NCJ Number
227460
Journal
Child Abuse Review Volume: 18 Issue: 3 Dated: May-June 2009 Pages: 205-214
Date Published
June 2009
Length
10 pages
Annotation
Using published literature, reflection on clinical practice, and theoretical models, this article explores the diagnostic radiographer's role in child protection.
Abstract
The diagnostic radiographer has traditionally performed only the imaging role by X-raying children with injuries. Their potential for greater responsibility in child-protection work has not been fully explored. Radiographers frequently come into contact with children and may be unaware that they are creating significant evidential documentation related to nonaccidental injuries (NAI). When imaging children suspected of having received NAI's from physical abuse, the radiographer should be aware of the possibility of being called upon later to participate in legal proceedings in the case. If radiographers are not aware of child-protection procedures, they will not perform their work accordingly, placing the child and themselves in jeopardy by their actions, such as beginning to question the child. Also, failing to act by not reporting disclosure has major implications for any legal proceedings. This article uses the "Law of Social Impact" and the concept/model of the "Innocent Bystander" in order to explain radiographers' reluctance to become involved in child protection issues. The "Law of Social Impact" maintains that factors such as the status and social class of the child, family, and professional involved may influence the perception and subsequent reporting of a radiographer's suspicions of NAI. The concept of the "Innocent Bystander" explains failure to intervene to help a person being victimized as due to bystander fear of taking the wrong action, which may result in adverse consequences for the bystander. In order to address these tendencies toward responsible action when NAI is suspected, child-protection training for all those involved in direct patient care is being provided. It is important that radiographers participate in such training and recognize their responsibility in the critical are of child protection. 29 references