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Hidden on the ward: the abuse of children in hospitals

Kendrick, Andrew and Taylor, Julie (2000) Hidden on the ward: the abuse of children in hospitals. Journal of Advanced Nursing, 31 (3). pp. 565-573. ISSN 0309-2402

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    Abstract

    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.

    Item type: Article
    ID code: 2401
    Keywords: child protection, child abuse, hospital, institutional abuse, programme abuse, system abuse, selection, monitoring, standards, Social pathology. Social and public welfare, Nursing(all)
    Subjects: Social Sciences > Social pathology. Social and public welfare
    Department: Faculty of Humanities and Social Sciences (HaSS) > School of Social Work and Social Policy > Social Work
    Related URLs:
      Depositing user: Prof Andrew J. Kendrick
      Date Deposited: 09 Nov 2006
      Last modified: 04 Sep 2014 13:21
      URI: http://strathprints.strath.ac.uk/id/eprint/2401

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