Many children in Sweden are exposed to maltreatment. Among the purposes of the Child health care (CHC) are to decrease mortality, infirmity and handicaps among mothers and their children, and to decrease hurtful strains for parents and their children. CHC-nurses get critizism for not reporting child maltreatment in high enough numbers to the Social service. The aim of this study was to chart how CHC-nurses finds their work with families suffering from maltreatment. Ten CHC-nurses were interviewed with semistructured interviews. The study has a qualitative approach and the interviews were analysed with the help of content analysis. In the result it appears that CHC-nurses experiences working with families suffering from maltreatment is very emotional. The support from collegues, psychlogists and co-operation with Mother Health Care, pre-school and Social Service is valuable. It’s hard to judge which who are exposed to maltreatment because the definition is unclear. There’s a wish to be able to help more families without needing to report to the Social service. The prevented work by the CHC agains maltreatment should get a more prominent clear position in CHC’s standard program for the entire family.

<p>Many children in Sweden are exposed to maltreatment. Among the purposes of the Child health care (CHC) are to decrease mortality, infirmity and handicaps among mothers and their children, and to decrease hurtful strains for parents and their children. CHC-nurses get critizism for not reporting child maltreatment in high enough numbers to the Social service. The aim of this study was to chart how CHC-nurses finds their work with families suffering from maltreatment. Ten CHC-nurses were interviewed with semistructured interviews. The study has a qualitative approach and the interviews were analysed with the help of content analysis. In the result it appears that CHC-nurses experiences working with families suffering from maltreatment is very emotional. The support from collegues, psychlogists and co-operation with Mother Health Care, pre-school and Social Service is valuable. It’s hard to judge which who are exposed to maltreatment because the definition is unclear. There’s a wish to be able to help more families without needing to report to the Social service. The prevented work by the CHC agains maltreatment should get a more prominent clear position in CHC’s standard program for the entire family.</p>

Abstrakt Bakgrund: Barn har rätt att växa upp i trygga förhållanden utan våld eller försummelse. Att barn far illa är ett stort problem idag, vilket är en utmaning för vårdpersonal att identifiera. Det finns många orsaker till att barn far illa och det kan medföra stora konsekvenser för barnet senare i livet. Motiv: Denna studie var viktig att utföra för att sjukvårdspersonal lättare ska kunna identifiera barn som far illa och sätta in tidiga åtgärder för att förhindra att våld mot barn ska ske. Det är viktigt att alla barn identifieras i tid och får hjälp. Syfte: Syftet med studien var att belysa BVC-sjuksköterskors erfarenheter av att motverka att barn far illa. Metod: I denna semistrukturerade intervjustudie har åtta deltagare inkluderats genom bekvämlighetsurval. Intervjuerna transkriberades ordagrant och analyserades med hjälp av kvalitativ innehållsanalys. Resultat: Innehållsanalysen resulterade i två huvudkategorier: “BVC-sjuksköterskors svåra uppgift” och “Att samarbeta med familjer och kollegor”.  Konklusion: BVC-sjuksköterskor saknar tillräckligt med kunskap och utbildning för att identifiera och motverka att barn far illa. Det kan förekomma fler tecken, orsaker samt åtgärder än det författarna tagit upp i denna studie. Författarna anser att resultatet som har framkommit i studien kan användas i klinisk praxis för BVC-sjuksköterskor som ett underlag för att motverka att barn far illa. / Abstract Background: Children have the right to grow up in a safe environment without violence and neglect. Child maltreatment is a big problem, which is a challenge for the child healthcare nurse’s to identify. There are many reasons why children are exposed to violence, which can have consequences. Motive: This study is of great importance to healthcare-staff to take part of to make it easier to identify child maltreatment and take early actions to prevent maltreatment of children. It’s important to identify children early to make sure every child gets the help they need.  Aim: The aim of the study was to illuminate child healthcare nurses’ experiences to counteract maltreated children. Methods: 8 participants were included in this semi structured interview study through a convenience selection. The interviews were transcribed thoroughly and analyzed with qualitative content analysis.  Result: The content analysis resulted in two main categories: The child healthcare nurses’ difficult task” and “To cooperate with families and colleagues”. Conclusion: The child healthcare nurses’ shortage of knowledge and education to identify and counteract child maltreatment was presented in this study. More signs of child maltreatment, reasons and actions towards this issue than what is presented in this study can occur. The result can be used in clinical practice for the child healthcare nurses’ to prevent child maltreatment.

Bakgrund: Trots att amning har många fördelar och de flesta mödrar väljer att amma sina barn så sjunker amningsfrekvensen både globalt och i Sverige. Trots WHO ́s rekommendationer så väljer många mödrar att avsluta amningen innan rekommenderad tid. Detta skulle kunna bero på att mödrarna stöter på problem med amningen och inte får den hjälp de behöver för att välja att fortsätta amma. Amningen väljs bort när det finns alternativ som bröstmjölksersättning. BVC-sjuksköterskan har en viktig uppgift då hen blir den första kontakten för mödrarna efter förlossningen. Syfte: Syftet med studien var att belysa mödrars upplevelse av BVC-sjuksköterskans stöd vid amningsproblem. Metod: Studien har en kvalitativ design och datainsamlingen genomfördes via semistrukturerade intervjuer med tio mödrar från olika delar av Sverige. Dataanalysen skedde utifrån en kvalitativ innehållsanalys med en manifest ansats. Resultat: I den dataanalys som gjordes framkom tre huvudkategorier: Önskan om ökat engagemang, Bristande kunskap orsakade minskat förtroende och Uteblivet stöd skapade inre stress.  Konklusion: Studiens resultat har påvisat att BVC-sjuksköterskan spelar en stor roll för mödrar som ammar och har problem med amningen. BVC-sjuksköterskan är den som mödrarna vänder sig till för att få amningsstöd. Det engagemang och intresse som BVC-sjuksköterskan visar har stor betydelse för hur upplevelsen av stödet blir, men även den kunskap om amning som BVC-sjuksköterskan besitter spelar stor roll. Bristande stöd resulterade i att mödrarna tvivlade på sig själva. / Background: Although breastfeeding has many advantages and most mothers choose to breastfeed their children, the breastfeeding rate is declining both globally and in Sweden. Despite the WHO's recommendations, many mothers choose to end breastfeeding earlier. This could be due to the mothers encountering problems with breastfeeding and don’t get the help they need to choose to continue. Breastfeeding is opted out when there are alternatives such as breast milk substitutes. The child-healthcare center (CHC-)nurse has an important task as she becomes the first point of contact for mothers after childbirth. Aim: The aim of the study was to shed light on mothers' experience of the CHC-nurse's support during breastfeeding problems. Method: The study has a qualitative design and the data collection was carried out via semi-structured interviews with ten mothers from different parts of Sweden. The data analysis was based on a qualitative content analysis with a manifest approach. Results: In the data analysis that was carried out, three main categories emerged: The desire for increased commitment, Lack of knowledge caused reduced trust  and Lack of support created internal stress. Conclusion: The results of the study have shown that the CHC-nurse plays a major role for mothers who are breastfeeding and have problems with breastfeeding. The CHC-nurse is the one the mothers turn to for breastfeeding support. The commitment and interest that the CHC-nurse shows is of great importance to how the support is experienced, but also that the knowledge of breastfeeding that the CHC-nurse possesses, is important. The lack of support made the mothers doubt themselves.