Nursing care for child/adolescent victims of violence: integrative review

Abstract

Objetivo: Desvelar a produção acerca da assistência de enfermagem prestada às crianças/adolescentes vítimas de violência. Métodos: Trata-se de uma revisão sistematizada realizada com consulta nas bases de dados: LILACS, Scielo e BDENF. Foram selecionados 19 artigos para compor este trabalho. A análise de dados deu-se por meio da proposta de Mendes, Silveira e Galvão. Resultados: Os dados foram discutidos através dos tópicos: despreparo dos profissionais frente aos casos de violência infantil; sentimentos dos profissionais envolvidos no cuidado à criança/adolescente vítima de violência; notificação, protocolos e rotinas na assistência à criança/adolescente vítima de violência; estratégias de assistência à criança/adolescente vítima de violência. Conclusão: Os profissionais de enfermagem não se sentem preparados para atuarem frente aos casos de violência infantil. Identificou-se a necessidade de protocolos assistenciais que respaldem a assistência profissional. Ademais, é importante o fortalecimento da rede de atenção intersetorial que garanta a assistência adequada às vítimas e suas famílias.

Social Representations of nurses on the approach to children and adolescents who are victims of violence

“…This point refers to the effectiveness of the Nursing consultation during the reception of children and adolescents who are victims of violence. The need for advances in this scenario is emphasized, from an initial, essential and effective reception, identification of symptoms and signs and notification, also covering the care of injuries and their consequences through records and planning of courses of action in order to achieve a humanized service to the victims, since the Nursing consultation is characterized as one of the main tools for identifying violence against this group ( 10 ) .…”

“…Thus, nurses have proved to be key elements in the prevention process, early identification and assistance of child-youth abuse (8) ; for this, it becomes necessary that such professionals raise suspicions regarding such cases in the various health services (9) . However, the nurses' role in coping with violence situations is still permeated by several challenges involving professional qualification during academic training and/ or permanent education at work, as well as difficulties in reporting the cases, need for protocols and care routines (10) .…”

“…The theory of social representations is based on the analysis of socially elaborated and shared knowledge in specific processes of social interaction, which contributes to the formation of a common reality in a given social group, showing what is consciously shared with other members of the social group (19) . However, there are still no research studies that reach the nurses' social representations (20) about their professional performance in the face of child abuse in order to qualitatively understand the elements that permeate the nurses' approach to these victims of violence considering the Brazilian organizational structure of health by levels of care and their specificities.…”

“…However, the nurses’ role in coping with violence situations is still permeated by several challenges involving professional qualification during academic training and/or permanent education at work, as well as difficulties in reporting the cases, need for protocols and care routines ( 10 ) .…”

“…However, there are still no research studies that reach the nurses’ social representations ( 20 ) about their professional performance in the face of child abuse in order to qualitatively understand the elements that permeate the nurses’ approach to these victims of violence considering the Brazilian organizational structure of health by levels of care and their specificities.…”