OBJECTIVE:To understand experiences of nurses caring for women who have suffered sexual violence.
METHODOLOGICAL PROCEDURES:Qualitative-clinical study in which six nurses from a health care service for women who had suffered sexual violence were interviewed in the city of Campinas, Southeastern Brazil, between April and May 2007. Semi-guided interview technique with open questions was used. Data were analyzed following the content analysis technique, based on a psychodynamic framework. The following analytical categories were produced: what they think about, how they feel, how they act and how they react to the work with sexual violence victims.
ANALYSIS OF RESULTS:Interviewees indicated receptiveness as key to provide humanized health care and form a bond with clients. Feelings such as fear, insecurity, impotence, ambivalence, anguish and anxiety were reported, causing behavioral changes and interfering with one's personal life, in addition to feelings of professional achievement and satisfaction. Technical qualifi cation and activities aimed at providing psychological support were mentioned as strategies to help this type of care.
CONCLUSIONS:Although dealing with feelings such as impotence, fear and indignation, the nurses' perception of relief when fulfi lling their job tasks and the personal satisfaction felt when helping these women seem to surpass other feelings, as a form of gratifi cation. The desire to "run away" from the health care service and the willingness to do one's best occur simultaneously and are used as inner mechanisms in the sense of minimizing pain and suffering.
DESCRIPTORS:
Experiences in healthcare of sexual violence Reis MJ et alSexual violence is an underreported crime and a serious health problem due to high rates of female morbidity and mortality. 6 According to the Brazilian Ministry of Health, sexually abused women need humanized care when interacting with health service professionals.a However, while caring for women who have suffered sexual violence, these professionals frequently have to deal with their own anguish, facing human limitations, and somehow show their feelings to others.
3A phenomenological 3 study showed that such professionals feel powerless. Lack of resolvability might lead to a feeling of impotence, because they confuse their objectives and limitations with those of the people cared for. Authors comment that this impotence causes perceptible tension among professionals, along with sadness and anguish.The impact on professionals resulting from caring for people who suffer sexual violence may infl uence the quality of care provided. These professionals start to share the experience that causes a feeling of impotence and to underestimate their own capabilities and knowledge. In addition, they overlook the resources and possibilities of those who have suffered such violence.
3These reactions are not only evident when caring for sexual violence cases. Professionals who care for battered children and adolescents react similarly. They also feel impotent, an...