Diagnostic characterization of services providing care to victims of accidents and violence in five Brazilian state capitals

Abstract

This article characterizes the services providing care to victims in five Brazilian regions with high violence and accident rates. It analyzes care activities and strategies, the profile of the teams, the conditions of installations, equipment and supplies, integrated care and registration services and the opinion of health managers with respect to the needs and requirements for a better care to the victims. The sample is composed by 103 services: 34 from Recife, 25 from Rio de Janeiro, 18 from Manaus, 18 from Curitiba and 8 from Brasília. The still preliminary results indicate: lower number of services focusing on the elderly; scarce investment in preventive actions; the principal actions carried out are social assistance, ambulatory and hospital care and psychological assistance; patients received from Basic Health Units require attention of the communities and families; need for investment in capacity building programs for professionals; precarious registries, data handled manually. The wording of the National Policy for Reduction of Morbidity and Mortality from Accidents and Violence is not well-known and there is a lack of articulation among and inside sectors and between prehospital and emergency care services. Rehabilitation services are insufficient in all cities.

Desfecho dos casos de violência contra crianças e adolescentes no poder judiciário

“…Children and adolescents find themselves in the latter context due to lack of self defense and dependency on adults, which turns them hierarchically less powerful and therefore more frequently subject to maltreatment (5)(6) , resulting in harmful effects on their health, which may show on short, medium or long term (1,(6)(7)(8)(9)(10)(11)(12)(13) . Presently considered a severe public health problem (14) worthy of studies and confrontation strategies (15)(16) , violence against children and adolescents is seen as a recurring phenomenon almost always veiled in a mantle of silence and related to a variety of individual, group, cultural, social and political factors (3,(17)(18) , which has drawn the attention and investments of researchers both for the magnitude and frequency of the event and the scientific acknowledgement of its effects on victims, aside from the costs for the health and justice systems (5,(19)(20) . Despite the political steps set about until now, authors still highlight the need for prioritizing, on the agenda of the various social segments, the confrontation of violence against children and adolescents (5,(21)(22) , for the greatest challenge is prevention, early detection and proper treatment, once adequate identification and procedure of cases of violence may contribute significantly to interrupting its cycle (23)(24) .…”

Percepções da equipe de enfermagem no atendimento a vítimas de violência

“…Os depoimentos de E2 e E10 corroboram os de outro estudo (14) , quando cita que a violência doméstica contra crianças causa uma grande comoção nos profissionais, mobilizando-os a protegê-las contra novos abusos, ao passo que quando é contra mulheres, estas não desfrutam de tal apelo; nem sempre há uma solidariedade e proteção e ainda existe o preconceito de que a mulher que apanha tem certa "culpa".…”

A violência contra os profissionais da enfermagem no setor de acolhimento com classificação de risco

“…The lack of information and the excessive demand of users in the emergency service can cause a decrease in the quality of care, generating in the user feelings of anxiety, frustration and loss of control that, together with the long waiting time for care, and service fragmentation, are pointed out as possible causes for violent behavior by the health system user (9,17) . The different expectations and understandings about the role of the health services in our country are factors that generate violent acts and, therefore, there is the need of studies that address the profile of the population assisted in such areas as: understanding the role of emergency services, prospects in relation to the service provided and experiences in the previous assistance in these services.…”