Nursing Department, Federal University of São Carlos, São Paulo, Brazil.
Nossa Senhora das Graças Nursing School, University of Pernambuco, Recife, Brazil.
J Clin Nurs. 2019 Mar;28(5-6):814-827. doi: 10.1111/jocn.14665. Epub 2018 Sep 26.
To analyse the network of care and social support from the perspectives of family members of children and adolescents who have been abused.
The theoretical-methodological background of the ecological model for understanding violence and the Paradigm of Complexity provide a broad perspective of violence. The paradigm considers all aspects that constitute a phenomenon as well as particular features.
Qualitative research based on the Paradigm of Complexity, developed by Edgar Morin, the primary philosopher. We have adhered to the COREQ Checklist guidelines for qualitative research.
Data were collected through Minimal Maps of Personal Social Networks, and semi-structured interviews were held with 15 families who were assisted by a nongovernmental organisation in a Brazilian city. The notions of comprehension and contextualisation guided the data analysis.
Two categories emerged from the data analyses: "Social isolation" and "Affective relationships needs." The maps revealed a weakened and limited network with low-density, homogeneous bonds and few significant bonds. Therefore, the network provided predominantly instrumental and material social support with few important effective relationships. The participants disclosed some strategies to empower their lives.
We conclude that it is urgent to develop strategies in a broad manner to promote family empowerment, especially on education and employment dimension, and to construct supportive and respectful relationships between services and families as well.
The present study contributes to international clinical nursing, especially in low- and middle-income countries, by discussing (a) looking at and caring for family members of children and adolescents who have been abused in a contextualised manner; (b) family empowerment, which enables them to have access to healthier environments and to educational/employment opportunities; and (c) broad comprehension of health care among the family members, which provides perspectives not only for looking at violence but also for strengthening supportive social relationships.
从受虐待儿童和青少年家庭成员的角度分析护理和社会支持网络。
理解暴力的生态模型和复杂性范式的理论方法为暴力提供了广阔的视角。该范式考虑了构成现象的所有方面以及特定特征。
基于 Edgar Morin 的复杂性范式的定性研究，他是主要的哲学家。我们坚持了 COREQ 定性研究清单指南。
通过个人社会网络最小映射收集数据，并对巴西某城市的非政府组织援助的 15 个家庭进行半结构化访谈。理解和情境化的概念指导了数据分析。
从数据分析中出现了两个类别：“社会隔离”和“情感关系需求”。地图显示网络薄弱且有限，密度低，同质联系多，重要联系少。因此，网络主要提供工具性和物质性的社会支持，很少有重要的有效关系。参与者透露了一些增强生活的策略。
我们得出结论，迫切需要以广泛的方式制定战略，促进家庭赋权，特别是在教育和就业层面，并在服务和家庭之间构建支持和尊重的关系。
本研究通过（a）以情境化的方式关注和照顾受虐待儿童和青少年的家庭成员；（b）家庭赋权，使他们能够获得更健康的环境和教育/就业机会；以及（c）家庭成员对医疗保健的广泛理解，不仅为观察暴力提供了视角，也为加强支持性社会关系提供了视角，从而为国际临床护理做出了贡献，特别是在中低收入国家。
