全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Perception and Attitudes of Physicians and Nurses about Violence against Women

DOI: 10.1155/2013/785025

Full-Text   Cite this paper   Add to My Lib

Abstract:

Cross-sectional study compares the perception and attitudes about violence against women of physicians and nurses working in the primary health care clinics in Ribeir?o Preto, SP. A total of 170 physicians and 51 nurses were interviewed in the District Health Clinics. Physicians feel more comfortable than nurses to talk about the sex life of patients ( ) and to investigate the use of drugs (0.001). Compared to the nurses greater number of physicians believed that the aggression to the woman by the husband should be treated as a medical problem ( ). Both believe that external factors, as alcohol or drug abuse, unemployment, and psychological problems of the husband and not of the victim, can cause violent acts. Most interviewees understand that gender violence exceeds the issues of individuality and privacy and has become a public health problem, by the dimension present in the social relationships. 1. Introduction From the 1970s, violence against women (VAW) has become increasingly visible in Brazilian society. Since 1990, VAW is considered a topic of study and intervention in health assistance [1], and, as a reflection of national and international conventions, it is now considered a fundamental human right [2–7]. Data from the World Bank show that domestic violence affects about 25% to 50% of women in Latin America, with costs of approximately 14.2% of Gross Domestic Product (GDP), which means US $ 168 billion [8]. In Brazil, it is estimated that every 15 seconds a woman is raped, usually in their home by a person who keeps loving relationship, and 70% of crimes against women happen at home and domestic violence costs to the country about 10, 5% of its GDP [8]. Although the national political scene is favorable to combat VAW [9–11], its resolution involves the training of professionals who deal daily with these women. Even today, the use of health services by women in situations of violence, although frequent, is not very resolute, and most time it is ignored. For professionals, those cases are causes for frustration and sense of impotence [12], and this demand generates high costs with little result for the health system. Several factors have been identified as barriers to the recognition of VAW by health professionals, such as lack of training to identify women subjected to violence, ignorance about the handling of cases, feelings of insecurity when dealing with the problem, and little support for the victims [13, 14]. Adequate assistance is hindered by the spread of the erroneous idea that intimate partner violence is a private matter that should

References

[1]  A. F. P. L. D'Oliveira, L. B. Schraiber, H. Hanada, and J. Durand, “Comprehensive health (care) services to women in gender violence situation—an alternative to primary health care,” Ciencia e Saude Coletiva, vol. 14, no. 4, pp. 1037–1050, 2009.
[2]  UN General Assembly, Vienna Declaration and Programme of Action, 1993, http://www.unhcr.org/refworld/docid/3ae6b39ec.html.
[3]  Organization of American States, Inter-American Convention on the Prevention, Punishment and Eradication of Violence Against Women (“Convention of Belem do Para”), 1994, http://www.unhcr.org/refworld/docid/3ae6b38b1c.html.
[4]  E. G. Krug, L. L. Dahlberg, J. A. Mercy, A. B. Zwi, and R. Lozano, Eds., World Report on Violence and Health, World Health Organization, Geneva, Switzerland, 2002, http://www.who.int/violence_injury_prevention/violence/world_report/en/summary_en.pdf.
[5]  S. Corrêa and M. B. ávila, “Direitos sexuais e reprodutivos: pauta global e percursos brasileiros,” in Sexo & Vida—Panorama da saúde reprodutiva no Brasil, E. Berquó, Ed., pp. 17–78, Unicamp, Campinas, Brazil, 2003.
[6]  BRASIL. Presidência da República, Secretaria Especial de Políticas para as Mulheres. Participa??o do Brasil na 29a Sess?o do Comitê para a Elimina??o da Discrimina??o contra a Mulher—CEDAW. Secretaria Especial de Políticas para as Mulheres, Brasília, Brazil, 2004.
[7]  L. L. Barsted, “O campo político-legislativo dos direitos sexuais e reprodutivos no Brasil,” in Sexo & Vida—Panorama da saúde reprodutiva no Brasil, E. Berquó, Ed., pp. 79–94, Unicamp, Campinas, Brazil, 2003.
[8]  D. Carreira and V. Pandjiarjian, Vem pra roda! Vem pra rede!: Guia de apoio à constru??o de redes de servi?os para o enfrentamento da violência contra a mulher, Rede Mulher de Educa??o, S?o Paulo, Brazil, 2003.
[9]  BRASIL, “Lei n. 11.340 de 7 de agosto de 2006,” Lei Maria da Penha. Diário Oficial da Uni?o, Brasília, DF, Brazil, 8 de agosto de 2006.
[10]  BRASIL, “Lei n. 10.778 de 24 de novembro de 2003,” Diário Oficial da Uni?o, Brasília, DF, Brazil, 25 de novembro de 2003.
[11]  BRASIL. Ministério da Saúde, Secretaria de Aten??o á Saúde, Departamento de A??es Programáticas Estratégicas, Aten??o integral para mulheres e adolescentes em situa??o de violência doméstica e sexual: matriz pedagógica para forma??o de redes, Ministério da Saúde, Secretaria de Aten??o à Saúde, Departamento de A??es Programáticas Estratégicas, Brasília, Brazil, 1st edition, 2006, Editora do Ministério da Saúde.
[12]  L. B. Schraiber, A. F. P. L. D'Oliveira, H. Hanada et al., “Violence experienced: the nameless pain,” Interface—Comunica??o, Saúde, Educa??o, vol. 7, no. 12, pp. 41–54, 2003.
[13]  N. K. Sugg and T. Inui, “Primary care physicians' response to domestic violence: opening Pandora's box,” Journal of the American Medical Association, vol. 267, no. 23, pp. 3157–3160, 1992.
[14]  C. F. S. M. Monteiro, T. M. E. Araújo, B. M. V. T. Nunes, A. R. Lustosa, and C. M. J. Bezerra, “The violence against woman who is attended in an unit of urgency: a nursing contribution,” Escola Anna Nery Revista de Enfermagem, vol. 10, no. 2, pp. 273–280, 2006.
[15]  A. Sisley, L. M. Jacobs, G. Poole, S. Campbell, and T. Esposito, “Violence in America: a public health crisis—domestic violence,” Journal of Trauma—Injury, Infection and Critical Care, vol. 46, no. 6, pp. 1105–1112, 1999.
[16]  L. F. Cavalcanti, R. Gomes, and M. C. S. Minayo, “Social representations by health professionals of sexual violence against women: a study in three municipal public maternity hospitals in Rio de Janeiro, Brazil,” Cadernos de Saude Publica, vol. 22, no. 1, pp. 31–39, 2006.
[17]  E. M. Vieira, G. C. S. Perdona, A. M. de Almeida et al., “Knowledge and attitudes of healthcare workers towards gender based violence,” Revista Brasileira de Epidemiologia, vol. 12, no. 4, pp. 566–577, 2009.
[18]  F. G. de Ferrante, Violência contra a mulher: a percep??o dos médicos das unidades básicas de saúde de Ribeir?o Preto, S?o Paulo [Disserta??o de Mestrado], Universidade de S?o Paulo, Faculdade de Medicina de Ribeir?o Preto, Ribeir?o Preto, Brazil, 2008, http://www.teses.usp.br/teses/disponiveis/17/17139/tde-06032009-151551/.
[19]  L. K. Hamberger, “Preparing the next generation of physicians: medical school and residency-based intimate partner violence curriculum and evaluation,” Trauma, Violence, and Abuse, vol. 8, no. 2, pp. 214–225, 2007.
[20]  H. A. D. Aksan and F. Aksu, “The training needs of Turkish emergency department personnel regarding intimate partner violence,” BMC Public Health, vol. 7, pp. 350–360, 2007.
[21]  C. Herrera and C. Agoff, “Dilemmas of healthcare providers towards domestic violence in Mexico,” Cadernos de Saúde Pública, vol. 22, no. 11, pp. 2349–2357, 2006.
[22]  E. R. Park, T. J. Wolfe, M. Gokhale, J. P. Winickoff, and N. A. Rigotti, “Perceived preparedness to provide preventive counseling—reports of graduating primary care residents at academic health centers,” Journal of General Internal Medicine, vol. 20, no. 5, pp. 386–391, 2005.
[23]  H. D. Bessette and S. S. Peterson, “Attitudes of adult nurse practitioner students toward women experiencing domestic violence,” The Journal of Nursing Education, vol. 41, no. 5, pp. 227–230, 2002.
[24]  H. W. Goff, A. J. Shelton, T. L. Byrd, and G. S. Parcel, “Preparedness of health care practitioners to screen women for domestic violence in a border community,” Health Care for Women International, vol. 24, no. 2, pp. 135–148, 2003.
[25]  M. A. Corbally, “Factors affecting nurses' attitudes towards the screening and care of battered women in Dublin A&E departments: a literature review,” Accident and Emergency Nursing, vol. 9, no. 1, pp. 27–37, 2001.
[26]  R. E. Davis and K. E. Harsh, “Confronting barriers to Universal screening for domestic violence,” Journal of Professional Nursing, vol. 17, no. 6, pp. 313–320, 2001.
[27]  L. M. Vicente and E. M. Vieira, “Knowledge about gender violence among medical students and residents,” Revista Brasileira de Educa??o Médica, vol. 33, no. 1, pp. 63–71, 2009.
[28]  K. Cann, S. Withnell, J. Shakespeare, H. Doll, and J. Thomas, “Domestic violence: a comparative survey of levels of detection, knowledge, and attitudes in healthcare workers,” Public Health, vol. 115, no. 2, pp. 89–95, 2001.
[29]  L. B. Schraiber and A. P. L. P. D'Oliveira, “Violence against women: interfaces with health care,” Interface—Comunica??o, Saúde, Educa??o, vol. 3, no. 5, pp. 11–26, 1999.
[30]  N. K. Sugg, R. S. Thompson, D. C. Thompson, R. Maiuro, and F. P. Rivara, “Domestic violence and primary care: attitudes, practices, and beliefs,” Archives of Family Medicine, vol. 8, no. 4, pp. 301–306, 1999.
[31]  P. A. Janssen, M. C. Basso, and R. M. Costanzo, “The prevalence of domestic violence among obstetric nurses,” Women's Health Issues, vol. 8, no. 5, pp. 317–323, 1998.
[32]  A. R. Oliveira and A. F. P. L. D'Oliveira, “Gender-violence against the female nursing staff of a Brazilian hospital in S?o Paulo City,” Revista de Saúde Pública, vol. 42, no. 5, pp. 868–876, 2008.
[33]  M. R. Early and R. A. Williams, “Emergency nurses' experience with violence: does it affect nursing care of battered women?” Journal of Emergency Nursing, vol. 28, no. 3, pp. 199–204, 2002.
[34]  I. Gutmanis, C. Beynon, L. Tutty, C. N. Wathen, and H. L. MacMillan, “Factors influencing identification of and response to intimate partner violence: a survey of physicians and nurses,” BMC Public Health, vol. 7, article 12, 2007.
[35]  P. Méndez-Hernández, R. Valdez-Santiago, L. Viniegra-Velázquez, L. Rivera-Rivera, and J. Salmerón-Castro, “Violence against women: knowledge and attitudes of healthcare providers at the Mexican Institute of Social Security in Morelos, Mexico,” Salud Pública de México, vol. 45, no. 6, pp. 472–482, 2003.
[36]  K. Peltzer, T. A. Mashego, and M. Mabeba, “Attitudes and practices of doctors toward domestic violence victims in South Africa,” Health Care for Women International, vol. 24, no. 2, pp. 149–157, 2003.
[37]  A. M. E. H?ggblom, L. R. M. Hallberg, and A. R. M?ller, “Nurses' attitudes and practices towards abused women,” Nursing & Health Sciences, vol. 7, no. 4, pp. 235–242, 2005.
[38]  A. L. V. Marinheiro, E. M. Vieira, and L. de Souza, “Prevalence of violence against women users of health care services,” Revista de Saúde Pública, vol. 40, no. 4, pp. 604–610, 2006.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133