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Predicting child abuse and neglect: ethical, theoretical and methodological challenges

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Taylor, Julie, Baldwin, Norma and Spencer, Nick (2008) Predicting child abuse and neglect: ethical, theoretical and methodological challenges. Journal of Clinical Nursing, Vol.17 (No.9). pp. 1193-1200. doi:10.1111/j.1365-2702.2007.02192.x

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Official URL: http://dx.doi.org/10.1111/j.1365-2702.2007.02192.x

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Abstract

Aims. This paper explores the ethical, theoretical and methodological implications of predictive testing in studies of child abuse, neglect and harm.

Background. The use of screening instruments to make predictions about children who may later be abused, neglected or at risk of exclusion is promoted in research and policy. The recent UK Action Plan on Social Exclusion suggests that health visitors and community midwives should be trained to use these tools in practice.

Method. Position paper.

Conclusions. The accuracy of screening instruments to identify children who will be abused or neglected has not been established. Even if the theoretical and methodological challenges of predictive instruments could be overcome, the ethical implications of their use are very difficult for nurses and midwives.

Relevance to clinical pratice. Nurses, midwives and health visitors require high levels of awareness of risk factors in working with children and families. We have a responsibility to reach professional judgements about risks of harm for individuals. This is best performed through improving skills in working with parents and carers to identify those factors which may impede their ability to offer safe developmental care to their children.

Item Type: Journal Article
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine
R Medicine > RT Nursing
Divisions: Faculty of Social Sciences > School of Health and Social Studies
Library of Congress Subject Headings (LCSH): Child abuse -- Prevention, Children -- Health risk assessment, Nursing, Social prediction
Journal or Publication Title: Journal of Clinical Nursing
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 0962-1067
Official Date: May 2008
Dates:
DateEvent
May 2008Published
Volume: Vol.17
Number: No.9
Number of Pages: 8
Page Range: pp. 1193-1200
DOI: 10.1111/j.1365-2702.2007.02192.x
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

Data sourced from Thomson Reuters' Web of Knowledge

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