Public Health Nursing Graduate Program, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil.
Laboratoire École-Mutations-Apprentissages, CY Cergy Paris Université, 92230 Gennevilliers, France.
Int J Environ Res Public Health. 2023 Aug 31;20(17):6693. doi: 10.3390/ijerph20176693.
Violence demands considerable attention due to its complexity and social consequences. The objective of this study was to analyze violence in the nursing professional workplace in the context of primary health care in Brazil. It is a qualitative study with theoretical and methodological reference to institutional analysis. It was carried out in basic health units in Brazil. Nursing professionals (N = 11) participated in semi-structured interviews and discussion groups, in addition to a research diary and participant observation. Data collection took place from October to December 2021. The results are presented in five categories: types of violence and aggressors from the perspective of nursing professionals; the causes of violence reported by professionals; strategies for the management of violence; professionals' proposals for preventing violence in health contexts; the consequences of violence in the workplace. Nursing professionals make up a large part of the workforce and have reported verbal, physical, moral, and psychological violence. The main causes are associated with user access to services. For the prevention of violence, professionals do not see themselves as protagonists of change. The consequences are the loss of quality of work and the health of professionals who requested sick leave and transfers. The study's findings can help in the development of public policies and educational and management actions.
由于暴力行为的复杂性及其带来的社会后果，需要对其予以高度关注。本研究旨在分析巴西初级卫生保健背景下护理专业工作场所的暴力行为。这是一项定性研究，理论和方法上参考了制度分析。研究在巴西的基层卫生机构进行。11 名护理专业人员（N=11）参加了半结构化访谈和小组讨论，此外还有研究日记和参与式观察。数据收集于 2021 年 10 月至 12 月进行。研究结果呈现为五个类别：从护理专业人员的角度看待暴力和攻击者的类型；专业人员报告的暴力原因；暴力管理策略；专业人员在卫生环境中预防暴力的建议；工作场所暴力的后果。护理专业人员在劳动力中占很大一部分，他们报告了言语、身体、道德和心理暴力。主要原因与用户获得服务有关。对于预防暴力，专业人员并不认为自己是变革的主角。其后果是工作质量下降，以及请病假和调动的专业人员的健康受损。本研究的结果有助于制定公共政策以及教育和管理措施。
