Conduta de enfermeiras da estratégia saúde da família diante de casos de violência familiar contra a mulher

Abstract

The violence against women is a universal phenomenon that affects all social classes, ethnicities, religions and cultures, occurring in populations of different economic levels. Unlike the emergency services, primary care is the main gateway for users to the Health System and it is, therefore, in a strategic position. This is because the behavior of professionals can facilitate the resolution or mitigation of health problems through referrals due and constant monitoring can determine, or worsening these problems. In this context, the Family Health Strategy - FHS comes as a great ally in assisting women victims of family violence, basing the construction of a flow of referral and counterreferral. It was with the aim of identifying the conduct of nurses inserted in the Family Health Strategy – FHS Maceió-AL on cases of family violence against women that this research was realized. This is a qualitative study, guided by semi-directed interview to collect information, and using a thematic analysis for the selection of subjects and their respective categories. The number of participants was defined by the saturation of information and the time frame the years 2012 and 2013. The analysis of information made possible the creation of two themes and their respective categories. The first refers to screening for domestic violence against women, and in that the nurses report suspicions or the detection of cases of family violence, particularly that perpetrated by an intimate partner and which form this violence took. In the second theme are referenced approaches adopted, thus emerging the possibilities of conducting cases of violence and service limitations and instrumental knowledge. The results showed that family violence, particularly that perpetrated by an intimate partner, is in daily work and is identified by nurses in their various manifestations, either through the detection or suspected cases. But despite this fact, the services don’t prepare them to act in a positive way, with the women raped if noting that this may lead them to adopt different behaviors, as evidenced in this study. Another striking feature is that the absolute majority of respondents reported that it is quite a difficult issue to handle, since they feel unprepared and unprotected, and the anguish of encountering the delay in solving, a fact which further contributes and increasing invisibility of these cases. Despite this, all nurses seem open to possible trainings, and trainings since envision ourselves, the possibility to prepare them for a more effective and interdisciplinary coping, indicating the need to develop strategies that enable better care for women. Thus, it is expected to nurture the discussion of the results of this research contribute to the prevention of family violence against women, through the extension of political strategies for the theme, large campaigns in national level and training of health professionals.