No abstract

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 ...

it is determined that the habitus of nursing directed at health promotion and prevention of violence must be restructured, overcoming the biomedical paradigm and involving intersectorial and multidisciplinary actions.

Abstract

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.

Objective:To know and analyze the critical path followed by women subjected to intimate partner violence until reaching a Reference Center of a Brazilian city, from the perspective of these women. Method:Qualitative research, based on the concept of critical path. Participant observations of the support group of the Reference Center and interviews with ten women in situations of violence who were followed up in this service. Results:the motivating factors for women to seek help were the increase in the severity of the aggressions, the impact of the violence on their children and support from their family. They go to several sectors and services before reaching the Reference Center, such as the police and legal counsel, health and social services. They find little effective responses from the services, and care is indicated as the most relevant response factor to face the situation. Conclusion:the assistance is fragmented and dependent on the posture of the professional. The Reference Center is recognized as an important place of support for women. In addition to governmental efforts to maintain the network structured, the permanent education of the working professionals is also fundamental.

No abstract

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.