2740

 

STICKS AND STONES¡­

Waqa, ML

Liverpool Health Service, Sydney, Australia

 

¡°Sticks and stones may break my bones

but names will never hurt me¡­¡±

Childhood injuries are often not as obvious as broken bones or bruises. Children suffer all types of injuries through acts of co-mission and omission. Recognising the long-term effects on children who suffer abuse from others, the Australian government passed new legislation directing not only when but also how, all people who work with children must respond to reasonable suspicions of abuse or potential risk of harm.

The new legislation demands Paediatric nurse in New South Wales (NSW) do their job differently. The dilemma faced by some Paediatric nurses is the conflict between their beliefs about families and their understanding of the role of child protection agencies. The new legislation introduces the notion of ¡°risk of harm¡± for the child. This acknowledges for the first time the potential to intervene prior to harm befalling the child. Now like no time before, Paediatric nurses, have legislation to support them in their attempts to facilitate best outcomes for at risk children. Under the new legislation nurses are mandated to actively contribute to the ¡°big picture¡¯ by sharing their individual insights. Adding strength to the nurse¡¯s insights, staff from the departments of public housing, health, police, education and training, justice, and community services are also mandated to report their reasonable suspicions. This interagency involvement facilitates information sharing, support and a multi disciplined approach to child protection. The paediatric nurse can play an integral part in the process of protecting children. This paper will use case studies to illuminate the key elements of the new legislation and its application in clinical setting.