According to the Children's Bureau of Taiwan (2007), the number of Taiwanese children abused and neglected sharply increased from 6,059 to 10,094 between 2000 and 2006. Reports of abused and neglected children also rose from 8,494 to 13,986 in that period. This followed enactment of the Children and Youth Welfare Law in 2003 imposing a range of health, education and social welfare professionals, including nurses, the statutory duty to report suspected child abuse and neglect. Previous studies in Taiwan have indicated that despite the legislation, a range of factors continue to act against nurses reporting child abuse and neglect (CAN) cases according to the law. Previous research had examined factors that influence CAN reporting by health, education, and welfare professionals including registered nurses in Taiwan. The study herein sought to extend knowledge of these factors by identifying and assessing nurses' self-efficacy as a prime factor influencing professional commitment to legal reporting of CAN. The aims of this research were to: (1) examine influencing factors of nurses' likelihood to report CAN in Taiwanese health care settings, and (2) develop and test a new instrument Child Abuse and Neglect Reporting Self Efficacy (CANRSE) to measure nurses' self-efficacy in CAN reporting. The research was conducted in two phases. Phase one investigated nurses' experience with CAN reporting and examined relationships between nurses' perceptions, attitudes, knowledge, and likelihood to report CAN cases. Two hundred and thirty-eight nurses from emergency departments, paediatric units and community centres in Taiwan completed a survey. The results showed that using a series of vignettes, a significant relationship existed between the likelihood to report CAN and perception, attitude, and knowledge. Notably, perception was the most significant variable in predicting nurses' likelihood to report CAN cases. Findings indicated nurses had poor perceptions of recognizing and reporting CAN and lacked faith in child protection services. Knowledge of Taiwanese CAN reporting laws was poor. In general, most nurses believed that they needed more training courses on the recognition and reporting of CAN. These findings, in particular the importance of perceptions of legal reporting behaviour, were worthy of further investigation. In Phase two, a measure of CANRSE was developed and tested. Data were collected from 496 nurses working in Taiwanese health care settings. Development of the CANRSE was guided by an extensive literature review, findings from Phase one of the study and by an expert panel. The CANRSE consisted of five sections: (1) demographic information, (2) efficacy-expectation for suspected cases, (3) efficacy-expectation for known cases, (4) outcome-expectation of CAN reporting, and (5) likelihood to report CAN. The influence of nurses' self-efficacy on their likelihood to report CAN cases was also analysed. Structure of the CANRSE was supported by structural equation modeling using AMOS 6.0. Additionally, correlation and regression analyses were applied to investigate the validity and reliability of the CANRSE. CANRSE met accepted psychometric standards for reliability and validity in this study. Nurses' CAN self-efficacy yielded strong prediction over personal characteristics, experience as a nurse, experience as a parent, and age. Thus, the research provides an important contribution to the literature relating to mandatory reporting by professional groups in particular nurses. It was the first research to successfully develop a new instrument to evaluate nurses' selfefficacy in CAN reporting. The findings provide a basis for understanding the influence of Taiwanese nurses' decision making for CAN reporting. Further research can extend the scope of CAN training programs and their evaluation.

The field of sustainability reporting has been studied for a number of decades but how companies respond to sustainability reporting regulations is still understudied. To lessen the gap, this thesis uses an institutional perspective to analyze how Swedish financial companies respond to the new regulation demanding all larger companies to disclose a sustainability report. The thesis takes a qualitative approach by conducting interviews at seven companies to investigate how institutional elements influences their sustainability disclosure processes. Findings show that the content of the reports is not largely affected due to normative elements providing a higher standard than the regulation demands. The reason for this can to a large extent be explained by the use of accepted frameworks which acts as the norm. The thesis also finds that though the content is not largely affected, the regulation affects the internal processes, requiring companies to examine and evaluate their existing sustainability agendas. The findings provide a complement to existing research that to a large degree consists of quantitative research as it illuminates how companies view their sustainability report and the reasoning for disclosing it. The influence of regulation on sustainability reporting is still an understudied subject and more research is needed to address this gap.

Background: It's a fundamental principal to protect children's rights. Through legislation, child abuse has been prohibited in many countries. Nurses working with children has a frontline role in identifying and reporting suspected or known child abuse. Mandatory reporting is one of the nurse's duty, reluctancy to report can lead to misconduct but it also leads to children suffering. Aim: The purpose of this degree project was to identify factors preventing nurses from mandatory reporting of children in health care. Method: A literature study based on using and analysing nine qualitative articles. Results: Three themes emerged in the result. The first theme was knowledge deficit, with two subthemes which were the need of education of signs and symptoms and the other subtheme was insufficient experiences. The second theme was nurses strained work environment with three subthemes. The first subtheme was the lack of routines, the second one miss information and the third one lack of cooperation and communication. The third theme consists of two subthemes, which were the lack of emotional support and the experience of fear. The results showed that nurses due to different factors relinquished from mandatory reporting.  Conclusion: The results highlighted that education and training was needed among nurses to gain knowledge on how to safeguard children and establish mandatory reporting. Thus, support from colleagues and managers agencies dealing with child safety was highly valued by nurses. Implementation of education, training and support could improve the cooperation in protecting children.

Bakgrund Barnmisshandel är ett globalt hälsoproblem med både svåra direkta och långtgående konsekvenser. I tidigare forskning ses var femte barn uppge sig blivit utsatt för någon typ av barnmisshandel. Vuxna som blivit utsatta för barnmisshandel har en ökad risk för psykisk- och fysisk ohälsa. Sjuksköterskan har en viktig del i att följa barnets utveckling och att arbeta för en trygg uppväxt där förebygga och upptäcka barnmisshandel ingår. Syfte Att undersöka vilka hinder som finns att en orosanmälan inte utförs i en situation där ett barn misstänks utsättas för eller vid kännedom utsätts för barnmisshandel. Vidare är syftet också att undersöka vilken kunskap och stöd som behövs för att öka möjligheterna att dessa barn upptäcks i mötet med sjuksköterskan och att åtgärder verkställs. Metod En litteraturgranskning av kvalitativa studier med Evans metod för dataanalys och resultatet presenterades i en beskrivande syntes. Resultat Hinder som försvårar upptäck och anmälan gällande barnmisshandel identifierades, så som organisation, brist på kompetens, personliga barriärer samt svåra möten. Behov av utbildning och stöd gällande upptäckt och anmäla kring barnmisshandel sågs. Slutsats Barns rätt att inte fara illa kan förbättras genom att eliminera hinder. Förbättringar inom organisationen som kontinuerligt stöd och utbildning främjar upptäckt och ökar orosanmälningar vid misstanke om barnmisshandel. Sjuksköterskans insikt gällande skyldigheter är viktigt att fokusera på, att våga ge stöd till barn som uttrycker utsatthet och våga möta känslor av rädsla och obehag ökar möjligheterna att hitta barn som utsätts för barnmisshandel. / Background Child abuse is a global health issue that causes severe consequences in early life development and adulthood. Every fifth child are exposed to child abuse. Adults who have experienced child abuse have a higher risk for mental and physical illness. Monitoring the child’s progress and making sure they have a safe home environment is important. Purpose To explore what obstacle there is for nurses not to report child abuse in a situation where it is suspected or confirmed. It was also to explore what kind of knowledge and support the nurses need to increase their chances of identifying these children and to provide intervention. Method A review of qualitative studies were conducted with the method of Evans for the descriptive analysis. Results Several risks for not detecting or reporting child abuse were identified; organization, lack of skills, personal barriers and tough encounters. A focused need for education and support to detect and report child abuse were expressed. Conclusion The children’s right not to be harmed can be improved by eliminating barriers. Improvements within the organization, support and education promote detection and reports of concern in suspected child abuse and will reduce the potential for child harm. The nurse's understanding of responsibilities is a critical part to focus on. If nurses dare to provide support to children who express vulnerability and face their own feelings of fear and discomfort it would increase the opportunity to find children who are subjected to child abuse.

Bakgrund Barn som far illa är ett globalt folkhälsoproblem där mörkertalet är stort. All form av våld leder till livslånga konsekvenser för barn som utsätts, och de berättar sällan självmant om levnadsförhållanden när dessa är annat än goda. Vilket gör att sjuksköterskors professionella ansvar är betydelsefullt i mötet med utsatta barn. En av sjuksköterskans kärnkompetenser är personcentrerad vård där ett helhetsperspektiv kring barnet bör beaktas, då ett ansvar att identifiera och en skyldighet att anmäla vid misstanke om att barn far illa föreligger. Syfte Syftet var att beskriva sjuksköterskors upplevelser av faktorer som inverkar på beslutet att orosanmäla vid misstanke eller vetskap av att ett barn far illa. Metod Föreliggande litteraturöversikt har genomförts med 17 inkluderade studier av både kvalitativ och kvantitativ studiedesign. Datainsamlingen genomfördes i databaserna Public MEDLINE och Cumulative Index to Nursing and Allied Health Literature. Studierna kvalitetsgranskades därefter utifrån Sophiahemmet Högskola bedömningsunderlag, på vilken en integrerad analys användes för bearbetning av resultatet. Resultat Litteraturöversiktens resultat beskrevs utifrån tre huvudkategorier: sjuksköterskans kunskap och perception av barn som far illa, sjuksköterskans erfarenhet av anmälningsprocessen samt sjuksköterskans arbetsmiljö. Med tillhörande subkategorier beskrev dessa sjuksköterskans upplevelser av faktorer som inverkade på beslutet huruvida sjuksköterskan genomförde en orosanmälan eller ej. Slutsats Sjuksköterskors erfarenhet, personliga inställning till området samt rådande lagstiftning i respektive land var faktorer som inverkade vid processen kring orosanmälningar. Resultatet visade behov av stöd och hjälp i processen som rör handhavandet kring barn som far illa. Vidden av detta globala folkhälsoproblem bör uppmärksammas då en utebliven orosanmälan bidrog till ytterligare lidande för det redan utsatta barnet. Flertalet sjuksköterskor saknade kunskap i det medföljande juridiska ansvar en orosanmälan kräver, vilket uppmärksammade behovet av adekvat utbildning och uppdaterad klinisk färdighetsträning. / Background Child maltreatment is a global public health problem where the hidden statistics are extensive. All forms of violence lead to lifelong consequences for children who are exposed, and they rarely disclose their living conditions as these are anything but good. This means that nurses' professional responsibilities are important in meeting with vulnerable children. One of the nurse's core competencies is person-centered care, where a holistic perspective on the child should be considered, as there is a responsibility to identify and an obligation to report in the event of suspicion that a child is being harmed. Aim The aim was to describe nurses' experiences of factors that influence the decision of mandatory reporting to suspected or confirmed child maltreatment. Method The literature review has been conducted with 17 included studies of both qualitative and quantitative study design. The data collection was conducted in the databases Public MEDLINE and Cumulative Index to Nursing and Allied Health Literature. The studies were then quality-examined based on Sophiahemmet University's assessment data, on which an integrated analysis was used to process the results. Results The results of the literature review are described based on three main categories: the nurse's knowledge and perception of child maltreatment, the nurse's experience of the registration process, and the nurse's working environment. With associated subcategories, these describe the nurse's experience of factors that may influence the decision whether the nurse makes a report on child maltreatment or not. Conclusions Nurses' experience, personal attitude to the field, and prevailing legislation in each country are factors that influence the process of reporting regarding concerns about child maltreatment. The results showed the need for support and help in the process of dealing with child maltreatment. The extent of this global public health problem should be noted, as a failure to report contributes to further suffering for the already vulnerable child. Most nurses lacked knowledge of the legal responsibilities required to report a concern of child maltreatment, which drew attention to the need for adequate education and up-to-date clinical skills training.

Introduktion/Bakgrund: Barnmisshandel är ett globalt dilemma. Sverige antog Barnkonventionen som svensk lag år 2020 för att stärka de svenska barnens rättigheter i samhället. I Sverige har alla sjuksköterskor anmälningsplikt vid misstanke om att barn far illa. Detta är dock inget alla länder har lagstadgat för. Syfte: Syftet var att belysa sjuksköterskornas erfarenhet av orosanmälan när barn misstänks fara illa. Metod: Litteraturstudien följde Roséns (2017) granskningsprocess. Studiens resultat utgick från sju artiklar som kvalitetsgranskades. Kvalitetsgranskningen genomfördes utifrån Forsberg och Wengströms (2016) granskningsmallar. Resultat: Sjuksköterskornas erfarenhet av att genomföra en orosanmälan redovisades i fem kategorier; kunskapsbrist, norm och kultur, vanmakt, svårigheter att identifiera tecken på barnmisshandel och reaktioner från vårdnadshavare. Slutsats: Sjuksköterskornas erfarenhet var att de behövde kunskap om barnmisshandel och dess tecken och bättre anvisningar för tillvägagångssätt vid rapportering av fall där barn misstänks fara illa. Den kliniska betydelsen för detta arbete är att uppmärksamma ämnet för att sjuksköterskor ska få mer utbildning och kunskap inom barnmisshandel. Förslag till fortsatta studier inom ämnet är mer forskning inom Norden för att med uppdaterade siffror kunna jämföra med andra länder och sprida kunskapen.

Child neglect and abuse is a widespread problem and mandatory reporting is one of society's most important instruments for detecting and supporting children that are affected. Teachers are an occupational professional group in a unique position to identify children affected by abuse and neglect, but previous research shows that teachers often lack proper education and skills to detect children in need of protection and support. The aim of the study is to examine the qualifications student teachers acquire during their undergraduate studies to act as mandated reporters in their future careers. Furthermore the aim is to problematize how prepared student teachers are for this responsibility. All final year student teachers studying F-3 and 4-6 at Linneaus university in Kalmar and Växjö were asked to participate in a web survey. The results of the study showed that education on child neglect and abuse was scarce and received no primary focus during student teachers basic training. The results also showed that only a minority of the student teachers had received information via official guidelines and documents, while previous work experience was a major source of knowledge on child abuse and neglect. Our conclusion of the study is that student teachers are ill prepared for the responsibility as mandated reporters. This is problematized in the discussion where mandatory reporting and it’s prerequisites are put in a different perspective based on society's responsibility regarding child abuse and neglect.

The purpose of this study is to identify students’ awareness, knowledge, and perceptions of the mandatory reporting policy related to Title IX of the Education Amendments of 1972 (Title IX). Mandatory reporting requirements are being implemented in higher educational institutions; however, existing literature does not examine students’ perceptions or their knowledge of the specific requirements that apply exclusively to them. This exploratory study examines the perceptions of college students at Virginia Commonwealth University (VCU) in Richmond, Virginia. Drawing on survey data (N = 501) from a large, public research university, the study explores two outcome variables: students’ awareness of the mandatory reporting policy and students’ knowledge of the university’s Title IX and mandatory reporting policy. It is hypothesized that variation across such views may be predicted by several factors, such as rape myth acceptance, knowing a victim of sexual misconduct, knowing an individual falsely accused of sexual misconduct, and demographic characteristics. Most of the students were aware of the university’s mandatory reporting policy, but they were not especially knowledgeable about the specifics. An overwhelming number of students support the use of mandatory reporting on college campuses for sexual misconduct, but fewer individuals stated they are more likely to disclose personal sexual victimization with an enacted mandatory reporting policy. Being knowledgeable about the university’s mandatory reporting policy was positively associated with higher general support of mandatory reporting. In addition, being aware of the enacted mandatory reporting policy also emerged as statistically significant and positively associated with perceptions of disadvantages and advantages of the mandatory reporting policy. Other findings and implications are discussed.

<p>The purpose of this study was to investigate how directors of preschool apply the mandatory reporting and what information they say is important in the decision to report child maltreat-ment. The study was built on five semi-structure interviews with five directors of preschool working in Greater Stockholm. The perspective of this paper is sociology of law theory. This means to study how out of law information makes sense when director of preschool applies the mandatory reporting. The result was analysed with three different analytic tools: action plan, consulting social services and the considerations of the directors of preschool them-selves. The result showed that the information from the preschool teachers is very important the decision to report child maltreatment. None of the directors referred to an action plan that was written down. Clear signs of maltreatment, as physical and psychological signs, were information that directly was reported. When anxiety was explained to lack clear physical and psychological signs the directors were left alone with their own subjective feelings. The pos-sibility to consult with social services was told to be a very important support.</p>

The purpose of this study was to investigate how directors of preschool apply the mandatory reporting and what information they say is important in the decision to report child maltreat-ment. The study was built on five semi-structure interviews with five directors of preschool working in Greater Stockholm. The perspective of this paper is sociology of law theory. This means to study how out of law information makes sense when director of preschool applies the mandatory reporting. The result was analysed with three different analytic tools: action plan, consulting social services and the considerations of the directors of preschool them-selves. The result showed that the information from the preschool teachers is very important the decision to report child maltreatment. None of the directors referred to an action plan that was written down. Clear signs of maltreatment, as physical and psychological signs, were information that directly was reported. When anxiety was explained to lack clear physical and psychological signs the directors were left alone with their own subjective feelings. The pos-sibility to consult with social services was told to be a very important support.