Universidade Federal de São Carlos (UFSCar), Centro de Ciências Biológicas e da Saúde, Departamento de Enfermagem. São Carlos, São Paulo, Brasil.
Universidade de Franca (UNIFRAN), Programa de Mestrado e Doutorado em Promoção de Saúde. Franca, São Paulo, Brasil.
Rev Gaucha Enferm. 2020 Nov 20;41:e20190461. doi: 10.1590/1983-1447.2020.20190461. eCollection 2020.
To analyze the Primary Health Care inter-sectoral network in a rural context to face domestic violence against children and adolescents.
A qualitative research study, with the Paradigm of Complexity as theoretical and methodological framework. Eighteen health professionals from two rural Family Health Units in a municipality in the state of São Paulo were the participants. Data was collected through minimum maps of the institutional network and focus groups in May and June 2019. Data was analyzed through thematic analysis.
Two categories emerged, entitled "It's not nonexistent, but it's complicated" and "We're always on the firing line". The existence of a weakened network; assistance based on biomedical bias; and care fragmentation were characteristics present in the care provided to the families.
The absence of network care was evident, with isolation and overload of the Primary Health Care unit that is enhanced by the characteristics of rurality.
分析农村地区初级卫生保健部门间网络，以应对针对儿童和青少年的家庭暴力问题。
这是一项定性研究，以复杂性范式作为理论和方法框架。参与者为来自圣保罗州一个市的两个农村家庭健康单位的 18 名卫生专业人员。数据收集于 2019 年 5 月至 6 月通过机构网络最小映射和焦点小组进行。数据通过主题分析进行分析。
出现了两个类别，分别题为“并非不存在，但很复杂”和“我们总是在前线”。网络援助薄弱；基于生物医学偏见的援助；以及护理碎片化是为家庭提供的护理的特征。
显然，网络护理的缺失，初级卫生保健单位的孤立和过载，以及农村地区的特点加剧了这种情况。
