Objective:To analyse the actions reported by primary care nurses in the fi ght against domestic violence against children and adolescents. Methods: Qualitative research conducted at fi ve family health centres in the state of São Paulo, Brazil. Data were collected in the second half of 2013 through semi-structured Results: Two thematic cores emerged: "Public policies identifi ed by the nurses" and "Nurses' actions regarding violence permeated by fear and confl icts". The nurses were familiar with public policies, but they were unable to put them into practice; they were unprepared to identify and cope with the violence; they did not participate in training courses; they were afraid to report the detected cases of violence. Conclusion:The main limitations to the practical work of nurses are work burden, lack of security, and the dynamics of work that is not articulated with the protection network, which causes the underreporting of cases of domestic violence. Keywords: Domestic violence. Primary healthcare. Community health nursing. Child. Adolescent. RESUMO Objetivo:Analisar as ações relatadas por enfermeiros da atenção básica no enfrentamento da violência doméstica contra crianças e adolescentes. Métodos: Pesquisa qualitativa, realizada em cinco Unidades de Estratégia de Saúde da Família do Estado de São Paulo, Brasil. Dados coletados no segundo semestre de 2013 através de entrevistas semiestruturadas com cinco enfermeiras e analisados através de análise de conteúdo, modalidade temática. Resultados: Emergiram dois núcleos temáticos: "Políticas públicas identifi cadas pelas enfermeiras" e "Ações das enfermeiras diante da violência permeadas por medos e confl itos". As enfermeiras conheciam as políticas públicas, mas não conseguiam colocá-las em prática; estavam despreparadas para identifi car e enfrentar a violência; não participavam de cursos de capacitação; temiam notifi car os casos detectados de violência. Conclusão: As principais limitações ao trabalho prático dos enfermeiros são a sobrecarga de trabalho, a falta de segurança e a dinâ-mica de trabalho desarticulada com a rede de proteção as quais levam à subnotifi cação dos casos de violência. Palavras-chave: Violência doméstica. Atenção primária à saúde. Enfermagem em saúde comunitária. Criança. Adolescente. RESUMEN Objetivo:Analizar las acciones relatadas por enfermeros de la atención básica en el enfrentamiento de la violencia doméstica contra niños y adolescentes. Método: Investigación cualitativa, desarrollada en cinco Centros de Salud de Familia del estado de São Paulo, Brasil. Datos recolectados en la segunda mitad de 2013, mediante entrevistas semiestructuradas con cinco enfermeras y analizados a través de análisis de contenido, modalidad temática. Resultados: Emergieron dos núcleos temáticos: "Políticas públicas identifi cadas por las enfermeras" y "Acciones de las enfermeras ante la violencia permeadas por miedos y confl ictos". Las enfermeras conocían las políticas públicas, pero no lograban colocarlas en práctica; no estaban preparadas ...
Theoretical framework: Dating violence is a serious and avoidable public health issue worldwide, which may have negative consequences in adolescents' health. Objectives: To estimate the prevalence of dating violence in adolescence and to characterise episodes of dating violence according to socio-demographic variables. Methodology: Cross-sectional descriptive study, with an estimated population of 4,905 students. Sample composed of 643 adolescents, of which a subset of 260 participants who had a boyfriend/girlfriend at the time of the study was extracted. The following questionnaires were used: Global School-based Student Health Survey and Violência na Escola (Violence at School). Data were analysed using the Statistical Package for the Social Sciences (SPSS), version 21. Results: The prevalence of dating violence was 19.2%. Significant associations were found between gender and the questions (victim or aggressor), with more girls being aggressors (14.3%). After the aggression episode, 40% of adolescents felt nothing and 28% considered it normal, 40% of participants did nothing and 36% ended the relationship. Conclusion: A naturalisation of dating violence is observed, thus prevention programs should be developed.
Objective: Assess the understanding of adolescents regarding the social support received in situations of domestic violence. Method: A qualitative study with data collection carried out through focus groups with 17 adolescent victims of domestic violence, institutionally welcomed in Campinas-SP, and through semi-structured interviews with seven of these adolescents. Information was analyzed by content analysis, thematic modality. Results: Observing the thematic categories it was found that social support for the subjects came from the extended family, the community, the Guardianship Council, the interpersonal relationships established at the user embracement institution and from the religiosity/spirituality. Conclusion: The mentioned sources of support deserve to be enhanced and expanded. With the current complexity of the morbidity and mortality profiles, especially in children and adolescents, the (re)signification and the (re)construction of health actions is imperative.
Este é um estudo exploratório qualitativo realizado em uma cidade no interior do estado de São Paulo, em 2017, com o objetivo de compreender o processo de trabalho de educadoras da proteção social especial em uma instituição de abrigamento para crianças e adolescentes. Foram realizados cinco encontros com oito educadoras, com idades entre 25 a 58 anos. Os instrumentos utilizados foram: observação participante; diários de campo, audiogravações e transcrições; e referencial teórico da Psicanálise Freudiana. Utilizou-se análise de conteúdo de Bardin e nos relatos das educadoras emergiram duas categorias: 1) Impotência no trabalho; 2) O abrigo como extensão da família. Houve conscientização sobre suas queixas, mas demonstram falta de capacitação, adotando mecanismos de defesa para lidar com o sofrimento. A pesquisa mostrou a necessidade de uma rede de apoio articulada composta por profissionais capacitados para prestar assistência integral a crianças e adolescentes em condições de vulnerabilidade social.
SCATENA, L. Social representations from the perspective of adolescents and employees of suffered and practiced violence in a Living and Strengthening of Bonds Service. 2015. 131 p. Dissertation (Doctoral Degree).
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