scholarly journals Social Worker and Midwife Decision Making Regarding Child Protection Risk and the Unborn Baby: A Qualitative Study

2021 ◽  
Author(s):  
Helena Mc Elhinney ◽  
Marlene Sinclair ◽  
Brian Taylor
2011 ◽  
Vol 13 (2) ◽  
pp. 184-202 ◽  
Author(s):  
Tara Ney ◽  
Jo-Anne Stoltz ◽  
Maureen Maloney

• Summary: The purpose of this article is to explore the tensions that emerge when two very different discourses – the ‘democratic’, participatory discourse of FGC and the legalistic, bureaucratized discourse of conventional child welfare practice – attempt to integrate. We present the findings of a qualitative study, where we conducted 74 interviews, involving 26 adult family members/caregivers (three youth); six child protection workers; and three FGC coordinators. By listening to the voices of participants, we explore the complexities and tensions that exist at the nexus of (at least) two competing discourses, when the FGC process takes place within the child protection bureaucratic structure. • Findings: Our findings show how participants’ voices were co-opted by the more forceful child protection discourse, itself shaped by legal, bureaucratized, and neoliberal discourses. This research shows how in each case participants’ experience of power was subjugated, even though, in each instance, the case was perceived to have had a successful outcome by the social worker and FGC coordinator. • Applications: If those involved in administering and delivering family group conferencing continue to at least be aware of how power operates in this context, then the possibility exists to realize FGC's broader social justice and transformative goals. Further, a reflective practice ( Schön, 1991 ) can mitigate the possibility of cooptation from particular bureaucratic, legal, and neoliberal discourses which dominate at different times, and which are incompatible with the inherent values and objectives of the FGC.


2016 ◽  
Vol 60 (5) ◽  
pp. 1255-1267 ◽  
Author(s):  
Karmen Toros

This article presents the findings of a small-scale, qualitative study that included 20 child protective workers from different regions in Estonia. The research question guiding this study was as follows: What principles underpin child protective workers’ assessment activities in cases with child protection concerns? The respondents provided examples of assessment principles through in-depth semi-structured interviews. The results indicate that workers’ assessments are adopted from a deficit view rather than from the needs and possibilities. The majority of the participants underscored the importance of child involvement and partnership in the decision-making process; nevertheless, their case reflections showed that only five of them included the child in the assessment.


2021 ◽  
Vol 3 (1) ◽  
pp. e000068
Author(s):  
Sonia Hur ◽  
Michael Tzeng ◽  
Eliza Cricco-Lizza ◽  
Spyridon Basourakos ◽  
Miko Yu ◽  
...  

ObjectivesPartial gland ablation (PGA) therapy is an emerging treatment modality that targets specific areas of biopsy-proven prostate cancer (PCa) to minimize treatment-related morbidity by sparing benign prostate. This qualitative study aims to explore and characterize perceptions and attitudes toward PGA in men with very-low-risk, low-risk, and favorable intermediate-risk PCa on active surveillance (AS).Design92 men diagnosed with very-low-risk, low-risk, and favorable intermediate-risk PCa on AS were invited to participate in semistructured telephone interviews on PGA.SettingSingle tertiary care center located in New York City.Participants20 men with very-low-risk, low-risk, and favorable intermediate-risk PCa on AS participated in the interviews.Main outcome measuresEmerging themes on perceptions and attitudes toward PGA were developed from transcripts inductively coded and analyzed under standardized methodology.ResultsFour themes were derived from 20 interviews that represent the primary considerations in treatment decision-making: (1) the feeling of psychological safety associated with low-risk disease; (2) preference for minimally invasive treatments; (3) the central role of the physician; (4) and the pursuit of treatment options that align with disease severity. Eleven men (55%) expressed interest in pursuing PGA only if their cancer were to progress, while nine men (45%) expressed interest at the current moment.ConclusionsAlthough an emerging treatment modality, patients were broadly accepting of PGA for PCa, with men primarily debating the risks versus benefits of proactively treating low-risk disease. Additional research on men’s preferences and attitudes toward PGA will further guide counseling and shared decision-making for PGA.


2021 ◽  
pp. 1-25
Author(s):  
Simon Turner ◽  
Danielle D´Lima ◽  
Jessica Sheringham ◽  
Nick Swart ◽  
Emma Hudson ◽  
...  

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