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 ...

The objective of this work was to think over the sexual violence against children and adolescents, focusing on the nurses` performance regarding their professional practice and Brazilian legislation. This is a bibliographical study in which 31 publications covering the period from 2005 until 2008 were researched. Through content analysis, thematic modality, the knowledge characterization was obtained in three cores: attention towards children and adolescents' health, notification and professional qualifications. The nurse must be able to care of children and adolescents based on the laws that protect them, being an imperative for that the involvement of health services, class entities and universities.

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Resumo O objetivo deste trabalho foi analisar a tendência da completitude dos dados de violência perpetrada contra adolescentes registrados em Pernambuco, em 2009-2012. Estudo transversal, com 5.259 adolescentes vítimas de violência notificadas no SINAN-VIVA da Secretaria Estadual de Saúde de Pernambuco. Utilizou regressão linear simples para investigar a tendência de completitude das variáveis. Os percentuais de completitude foram considerados como variáveis dependentes (Y) e os anos da série, como independentes (X). Os resultados mostram um incremento significativo de 204% no número de notificações. Porém, das 34 variáveis analisadas, 27 (79,4%) apresentaram tendência Estacionária, 6 (17,6%) Decrescente e apenas uma (2,9%) Crescente. A completitude foi considerada ‘Muito Ruim’ para as variáveis: Escolaridade (47,3%), Complemento (21,3%), Hora da Ocorrência (38,0%) e Uso de Álcool Pelo Agressor (47,0%). Portanto, apesar do grande incremento no numero de notificações, a qualidade dos dados permaneceu comprometida, dificultando uma análise mais realista neste grupo.

For nursing to respond to the contemporary care demands in a contemplative and pertinent manner, a perspective and a reference framework need to be developed, leading to broader and more contextualised actions, with a multidimensional approach to the families and communities of which child and adolescent victims of violence are a part.

Silva LMP da, Santos TMB dos, Santiago SRV et al.Analysis of the completness of the notifications... English/Portuguese J Nurs UFPE on line., Recife, 12(1):91-101, Jan., 2018 91 ISSN: 1981-8963 ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v12i01a23306p91-101-2018 ABSTRACT Objective: to analyze the completeness of the records of violence against children. Method: quantitative study with 4,252 children who were victims of violence as reported in the violence and accident surveillance system. Completeness was measured by means of 27 variables present in the notification form, considering the following parameters: 'Excellent' > 95% of completeness; 'Good' 95- ANALYSIS OF THE COMPLETNESS OF THE NOTIFICATIONS OF VIOLENCE PERPETRATED AGAINST CHILDREN ANÁLISE DA COMPLETITUDE DAS NOTIFICAÇÕES DE VIOLÊNCIA PERPETRADAS CONTRA CRIANÇAS ANÁLISIS DE LA COMPLETITUD DE LAS NOTIFICACIONES DE VIOLENCIA PERPETRADAS CONTRA NIÑOS

The aim of the present study was to investigate the perception of health care service managers about the network action for the care of adolescent victims of violence. A qualitative, exploratory, descriptive study conducted from May to July of 2013. The subjects were 15 managers of a hospital that is a referral center for cases of violence in the Brazilian State of Pernambuco. Data were collected through semi-structured interviews and explored using content analysis. The results indicate that social work plays an aggregating and interconnecting role as required by the network action. The health care network is appreciated, but regarded as providing insufficient actions, with lack of standardization of care and service flow. We conclude that the subjects show a positive perception of the role of the studied service, but they point out a lack of specific technical standards in the health care sector aimed at high quality care for adolescents.

The present study contributes to international clinical nursing, especially in low- and middle-income countries, by discussing (a) looking at and caring for family members of children and adolescents who have been abused in a contextualised manner; (b) family empowerment, which enables them to have access to healthier environments and to educational/employment opportunities; and (c) broad comprehension of health care among the family members, which provides perspectives not only for looking at violence but also for strengthening supportive social relationships.