Vivências de enfermeiros no cuidado de crianças vítimas de violência intrafamiliar: uma análise fenomenológica

Abstract

ABstrAct:The purpose of this study was to understand the experience of nurses in their care of child victims of domestic violence. Using the phenomenological social approach by Alfred Schütz, 15 nurses who work in emergency, intensive care and pediatric inpatient units were interviewed. Analysis based on the Motivational Theory of Schütz allowed the description of the lived type, supported by three categories that express significant elements of the nurse's experience: contact with the violence, ambivalent reactions and protective professional attitude. The lifeworld of the nurses who care for child victims of domestic violence is composed of various dimensions that generate a constant state of attention, and reactions that cause indignation, anxiety, sadness and a sense of helplessness, which need to be internally managed in the course of his/her care. El propósito de este estudio fue conocer la vivencia de los enfermeros en el cuidado de los niños víctimas de la violencia familiar. Basado en enfoque fenomenológico social de Alfred Schütz, se entrevistaron 15 enfermeros que trabajan en las salas de emergencia, cuidados intensivos y unidad de hospitalización pediátrica. El análisis, basado en la teoría de la motivación de Schütz, permitió la descripción de la vivencia apoyada en tres categorías que expresan los aspectos significativos de la experiencia del enfermero: el contacto con la violencia, las reacciones ambivalentes y la actitud profesional de protección. El mundo de la vida de los enfermeros que cuidan a los niños que son víctimas de la violencia familiar se compone de varias dimensiones que crean un estado de atención constante, y las reacciones que causan la ansiedad, la tristeza y la impotencia, los cuales deben ser manejados internamente por los enfermeros en el curso de su cuidado. DescriptOrsDescriptOres: Violencia. Ninõ. Familia. Enfermería. Investigación cualitativa.

Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care

“…One hypothesis is that the professional who develops activities within PHC over longer periods of time may have had more opportunities to witness situations of violence, and therefore, may be more familiar with the proper management of such cases. The importance of having greater experience in the service is shown in a study ( 18 ) reporting that "daily contact with violence perpetrated against children awakens in the professional a state of alertness, which mobilizes him/her to identify signs indicating violence."…”

Conhecimento de estudantes de enfermagem na identificação de crianças em situação de violência doméstica

“…This moment still allows questioning the child or a legal guardian about the signs visible or not of violence, directing which route to follow if violence against the child is confirmed. [12][13] However, the suspicion of a situation of violence only when it is evidenced through clinical signs found in the consultation can be a limitation in the identification of cases, since the situation of violence against the child does not always appear through physical injuries. 14 In this way, undergraduate students in nursing should be equipped with skills and abilities on this theme, emphasizing that the nursing consultation can be the first step in the identification, and it is up to the professional to use other methodological means of learning, such as home visits, to host and establish links with families seeking cultural, behavioral and social aspects that may influence the identification of domestic violence cases.…”

“…13 The interviewees below also mentioned not having a specific, but momentary, orientation that does not guide them in how to intervene in the identified situations of domestic violence against the child. The nursing student 13 also added that there is a flawed network of care to the child and that she does not know how the nurse can work within these services that compose it to meet the children in these situations of domestic violence.…”

(Bio)ética e Estratégia Saúde da Família: mapeando problemas

“…The fact that "service users do not consider CHWs entering their residence as an invasion of privacy and that this professional is often seen merely as a facilitator to accessing health care services" Fortes, 2009, p. 42) considerably increases the responsibilities laid on this professional -and on all team members -in handling the information to which they have access Fortes, 2007). The situation becomes still more complicated when dealing with situations of domestic violence, especially when those with greater vulnerability, children, the elderly and women, are involved (Angelo et al, 2013;Ramos;Silva, 2011;Wanderbroocke;Moré, 2012).…”