Este estudo teve como objetivo compreender as potencialidades e limitações do processo de trabalho da enfermagem de uma Unidade Básica de Saúde para o reconhecimento das necessidades de saúde da população. A vertente metodológica utilizada foi a pesquisa social, na perspectiva qualitativa, tendo como base de análise dos discursos a hermêutica-dialética, e como alicerce a Teoria da Interpretação Práxica da Enfermagem em Saúde Coletiva. Os dados foram coletados por meio da entrevista semiestruturada e os processos de trabalho das equipes foram analisados através do Fluxograma Analisador do Modelo de Atenção de um Serviço de Saúde. Concluiu-se que há limitações no cotidiano do processo de trabalho da equipe de enfermagem à medida em que o reconhecimento e enfrentamento das necessidades de saúde perpassavam pela identificação de agravos instalados, deixando em segundo plano os determinantes sociais das más condições de vida associadas ao processo saúde-doença.
This study aimed to understand the characteristics of sexual violence against children and their ways of coping the issue in primary care. The scenario of the study was the Network for the Protection of Children and Adolescents at Risk for Violence, located in Curitiba-PR. The primary source of data were collected through interviews with seven professionals who made up the municipal and regional coordination of the Network, and the secondary source was constituted by the Network's database from the year 2009. We used the Epi Info software-version 6.04d for the analyses of the secondary source and descriptive statistics for the presentation of results. The interviews were taped and transcribed entirely, and analyzed using the methodology of content analysis, hermeneutic dialectics as a method for interpretation of speeches, and also the categories of generation and gender. The results revealed that violence occurs in the home in 69.3% of cases, and gained visibility primarily through notification by hospitals and Basic Health Units (50%). Females were affected by 69.5% of the violence and males by 30.5%. In 94.2% of cases, the perpetrator of sexual violence against children is male. It was concluded that sexual violence against children, mostly girls, is perpetrated in the domestic environment in which there is a subordination of gender and generation. The results also revealed that professionals of the network have the clarity of the routines of handling situations of violence. The monitoring of notifications is done mainly by the local coordination, but the regional coordination intervenes in cases without satisfactorily progress. Although the Network is free to contact other services of the Network, the coordination is a responsibility of the regional and local coordinations. The staff turnover and the high vulnerability of the families were identified as difficulties in coping with sexual violence. It was concluded that having an organized flow and services to meet children in situations of sexual violence as well as a link between the equipment, periodic monitoring, ongoing training and adequate register of notifications, are essential for a successful work as in the case of the Protection Network. The violence does not occur exclusively on the most vulnerable classes, but is visualized by compulsory notification. Thus, it was concluded that the need for a national policy that visualize the phenomenon of violence to society as a whole, which remarks the inequality that generates violence between different social groups, and ultimately enable professionals who attend the families. Finally, it was concluded that the Protection Network, despite its contradictions, has great potential as an instrument for coping with violence.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.