Ethel Bastos da Silva

Violence against women and care practice in the perception of the health professionals

Se ha buscado conocer y analizar las concepciones de profesionales de los equipos de salud de la familia, con relacion a la violencia contra la mujer y a la practica asistencial, por medio de la Pesquisa Participante desarrollada en una ciudad ubicada en la region noroeste del Estado de Rio Grande do Sul. Participaron treinta profesionales en ocho reuniones que se constituyeron de un proceso de reflexion y aprendizaje durante los meses de septiembre a diciembre de 2012. Los datos fueron analizados por contenido tematico. Los profesionales comprenden que la violencia contra la mujer existe debido a la jerarquia en las relaciones entre hombres y mujeres en que se le confiere mas poder al hombre, situacion que lo legitima a practicar dicha violencia. La practica asistencial parte de una concepcion biologica del problema con tendencia a la social. Los cuidados se dirigen hacia el tratamiento de la lesion fisica, escucha, orientacion a la denuncia y encaminamiento a los sectores especializados de salud y asistencia social.This study sought to investigate and analyze the conceptions of professionals from family health teams regarding violence against women and care practice, through participant research, undertaken in a city located in the northwest region of the state of Rio Grande do Sul, Brazil. A total of 30 professionals participated, in eight meetings, involving a process of reflection and learning, held in September - December 2012. The data were analyzed using content analysis. The professionals understand that violence against women exists due to the hierarchy and the relationships between men and women, which confers more power on men, a situation which legitimates male practice of violence. The care practice is based on a biological conception of the problem, with a tendency to the social. The care is directed towards the treatment of physical injuries, listening, guidance, denunciation, and referral to specialized health departments and the social service. DESCRIPTORS: Violence against women. Health personnel. Family health. Assistance.

Women in situations of violence: limits of assistance

This paper analyzes the limitations of the care of professionals of family health teams provided to women in situations of violence in the integrated care network in a city in the northwest region of Rio Grande do Sul state, Brazil. The data is part of a survey conducted with six teams participating in family health care in the course of eight meetings, in which the group identified the limits and potential of the practice. The causes of limits, solutions and improvement actions were discussed in a movement of reflection, action and learning. The empirical material was recorded, transcribed and subjected to Bardins thematic content analysis. The results show the lack of coordination between the sectors of the network; lack of protocol, flow and organization of reference and counter-reference; inefficiency of police, judiciary and security sectors; and the lack of professionals to work on violence against women and in the perspective of the network as restrictive conditions for efficient practice. The need is highlighted for greater support of municipal managers to the professionals for networking and encouragement through the qualification and ongoing education courses that address issues such as gender equity, guarantee of rights and a care network.

Educação popular em saúde: metodologia potencializadora das ações do enfermeiro

The article aims at making a reflection about utilizing the health popular education as a potentializing methodology of the health actions performed by nurses. Since the 1970s, popular education became outstanding in the realm of health because it utilizes dialogue and listening as care tools and allows the expression of the critical thought and world views by appraising interpersonal exchanges between the scientific and the popular knowledge and learning about the health-sickness process and self-care. In view of the evolution of the public policies, health actions have required new methodologies in order to work with health promotion and prevention of diseases. Thus, Popular Education is capable of rescuing the nurse´s role as an educator under the care perspective, reflecting about the methodology and the utilized working tools and the impacts and results obtained through dialogue, respect and appraisal of the subjects within their collective environment.

Violência contra a mulher: limites e potencialidades da prática assistencial

OBJECTIVE: Analyzing the limiting and potentializing situations during the assistance of the Family Health teams to women in situations of violence. METHODS: This is a participatory research carried out with 30 professionals from six Family Health teams. Data production was the result of eight workshop-meetings. The technique of thematic content was used for data analysis. RESULTS: User embracement is potentialized by qualified hearing and the elaboration of an assistance plan shared with users also respecting their decisions and their family context. It is limited by the understanding that women should report the violence to enable the proposition of an intervention. It is recommended to resume concepts and practices of gender as well as human and social rights to strengthen supportive actions. CONCLUSION: Home visits and the bonding between professionals and users are considered potentializers of user embracement and the limitation is the difficulty of obtaining the report of women who suffered violence and engage them in a care project.

Processo de trabalho dos agentes comunitários de saúde: possibilidades e limites

No presente estudo, objetiva-se conhecer e analisar o processo de trabalho dos Agentes Comunitarios de Saude (ACS) de um municipio da regiao Noroeste do Rio Grande do Sul, em uma abordagem qualitativa. A coleta de dados foi realizada mediante entrevista semiestruturada, aplicada a 23 ACS, e, para a analise dos dados, utilizou-se Analise de Conteudo Tematica. Os resultados evidenciaram, dentre as possibilidades: comunicacao com as familias atendidas, formacao de vinculo e valorizacao/satisfacao do profissional pela comunidade. Dentre os limites: dificuldade de trabalhar em equipe; dificuldade em realizar trabalhos coletivos na comunidade; remuneracao baixa/sobrecarga de trabalho e falta de qualificacao. Evidenciou-se a necessidade de reorganizacao do processo de trabalho desses profissionais, com maior investimento na formacao e instrumentalizacao, por meio da adocao da politica de educacao permanente.The current study is aimed at getting to know and analyzing the work process of community health agents (CHA) from a municipality of the Northeastern region of the state of Rio Grande do Sul through a qualitative approach. The collection of data was carried out by means of a semi-structured interview applied to 23 CHAs. The Thematic Content Analysis was utilized for the data analysis. The results evidenced some possibilities, such as: communication with the participating families, establishing bonds, and recognition of/satisfaction towards the professional agent by the community; and among some of the limits were: difficulty to perform team work; difficulty to perform collective tasks in the community; low salary/work overload and lack of qualification. Evidence shows the need of reorganizing the work process of these professionals with higher investment in education and instrumentation by adopting a permanent educational policy.

Práticas de saúde aos usuários em situação de violência: da invisibilidade ao (des)cuidado integral

The aim of this study was to investigate practices of health professionals for users undergoing violence from perspective of comprehensive care. This study was based on a qualitative and descriptive research on graduate-level and technical health professionals who work in the Family Health Strategy programme in a northeastern municipality of Rio Grande do Sul. Data were collected by means of semi-structured interviews and analyzed using thematic mode. Results showed that these professionals do not utilize comprehensiveness to guide their care practices with users undergoing violence. Instead, they still work according to the biomedical model in which intervention is based on referring care to other sectors and the treatment plan.The study highlights the need for more appropriation and further discussion on practices regarding violence guided by the principle of comprehensiveness within the Family Healthcare team.

Prevalência da anemia em crianças avaliada pela palidez palmar e exame laboratorial: implicações para enfermagem

Resumen We sought to examine the prevalence of iron deficiency anemia in children and compare the data obtained by the clinical method known as “palmar pallor” and the laboratory exam on the Family Health Strategy services in the municipality of Panambi-RS. The exploratory, descriptive and quantitative research was carried out from March to June 2009. The subjects were 41 children from the age of 2 months up to 5 years old. The data were analyzed by descriptive statistics. Out of the total number of children, 51,2% of them were male; 41,46% of them fit in the age frame from 0 to 12 months old; 53,6% belonged to families of D social level while 43,9% of the family chiefs have complete Elementary Education or incomplete Junior High School. Considering the palmar pallor, the prevalence of anemia was 51,2% and as per the lab exam, by 58,53%. The study shows that the palmar pallor and the laboratory exam when used together provide a more accurate diagnosis of iron deficiency anemia, can be inserted in the professional nursing practice in the ESF.

Work process of community health agents: possibilities and limits

No presente estudo, objetiva-se conhecer e analisar o processo de trabalho dos Agentes Comunitarios de Saude (ACS) de um municipio da regiao Noroeste do Rio Grande do Sul, em uma abordagem qualitativa. A coleta de dados foi realizada mediante entrevista semiestruturada, aplicada a 23 ACS, e, para a analise dos dados, utilizou-se Analise de Conteudo Tematica. Os resultados evidenciaram, dentre as possibilidades: comunicacao com as familias atendidas, formacao de vinculo e valorizacao/satisfacao do profissional pela comunidade. Dentre os limites: dificuldade de trabalhar em equipe; dificuldade em realizar trabalhos coletivos na comunidade; remuneracao baixa/sobrecarga de trabalho e falta de qualificacao. Evidenciou-se a necessidade de reorganizacao do processo de trabalho desses profissionais, com maior investimento na formacao e instrumentalizacao, por meio da adocao da politica de educacao permanente.The current study is aimed at getting to know and analyzing the work process of community health agents (CHA) from a municipality of the Northeastern region of the state of Rio Grande do Sul through a qualitative approach. The collection of data was carried out by means of a semi-structured interview applied to 23 CHAs. The Thematic Content Analysis was utilized for the data analysis. The results evidenced some possibilities, such as: communication with the participating families, establishing bonds, and recognition of/satisfaction towards the professional agent by the community; and among some of the limits were: difficulty to perform team work; difficulty to perform collective tasks in the community; low salary/work overload and lack of qualification. Evidence shows the need of reorganizing the work process of these professionals with higher investment in education and instrumentation by adopting a permanent educational policy.

Baryon pair production with large decay Q‐value

Events of a new type have been observed by the chacaltaya Emulsion Chamber Experiment,1,2 which can consistently be interpreted as ’’baryon’’ pair decay of a heavy intermetiate state of rest mas 20–30 GeV/c2.

Representações sociais da violência contra mulheres rurais para um grupo de idosas

Objetivo: Compreender as representacoes sociais da violencia contra mulheres rurais, na perspectiva de idosas, considerando geracao e genero como influencia nesse agravo . Metodos : Estudo qualitativo, fundamentado na Teoria das Representacoes Sociais. Realizado com 12 mulheres rurais idosas de um municipio do Rio Grande do Sul em julho e agosto de 2013.Os dados obtidos por meio de tecnica projetiva e entrevistas semiestruturadas foram analisados atraves do referencial das Representacoes Sociais e analise de conteudo. Resultados: De um lado, as idosas representam a violencia como distante, ancorada em atos extremos de agressao. Por outro, a representam como presente em suas relacoes, mostrando-se vulneraveis a dominacao dos homens no contexto de vida e trabalho. Conclusoes: Revelou-se a invisibilidade da violencia contra mulheres idosas no contexto rural, onde a figura masculina se sobrepoe a feminina. Palavras-chave : Violencia contra a mulher. Saude da populacao rural. Idoso. Atencao primaria a saude. Enfermagem.OBJECTIVE Understand the social representations of violence against rural women, from the perspective of the elderly, considering how the generation and gender influence this aggravation. METHODS Qualitative study, based on the Theory of Social Representations.It was carried out with 12 elderly rural women from a city of Rio Grande do Sul, in July and August of 2013. The data obtained through a projective technique and semi-structured interviews has been analyzed through the reference of the Social Representations and content analysis. RESULTS On one hand, the elderly represent violence as distant distress, anchored in extreme acts of aggression. On the other hand, they represent it as present in their relationships, showing themselves vulnerable to the domination of men in the context of life and work. CONCLUSIONS It was revealed the invisibility of violence against elderly women in the rural context, where the male figure overlaps with the female.