GUIDELINES FOR SUPPORTING WOMEN EXPERIENCING PSYCHOLOGICAL VIOLENCE IN PRIMARY HEALTH CARE
Professional Practice Guide. Psychological Abuse. Primary Health Care. Scoping Review. Institutional Analysis.
The National Policy to Combat Violence against Women established the National Confrontation Network, which lists essential public services to assist women in situations of violence: health, public safety, justice and social assistance. However, health services have been the most accessed by these women, as they avoid accessing others, such as public safety, due to the vestiges of patriarchy present there, which generates self-blame in them when reporting their abuser. Thus, Primary Health Care, as the gateway to the Unified Health System and the Confrontation Network, becomes a privileged place for women to access treatment for physical, psychological and psychosomatic injuries resulting from the violence they have suffered. Given this, it is necessary for the health teams of this service to have qualified knowledge about psychological violence so that it can be even more powerful in the multiple actions it can perform in confronting violence, such as: compulsory reporting of violence, referral to specialized services, collection and recording of epidemiological data and production of knowledge for the formulation of public policies. Thus, qualified Primary Care service through the correct and systematic guidance of professionals on the dynamics of psychological abuse can reduce the occurrence and perpetuation of violence, facilitate the recognition of the phenomenon and favor its proper reporting, ensuring comprehensive and longitudinal care for these women. This study is justified by the need to map the existence and extent of the guiding guidelines for the support of women in situations of psychological violence in Primary Health Care. To this end, this research will be carried out in two stages: a documentary analysis following the theory of Institutional Analysis “on paper”, which will analyze the instituted and the instituting, with “psychological violence against women” as the institution, of three volumes of the Collection “National Policy to Combat Violence Against Women”; and a scoping review that will follow the methodological recommendations of the Joanna Briggs Institute Evidence Synthesis Manual 2024, the Checklist of Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews 2020 and the Peer Review of Electronic Search Strategies 2015; which will have the files screened using the Intelligent Systematic Review software - Rayyan 2016©. Both articles aim to respond to the general objective of this research: to map the guiding guidelines for the reception of women in situations of psychological violence in Primary Health Care; and the specific objectives: to identify the guiding guidelines in institutional documents; to detect the existence and the gaps in them; and to systematize these guidelines in order to support Primary Health Care in the reception of women in situations of psychological violence. At the end of this research, it is expected that the mapping and systematization of the guiding guidelines will support Primary Health Care so that this service meets the prevention, assistance, confrontation and combat actions that meet the structuring axes of the National Policy to Confront Violence against Women.