Nursing Care of Women Who Suffered Sexual Violence

Abstract

The aim of this study was to characterize the nursing care, provided to women who suffered sexual violence, treated at The Women's Hospital-CAISM/UNICAMP. A retrospective, descriptive study performed using 146 nursing care records of women attended from June 2006 to May 2007. The results showed that the majority of attendances occurred during the day period, that there was consistency between the interventions and the nursing diagnoses identified, and that women reported having received guidance in accordance with the protocol of the program. The nursing consultation time was greater at night (p=0.0227) and the women frequently understood the health risks resulting from sexual violence (p=0.0072), the use of antiretrovirals according to their daily activities (p=0.0397) and they were more focused on the purpose of the serology (p=0.0351). We concluded that the care provided was shown to be appropriate and of a better quality in the nightshift period. Descriptors Atención de enfermería a mujeres que sufren violencia sexualNuestro objetivo fue caracterizar la asistencia prestada por los enfermeros a las mujeres que sufrieron violencia sexual atendidas en el Hospital de la Mujer-CAISM (UNICAMP).Fue realizado un estudio retrospectivo y descriptivo con 146 fichas de atención de enfermería de mujeres atendidas entre junio de 2006 a mayo de 2007. Los resultados mostraron que la mayoría de las atenciones ocurrieron durante el período diurno, hubo coherencia entre las intervenciones y los diagnósticos de enfermería identificados y las mujeres relataron que recibieron orientaciones de acuerdo con el protocolo del programa.El tiempo de consulta de enfermería fue mayor en el período nocturno (p=0,0227) y se constató que esas mujeres frecuentemente conocían los riesgos de salud provenientes de la violencia sexual (p=0,0072), adecuaban los horarios de los antirretrovirales de acuerdo con sus actividades diarias (p=0,0397) y estaban más orientadas en cuanto a la finalidad de las serologías (p=0,0351). Concluimos que la atención prestada se mostró adecuada y con mejor calidad en el plantón nocturno.Descriptores: Violencia Sexual; Investigación en Evaluación de Enfermería; Atención de Enfermería, Salud de la Mujer.

The (un)receptive experiences of female rape victims who seek healthcare services

“…The comprehensive and neutral position of the welcoming attitude in the nurse-client relationship, individualized attention, trust, empathy and establishing credibility in the professional, respect for privacy, and especially understanding of information are great allies for the improvement of adhesion (12) between the patient and hospital administration.…”

“…This is a skill that must be taught and exercised since their graduation from health courses, as improper professional posture due to personal beliefs and values can interfere with quality of care and adherence to treatment (12) . As part of academic or health education, vocational skills are a factor that interferes in the various courses of action (6) .…”

Evidence of health care offered to women in situations of violence

“…Some studies show that the bond with the team permeated by care and supervision after the end of the treatment (13)(14) as well as the ability of professionals to engage in changes of structure and provision of service are positive points. Moreover, the work in a multidisciplinary team, which is beyond the physiciancentered model and the individual consultation (15) interconnected with legal professionals (13) and social care (13,16) qualifies the access for these women (13) .…”

“…Referrals to referenced services in articulated network (11) Care continuity (12)(13)(14) Reception and bond with the team (13)(14) Shared definition of discharge (13) Changes in the structuring and provision of the service (15) Work in multidisciplinary team (15) Liaison with the legal department (14) and social services (13,16) Comprehensive programs and group meetings (17)(18) Existence of specialized professionals (19)(20) Prenatal care quality (20)(21)…”

“…Conception that violence is health care object (22,12,15) Desire of professionals to be helpful and supportive (22) Communication strategies with empathy, sensitivity (16,14,23) , reception (14) , counseling, listening, safety, information on available legal ressources (12,16,19,20) , commitment to rights, choices and empowering of women (19) Confidential approach, emotional support, good professional-woman relationship (12,24) Comprehensive explanations (25) Respect for life history (13) and autonomy of women (12) Intervention in community and social change (12) Assistance to social and legal needs (12,17) 3. Identification of violence Revelation by the woman (26) Realization of screening (12,19,25,(27)(28) Inaccurate observation of symptoms and questions about personal relationships and violence (19) Enough time to address and inclusion of the subject in professional training (25)…”