The Experiences and Challenges encountered by HSC Professionals around Child Safeguarding Decision Making in Pregnancy

Helena Mc Elhinney, Marlene Sinclair, Brian Taylor

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Background: Health and Social Care (HSC) professionals face the daunting task of assessing the risk of harm to an unborn child. Supported by legislation, policies, standards and procedures, professionals must use their clinical judgement when presented with the risk factors impacting upon the safety of an unborn child. There is limited knowledge around professional’s decision making in the area of child safeguarding in pregnancy. This study will provide understanding of the processes and challenges professionals face as they make informed decisions to protect an unborn child.Aim: To study decision making by Health and Social Care professionals where there is a child safeguarding concern in pregnancy.Methodology: This study is an exploratory sequential mixed methods design consisting of three phases. A systematic narrative review of the literature has been completed alongside focus groups with Midwives and children services Social Workers in the SEHSCT in Northern Ireland.Analysis: Data were collected from four focus groups consisting of Midwives (n=14) and children’s services Social Workers (n=16) and analysed using Newell and Burnhard’s (1991) framework for thematic analysis. Summary: Twelve themes were identified which impacted upon decision-making. Assessing risk, timing, engagement with women, communication, professional experience, mental health knowledge/training, impact on staff, evidence, case planning, pregnant women behaviour, recording of information and frustration.Conclusion and Implications: Decision making by HSC professionals in the area of child safeguarding in pregnancy remains a complex and challenging process. Guidance and frameworks are used to aid decision-making in this area but many other factors influence decisions made to refer. It is a process that relies heavily on communication with professionals and pregnant women using the best available resources whilst dealing with uncertainty as each case presents its own challenges. This study hopes to provide those in management, policy making and the professions of Midwifery and Social Work with an insight into how decisions around child safeguarding in pregnancy are made to inform or improve service provision.
LanguageEnglish
Title of host publicationUnknown Host Publication
Number of pages1
Publication statusAccepted/In press - 22 Jan 2016
EventBridging the Gap: Research and Practice - Belfast
Duration: 22 Jan 2016 → …

Conference

ConferenceBridging the Gap: Research and Practice
Period22/01/16 → …

Fingerprint

Decision Making
Delivery of Health Care
Pregnancy
Midwifery
Focus Groups
Pregnant Women
Hope
Communication
Northern Ireland
Frustration
Policy Making
Social Work
Legislation
Uncertainty
Mental Health
Safety

Keywords

  • Midwifery
  • social work
  • child safeguarding
  • pregnancy
  • decision making
  • risk
  • judgement

Cite this

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title = "The Experiences and Challenges encountered by HSC Professionals around Child Safeguarding Decision Making in Pregnancy",
abstract = "Background: Health and Social Care (HSC) professionals face the daunting task of assessing the risk of harm to an unborn child. Supported by legislation, policies, standards and procedures, professionals must use their clinical judgement when presented with the risk factors impacting upon the safety of an unborn child. There is limited knowledge around professional’s decision making in the area of child safeguarding in pregnancy. This study will provide understanding of the processes and challenges professionals face as they make informed decisions to protect an unborn child.Aim: To study decision making by Health and Social Care professionals where there is a child safeguarding concern in pregnancy.Methodology: This study is an exploratory sequential mixed methods design consisting of three phases. A systematic narrative review of the literature has been completed alongside focus groups with Midwives and children services Social Workers in the SEHSCT in Northern Ireland.Analysis: Data were collected from four focus groups consisting of Midwives (n=14) and children’s services Social Workers (n=16) and analysed using Newell and Burnhard’s (1991) framework for thematic analysis. Summary: Twelve themes were identified which impacted upon decision-making. Assessing risk, timing, engagement with women, communication, professional experience, mental health knowledge/training, impact on staff, evidence, case planning, pregnant women behaviour, recording of information and frustration.Conclusion and Implications: Decision making by HSC professionals in the area of child safeguarding in pregnancy remains a complex and challenging process. Guidance and frameworks are used to aid decision-making in this area but many other factors influence decisions made to refer. It is a process that relies heavily on communication with professionals and pregnant women using the best available resources whilst dealing with uncertainty as each case presents its own challenges. This study hopes to provide those in management, policy making and the professions of Midwifery and Social Work with an insight into how decisions around child safeguarding in pregnancy are made to inform or improve service provision.",
keywords = "Midwifery, social work, child safeguarding, pregnancy, decision making, risk, judgement",
author = "{Mc Elhinney}, Helena and Marlene Sinclair and Brian Taylor",
year = "2016",
month = "1",
day = "22",
language = "English",
booktitle = "Unknown Host Publication",

}

Mc Elhinney, H, Sinclair, M & Taylor, B 2016, The Experiences and Challenges encountered by HSC Professionals around Child Safeguarding Decision Making in Pregnancy. in Unknown Host Publication. Bridging the Gap: Research and Practice, 22/01/16.

The Experiences and Challenges encountered by HSC Professionals around Child Safeguarding Decision Making in Pregnancy. / Mc Elhinney, Helena; Sinclair, Marlene; Taylor, Brian.

Unknown Host Publication. 2016.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

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T1 - The Experiences and Challenges encountered by HSC Professionals around Child Safeguarding Decision Making in Pregnancy

AU - Mc Elhinney, Helena

AU - Sinclair, Marlene

AU - Taylor, Brian

PY - 2016/1/22

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N2 - Background: Health and Social Care (HSC) professionals face the daunting task of assessing the risk of harm to an unborn child. Supported by legislation, policies, standards and procedures, professionals must use their clinical judgement when presented with the risk factors impacting upon the safety of an unborn child. There is limited knowledge around professional’s decision making in the area of child safeguarding in pregnancy. This study will provide understanding of the processes and challenges professionals face as they make informed decisions to protect an unborn child.Aim: To study decision making by Health and Social Care professionals where there is a child safeguarding concern in pregnancy.Methodology: This study is an exploratory sequential mixed methods design consisting of three phases. A systematic narrative review of the literature has been completed alongside focus groups with Midwives and children services Social Workers in the SEHSCT in Northern Ireland.Analysis: Data were collected from four focus groups consisting of Midwives (n=14) and children’s services Social Workers (n=16) and analysed using Newell and Burnhard’s (1991) framework for thematic analysis. Summary: Twelve themes were identified which impacted upon decision-making. Assessing risk, timing, engagement with women, communication, professional experience, mental health knowledge/training, impact on staff, evidence, case planning, pregnant women behaviour, recording of information and frustration.Conclusion and Implications: Decision making by HSC professionals in the area of child safeguarding in pregnancy remains a complex and challenging process. Guidance and frameworks are used to aid decision-making in this area but many other factors influence decisions made to refer. It is a process that relies heavily on communication with professionals and pregnant women using the best available resources whilst dealing with uncertainty as each case presents its own challenges. This study hopes to provide those in management, policy making and the professions of Midwifery and Social Work with an insight into how decisions around child safeguarding in pregnancy are made to inform or improve service provision.

AB - Background: Health and Social Care (HSC) professionals face the daunting task of assessing the risk of harm to an unborn child. Supported by legislation, policies, standards and procedures, professionals must use their clinical judgement when presented with the risk factors impacting upon the safety of an unborn child. There is limited knowledge around professional’s decision making in the area of child safeguarding in pregnancy. This study will provide understanding of the processes and challenges professionals face as they make informed decisions to protect an unborn child.Aim: To study decision making by Health and Social Care professionals where there is a child safeguarding concern in pregnancy.Methodology: This study is an exploratory sequential mixed methods design consisting of three phases. A systematic narrative review of the literature has been completed alongside focus groups with Midwives and children services Social Workers in the SEHSCT in Northern Ireland.Analysis: Data were collected from four focus groups consisting of Midwives (n=14) and children’s services Social Workers (n=16) and analysed using Newell and Burnhard’s (1991) framework for thematic analysis. Summary: Twelve themes were identified which impacted upon decision-making. Assessing risk, timing, engagement with women, communication, professional experience, mental health knowledge/training, impact on staff, evidence, case planning, pregnant women behaviour, recording of information and frustration.Conclusion and Implications: Decision making by HSC professionals in the area of child safeguarding in pregnancy remains a complex and challenging process. Guidance and frameworks are used to aid decision-making in this area but many other factors influence decisions made to refer. It is a process that relies heavily on communication with professionals and pregnant women using the best available resources whilst dealing with uncertainty as each case presents its own challenges. This study hopes to provide those in management, policy making and the professions of Midwifery and Social Work with an insight into how decisions around child safeguarding in pregnancy are made to inform or improve service provision.

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KW - social work

KW - child safeguarding

KW - pregnancy

KW - decision making

KW - risk

KW - judgement

M3 - Conference contribution

BT - Unknown Host Publication

ER -