant and growing number of children in the care of the state in the United Kingdom (McGhee et al., <span>2017</span>). Children come into state care for a variety of reasons and through a number of different legal routes. Alongside concern about the overall number and the quality of care afforded to some of these children, there are also recurring worries about the immediate and longer term outcomes for this group of children (Duncan, <span>2020</span>; MacAllister, <span>2022</span>). This is not the same as saying that many of these children do not need alternative care.</p><p>There is a common thread of children having experienced a range of adversities, including maltreatment, parental mental ill-health, loss, and poverty, which shape their pre- and in-care experiences, and impact on their social and emotional well-being (Baldwin et al., 2019). While the above issues have been widely researched, there is, however, less information known about the outcomes for children's parents once the child comes into care.</p><p>Over the past decade in the United Kingdom, there has been a growing recognition that some parents, and in particular mothers, experience recurrent removals (Broadhurst & Mason, <span>2013</span>). Research conducted in the United Kingdom and Australia suggests that approximately 20% of women who experience child removal experience repeat court-ordered removals (Broadhurst & Mason, <span>2017</span>; Hinton, <span>2018</span>). In the United Kingdom, this pattern of repeated removals has resulted in the development of services to offer support to address the immediate and successive impacts of such cumulative experiences (Broadhurst et al., <span>2015</span>). Services recognise that birth mothers have been largely offered a reduced level of intervention from children's services (and other sources) once children are removed from their care. This is in spite of the evidence that highlights that childhood adversity resulting in admission to care is often linked to unresolved parental experiences of adversity in their own childhood (Narayan et al., <span>2021</span>), manifesting in trauma symptomatology and behaviours associated with maladaptive coping mechanisms, such as problematic use of prescribed and illicit drugs.</p><p>As such, new approaches to working with mothers seek to offer an intensive rehabilitative response to parents following removal to address the underlying causes of why children needed to be removed, and through addressing the needs of mothers that merges emotional and practical trauma-informed support. As some of these services have been operating for nearly a decade, they have built up both expertise and a significant dataset based on the parents they have worked with. Such services have started to build a picture of the enduring impact on parents of the removal of children into care, as well as existing vulnerabilities prior to removal.</p><p>This paper sets out a coll
本文提供的数据扩展了当前对生活事件的理解,如将孩子从母亲身边带走并交由国家照顾,这些事件与现有的不利条件和恶劣环境(如精神健康状况差、使用问题药物和家庭虐待)以及贫困和种族化交织在一起,造成了进一步的健康不平等,并最终导致过早死亡。这有两方面的影响。首先,在道义上,我们有责任确保那些有一个或多个孩子被送往国家机构抚养的父母被视为需要支持和照顾的人,而不仅仅是他们的孩子需要得到安全保护或恢复正常生活的人。其次,在一个有同情心的国家里,公共卫生有责任减少可预防的死亡。为此,显然有必要对这一现象进行更严格的研究,以更好地了解这一问题,以及潜在的干预点和干预方法。似乎有不同的途径可以进行有益的探索。有强有力的研究证据表明,许多母亲在自己的童年时期以及在孩子被送入保育机构之前都经历过逆境(Narayan 等人,2021 年)。对一些母亲来说,她们的死亡似乎是与孩子需要被送入保育机构的原因直接相关的问题(如长期使用有问题的药物)造成的,而对另一些母亲来说,导致死亡的因素要么是在孩子被送入保育机构后开始出现的,要么是在孩子被送入保育机构后加剧的(如孩子的精神健康状况恶化)。虽然地方当局的儿童服务机构有责任为这些妇女提供支持,但所需的专业知识和服务通常由成人社会护理和医疗服务机构提供。我们的数据所显示的内容很清楚,但正如上文所强调的,这些数据是出于非研究目的收集的,因此很可能低估了实际死亡人数。我们对死亡原因和情况的掌握程度意味着,我们必须谨慎地得出儿童被带走与父母随后过早死亡之间的线性结论。不过,尽管有这些注意事项,所提供的数据还是清楚地说明了一些显而易见的问题--需要为母亲提供支持和照顾,因为她们往往极其脆弱,导致无法照顾自己的孩子。我们建议开展更大规模的研究,利用与健康统计数据相关联的社会护理数据,以及可能的法庭记录,更全面地确定所有在一段时间内失去孩子的母亲,以及她们在一段时间内的健康轨迹,包括她们死亡的时间和原因。孩子被带走的母亲往往面临着一系列的脆弱性,如童年受虐待的经历、孤立、贫困、精神健康状况差、家庭虐待和药物滥用,这些都是孩子被带走的原因。然而,在孩子被带走之后,在她们因所受创伤而急需帮助的时候,生母却常常从服务机构的视线中消失,因为儿童服务机构的结构是为了满足孩子的需要。为孩子提供支持的必要性是毋庸置疑的,但同样,也需要为孩子的母亲提供专业支持,这不仅是儿童服务机构的职责,也需要卫生服务机构发挥关键作用。本文提供的数据开始凸显母亲在孩子被带走后所面临的与健康不平等相关的重大风险:需要开展进一步研究,以了解全国母亲在孩子被送去照料机构后过早死亡的情况,以及可以采取哪些措施来降低她们过早死亡的可能性。照料程序和带走孩子应该给所有服务部门敲响警钟,即死亡风险已经增加,因此他们需要以不同的方式做出回应和提供支持。这可以包括规定地方当局有义务在下达照料令后对父母未来的支持和照料需求进行评估,并召集多机构讨论需要哪些支持和服务。提供此类支持还可能会减少一些妇女的再次怀孕,并减少其他儿童被送往照料机构的必要性。本研究未进行独立的伦理审查,因为报告使用的是例行收集的行政数据,这些数据在与学术作者分享之前,已由作者从 Pause 进行匿名化和汇总。
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引用次数: 0
The role of parents' attitudes towards children's use of communication technologies and school climate in coping with cyberbullying among high school students in Turkey 父母对子女使用通信技术的态度和学校氛围在应对土耳其高中生网络欺凌中的作用
IF 0.9 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-07-04 DOI: 10.1002/car.2890
Beyza Yılmaz, Selin Nur Aydoğan, Elif Koçyiğit

In this study, cyberbullying is discussed through the school–family–child triangle. The research was conducted to examine how high school students' coping levels with cyberbullying are affected by the school climate and their parents' attitudes towards children's use of information and communication technologies. The research, which was conducted with both parents and students, was carried out with a quantitative method, survey model, and relational design. The data collection tool prepared for students consists of the sociodemographic information questionnaire, the Coping with Cyberbullying Scale and the School Climate Scale. The data collection tool prepared for parents consists of the sociodemographic information questionnaire and the Parents' Attitudes Towards Children's Use of Information Communication Technologies Scale. Four hundred fifty students in the 9–11th grades and 203 parents studying in two public high schools in Çankaya district of Ankara province were reached. The answers given by the students and their parents to the questionnaires were analysed separately and by matching the parent and student questionnaires of the students whose parents also filled out the questionnaire. Of the students, 82.4% had encountered cyberbullying. Girls have higher coping skills with cyberbullying than boys (p < 0.05). Parents' control and restrictions on their children's technology use were found to be high.

本研究通过学校-家庭-儿童三角关系来讨论网络欺凌问题。研究旨在探讨高中生应对网络欺凌的水平如何受到学校氛围及其父母对子女使用信息和通信技术的态度的影响。研究同时面向家长和学生,采用定量方法、调查模式和关系设计。为学生准备的数据收集工具包括社会人口学信息问卷、应对网络欺凌量表和学校氛围量表。为家长准备的数据收集工具包括社会人口信息问卷和家长对子女使用信息通信技术的态度量表。调查对象包括安卡拉省钱卡亚区两所公立高中的 450 名 9-11 年级学生和 203 名家长。我们对学生及其家长的问卷答案进行了单独分析,并对家长和学生的问卷进行了比对,其中有学生的家长也填写了问卷。82.4%的学生遇到过网络欺凌。女生应对网络欺凌的能力高于男生(p < 0.05)。家长对子女使用技术的控制和限制程度较高。
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引用次数: 0
The adverse childhood experiences—International questionnaire in clinical and at-risk samples worldwide: A systematic review (part II) 全球临床样本和高危样本中的童年不良经历国际问卷:系统回顾(第二部分)
IF 1.6 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-06-19 DOI: 10.1002/car.2883
Cecilia Serena Pace, Stefania Muzi, Guyonne Rogier, Elena Ballestracci, Ginevra Mazzola

This systematic review aimed to (1) synthesize average means and prevalence rates of adverse childhood experiences (ACEs) measured by the Adverse Childhood Experiences International Questionnaire (ACE-IQ) in clinical and at-risk samples; (2) discuss the ACE-IQ prevalence and means according to participants' gender, age (both adults and <18 years old), and geographic area; (3) map relationships between ACE-IQ scores and other outcomes; (4) detect methodological issues in studies. PRISMA guidelines were followed, searching studies in seven academic databases, including retrieval of grey literature. After screening, 23 studies were included. Results revealed the following: (1) several clinical (e.g., mood disorders and substance abuse) and at-risk (e.g., criminal and low-income) conditions were studied, with an average 4.93 mean and 81.74% prevalence of total ACEs; (2) there is a lack of data on males, with the prevalence of domestic violence and physical neglect being especially marked in minors, and no studies involving European and North-American at-risk samples; (3) ACE-IQ scores were mostly related to substance abuse and risk-taking behaviours; (4) major methodological issues were not-randomized/convenience sampling techniques and a lack of methodological information on sample and procedure. In conclusion, the ACE-IQ seems a promising tool in clinical/at-risk samples, but more studies are needed to answer all research questions.

本系统综述旨在:(1) 综合临床样本和高危样本中通过童年不良经历国际问卷(ACE-IQ)测量的童年不良经历(ACE)的平均值和流行率;(2) 根据参与者的性别、年龄(包括成人和 18 岁儿童)和地理区域讨论 ACE-IQ 的流行率和平均值;(3) 绘制 ACE-IQ 分数与其他结果之间的关系图;(4) 发现研究中的方法问题。研究遵循 PRISMA 指南,在七个学术数据库中搜索研究,包括检索灰色文献。经过筛选,共纳入 23 项研究。结果显示了以下几点:(1) 研究了一些临床(如情绪障碍和药物滥用)和高危(如犯罪和低收入)情况、研究了几种临床(如情绪障碍和药物滥用)和高危(如犯罪和低收入)情况,其 AC 平均值为 4.93,发生率为 81.74%;(2) 缺乏有关男性的数据,家庭暴力和身体忽视在未成年人中尤为明显,也没有涉及欧洲和北美高危样本的研究;(3) ACE-IQ 分数大多与药物滥用和冒险行为有关;(4) 主要的方法学问题是非随机/便利抽样技术,以及缺乏有关样本和程序的方法学信息。总之,在临床/高危样本中,ACE-IQ 似乎是一个很有前途的工具,但还需要更多的研究来回答所有的研究问题。
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引用次数: 0
Child sexual exploitation and abuse disclosure and help-seeking: A glimpse of global South data 儿童性剥削和性虐待的披露与求助:全球南方数据概览
IF 1.6 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-06-18 DOI: 10.1002/car.2887
Mark Kavenagh, M. Catherine Maternowska

Over decades, research practitioners have highlighted how survivors of sexual abuse in childhood face strong forms of stigma including victim-blaming, shame and social isolation. However, the data and evidence are disproportionately slanted towards the global North. Shifting the focus to the global South, this reflective piece draws on two substantial multicountry research projects to highlight the expectations and experiences of young survivors of child sexual exploitation and abuse (CSEA) in their quest for support. By applying a socio-ecological analysis, it demonstrates how societal stigma—from both professionals and young people themselves—compounds the help-seeking process. The findings support the well-documented concept that disclosing sexual violence is an ongoing—not singular—process that depends on a series of interactions at the individual, interpersonal and institutional levels of the ecosystem. Building better trauma-informed responses is likely to help; however, a focus only on services falls short, especially in countries where child protection systems struggle to thrive. A concurrent transformative shift in both social and gender norms across the ecosystem is essential to address the seemingly intractable challenges to child sexual exploitation and abuse prevention and response.

几十年来,研究人员一直在强调童年时期遭受性虐待的幸存者是如何面对各种形式的污名化,包括对受害者的指责、羞耻感和社会孤立。然而,这些数据和证据都不成比例地偏向于全球北方。这篇反思性文章将重点转移到了全球南部,利用两个实质性的多国研究项目来强调儿童性剥削和性虐待(CSEA)的年轻幸存者在寻求支持时的期望和经历。通过运用社会生态分析方法,文章展示了来自专业人士和年轻人自身的社会污名是如何加剧求助过程的。研究结果支持了一个有据可查的概念,即披露性暴力是一个持续而非单一的过程,取决于生态系统中个人、人际和机构层面的一系列互动。建立更好的创伤知情应对措施可能会有所帮助;但是,仅仅关注服务是不够的,尤其是在儿童保护系统难以蓬勃发展的国家。要解决预防和应对儿童性剥削和性虐待方面看似棘手的挑战,必须同时转变整个生态系统中的社会和性别规范。
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引用次数: 0
The exploitation of girls in care: An ongoing struggle for recognition 对受照料女童的剥削:为获得认可而持续奋斗
IF 1.6 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-06-18 DOI: 10.1002/car.2886
Julie Shaw, Jo Staines, Claire Fitzpatrick, Katie Hunter

Drawing upon original research data, the core task of this article is to explore some of the difficulties experienced by girls in care in England in having their exploitation recognised, along with the challenges faced by professionals from social care and criminal justice agencies in meeting their safeguarding needs. The article provides a unique insight into the ways in which the perceptions and experiences of the two groups compare with the other, as both attempts to negotiate their own set of challenges within the confines of an inadequate and under-resourced system. It considers the sense of disconnect between the needs, expectations and perceptions of care-experienced girls and the care they ultimately receive, emphasising how experiences of stigma intersect with gendered and racialised judgements, creating a situation where they are viewed as less than ‘ideal’ victims.

本文以原始研究数据为基础,其核心任务是探讨英格兰受照料女童在使其剥削行为得到承认方面所经历的一些困难,以及社会照料和刑事司法机构的专业人员在满足其保障需求方面所面临的挑战。这篇文章以独特的视角深入探讨了这两个群体的看法和经历如何相互比较,因为这两个群体都试图在一个不完善且资源不足的系统中应对自己所面临的一系列挑战。文章探讨了有护理经验的女童的需求、期望和看法与她们最终获得的护理之间的脱节感,强调了耻辱感是如何与性别和种族化的判断交织在一起,造成了她们被视为不那么 "理想 "的受害者的情况。
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引用次数: 0
The effect of the training programme for nursing students on child abuse and neglect knowledge and awareness levels: A randomized controlled study 护理专业学生培训计划对虐待和忽视儿童知识及认知水平的影响:随机对照研究
IF 1.6 4区 社会学 Q3 FAMILY STUDIES Pub Date : 2024-06-12 DOI: 10.1002/car.2884
Damla Ozcevik Subasi, Aylin Akca Sumengen, Gokce Naz Cakir, Ayşe Ferda Ocakci

Most studies on nursing students' awareness and knowledge of child abuse and neglect (CAN) report insufficient knowledge. However, there are limited studies evaluating the effectiveness of educational interventions. This study aimed to examine the effect of the Child Abuse and Neglect Awareness Program (CANAP) on nursing students on their CAN knowledge and awareness levels. A randomized controlled study was conducted between 21 May and 29 June 29, with 75 students, 40 in the experimental group and 35 in the control group, studying nursing at a foundation university in Turkey. While CANAP was applied to the participants in the experimental group, no intervention was applied to those in the control group. The data were collected in three stages (before the intervention, immediately after the intervention and 1 month after the intervention) using the Personal Information Form, Diagnosis Scale of the Risks and Symptoms of Child Abuse and Neglect (DSRSCAN) and Child Abuse and Neglect Awareness Scale (CANA-S). Data were analysed using Chi-square and Fisher exact tests, independent samples t test and repeated measures analysis of variance (ANOVA) test. The groups were homogeneous regarding the students' sociodemographic characteristics (p > 0.05). In the study, the mean DSRSCAN and CANA-S scores of the groups were similar in the pre-test before CANAP but increased significantly in the post-test and re-test (p < 0.05). All CANA-S re-test sub-dimension mean scores of the experimental group were significantly higher than the control group (p < 0.05). The mean scores of the experimental group in the DSRSCAN physical symptoms of abuse on the child, characteristics of parents prone to abuse and neglect, characteristics of children at risk of abuse and neglect and familial characteristics in child abuse and neglect sub-dimensions were significantly higher than the control group (p < 0.05). CANAP effectively increases nursing students' CAN knowledge and awareness levels. It was observed that the experimental group students maintained their increased knowledge and awareness 1 month after the intervention.

大多数关于护理专业学生对虐待和忽视儿童(CAN)的认识和知识的研究都报告称,他们对该问题的认识不足。然而,评估教育干预效果的研究却很有限。本研究旨在探讨 "儿童虐待和忽视意识项目"(CANAP)对护理专业学生了解和认识儿童虐待和忽视(CAN)的影响。这项随机对照研究于 5 月 21 日至 6 月 29 日进行,共有 75 名学生参加,其中实验组 40 人,对照组 35 人,他们都在土耳其的一所基础大学学习护理专业。实验组的参与者使用了 CANAP,而对照组的参与者没有使用任何干预措施。数据收集分为三个阶段(干预前、干预后和干预后一个月),分别使用个人信息表、虐待和忽视儿童风险与症状诊断量表(DSRSCAN)和虐待和忽视儿童意识量表(CANA-S)。数据分析采用了卡方检验、费雪精确检验、独立样本 t 检验和重复测量方差分析(ANOVA)检验。两组学生的社会人口学特征相同(p > 0.05)。在研究中,各组的 DSRSCAN 和 CANA-S 平均得分在 CANAP 前的预测试中相似,但在后测试和复测中显著增加(p <0.05)。实验组的 CANA-S 复测各分项平均分均明显高于对照组(p < 0.05)。实验组在DSRSCAN虐待儿童的身体症状、易受虐待和忽视的父母的特征、易受虐待和忽视的儿童的特征、虐待和忽视儿童的家庭特征等子维度的平均分均明显高于对照组(P <0.05)。CANAP 有效地提高了护生对 CAN 的了解和认知水平。据观察,实验组学生在干预1个月后仍保持了所增加的知识和意识。
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引用次数: 0
期刊
Child Abuse Review
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