Estratégias para identificação e enfrentamento de situação de violência por parceiro íntimo em mulheres gestantes

Abstract

Objective To know the strategies used by nurses of Units of Family Health Strategies to identify and cope with the violence situation by intimate partners of pregnant women. Method Descriptive study with a qualitative approach, in which semi-structured interviews were conducted with 23 primary care nurses from September 2015 to April 2016. Thematic content analysis was used. Results The category "It's very complex" has emerged - actions to identify and cope with the violence situation by intimate partners of pregnant women. Physical injuries were the main violence indicative identified at prenatal care. The coping strategies were the referrals to specialized services and joint discussion with healthcare team. Conclusion There's a need to organize a nursing protocol that helps in the identification and classification of risk exposure to violence, permanent education of these professionals and strengthening of intersectoral actions.

Possibilities of Coping with the Violence against Women - A Review of Literature

“…According to Marques [22], the identification of situations of violence is the first step towards confronting it. The authors investigated the presence of IPV in the relationships of pregnant women and argue that during this period, crying www.ijntr.org and sadness may mask the occurrence of violence.…”

“…The authors investigated the presence of IPV in the relationships of pregnant women and argue that during this period, crying www.ijntr.org and sadness may mask the occurrence of violence. It was also emphasized that when there is the verbalization or presence of physical signs such as bruises and lesions, identification occurs more easily especially at the time of prenatal consultation, since it is during this period that visits to health services are more frequent, since good quality prenatal care can reduce physical aggression in women during pregnancy [22].…”

“…This may lead health services away from responding to the problem and pregnant women are even more vulnerable to the fragility of these services. Establishing a relationship of trust and being able to understand what the health user does not verbalize, but expressed in their body and behavior, were the means that health professionals could find to facilitate the identification of IPV [22] Costa [19] investigated the occurrence of IPV in rural women and argue that the conception that these women are not aware of violence because social and labor policies are insufficient to make them independent and autonomous reinforces the need for greater investment by public authorities in favor of this group, since it is understood that women's autonomy is protective against violence, both at the private and public levels. And in order to achieve this, it is necessary for the network of attention, in its practice, to use communication (dialogue and listening) strongly to inform women about their rights, and with this, to initiate a process of awareness of the situation with the possibility of acquiring power to transform reality itself.…”

“…The research by Krenkel and Moré [27] showed that the shelter is a space where women feel protected against the extreme violence they have experienced, as well as being a place that offers emotional support and help in the search for work and generation of income in some cases. Participants in the authors' research Marques [22], when asked about ways of coping with IPV situations among pregnant women, reported the referral to a specialized service in tertiary health care, with emphasis on referrals to mental health demands and the Family Health Support Center (NASF), since the proposal of this nucleus is to share the practices and knowledge in health allows to expand the scope of the actions of basic attention regarding the confrontation of violence, as well as its solubility.…”

Gebeli̇kte Yaşanan Ai̇le İçi̇ Şi̇ddeti̇n Doğasinin İncelenmesi̇: Ni̇tel Bi̇r Çalişma

“…Bu nedenle gebelikte şiddete karşı sessiz kalan, kendi hikayelerini kendilerinin çözmesi için yalnız bırakılan kadınlara sağlık profesyonelleri olarak yardım ve destek alanı oluşturulması gerekmektedir (2,24). Rutin doğum öncesi bakım, birçok kadının düzenli olarak sağlık hizmetlerine erişeceği tek zaman olabilir, bu nedenle istismara uğrama riski olan gebe kadınları tanımlamada ebe/hemşireler için fırsat olarak değerlendirilmelidir (16,20,25,26). Bu doğrultuda çalışmamız gebelikte yaşanan şiddeti tanılamak ve çözümün bir parçası olmak için sağlık profesyonellerine ışık tutacağı düşüncesi ile gerçekleştirilmiştir.…”