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.
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.
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 creation and implementation of public policy are urgently needed to address the needs of this population, by empowering families and communities and developing research that respects the multidimensional nature of the phenomenon.
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.
Objetivo identificar evidências acerca das contribuições das tecnologias de cuidado usadas para prevenção e controle da hemorragia no terceiro estágio do parto. Método revisão sistemática com busca em bases de dados. Dois investigadores selecionaram os textos de forma independente na primeira etapa e, na segunda, em reunião de conciliação. Para avaliação da concordância, aplicou-se o coeficiente Kappa; para avaliação do risco de viés e classificação dos níveis de evidência, adotou-se o Grading of Recommendations, Assessment, Development and Evaluation. Resultados incluíram-se 42 artigos; desses, 34 classificados como tecnologias de produto, sendo a maioria produtos farmacológicos; dois referentes ao uso do saco plástico transparente para a coleta de sangue e contribuição do intervalo de nascimento e dos cuidados pré-natais. Os oito artigos classificados como tecnologias de processo se referiam a manejo ativo do terceiro estágio do parto, tração controlada de cordão, massagem uterina e intervenções educacionais. Conclusão as tecnologias de produto e de processo apresentaram evidência alta e moderada confirmada em 61,90% dos artigos. Os níveis de evidência demonstram contribuições das tecnologias para prevenção e controle da hemorragia. Na prática clínica, o enfermeiro deve oferecer cuidados à mulher fundamentados em evidências científicas e construir protocolos sobre as ações de cuidado da enfermagem.
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