Banca de DEFESA: EMANUELLA DE CASTRO MARCOLINO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : EMANUELLA DE CASTRO MARCOLINO
DATE: 06/12/2019
TIME: 14:00
LOCAL: Departamento de Enfermagem
TITLE:

NURSE'S APPROACH TO CHILDREN IN VIOLENCE: AN ANALYSIS OF THE THREE LEVELS OF HEALTH CARE.

KEY WORDS:

Nurses; Professional practice; Violence; Child; Adolescent; Forensic Nursing.

PAGES: 290
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

The objective of this study was to analyze the approach of nurses (a) children and adolescents in situations of violence in the three levels of health care based on the line of care for children and adolescents in situations of violence. Analytical study with qualitative approach, conducted in the city of Campina Grande, Paraíba, in primary, secondary and tertiary health care services that assist children and adolescents in situations of violence. Approved by CEP/UFRN, Parecer: 2.456.493, CAEE: 80006417.2.0000.5537. The sample consisted of 76 nurses distributed: in primary care, working in the Family Health Strategy; in secondary care, in a municipal hospital for child and adolescent care in the reception, red room and pediatric ward sectors; in tertiary care, the nurses of the reception, red room, pediatric observation, pediatric ward and pediatric intensive care unit of a referral trauma hospital. Data were collected through sociodemographic form and recorded and transcribed semi-structured individual interviews. The collected data were analyzed by IRAMUTEQ software through Descending Hierarchical Classification, Similitude Analysis and Word Cloud. In Primary Care we obtained, from the lexicographic analysis classes, five categories named: Category I (Class 1) - Living and identification by the nurse of situations of violence with children and adolescents; Category II (Class 4) -Family context and violence; Category 3 (Class 5) - Health promotion actions by nurses; Category IV (Class 3) - Multidisciplinary team and services of the care network as support for the approach of the nurse; Category V (Class 2) -Capacitation and performance of the nurse facing the victim of violence. In Secondary Care emerged five categories defined as: Category I (Class 1) - Conducts directed to children and adolescents victims of violence in the service of medium complexity; Category II (Class 4) -Scope of medium complexity and actions of the nurse; Category III (Class 5) -Capacitation and the nurse's way of dealing with victims of violence; Category IV (Class 3) -Nurse's perception of the family context and the victim; Category V (Class 2) -Identification of violence against children and adolescents by nurses through nursing consultation; and for Tertiary Care the data produced six categories named: Category I (Class 1) - Reception, notification and follow-up of cases of violence; Category II (Class 5) -Nursing consultation: signs of identification of violence; Category III (Class 6) -Relation of the nurse with the relative; Category IV (Class 4) -Nurse training to approach children and adolescents victims of violence; Category V (Class 2) -Specificities of the service sectors in the highly complex service; Category IV (Class 3) -High complexity health service as a reference for situations of violence. The analysis of the three levels of health care identified weaknesses in the approach of nurses to children and adolescents in situations of violence regarding scientific and technical knowledge in undergraduate or training, in the identification of cases of violence, in relationships with victims and family, in articulation. multidisciplinary and intersectoral approach and in defining the internal flows of each It is concluded that the approach of nurses to children and adolescents in situations of violence needs qualification through specific professional training, definition of flows and protocols, articulation with the Forensic Nursing protection and advancement network for an advanced practice of nurses at victims of violence.

BANKING MEMBERS:
Presidente - 396864 - FRANCISCO ARNOLDO NUNES DE MIRANDA
Externo à Instituição - FRANCISCO DE SALES CLEMENTINO - UFCG
Externo ao Programa - 1161810 - GILSON DE VASCONCELOS TORRES
Interna - 3168491 - NILBA LIMA DE SOUZA
Externa à Instituição - RAFAELLA QUEIROGA SOUTO - UFPB