Family violence against children: approach to nursing through genogram and ecomapa / Violência familiar contra criança: abordagem de enfermagem através do genograma e ecomapa

Abstract

Objetivos: descrever a organização familiar frente ao caso de violência contra a criança e analisar através da utilização do genograma e ecomapao risco de familiares em situação de violência. Método: estudo descritivo, tipo estudo de caso realizado no setor pediátrico de um Hospital Municipal da Baixada Litorânea do estado do Rio de Janeiro. Aplicado o Modelo de Calgary de avaliação de famílias. Resultados: através do genograma e ecomapa identificou-se a organização familiar, as relações familiares e as várias situações de violência vivenciadas pela criança e seus familiares. Conclusão: este estudo ratifica o papel da enfermagem na identificação de casos de violência, a importância destes profissionais em compreender a magnitude desta situação e seus desdobramentos no ambiente familiar. O enfermeiro deve desenvolver habilidades que protejam a criança e sua família em questões de violência intrafamiliar.

Exploring the Landscape of Eco-Mapping in Health Services Research: A Comprehensive Review

“…Most studies reported a qualitative study design (n � 58) [17,18,21,[41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60] and , followed by mixed methods (n � 9) [95][96][97][98][99][100][101][102][103] and quantitative designs (n � 3) [22,104,105]. Data collection methods consisted of semistructured interviews alone (n � 36) [17, 41-44, 46, 48, 52, 53, 56, 58, 59, 61-65, 67, 69, 70, 72, 76, 78-81, 83-85, 88, 89, 92, 93, 104] or interviews combined with focus groups [77,98], surveys [22,95,96,[99][100][101][102][103], participant observations [49,51,…”

“…Data collection methods consisted of semistructured interviews alone (n � 36) [17, 41-44, 46, 48, 52, 53, 56, 58, 59, 61-65, 67, 69, 70, 72, 76, 78-81, 83-85, 88, 89, 92, 93, 104] or interviews combined with focus groups [77,98], surveys [22,95,96,[99][100][101][102][103], participant observations [49,51,54,55,57,60,66,68,71,73,97], document analysis (i.e., feld notes and medical records) [50,54,66,74,86,96,101], and photographs (i.e., photovoice) [86,90]. Several studies used only focus groups [18,91], analysis of institutional medical records [47], questionnaires [105], and participant observation methods [94]. Te data collection method applied in three studies was not reported [45,82,87].…”

“…Te majority (n � 31) of the studies reported collecting data in the community (i.e., homes of the participants, private ofces, or workplaces) [41-45, 49, 51, 54, 56, 57, 61, 67, 70-73, 75, 76, 78, 82, 84, 86, 90, 92-95, 97, 102, 103, 105], or an outpatient clinic (n � 6) [46,48,64,65,98] or inpatient unit (n � 5) [47,52,62,91,100] was cited. Less often reported was a community health center (n � 2) [60,104], residential care (n � 2) [18,55], hospice (n � 1) [22], school (n � 1) [101], and a virtual platform (n � 1) [88].…”

“…First, 24 studies reported an objective of mapping individuals' social, helping or care networks, psychosocial profles, support systems and needs, and social capital [21, 22, 42, 44, 45, 48-50, 52, 55, 57, 64, 65, 68, 73, 78, 84, 93, 95-97, 100, 103], and one paper considered longitudinally the constitution of support networks [66]. Fifteen studies aimed to understand the family structure, function, or organization [56,102], while some were in response to family violence [41,47], addressing chronic and acute mental and physical health conditions [46, 51, 58-60, 70, 74, 79, 101, 105], and natural disasters [54]. Ten studies described participants' use of services and resources, including types of formal social support accessed [63, 69, 72, 81-83, 85, 86, 88, 106].…”

“…Eco-mapping was an efective strategy used by healthcare professionals for the assessment and intervention of individuals and families. Specifcally, authors of thirteen studies reported using the "Calgary Family Assessment Model" (CFAM) to understand better the structural constitution and relational functioning of individuals and families [41,46,47,52,56,60,62,68,69,77,82,91,101]. Te CFAM is organized into the genogram and the eco-map tools, and there is a heavy emphasis on identifying strengths and weaknesses with the expectation of proposing interventional measures for families.…”