Kunskap om en dold barnmisshandel : En kvantitativ studie om socialsekreterares kunskap,beredskap och handlingsutrymme vid barnmisshandel genom sjukvårdsinsatser
Sammanfattning: This essay will address the topic of child abuse through healthcare interventions, ormore precisely medical child abuse - which is also called Münchausen syndrome byproxy. A social problem that is quite unusual, and therefore creates complexity. Witha quantitative method, the essay is based on a web-based survey, which social workerson the Swedish social services at the children- and family units in Småland haveresponded to. The questions in the survey processes the social workers' knowledgeand preparedness which will be analyzed by their discretionary space and reasoning.These themes are also linked to Lipsky’s theory of street-level bureaucracy which isused to analyze the empirical data of the study. The results from the essay are analyzedand tested through the statistics program SPSS. The results and analysis show forinstance that the longer the social workers have been working at their units and insocial work in general, the more knowledge they considered themselves to have. Theyalso possessed a higher readiness the longer they worked at the unit. They are morerecon with the term “Münchausen by proxy” than “Medical child abuse”. Regarding guidelines and legislation, they feel uncertain, which we connect to the knowledge-gaps that comes with the social problem. Medical child abuse in the Swedish social services is quite unexplored and with this essay we want to contribute to a betterresearch, to help the children who are victims of medical child abuse.
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