Nadirlene Pereira Gomes

Violência conjugal: vivências expressas em discursos masculinos

Tendo como objeto a vivencia de violencia na relacao conjugal, este estudo descritivo, de abordagem quali-quantitativa, teve como objetivo identificar a violencia conjugal no discurso masculino. A populacao foi composta por 50 homens residentes na comunidade do Calafate, em San Martin, bairro localizado em Salvador/Ba. Para coleta de dados, utilizou-se entrevista com formulario semi-estruturado. A amostra caracterizou-se por homens, na faixa etaria entre 20 a 40 anos (74,0%); convivendo conjugalmente (98,0%). Com relacao a violencia conjugal, o indice encontrado foi de 80%. Quanto as formas de violencia, destacam-se a violencia emocional e a violencia fisica.

Abortamento induzido: vivência de mulheres baianas

Abortion is a serious public health problem that involves legal, economic, social and psychological issues. This qualitative study aimed to identify situations that interfere in the abortion decision and the feelings about the process of aborting. The study was conducted in a public maternity hospital in the city of Salvador (Northeastern Brazil), and the subjects were nine women hospitalized due to induced abortion. To collect data, we used the interview accompanied by a semi-structured form. Ethical aspects were considered based on Resolution 196/96 of the National Health Council. For the analysis of the discourses, we used Bardins content analysis technique. The sample was characterized by predominantly black adult women, married or in a stable union, financially dependent on the partner. In the analysis, two themes emerged: motivation and feelings. Among the reasons leading to abortion, there are financial difficulties, the number of children, the experience of domestic violence and the loss of their autonomy. The process of aborting generates fear of death, sadness and relief. Women experiencing induced abortion revealed a very painful process from the moment they discover the pregnancy until the difficult decision to interrupt it. When they are not helped, these women perpetuate the pain, living days of anguish and guilt. The exercise of listening and welcoming these women must be present in the lives of health professionals, regardless of their views on abortion, so that the women can express their feelings, and then get appropriate help and referral.

Identificação da violência na relação conjugal a partir da Estratégia Saúde da Família

This qualitative studys objective was to analyze the process of identification of conjugal violence by professionals from the Family Health Strategy in Sao Francisco do Conde/Salvador, Bahia. Interviews were held with 22 professionals (doctors, nurses, social workers and dentists) and, after analysis of the data, the following categories emerged: (Non)identification of conjugal violence in the Family Health Team; Perception of the violence being restricted to physical aggression; The scale and complexity of the conjugal violence; and Breaking the silence in the Family Health Team. The study showed that identification of conjugal violence occurs during professional assistance. Failure to identify the phenomenon is related to the curriculums which do not cover domestic violence as a health object. This points to the importance of a listening and trusting relationship in the process of identifying this threat to health. It is necessary to adopt strategies for confronting the problem, along with better preparation of professionals, which would give greater visibility to the issue. DESCRIPTORS: Violence against women. Womens health. Family health. Nursing.This qualitative studys objective was to analyze the process of identification of conjugal violence by professionals from the Family Health Strategy in Sao Francisco do Conde/Salvador, Bahia. Interviews were held with 22 professionals (doctors, nurses, social workers and dentists) and, after analysis of the data, the following categories emerged: (Non-) identification of conjugal violence in the Family Health Team; Perception of the violence being restricted to physical aggression; The scale and complexity of the conjugal violence; and Breaking the silence in the Family Health Team. The study showed that identification of conjugal violence occurs during professional assistance. Failure to identify the phenomenon is related to the curriculums which do not cover domestic violence as a health object. This points to the importance of a listening and trusting relationship in the process of identifying this threat to health. It is necessary to adopt strategies for confronting the problem, along with better preparation of professionals, which would give greater visibility to the issue. DESCRIPTORS: Violence against women. Womens health. Family health. Nursing.This qualitative study’s objective was to analyze the process of identification of conjugal violence by professionals from the Family Health Strategy in São Francisco do Conde/Salvador, Bahia. Interviews were held with 22 professionals (doctors, nurses, social workers and dentists) and, after analysis of the data, the following categories emerged: (Non)identification of conjugal violence in the Family Health Team; Perception of the violence being restricted to physical aggression; The scale and complexity of the conjugal violence; and Breaking the silence in the Family Health Team. The study showed that identification of conjugal violence occurs during professional assistance. Failure to identify the phenomenon is related to the curriculums which do not cover domestic violence as a health object. This points to the importance of a listening and trusting relationship in the process of identifying this threat to health. It is necessary to adopt strategies for confronting the problem, along with better preparation of professionals, which would give greater visibility to the issue. DESCRIPTORS: Violence against women. Women’s health. Family health. Nursing. IDENTIFICAÇÃO DA VIOLÊNCIA NA RELAÇÃO CONJUGAL A PARTIR DA ESTRATÉGIA SAÚDE DA FAMÍLIA RESUMO: Estudo qualitativo cujo objetivo foi analisar o processo de identificação da violência conjugal por profissionais da Estratégia Saúde da Família de São Francisco do Conde/Salvador-BA. Entrevistaram-se 22 profissionais (médicos, enfermeiros, assistentes sociais e cirurgiões-dentistas) e após análise dos dados emergiram as categorias: (Não)identificação da violência conjugal na Equipe de saúde da Família; Percepção da violência restrita à agressão física; Magnitude e complexidade da violência conjugal; e Quebrando o silêncio na Equipe de Saúde da Família. O estudo mostrou que a identificação da violência conjugal se dá durante o atendimento profissional. A não identificação do fenômeno guarda relação com os currículos que ainda não contemplam a violência doméstica como objeto da saúde. Pontua-se para a importância da relação de confiança e da escuta no processo de identificação do agravo. Torna-se necessário melhor preparo profissional, o que possibilitará maior visibilidade da problemática e a adoção de estratégias de enfrentamento. DESCRITORES: Violência contra a mulher. Saúde da mulher. Saúde da família. Enfermagem. IDENTIFICACIÓN DE LA VIOLENCIA CONYUGAL A PARTIR DE LA ESTRATEGIA DE SALUD FAMILIAR RESUMEN: Investigacion cualitativa con el objetivo de analizar el proceso de identificacion de la violencia conyugal por los profesionales que trabajan en la Estrategia de la Salud Familiar. Se entrevistaron 22 profesionales (doctores, enfermeros, trabajadores sociales y dentistas) de São Francisco do Conde/Salvador, Bahia. A partir del análisis de datos surgieron las siguientes categorías: (No)identificación de la violencia conyugal en la Estrategia de la Salud Familiar, Percepción de violencia se limita a la agresión física, Magnitud y complejidad de la violencia conyugal; y Rompiendo el silencio em Estrategia de la Salud Familiar. El estudio mostró que la identificación de la violencia conyugal se da durante la atención profesional. La no identificación del problema guarda relación con los currículos que aún no contemplan las violencia familiar como objeto de salud. Se resalta la importancia de la relación de confianza y de escucha en el proceso de identificación del agravio. Se hace necesario un mejor preparo profesional, lo que permitirá una mayor visibilidad del problema y la adopción de estrategias de afrontamiento. DESCRIPTORES: Violencia contra la mujer. Salud de la mujer. Salud de la familia. Enfermería. 789

Aborto provocado e violência doméstica entre mulheres atendidas em uma maternidade pública de Salvador-BA

Quantitative study in order to study domestic violence in women with induced abortion. Interviews were conducted with 147 women hospitalized for induced abortion in a public maternity hospital in Salvador, Bahia. The subjects are characterized by mostly women, black, poorly educated, economically dependent on spouses, experienced psychological abuse, physical and sexual abuse committed by their spouses. Almost half of the women were victims of domestic violence during the current pregnancy, and that was the reason for inducing abortion for 67% of them. The study reveals an association between experience of domestic violence and induced abortion. As mental health consequences, they developed symptoms of post trauma stress disorder. It is necessary that the health professionals consider the cues to identify domestic violence as a health problem associated with induced abortion, which requires a transformation on the training model, including domestic violence as a health issue.Estudio cuantitativo, que tuvo como objetivo estudiar la violencia domestica en mujeres con aborto inducido. Se realizaron entrevistas con 147 mujeres internadas por aborto inducido en una maternidad publica de Salvador-BA. Los sujetos se caracterizaran por ser, en su mayoria mujeres jovenes, negras, con un bajo nivel educativo, dependientes economicamente de los conyugues, con experiencia de abusos psicologicos, fisicos y sexuales cometidos por los conyuges. Casi la mitad de las mujeres fueron victimas de violencia domestica durante el embarazo actual, siendo este el motivo de aborto para 67% de ellas. El estudio revelo una asociacion entre la experiencia de violencia domestica y el aborto inducido, con consecuencias para la salud mental de las mujeres, que desarrollan sintomas de trastorno de estrese post traumatico. Es necesaria una mirada por parte de los profesionales de la salud para identificar la violencia domestica como un problema de salud asociado con el aborto inducido, lo que requiere una transformacion del modelo de formacion, que incorpore la violencia domestica como un tema de salud.

Enfrentamento da violência contra a mulher: articulação intersetorial e atenção integral

Abstract This is an exploratory descriptive study with qua-litative approach in order to identify factors that interfere in the process of dealing with violence against women. We conducted interviews with representatives of 15 departments participating in the Network of Care for People Experiencing Violence in the city of Salvador, Bahia, Brazil. Data were organized on the basis of thematic analysis of Bardin. The study showed that intersectoral coordi -nation and care services are provided by the factors that interfere in the fight against violence against women. Both elements are related to strengthening the network of care for women victims of violence. The study points out the need to know the powers of other institutions and reaffirms the importance of coordination between them. It also provides the elements that guide the development of coordina-ted policies and actions to facilitate the process of dealing with violence against women.Keywords: Violence against Women; Domestic Vio -lence; Health Care; Intersectoral Action; Nursing.

Women experiencing the intergenerationality of conjugal violence.

Objetivo: analisar a relacao familiar, na infância e adolescencia, de mulheres que vivenciam violencia conjugal.Metodo: estudo qualitativo. Foram entrevistadas 19 mulheres, em vivencia de violencia conjugal, residentes em uma comunidade de Salvador, Bahia, Brasil. O projeto foi aprovado pelo Comite de Etica em Pesquisa (no 42/2011).Resultados: os dados foram organizados pelo metodo Discurso do Sujeito Coletivo, identificando-se as ideias centrais sintese: presenciaram violencia entre os pais; sofreram repercussoes da violencia entre os pais; indignaram-se com a submissao da mae ao companheiro; e reproduziram a violencia conjugal. O discurso mostrou que as mulheres presenciaram, na infância e adolescencia, violencia entre os pais, sendo agredidas fisicamente e moralmente. Diante da submissao da mae surgiram sentimentos de indignacao dos filhos. No entanto, na fase adulta, perceberam que sua vida conjugal assemelha-se a dos pais, reproduzindo a violencia.Conclusao: e necessario o investimento em estrategias de rompimento da violencia intergeracional, e os profissionais de saude tem importância neste processo, por ser um fenomeno com repercussao na saude. Por atuarem na Estrategia Saude da Familia, que foca na prevencao de agravos e doencas, promocao da saude e intersetorialidade, os enfermeiros sao essenciais no processo de prevencao e enfrentamento deste fenomeno.Objective: to analyze the family relationship, in childhood and adolescence, of women who experience conjugal violence. Method: qualitative study. Interviews were held with 19 women, who were experiencing conjugal violence, and who were resident in a community in Salvador, Bahia, Brazil. The project was approved by the Research Ethics Committee (N. 42/2011). Results: the data was organized using the Discourse of the Collective Subject, identifying the summary central ideas: they witnessed violence between their parents; they suffered repercussions from the violence between their parents: they were angry about the mothers submission to her partner; and they reproduced the conjugal violence. The discourse showed that the women witnessed, in childhood and adolescence, violence between their parents, and were injured both physically and psychologically. As a result of the mothers submission, feelings of anger arose in the children. However, in the adult phase of their own lives, they noticed that their conjugal life resembled that of their parents, reproducing the violence. Conclusion: investment is necessary in strategies designed to break inter-generational violence, and the health professionals are important in this process, as it is a phenomenon with repercussions in health. Because they work in the Family Health Strategy, which focuses on the prevention of harm and illness, health promotion and interdepartmentality, the nurses are essential in the process of preventing and confronting this phenomenon.

The social network for confronting conjugal violence: representations of women who experience this health issue

Pesquisa qualitativa, fundamentada na Teoria das Representacoes Sociais, que teve como objetivo descrever, a partir das representacoes de mulheres com historia de violencia conjugal, os elementos que constituem a rede de apoio social para o enfrentamento do agravo. Foram entrevistadas 11 mulheres com historia de violencia conjugal. Os dados foram categorizados mediante a analise tematica. O estudo mostra que o apoio religioso, de familiares, de amigos e de ONGs, como o Coletivo de Mulheres do Calafate, permitem as mulheres se sentirem amparadas, o que favorece a busca por uma vida sem violencia. E fundamental o conhecimento acerca da rede de apoio social disponivel na comunidade pelos profissionais que atuam nos espacos da saude, especialmente quando os elementos que a integram refletem as representacoes de determinado grupo, configurando, portanto, um saber comum e compartilhado da comunidade.This qualitative research, grounded in Social Representations Theory, aimed to describe, based on the representations of women with a history of undergoing conjugal violence, the elements which constitute the social support network for confronting this health problem. Interviews were held with 11 women with a history of experiencing conjugal violence. The data were categorized using thematic analysis. The study shows that support from religion, family members, friends and NGO, such as the Calafate Womens Collective allows the women to feel supported, favoring the search for a life without violence. Knowledge regarding the social support network available in the community is essential for the professionals who work in the spaces of health, especially when the elements which it is composed of reflect the representations of a specific group, therefore configuring a common knowledge which is shared by the community. DESCRIPTORS: Violence against women. Family. Social help. Networks. Nursing.

Situations which precipitate conflicts in the conjugal relationship: the women's discourse

This study aimed to analyze the situations that precipitate and/or intensify conflicts in the conjugal relationship. Interviews were held with 19 women experiencing conjugal violence. The Discourse of the Collective Subject was used as the method of organization, making it possible to find the central ideas, and gender was used as the analytical framework. Summary: the women report the mans control and domination of the woman, jealousy, the male partners infidelity, unplanned fatherhood and motherhood, and the use of alcohol and drugs. These situations are related to the construction of the conjugal violence and/or the womans remaining in the relationship, with preventive actions being essential so as to avoid this phenomenon and its repercussions on the health of the woman and the family. The work of the professional nurse is indispensable in the programs for harm prevention and for the promotion and assistance of the health of women and families, through social and health service means and facilities existing in the community.This study aimed to analyze the situations that precipitate and/or intensify conflicts in the conjugal relationship. Interviews were held with 19 women experiencing conjugal violence. The Discourse of the Collective Subject was used as the method of organization, making it possible to find the central ideas, and gender was used as the analytical framework. Summary: the women report the mans control and domination of the woman, jealousy, the male partners infidelity, unplanned fatherhood and motherhood, and the use of alcohol and drugs. These situations are related to the construction of the conjugal violence and/or the womans remaining in the relationship, with preventive actions being essential so as to avoid this phenomenon and its repercussions on the health of the woman and the family. The work of the professional nurse is indispensable in the programs for harm prevention and for the promotion and assistance of the health of women and families, through social and health service means and facilities existing in the community. DESCRIPTORS: Violence against women. Family relationships. Familial conflict. Gender violence. Nursing.

Homens e mulheres em vivência de violência conjugal: características socioeconômicas

Quantitative and descriptive study aiming to identify socioeconomic characteristics of men and women with a history of domestic violence. We conducted interviews with 50 men and 50 women. Nearly all subjects were self-declared black. Most did not have too many years of school education. Men perform occupations that are public and women do predominantly domestic activities. Only 3 women (6%) are considered financially independent. The degree of economic dependence is directly related to the level of education that has been established as a prerequisite to enter into the labor market. The situation is even more precarious for women interviewed with fewer years of education and a high degree of financial dependence that interferes with their empowerment to address domestic violence. Health professionals, especially nurses, should address the social inequities and improve the socioeconomic context of users to identify situations that endanger the health of the population.

The (un)receptive experiences of female rape victims who seek healthcare services

OBJECTIVE To know the structure and functioning of healthcare services from the perspective of women who have suffered rape. METHOD A qualitative study conducted with 11 women who experienced rape, monitored in a maternity in the state of Alagoas, Brazil. Data were systematically based on content analysis. RESULTS It allowed for understanding the path taken by women in search of support from health services, as well as the limitations and capabilities of these services. CONCLUSION The assistance received in healthcare services leans towards a revictimization process of women who already carry trauma from the rape. It is necessary to reflect about care practices aimed at sexually victimized women.