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 ...
For some adolescents, pregnancy means happiness and fulfillment. However, for most of them, it means a sad moment, characterized by fear and despair, as this is an unplanned situation and the abortion seems the only alternative. This retrospective study aimed at finding out the epidemiological profile of the adolescents admitted at the Clériston Andrade General Hospital, in Feira de Santana, Bahia, that were submitted to a curettage from January 1995 to December 1997. The results showed the need for educative programs in order to prevent unplanned pregnancies.
Objective: to analyze the school violence suffered and practiced and its association with the use of alcohol and other drugs in adolescents between 12 and 18 years old. Method: the study sample consisted of 643 adolescents enrolled in six schools, who answered two self-administered questionnaires: “Global School-based Student Health Survey” and “Violence in School”. Statistical analysis was performed using the chi-square test and the degree of association between the variables was analyzed using the prevalence ratio. Results: the prevalence of school violence suffered and practiced was 62.2% and 51.9%, respectively. About 44.6% of the aggressors said they did not want to change their behavior. There was an expressive prevalence of alcohol use (16.5%), tobacco (15.7%) and illicit drugs (6.8%), and drunkenness (12.6%). There was a significant association between the violence suffered and the age group of 12 to 14 years old (p=0.001); (p=0.011) and education level in elementary school (p<0.001). In mothers with less than eight years of studies, the association was significant for the violence practiced (p=0.002). Conclusion: the study contributes to the aspects involved in school violence, which can subsidize actions and policies in this area.
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.
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.
This paper addresses the perception of members of the judiciary regarding the introductory deposition. The concept of comprehensive protection was used as a theoretical benchmark. It involves qualitative research, in which the semi-structured interview enabled the production of data, organized according to the content analysis technique, resulting in the following themes: production of evidence; protection; and challenges/needs. A positive perception of the interview was expressed in all themes. It became clear, however, that the culture observed in the judiciary arises as an obstacle to conducting the introductory deposition, since it is necessary to adapt the institution in order to apply the methodology. The enhancement of the physical infrastructure and training of the judiciary clerks are challenges to be overcome for the implementation of the interview as one of the court case procedures involving children and adolescents who are the victims or witnesses of violence.
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