As the number of infants entering Out-of-Home Care at birth internationally continues to rise, Hospital-based healthcare workers (HBHCWs) are increasingly likely to become involved in ethically, morally, and legally complex child protection processes. This scoping review aimed to identify and synthesize qualitative literature pertaining to the perspectives of HBHCWs with experiences of involvement in child protection processes occurring in the perinatal period. JBI Methodology for Scoping Reviews guided this review. Databases Ovid MEDLINE, CINAHL Plus, PsycINFO, ProQuest, Web of Science, SCOPUS, and Informit were searched between March 1 and April 30, 2023. Eighteen sources were identified as meeting the criteria for inclusion following screening by two independent reviewers. Data extracted from the included sources are presented in narrative and tabular formats. Involvement in child protection processes is an inherently conflictual experience for HBHCWs and gives rise to internal, interpersonal, and interorganizational tensions. Involvement can have an enduring impact on the HBHCWs, particularly when an infant is removed from hospital by child protection authorities. Appropriate peer, managerial, and organizational level responses are essential to ameliorate risk to HBHCWs themselves and subsequently their practice with women, infants, and families. HBHCWs can provide valuable insight into the challenges of delivering healthcare at the interface of child protection. Future research should focus on building understanding of experiences across disciplines to ensure that interventions designed to prepare and support HBHCWs are effective and evidence-based.

中文翻译：

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医院医护人员参与围产期儿童保护过程的经验：范围界定文献综述


随着国际上出生时接受户外护理的婴儿数量持续增加，医院医护人员 (HBHCW) 越来越有可能参与伦理、道德和法律上复杂的儿童保护程序。本次范围界定审查旨在确定和综合有关具有参与围产期儿童保护过程经验的家庭卫生工作者观点的定性文献。 JBI 范围界定方法论为本次审查提供了指导。数据库 Ovid MEDLINE、CINAHL Plus、PsycINFO、ProQuest、Web of Science、SCOPUS 和 Informit 在 2023 年 3 月 1 日至 4 月 30 日期间进行了检索。经两名独立评审员筛选后，确定 18 个来源符合纳入标准。从所包含的来源中提取的数据以叙述和表格格式呈现。对于家庭卫生工作者来说，参与儿童保护进程本质上是一种冲突经历，并会导致内部、人际和组织间的紧张关系。参与可能会对 HBHCW 产生持久影响，特别是当儿童保护机构将婴儿带出医院时。适当的同事、管理层和组织层面的应对措施对于降低HBHCW 本身以及随后对妇女、婴儿和家庭的实践的风险至关重要。 HBHCW 可以针对在儿童保护方面提供医疗保健的挑战提供宝贵的见解。未来的研究应侧重于建立对跨学科经验的理解，以确保旨在准备和支持家庭卫生工作者的干预措施有效且基于证据。