Abstract:This qualitative study aimed at finding out the perceptions of health professionals about the assistance to women living in a violent situation. The scenery was a teaching hospital of southern Brazil. The participants were 12 health professionals from the obstetric and emergency units. The data were collected by semi structured interviews started by a short story in April to May of 2008. The information was organized and categorized and subject to thematic analysis. The results showed two categories: the dialo… Show more
“…However, the effectiveness of care is achieved by planning the actions that will be offered to users, as well as adopting joint measures between health professionals and users to reach the objectives of the planning. 6 When it is recognized that violence is a serious public health problem that needs specialized professionals and a support network of qualified individuals, it becomes possible to apply the coping measures for violence. Thus, it is possible to understand the construction and implementation of strategies already advocated by the policies for fighting and coping with violence through health professionals.…”
Section: Discussionmentioning
confidence: 99%
“…5 The health sector is characterized as a gateway for the care of women in situations of violence. 6 In this context, health professionals play a strategic role in identifying violence, as well as in these women's health care and their referral to specialized services. 7 Primary health care services are key to detecting violence against women because they have wide coverage and close contact with women, and are thus able to recognize and address the case before more serious incidents develop.…”
Objective. Identify the actions conducted by primary health care nurses for women in situations of domestic violence. Methodology. Exploratory-descriptive study with a qualitative approach. Participants were 17 nurses who worked in the Basic Health Unit in a city in the interior of Rio Grande do Sul, Brazil. The data was collected through semi-structured interviews and the information processing was performed using the interview content analysis technique. Results. By acting in a context of the violence, the nurses describe some elements and strategies they use that allow recognition and action to combat violence, namely: acceptance and empathy, establishing a bond of trust between the professional and the woman, dialogue, and intent listening. The limitations mentioned by participants were: lack of professional training to address the situation, feeling of unpreparedness, lack of time for the workload, the professional's difficulty in recognizing and dealing with violence given its complexity, low efficiency of the service network, and the sense of professional impotence against the gravity and complexity involved in violence. Conclusion. The participants are not adequately prepared to care for women in situations of domestic violence. It is necessary that this issue be addressed in the training of nursing professionals.Key words: nursing care; primary health care; spouses; violence against women.
Enfermería en la atención primaria de salud y el cuidar de las mujeres en situación de violencia de géneroObjetivo. Identificar las acciones tomadas por las enfermeras de atención primaria de salud a las mujeres en situación de violencia de género. Metodología. Estudio exploratorio-descriptivo con abordaje cualitativo. Los participantes fueron 17 enfermeros que laboraban en la Unidad Básica de Salud de una ciudad del interior de Río Grande do Sul, Brasil. Los datos se recolectaron mediante entrevistas semi-estructuradas; el procesamiento de la información se realizó con la técnica de análisis de contenido.Invest Educ Enferm. 2015;33(3) • 557Resultados. Al actuar en el contexto de la violencia de género, el personal de enfermería describe algunos elementos y estrategias que utiliza y que le permite el reconocimiento y la actuación para enfrentarla, estos son: la acogida y la empatía, el establecimiento de un vínculo de confianza entre profesional y la mujer, el diálogo y la escucha con atención. Las limitaciones que mencionaron los participantes fueron, entre otras, la falta de formación profesional para enfrentar la situación, la sensación de falta de preparación, la falta de tiempo por la sobrecarga de trabajo, la dificultad del profesional para reconocer y hacer frente a la situación de violencia de género dada su complejidad, la baja eficiencia de la red de servicios, y el sentido de impotencia profesional contra la gravedad y la complejidad involucrada en este tipo violencia. Conclusión. Los participantes no están adecuadamente preparados para el cuidado de la mujer en situación de violencia de género. Es necesari...
“…However, the effectiveness of care is achieved by planning the actions that will be offered to users, as well as adopting joint measures between health professionals and users to reach the objectives of the planning. 6 When it is recognized that violence is a serious public health problem that needs specialized professionals and a support network of qualified individuals, it becomes possible to apply the coping measures for violence. Thus, it is possible to understand the construction and implementation of strategies already advocated by the policies for fighting and coping with violence through health professionals.…”
Section: Discussionmentioning
confidence: 99%
“…5 The health sector is characterized as a gateway for the care of women in situations of violence. 6 In this context, health professionals play a strategic role in identifying violence, as well as in these women's health care and their referral to specialized services. 7 Primary health care services are key to detecting violence against women because they have wide coverage and close contact with women, and are thus able to recognize and address the case before more serious incidents develop.…”
Objective. Identify the actions conducted by primary health care nurses for women in situations of domestic violence. Methodology. Exploratory-descriptive study with a qualitative approach. Participants were 17 nurses who worked in the Basic Health Unit in a city in the interior of Rio Grande do Sul, Brazil. The data was collected through semi-structured interviews and the information processing was performed using the interview content analysis technique. Results. By acting in a context of the violence, the nurses describe some elements and strategies they use that allow recognition and action to combat violence, namely: acceptance and empathy, establishing a bond of trust between the professional and the woman, dialogue, and intent listening. The limitations mentioned by participants were: lack of professional training to address the situation, feeling of unpreparedness, lack of time for the workload, the professional's difficulty in recognizing and dealing with violence given its complexity, low efficiency of the service network, and the sense of professional impotence against the gravity and complexity involved in violence. Conclusion. The participants are not adequately prepared to care for women in situations of domestic violence. It is necessary that this issue be addressed in the training of nursing professionals.Key words: nursing care; primary health care; spouses; violence against women.
Enfermería en la atención primaria de salud y el cuidar de las mujeres en situación de violencia de géneroObjetivo. Identificar las acciones tomadas por las enfermeras de atención primaria de salud a las mujeres en situación de violencia de género. Metodología. Estudio exploratorio-descriptivo con abordaje cualitativo. Los participantes fueron 17 enfermeros que laboraban en la Unidad Básica de Salud de una ciudad del interior de Río Grande do Sul, Brasil. Los datos se recolectaron mediante entrevistas semi-estructuradas; el procesamiento de la información se realizó con la técnica de análisis de contenido.Invest Educ Enferm. 2015;33(3) • 557Resultados. Al actuar en el contexto de la violencia de género, el personal de enfermería describe algunos elementos y estrategias que utiliza y que le permite el reconocimiento y la actuación para enfrentarla, estos son: la acogida y la empatía, el establecimiento de un vínculo de confianza entre profesional y la mujer, el diálogo y la escucha con atención. Las limitaciones que mencionaron los participantes fueron, entre otras, la falta de formación profesional para enfrentar la situación, la sensación de falta de preparación, la falta de tiempo por la sobrecarga de trabajo, la dificultad del profesional para reconocer y hacer frente a la situación de violencia de género dada su complejidad, la baja eficiencia de la red de servicios, y el sentido de impotencia profesional contra la gravedad y la complejidad involucrada en este tipo violencia. Conclusión. Los participantes no están adecuadamente preparados para el cuidado de la mujer en situación de violencia de género. Es necesari...
“…O que remete para a falta de intercâmbio de pontos de vista entre as mulheres e os profissionais, o déficit de comunicação entre os envolvidos e os desencontros assistenciais no apoio institucional. Na maioria das vezes, são priorizadas as necessidades preestabelecidas pelo olhar profissional (7,14,19).…”
Section: Discussionunclassified
“…Nesse sentido, as inquietações quanto ao tema violência contra as mulheres são frutos de vivências e discussões junto a profissionais de saúde de um hospital universitário do sul do Brasil, com vistas a construir coletivamente uma rede assistencial que permita às mulheres uma assistência qualificada (14).…”
RESUMODevido aos impactos da violência na vida das mulheres, o Estado, o setor saúde e a sociedade civil a entendem como uma ação que anula os direitos humanos e consideram esta problemática importante no campo da pesquisa. Objetivo: apreender as necessidades assistenciais da mulher que denuncia, na delegacia de polícia, o vivido em situação de violência. Método: estudo na abordagem qualitativa pautado no referencial teórico-metodológico da Fenomenologia Social de Alfred Schütz. Desenvolvido em delegacias de um município do sul do Brasil mediante entrevista fenomenológica com 13 mulheres. Resultados: a intencionalidade da mulher para a ação de denunciar expressa as expectativas que remetem às necessidades assistenciais de justiça, de ajuda institucional e de proteção sua e dos filhos. Conclusão: a denúncia está relacionada às demandas institucionais e sociais, bem como sinaliza a importância de vislumbrar esta clientela na sua dimensão humana e social no mundo da vida.
PalavRaS-cHavE
“…A atuação multidisciplinar é aquela formada por vários profissionais de diferentes especialidades, atuando como grupo, havendo necessidade de interrelação entre a equipe, a qual deve reconhecer o paciente como um todo, em atitude humanizada (5) . Os profissionais que atuam no setor saúde têm importante papel nesse contexto, pois a visibilidade da violência contra a mulher, bem como o aumento da demanda de casos desta natureza nos serviços de saúde, exige, de forma crescente, conhecimento e preparo dos profissionais de saúde, com vistas ao alcance de assistência resolutiva (6) . No tocante à assistência profissional, as vítimas de agressores e de outras formas de violência, podem contar com programas de apoio na resolução de problemas familiares, tanto governamentais quanto não governamentais (7) .…”
RESUMO:Objetivou-se identificar o papel de profissionais atuantes em serviço de referência à mulher vítima de violência e descrever as dificuldades encontradas. Estudo descritivo, qualitativo, realizado em centro de referência em atendimento à vítimas de violência, em Fortaleza-Ceará, entre setembro e outubro de 2009. Foram entrevistados 20 profissionais atuantes no serviço, cujos dados foram coletados e analisados, conforme a técnica de análise de narrativas. Os resultados mostram que as mulheres seguiam fluxo de atendimento por meio da equipe multidisciplinar, com a assistência de profissionais de nível elementar, médio e superior. Os profissionais enfatizaram diversos obstáculos relacionados à ressocialização das vítimas, a não aceitação de acompanhamento psicológico e a escassez de recursos humanos. Enfatiza-se a necessidade de maior interação da rede de saúde com os serviços de referência, proporcionando a reestruturação emocional e social da mulher vítima de violência. DESCRITORES: Saúde da mulher; Violência doméstica; Equipe de assistência ao paciente.
MULTIPROFESSIONAL ASSISTANCE TO THE WOMAN WHO IS A VICTIM OF DOMESTIC VIOLENCE: THE PROFESSIONALS' FUNCTIONING AND THE DIFFICULTIES FOUND ABSTRACT:The aim was to identify the role of the professionals acting in a service of excellence for women who are victims of domestic violence, and to describe the difficulties found. This descriptive and qualitative study was undertaken in a center of excellence in treating victims of violence, in Fortaleza-Ceará, between September and October 2009. Interviews were held with 20 professionals working in this service; their data was collected and analyzed in line with the technique of analysis of narratives. The results show that the women followed a route of attendance via the multidisciplinary team, with the assistance of professionals from the elementary, middle and higher levels. The professionals emphasized various obstacles related to the re-socialization of the victims, their refusal to accept psychological follow-up, and the scarcity of human resources. The need is emphasized for greater interaction of the healthcare network with the services of excellence, providing emotional and social restructuring of the woman who is the victim of violence. DESCRIPTORS: Woman's health; Domestic violence; Patient care team.
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