护士对儿科病房中儿童及青少年遭受陪伴者暴力行为的认知。
Nurses' perception on violence against children and adolescents by their companion in pediatric ward.
作者信息
Barrenechea Lindsay Ibacache, Ribeiro Camila Camacho, Cava Angela Maria La, Azevedo Otilia Pimenta
机构信息
Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil.
Estado do Rio de Janeiro, Secretaria de Estado de Saúde. Rio de Janeiro, Rio de Janeiro, Brazil.
出版信息
Rev Bras Enferm. 2020 Oct 5;73(suppl 4):e20190495. doi: 10.1590/0034-7167-2019-0495. eCollection 2020.
OBJECTIVES
to know the nurses' perception on violence against children by their companion in pediatric ward; describe the nurses' actions in this situation; analyze these actions in light of government policies; and know the organization and communication of the multidisciplinary team to face this phenomenon.
METHOD
a descriptive qualitative research conducted through semi-structured interviews with nurses. Thematic analysis identified three categories: "A perception of violence"; "Actions and interventions performed by nurses"; and "Multidisciplinary team organization and communication".
RESULTS
nurses recognize the types of violence, but attaches greater severity to physical violence. The reported causes were children with difficult temperaments, transgenerational violence and hospitalization. The actions were dialogue, companion-child separation, registry and notification to the Guardianship Council. Poor communication from the multidisciplinary team and medical-centric organization have been reported.
目的
了解护士对儿科病房中儿童遭受同伴暴力行为的看法；描述护士在这种情况下采取的行动；根据政府政策分析这些行动；了解多学科团队应对这一现象的组织与沟通情况。
方法
通过对护士进行半结构式访谈开展描述性定性研究。主题分析确定了三个类别：“对暴力的认知”；“护士采取的行动与干预措施”；以及“多学科团队的组织与沟通”。
结果
护士们认识到暴力的类型，但更重视身体暴力。报告的原因包括脾气暴躁的儿童、跨代暴力和住院治疗。采取的行动包括对话、将同伴与儿童分开、记录并通知监护委员会。据报告，多学科团队沟通不畅且组织以医疗为中心。
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