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Les professionnels de santé confrontés aux situations de maltraitance sur des mineurs et des personnes âgées vulnérables

Abstract : This work is part of the very particular social context of better attention paid to victims, especially abuse. Beyond this development, which is reflected in the many pieces of legislation on this subject, it appears in the practice of field professionals that many resistances point to the most vulnerable. This is particularly the case for caregivers who are particularly concerned, as they are often the first to be able to spot signs of abuse (somatic, psychological). Their reluctance or even resistance to reporting has never been studied from the point of view of the right to know the arguments used by these professionals to explain their lack of reporting and the implications in terms of legal protection of the most vulnerable. For practical reasons, we targeted this study at both ends of the ages of life, namely on minors and vulnerable elderly people; the issue of abuse of persons with disabilities or victims of domestic violence is equally essential, but would have required even more complex analysis, as it involves other issues.The study was based on an analysis of the results of an internet questionnaire provided by 1157 caregivers. The main objective of this research is therefore to better understand the resistance.The main objective of this research is therefore to better understand the resistance of health professionals to reporting when they are caring for a vulnerable person for whom abuse is suspected, particularly when it is it is a child or an elderly person.The secondary objectives in such research are multiple and aim to assess the impact of individual factors (ages, seniority, level of training, place of practice) and collective factors (institutional dynamics, networking) on the positioning of professionals in the face of reporting.The organization of the results is proposed in two part: the first addresses the issue of health professionals in the face of clinical issues in the field of identification, the second that of health professionals in the face of legislation and their obligations professionals in this area.This study focuses on the analysis of the reporting practices of carers in France, but we make it clear at the outset that this problem is the lawof being exclusively national and that the issues related to itcannot be ensured state only if regulations are implemented at the international level as well.
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Hélène Romano. Les professionnels de santé confrontés aux situations de maltraitance sur des mineurs et des personnes âgées vulnérables. Droit. Université de Bordeaux, 2019. Français. ⟨NNT : 2019BORD0389⟩. ⟨tel-02498588⟩

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