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从初级保健护士的角度应对针对儿童和青少年的家庭暴力

Coping with domestic violence against children and adolescents from the perspective of primary care nurses.

作者信息

Leite Jéssica Totti, Beserra Maria Aparecida, Scatena Liliana, Silva Lygia Maria Pereira da, Ferriani Maria das Graças Carvalho

机构信息

Universidade de São Paulo (USP), Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública. Ribeirão Preto, São Paulo, Brasil.

Universidade de Pernambuco (UPE), Faculdade de Enfermagem Nossa Senhora das Graças. Recife, Pernambuco, Brasil.

出版信息

Rev Gaucha Enferm. 2016 Jun;37(2):e55796. doi: 10.1590/1983-1447.2016.02.55796.

Abstract

OBJECTIVE

To analyse the actions reported by primary care nurses in the fight against domestic violence against children and adolescents.

METHODS

Qualitative research conducted at five family health centres in the state of São Paulo, Brazil. Data were collected in the second half of 2013 through semi-structured.

RESULTS

Two thematic cores emerged: "Public policies identified by the nurses" and "Nurses' actions regarding violence permeated by fear and conflicts". The nurses were familiar with public policies, but they were unable to put them into practice; they were unprepared to identify and cope with the violence; they did not participate in training courses; they were afraid to report the detected cases of violence.

CONCLUSION

The main limitations to the practical work of nurses are work burden, lack of security, and the dynamics of work that is not articulated with the protection network, which causes the underreporting of cases of domestic violence.

摘要

目的

分析基层护理人员在打击针对儿童和青少年的家庭暴力行动中所采取的措施。

方法

在巴西圣保罗州的五个家庭健康中心开展定性研究。2013年下半年通过半结构化方式收集数据。

结果

出现了两个主题核心:“护士确定的公共政策”和“护士针对受恐惧和冲突影响的暴力行为所采取的行动”。护士们熟悉公共政策,但无法将其付诸实践;他们没有准备好识别和应对暴力行为;他们没有参加培训课程;他们害怕报告所发现的暴力案件。

结论

护士实际工作的主要限制因素包括工作负担、缺乏安全感以及工作动态与保护网络缺乏衔接,这导致家庭暴力案件报告不足。

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