Resumo Estudo qualitativo com profissionais da Estratégia Saúde da Família, a fim de investigar suas concepções e práticas acerca da violência intrafamiliar contra crianças e adolescentes. A coleta de dados foi realizada no período de abril a julho de 2014, por meio de entrevista semiestruturada, realizada em Unidades Integradas de Saúde da Família em João Pessoa, Paraíba. A análise temática evidenciou que profissionais de saúde mostram-se inseguros e despreparados para lidar com a violência intrafamiliar contra crianças e adolescentes, originando dificuldades em identificar os maus-tratos, realizar a denúncia e acompanhar as vítimas. Destaca-se a importância do apoio da gestão em saúde para a proteção dos profissionais que lidam com casos de violência e sua capacitação, a fim de viabilizar a identificação precoce, a notificação dos casos e o efetivo acompanhamento às vítimas e seus familiares. Palavras-chave violência doméstica; saúde da criança; adolescente; atenção primária à saúde; profissional de saúde.Abstract A qualitative study with Family Health Strategy professionals to investigate their views and practices concerning domestic violence against children and adolescents. Data were collected between April and July 2014 using semi-structured interviews carried out at Integrated Family Health Units in João Pessoa, state of Paraíba, Brazil. The thematic analysis showed that health professionals are insecure and unprepared to deal with domestic violence against children and adolescents, a fact that causes difficulties in identifying maltreatment, making the complaint, and monitoring the victims. It highlights the importance of support from health management to protect professionals who deal with cases of violence and their training in order to facilitate the early identification and reporting of cases and effective monitoring for victims and their families.
Objective: To describe the feelings experienced by mothers of babies suffering from congenital malformation in need of palliative care; to identify the difficulties experienced by mothers of babies with congenital malformation in need of palliative care. Methods: It concerns an exploratory research, of a qualitative nature, conducted at the Neonatal Intensive Care Unit and at the Neonatal Intensive Treatment Unit of a reference maternity hospital located in the northeast of Brazil. The data were collected between September and October 2015, through a semi-structured interview, and analyzed through content analysis technique, by means of the following main themes: feelings of mothers of babies with congenital malformation in need of palliative care; difficulties related to a need for care outside the hospital environment. Results: The feelings of sadness, anxiety, insecurity and fear of losing the child were the ones most highlighted by the mothers. The main difficulties reported were those regarding financial aspects due to the necessity of acquiring the essential input to provide the baby with care, and the impossibility to return to their work due to the need of exclusive dedication to the child under palliative care. Conclusion: The necessity of a warm and humanized nursing assistance was highlighted; such assistance can contribute to the positive
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