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Inter-professional practice in the prevention and management of child and adolescent self-harm

Foster Carers' and Residential Carers' Negotiation of Expertise and Professional Identity

Dados Bibliográficos

ID2249703
AutoresStephen Jenning (0000-0001-5251-3308, Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement Cardiff University Cardiff UK, autor correspondente), Rhiannon Evans (0000-0002-0239-6331, Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement Cardiff University Cardiff UK)
Ano2020
Volume42
Fascículo5
Páginas1024-1040
Data de publicação2020-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociology of Health & Illness (JOURNAL)
Identificadores do periódicoISSN: 0141-9889 • E-ISSN: 1467-9566
EditoraWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.13071
PMID32285475
OpenAlexW3005989857
IdiomaEN
Citações recebidas5
Referências citadas46

Inter-professional collaboration remains a significant concern within healthcare and social care. However, there has been scant attention paid to practices at the interface of clinicians and carers, namely foster carers and residential carers. The present study considers child and adolescent self-harm management and prevention practices as a site of empirical interest due to reports that multi-agency teams are not effectively operating. Drawing upon a grounded theory approach, data were generated via semi-structured interviews and focus groups with residential carers (n = 15) and foster carers (n = 15) in Wales. Themes were developed through axial coding. The results present two central themes to explain the nature and perceived causes of inter-professional discord. First, there are clear contestations in expertise, with carers challenging clinicians' propositional knowledge in favour of their own experiential expertise. However, participants simultaneously endorse medical dominance, which contributes to their sense of disempowerment and marginalisation. Second, is the preclusion of carers' professional identity, primarily due to inadequate professionalisation procedures. Meanwhile, the privileging of their parenting role is perceived to support the perpetuation of courtesy stigma. Carers are then compelled to undertake the effortful labour of legitimisation. Together these thematic insights provide direction on mechanisms to improve inter-professional interactions, notably around training and accreditation

Agency (philosophy · Grounded theory · Harm · Health care · Identity (music · Negotiation · Political science · Professional boundaries · Public relations · Qualitative research · Safeguarding · Sociology · Thematic analysis · Child Abuse and Trauma · Child Welfare and Adoption · Medicine · Mental Health and Patient Involvement · Nursing · Psychology · Social Psychology

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Obras citantes distintas5
Citações por ano1,25
Intervalo de citações2022 - 2026 (5)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 5
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