Burns are a common injury to young children, sometimes related to neglect or physical abuse. Emergency department (ED) clinicians, health visitors and social workers must work collaboratively when safeguarding children with burns; however, little is known about the factors influencing their professional judgements, decision-making and multidisciplinary collaboration. Objective was to explore factors affecting ED clinicians', health visitors' and social workers' professional judgements and decision-making when children present to the ED with burns, and experiences of multidisciplinary collaboration, to identify areas for improvement. This was a qualitative semi-structured interview study using purposive and snowball sampling to recruit participants. Data were analysed using ‘codebook’ thematic analysis. Four themes were identified: ‘perceived roles and responsibilities when safeguarding children with burn injuries’, ‘factors influencing judgment of risk and decision-making’, ‘information sharing’ and ‘barriers and facilitators to successful multidisciplinary collaboration’. There is limited understanding between the groups about each other's roles. Each agency is dependent on one another to understand the full picture; however, information sharing is lacking in detail and context and hindered by organisational and resource constraints. Formal opportunities for multiagency team working such as strategy meetings can be facilitators of more successful collaborations. Professionals may benefit from multiagency training to improve understanding of one another's roles. Greater detail and context are needed when notifying health visitors of burn injuries in children or making a referral to children's services.

中文翻译：

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影响临床医生、健康访问者和社会工作者在保护烧伤儿童时的专业判断、决策和多学科合作的因素：一项定性研究

烧伤是幼儿常见的伤害，有时与忽视或身体虐待有关。急诊科 (ED) 临床医生、健康探视员和社会工作者在保护烧伤儿童时必须通力合作；然而，人们对影响他们的专业判断、决策和多学科合作的因素知之甚少。目的是探讨当儿童因烧伤到急诊室就诊时，影响急诊科临床医生、健康访视员和社会工作者专业判断和决策的因素，以及多学科合作的经验，以确定需要改进的领域。这是一项定性半结构化访谈研究，使用有目的的滚雪球抽样来招募参与者。使用“密码本”主题分析来分析数据。确定了四个主题：“保护烧伤儿童时所感知的角色和责任”、“影响风险判断和决策的因素”、“信息共享”和“成功的多学科合作的障碍和促进因素”。各群体之间对彼此角色的了解有限。每个机构都相互依赖以了解整体情况；然而，信息共享缺乏细节和背景，并受到组织和资源限制的阻碍。多机构团队合作的正式机会（例如战略会议）可以促进更成功的合作。专业人员可以从多机构培训中受益，以增进对彼此角色的了解。在通知健康探视者儿童烧伤或转介至儿童服务机构时，需要提供更多细节和背景信息。