Abstract:INTRODUÇÃO: O Ministério da Saúde publicou o manual técnico Violência intrafamiliar: orientações para a prática em serviço como uma estratégia para identificar e intervir de forma adequada nas situações de violência intrafamiliar e preveni-las. OBJETIVOS: Identificar percepções, críticas e sugestões de docentes da saúde sobre esse manual. METODOLOGIA: Fez-se um estudo exploratório pautado na triangulação de métodos. Aplicou-se um questionário a uma amostra de conveniência de docentes de faculdades de Medicina … Show more
“…These impressions are reflected in other studies (Santos, 2005;Ferreira and Schramm, 2000;Souza et al, 2009) who point out that many health workers feel poorly qualified to deal with this public, which in turn reflects gaps in training. Thus, few recognize their role in treatment, exposing questions such as their own fears and insecurities.…”
Section: ] the Question Of Violence Especially For Those In Lower-imentioning
This article has sought to characterize the mental health network of the city of Rio de Janeiro and understand the ways, practices and discourses focused the attention given to persons in situations of violence that come to these services. We carried out an exploratory study of quantitative and qualitative approaches that tackled professionals and managers in 22 mental health units. As a result we identified the production of knowledge and strategies to deal with situations and intervene in effect as stopping the cycle of violence, however these actions have little visibility into the entire network of health and are poorly integrated guidelines of National Policy on Reduction of Morbidity and Mortality from Accidents and Violence (PNRMAV). We conclude that attention in the area of mental health for victims of violence is being held in a non-integrated meanwhile PNRMAV which exposes the gaps. Keywords: Violence, Mental Health, Health Care, Prevention.
Fabiana Castelo Valadares
“…These impressions are reflected in other studies (Santos, 2005;Ferreira and Schramm, 2000;Souza et al, 2009) who point out that many health workers feel poorly qualified to deal with this public, which in turn reflects gaps in training. Thus, few recognize their role in treatment, exposing questions such as their own fears and insecurities.…”
Section: ] the Question Of Violence Especially For Those In Lower-imentioning
This article has sought to characterize the mental health network of the city of Rio de Janeiro and understand the ways, practices and discourses focused the attention given to persons in situations of violence that come to these services. We carried out an exploratory study of quantitative and qualitative approaches that tackled professionals and managers in 22 mental health units. As a result we identified the production of knowledge and strategies to deal with situations and intervene in effect as stopping the cycle of violence, however these actions have little visibility into the entire network of health and are poorly integrated guidelines of National Policy on Reduction of Morbidity and Mortality from Accidents and Violence (PNRMAV). We conclude that attention in the area of mental health for victims of violence is being held in a non-integrated meanwhile PNRMAV which exposes the gaps. Keywords: Violence, Mental Health, Health Care, Prevention.
Fabiana Castelo Valadares
“…Estos datos están en conformidad con otros estudios y evidencian la gravedad de la situación, tomando en cuenta que la violencia es considerada hoy uno de los mayores problemas de salud en el mundo. [14][15][16] Asimismo, estos y otros estudios señalan la necesidad de mejorar la formación de estudiantes de pregrado, de profesionales de la Atención Primaria en este tema. [17][18][19] Los números en relación a la formación de posgrado son más animadores, pero preocupantes, considerando que la mayor parte, cerca de 63% no tuvieron formación teórica o práctica, o si tuvieron fue insuficiente.…”
Objetivo: Identificar a percepção de médicos de família e comunidade, bem como outros profissionais, em 20 países que compõem a Confederação Ibero-americana de Medicina de Família (CIMF), sobre as formas mais prevalentes de violência em seu país e nas comunidades que atendem. Além disso, identificar a percepção sobre suas próprias motivação e capacitação, além daquelas dos médicos de família de seus países para abordar a violência e contribuir para a cultura da paz. Métodos: Estudo corte-transversal, exploratório, de abordagem descritiva e quantitativa, realizado nos 20 países membros da CIMF entre os meses de setembro 2017 a março de 2018. A pesquisa foi projetada com base em uma revisão da literatura sobre o fenômeno de estudo. Um questionário foi elaborado e validado com diferentes profissionais de medicina de família considerados especialistas no assunto e posteriormente disseminado com o apoio das diferentes sociedades científicas de Medicina de Família que compõem os 20 países do CIMF, alcançando 242 respostas. Resultados: Mais de 92% dos profissionais consideram que não possuem treinamento suficiente para lidar com a violência em seu cotidiano de trabalho e apenas 24% consideram que receberam treinamento suficiente na Cultura de Paz. Por outro lado, a percepção da prevalência, na região, dos diferentes tipos de violência, do ponto de vista pessoal, familiar e comunitário é alarmante. Conclusões: É necessário integrar na formação de médicos de família e os profissionais de cuidados primários, bem como nos currículos de graduação de Medicina, conteúdos relacionados com a abordagem à violência e a contribuição para a cultura da paz para a superação da mesma. A lacuna de conhecimento sobre essas questões é visível pelos médicos de família e outros profissionais que trabalham na Atenção Primára. Por outro lado, é notável, o benefício potencial de ter esses profissionais atuando nesse grave e prevalente problema de saúde, especialmente considerando seu contato frequente e longitudinal com pessoas, famílias e comunidades vítimas de violência.
“…Various studies have highlighted challenges faced by professionals and health services in providing adequate care to victims of violence [28][29][30][31] .…”
Section: Human Resource Development and Capacity-buildingmentioning
This article reflects on the evolution of the theme of violence within the field of public health. It provides an overview of the strategies and actions developed within Brazil's Unified Health System developed in response to the country's main guiding policy on violence, the National Policy for the Reduction of Morbidity and Mortality due to Accidents and Violence, drawing on baseline documents, national and international research, data from the country's main violence information systems, and the firsthand experiences of the authors from their participation in the abovementioned actions. Violence against children and adolescents, women, and older persons have assumed a prominent position on the health agenda, while other forms of violence, such as child labor, human trafficking, homophobic and racial violence, and violence against street dwellers and people with disabilities, who are deprived of their liberty, are gradually finding their way onto the agenda. Despite undeniable progress in institutionalizing the theme, there is a need for greater investment in various areas including out-of-hospital emergency, rehabilitation, and mental health services. It is also necessary to incorporate the theme into the training and development of all of healthcare professionals and intensify continuing training to enhance capacity for detecting and reporting violence and delivering adequate care to victims.
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