Violence against women in Primary Health Care: Potentialities and limitations to identification

Objective: To determine the potential and limitations of Primary Health Care professionals to identify situations of violence against women. Location: A municipality of Rio Grande do Sul, Brazil. Design: Descriptive and exploratory study with a qualitative approach. Participants: Twenty-one health p...

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Main Authors: Jaqueline Arboit, Stela Maris de Mello Padoin, Letícia Becker Vieira
Format: Article
Language:Spanish
Published: Elsevier 2020-01-01
Series:Atención Primaria
Online Access:http://www.sciencedirect.com/science/article/pii/S0212656718301215
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author Jaqueline Arboit
Stela Maris de Mello Padoin
Letícia Becker Vieira
author_facet Jaqueline Arboit
Stela Maris de Mello Padoin
Letícia Becker Vieira
author_sort Jaqueline Arboit
collection DOAJ
description Objective: To determine the potential and limitations of Primary Health Care professionals to identify situations of violence against women. Location: A municipality of Rio Grande do Sul, Brazil. Design: Descriptive and exploratory study with a qualitative approach. Participants: Twenty-one health professionals of three Family Health Strategy units, as well as one Basic Health Unit. The inclusion criterion consisted of being a health worker in these services. The exclusion criterion was to be absent from work by any kind type license during the period of data production. Method: The technique used to produce data was individual, semi-structured, interviews in order to collect sociodemographic data and the monitoring by professionals related to the potentials and limitations to identify violence situations. The data collection was suspended based on the saturation criterion. The data were systematized and analyzed by the content analysis technique, according to the analytical categories of health care network and gender. Results: The potential to identify themes were: professional experience, receptive atmosphere, bonding, and listening to the reports of women, children and/or neighbors and observing their behavior; to identify the lesions; prenatal consultations; and home visits. As to the limitations: silence, denial/non-recognition of violence, lack of complaints by women; fear and guilt; flaws and unpreparedness of the health team; and fear due to the presence of aggressor. Conclusions: It is urgent to recognize the potential of Primary Care and to promote the qualification of professionals in order to identify the situation among visible and invisible complaints, leading to the confrontation of violence. Resumen: Objetivo: Conocer potencialidades y límites para identificar de situaciones de violencia contra las mujeres por profesionales de Atención Primaria a la Salud. Emplazamiento: Un municipio de Rio Grande do Sul, Brasil. Diseño: Estudio exploratorio y descriptivo con enfoque cualitativo. Participantes: 21 Profesionales de la salud de 3 unidades de Estrategia Salud de la Familia y una Unidad Básica de Salud. Criterio de inclusión: ser trabajador de salud en esos servicios. Criterio de exclusión: estar ausente del trabajo por licencia de cualquier naturaleza durante el período de generación de datos. Método: Entrevistas semiestructuradas individuales para recopilar datos sociodemográficos y profesionales relacionados con potencialidades y límites para identificar situaciones de violencia. La recolección de datos fue cerrada mediante el criterio de saturación. Los datos fueron sistematizados y analizados a través del análisis de contenido según las categorías analíticas red de atención a la salud y género. Resultados: Los temas fueron potencialidades para la identificación: experiencia del profesional, acogida, vínculo y escucha atenta del relato de la mujer, hijos y/o vecinos y su comportamiento; reconocer las lesiones; la consulta prenatal, visita domiciliaria. Los límites: silencio, negación/no reconocimiento de la violencia, falta de la denuncia por la mujer; miedo y culpabilidad; el déficit y la falta de preparación del equipo; y el miedo debido a la presencia del agresor. Conclusiones: Cabe reconocer las potencialidades de la Atención Primaria y promover la calificación de los profesionales para la identificación de la situación entre las quejas (in)visibles, impulsando el enfrentamiento de la violencia. Keywords: Violence against women, Attitude of health personnel, Battered women, Women's health, Delivery of health care, Palabras clave: Violencia contra la mujer, Actitud del personal de salud, Mujeres maltratadas, Salud de la mujer, Prestación de Atención de Salud
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spelling doaj.art-61925aa607c245e9aa1354f6e448908f2022-12-22T00:02:01ZspaElsevierAtención Primaria0212-65672020-01-015211421Violence against women in Primary Health Care: Potentialities and limitations to identificationJaqueline Arboit0Stela Maris de Mello Padoin1Letícia Becker Vieira2Federal University of Santa Maria, Santa Maria, Brazil; Corresponding author.Federal University of Santa Maria, Santa Maria, BrazilFederal University of Rio Grande do Sul, Porto Alegre, BrazilObjective: To determine the potential and limitations of Primary Health Care professionals to identify situations of violence against women. Location: A municipality of Rio Grande do Sul, Brazil. Design: Descriptive and exploratory study with a qualitative approach. Participants: Twenty-one health professionals of three Family Health Strategy units, as well as one Basic Health Unit. The inclusion criterion consisted of being a health worker in these services. The exclusion criterion was to be absent from work by any kind type license during the period of data production. Method: The technique used to produce data was individual, semi-structured, interviews in order to collect sociodemographic data and the monitoring by professionals related to the potentials and limitations to identify violence situations. The data collection was suspended based on the saturation criterion. The data were systematized and analyzed by the content analysis technique, according to the analytical categories of health care network and gender. Results: The potential to identify themes were: professional experience, receptive atmosphere, bonding, and listening to the reports of women, children and/or neighbors and observing their behavior; to identify the lesions; prenatal consultations; and home visits. As to the limitations: silence, denial/non-recognition of violence, lack of complaints by women; fear and guilt; flaws and unpreparedness of the health team; and fear due to the presence of aggressor. Conclusions: It is urgent to recognize the potential of Primary Care and to promote the qualification of professionals in order to identify the situation among visible and invisible complaints, leading to the confrontation of violence. Resumen: Objetivo: Conocer potencialidades y límites para identificar de situaciones de violencia contra las mujeres por profesionales de Atención Primaria a la Salud. Emplazamiento: Un municipio de Rio Grande do Sul, Brasil. Diseño: Estudio exploratorio y descriptivo con enfoque cualitativo. Participantes: 21 Profesionales de la salud de 3 unidades de Estrategia Salud de la Familia y una Unidad Básica de Salud. Criterio de inclusión: ser trabajador de salud en esos servicios. Criterio de exclusión: estar ausente del trabajo por licencia de cualquier naturaleza durante el período de generación de datos. Método: Entrevistas semiestructuradas individuales para recopilar datos sociodemográficos y profesionales relacionados con potencialidades y límites para identificar situaciones de violencia. La recolección de datos fue cerrada mediante el criterio de saturación. Los datos fueron sistematizados y analizados a través del análisis de contenido según las categorías analíticas red de atención a la salud y género. Resultados: Los temas fueron potencialidades para la identificación: experiencia del profesional, acogida, vínculo y escucha atenta del relato de la mujer, hijos y/o vecinos y su comportamiento; reconocer las lesiones; la consulta prenatal, visita domiciliaria. Los límites: silencio, negación/no reconocimiento de la violencia, falta de la denuncia por la mujer; miedo y culpabilidad; el déficit y la falta de preparación del equipo; y el miedo debido a la presencia del agresor. Conclusiones: Cabe reconocer las potencialidades de la Atención Primaria y promover la calificación de los profesionales para la identificación de la situación entre las quejas (in)visibles, impulsando el enfrentamiento de la violencia. Keywords: Violence against women, Attitude of health personnel, Battered women, Women's health, Delivery of health care, Palabras clave: Violencia contra la mujer, Actitud del personal de salud, Mujeres maltratadas, Salud de la mujer, Prestación de Atención de Saludhttp://www.sciencedirect.com/science/article/pii/S0212656718301215
spellingShingle Jaqueline Arboit
Stela Maris de Mello Padoin
Letícia Becker Vieira
Violence against women in Primary Health Care: Potentialities and limitations to identification
Atención Primaria
title Violence against women in Primary Health Care: Potentialities and limitations to identification
title_full Violence against women in Primary Health Care: Potentialities and limitations to identification
title_fullStr Violence against women in Primary Health Care: Potentialities and limitations to identification
title_full_unstemmed Violence against women in Primary Health Care: Potentialities and limitations to identification
title_short Violence against women in Primary Health Care: Potentialities and limitations to identification
title_sort violence against women in primary health care potentialities and limitations to identification
url http://www.sciencedirect.com/science/article/pii/S0212656718301215
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