4,909 research outputs found

    Hidden on the ward : the abuse of children in hospitals

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    While there have been a small number of high profile cases of the abuse of children by hospital staff, there has been relatively little attention paid to the child protection issues for children staying in hospitals. Drawing on a conceptual framework from work on institutional abuse, we identify three types of abuse: physical and sexual abuse; programme abuse; and system abuse. Physical and sexual abuse can be perpetrated by medical professionals and hospital workers, it can be perpetrated by other children, or it can be perpetrated by the child's own parent(s). Research evidence from the United States suggests that the rate of abuse in hospitals is higher than in the family home. Programme abuse occurs when treatment and care falls below normally accepted standards. Recently, a tragic case of programme abuse concerned the unacceptably high death rate of babies undergoing heart surgery at Bristol Royal Infirmary. System abuse is the most difficult to define but concerns the way in which child health services fail to meet the needs of children. Recent reports have highlighted inadequate services for children and young people, lack of priority given to children's services, and geographical inequalities in the provision of services. Three crucial aspects in safeguarding children from abuse are highlighted: listening to children; the selection support and training of staff; and external systems of inspection, monitoring and standards. The recent government agenda which has placed quality at the centre of NHS service developments are discussed. Only by addressing the abuse of children in hospital openly and honestly will effective child protection be possible

    Noticing and helping the neglected child:literature review

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    Temporalities, ritual, and drinking in Mass Observation's Worktown.

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    In Bolton's pubs at the end of the 1930s, the research organization Mass Observation pursued answers to big abstract questions about time by studying small concrete actions. Drawing on field notes, draft manuscripts, and published works, this article sets out the different understandings and experiences of time documented by the team of investigators. Outside the ‘time-clock factory-whistle dimension of living’ and inside ‘pub-time’, individuals bought drinks for their companions, drank at the same pace, and engaged with everyone around them on an equal footing. Mass Observation presented such behaviours as proof that the pub fostered a socially harmonious, egalitarian community from a pre-industrial age. However, this article shows that the pub study's archive contains material that goes against the published findings. Observers turned in reports about authoritarian conduct, hierarchical power structures, and the intrusion of contemporary politics. Blurring the research subject and object, it was sometimes the investigators themselves who broke the spell of the pub. These moments of tension, confusion, and contradiction offer insights into the observers’ own perspectives on modern temporalities and subjective experiences of time. All the people in the pubs were caught up in a state of flux

    Rethinking Risk and Resilience in Childhood and Child Maltreatment

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