HELSESTASJONER SITT SAMARBEID MED BARNEVERNETS DØGN-FAMILIESENTRE. - En kvalitativ studie om erfaringer helsesøstre (helsesykepleiere) har, og ønsker de fremmer, i samarbeid om et godt tilbud rundt barna.

Abstract

Jeg fulgte retningslinjer for masteroppgave i barn og unges psykiske helse. Der stod at det skulle være et summary på engelsk men det stod ikke at det skulle være på norsk.

Når jeg fylte ut skjema for trykking av oppgaven, fikk jeg melding om at det ikke var nok plass til all teksten. Jeg prioriterte å skrive norsk hovedtekst samt undertekst og ikke engelsk tekst. Jeg prøvde å skrive kun engelsk tekst på s. 2, men det ble ikke godtatt.

Health centers are part of Norwegian municipalities' first-line service and residental early parenting centres/family centers within child welfare service are part of state-owned second-line service. Both are pointed out by the Norwegian authorities as important in helping infants and young children at risk of being exposed to violence and neglect. This qualitative study explores the nurses' experiences in the collaboration around these risk children. The study's problem is: What experiences do public health nurses have in collaboration with residental early parenting centres/family centers within child welfare service, around vulnerable infants and toddlers? Ten semi-structured in-depth interviews were conducted in the spring of 2018 and the analysis of the data material has followed the recommendations of Charmaz (2014) in Constructing Grounded Theory (CGT). The main finding is that (i) the health nurses experience little information from the child welfare/center, that (ii) they are mainly satisfied with content at the center when this is known and that (iii) they want to be involved in the work around the families. The study shows that there is a greater understanding amongst public health nurses for the necessary use of force when helping children than has appeared in earlier studies. The health nurses put their loyalty to the child and the desire for the child's development to be positive. The study describes emotional stress among helpers around children in situations of violence and neglect. Difficulties nurses experience are about lack of initiated communication from family centres and the child welfare services. It may seem that this is linked to unclear understandings of the boundaries between law, health and child welfare. Practical implications: (i) Contact between family centers and health centers/public health nurses should be put into system through regular routines; (ii) Family centres/child welfare services should more often give information to child health centres/public health nurses, (iii) Family centres/child welfare services should learn more about rules for confidentiality, information right and duty to provide information and (iv) Emotional stress among employees who work closely with children at risk of neglect and violence must be taken seriously and help with the management of stress put into system. Keywords: Cooperation, health nurses, child welfare family centres/residental early parenting centres.