Estratégias de enfrentamento da violência contra as mulheres nos serviços de saúde: revisão de escopo
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Sep 27, 2024
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Objetivo: Mapear e analisar as estratégias de enfrentamento à violência contra as mulheres assistidas nos serviços de saúde. Métodos: Revisão de escopo utilizando critérios de elegibilidade específicos. Foram consultadas as bases de dados Medical Literature Analysis and Retrieval System Online via PubMed, Literatura Latino-Americana e do Caribe em Ciências da Saúde, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Scopus e Excerpta Medica Database e a Scientific Electronic Library Online. Busca norteada pela pergunta: Quais as estratégias de enfrentamento à violência contra a mulher nos serviços de saúde? Resultados: Foram encontrados 49 estudos, agrupados em cinco categorias empíricas: atendimento empático e estabelecimento de vínculo com a mulher; capacitação profissional, discussões interdisciplinares; encaminhamentos e interações com outros serviços e setores; ações ampliadas e ou inovadoras; práticas organizacionais para qualificar o atendimento. Considerações finais: O estudo mostrou a importância do atendimento prestado pelos serviços de saúde no enfrentamento da violência. Dada a complexidade e a abrangência do problema, as estratégias são múltiplas, variadas e abrangentes incluindo ações individuais e coletivas voltadas especificamente para a clientela atendida (mulheres, famílias e comunidades) até práticas organizacionais para qualificar os atendimentos visando à melhoria dos serviços de atendimento, em especial na Atenção Primária à Saúde.
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Como Citar
LimaC. C. de, & FonsecaR. M. G. S. da. (2024). Estratégias de enfrentamento da violência contra as mulheres nos serviços de saúde: revisão de escopo. Revista Eletrônica Acervo Saúde, 24(9), e17405. https://doi.org/10.25248/reas.e17405.2024
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Referências
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2. AMARIJO CL, et al. Nursing personnel’s social representations of domestic violence against women: A structural approach. Rev Enferm, 2017; 25(1).
3. ARBOIT JP, et al. Health care for women in situations of violence: discoordination of network professionals. Revista da Escola de Enfermagem da USP, 2017; 51.
4. BACCHUS LJ, et al. Adaptive work in the primary health care response to domestic violence in occupied Palestinian territory: a qualitative evaluation using Extended Normalisation Process Theory. BMC Fam Pract, 2021; 22(1): 3.
5. BACCHUS LJ, et al. An evidence-based primary health care intervention to address domestic violence against women in Brazil: a mixed method evaluation. BMC Prim care, 2023; 24(1): 198.
6. BAFFSKY R, et al. “The real pandemic’s been there forever”: qualitative perspectives of domestic and family violence workforce in Australia during COVID-19. BMC Health Serv Res, 2022; 22(1): 337.
7. BARDIN L. Análise de Conteúdo. 2011; 70: 229.
8. BONFIM EG, et al. Os registros profissionais do atendimento pré-natal e a (in)visibilidade da violência doméstica contra a mulher. Esc Anna Nery, 2010; 14(1): 97-104.
9. BRASIL. Lei n. 11.340, de 7 de Ago. de 2006. Lei Maria Da Penha. Cria Mecanismos Para Coibir a Violência Doméstica e Familiar Contra a Mulher. 2006.
http ://www.tjmt.jus.br/INTRANET.ARQ/CMS/GrupoPaginas/18/984/Lei-maria-da-penha-11340.pdf.
10. BURD C, et al. Our services are not the same: the impact of the COVID-19 pandemic on care interactions in women’s shelters. BMC Womens Health, 2023; 23(1): 427.
11. CHIBBER KS e KRISHNAN S. Confronting Intimate Partner Violence: A Global Health Priority. Mt SINAI J Med, 2011; 78(3): 449-457.
12. CONVENÇÃO INTERAMERICANA. Convenção Interamericana para prevenir, punir e erradicar a violência contra a mulher - convenção de Belém do Pará. Published 1994. Accessed January 31, 2022. http ://www.pge.sp.gov.br/centrodeestudos/bibliotecavirtual/instrumentos/belem.htm.
13. CORTES LF, et al. Instrumentos para articulação da rede de atenção às mulheres em situação de violência: construção coletiva. Rev gaúch enferm, 2016; 37: 20160056-20160056.
14. COSTA DAC, et al. Assistência multiprofissional à mulher vítima de violência: atuação de profissionais e dificuldades encontradas. Cogitare enferm, 2013; 18(2): 302-309.
15. COSTA MC e LOPES MJM. Elementos de integralidade nas práticas profissionais de saúde a mulheres rurais vítimas de violência. Rev Esc Enferm USP, 2012; 46(5): 1088-1095.
16. DE FERRANTE FG, et al. Violência contra a mulher: percepção dos médicos das unidades básicas de saúde da cidade de Ribeirão Preto, São Paulo. Interface - Comun Saúde, Educ, 2009; 13(31): 287-299.
17. DHEENSA S, et al. “From taboo to routine”: a qualitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse. BMC Health Serv Res, 2020; 20(1): 129.
18. DIXON S, et al. General practice wide adaptations to support patients affected by DVA during the COVID-19 pandemic: a rapid qualitative study. BMC Prim care, 2023; 24(1): 78.
19. DOUGHTY JL, et al. Dental Public Health in Action: Delivering a domestic violence and abuse screening and identification training programme in North Staffordshire-based dental practices. Community Dent Health, 2023; 40(1): 3-8.
20. DOUGHTY JL, et al. Dental Public Health in Action: Delivering a domestic violence and abuse screening and identification training programme in North Staffordshire-based dental practices. Community Dent Health, 2023; 40(1): 3-8.
21. EMSLEY E, et al. General practice as a place to receive help for domestic abuse during the COVID-19 pandemic: a qualitative interview study in England and Wales. Br J Gen Pract, 2023; 73(735): 769-777.
22. FERRARA AM, et al. Army home visitors’ implementation of military family violence prevention programming in the context of the COVID-19 pandemic. Couple Fam Psychol Res Pract, 2022; 11(1): 60-73.
23. FORNARI LF e FONSECA RMGS. Board Game Violetas: the perspective of professionals addressing violence against women. Rev da Esc Enferm da USP, 2021; 55.
24. UNIFEM. FUNDO DE DESENVOLVIMENTO DA NAÇÕES UNIDAS PARA MULHER.Quem responde às mulheres? Género e responsabilização. Progresso das mulheres do mundo 2008/2009. Published 2009. Accessed December 21, 2023. https ://www.onumulheres.org.br/wp-content/uploads/2019/11/Portuguese-POWW-2008-indd.pdf.
25. GADAPPA S, et al. Innovations in implementing a health systems response to violence against women in 3 tertiary hospitals of Maharashtra India: Improving provider capacity and facility readiness. Implement Res Pract, 2022; 3: 26334895211067988.
26. GUERRERO MFR. Violencia física contra la mujer: una propuesta de abordaje desde un servicio de salud. rev Cuid, 2017; 8(2): 1656-1667.
27. HAESELER LA. Themes of Coping in the Spectrum of Domestic Violence Abuse: A Review of the Literature. J Evid Based Soc Work, 2013; 10(1): 25-32.
28. HORWOOD J, et al. Assessing for domestic violence in sexual health environments: a qualitative study. Sex Transm Infect, 2018; 94(2): 88-92.
29. IVERSON KM, et al. Intimate Partner Violence Screening Programs in the Veterans Health Administration: Informing Scale-up of Successful Practices. J Gen Intern Med, 2019; 34(11): 2435-2442.
30. JACK SM, et al. Identification and assessment of intimate partner violence in nurse home visitation. J Clin Nurs, 2017; 26(15): 2215-2228.
31. LIMA MADS, et al. Atendimento aos usuários em situação de violência: concepções dos profissionais de unidades básicas de saúde. Rev Gaúcha Enferm. 2009; 30(4): 625-632.
32. MARQUES SS, et al. Estratégias para identificação e enfrentamento de situação de violência por parceiro íntimo em mulheres gestantes. Rev Gaúcha Enferm, 2017; 38(3).
33. MARTINS LCA, et al. Violência contra mulher: acolhimento na estratégia saúde da família. Ciênc Cuid saúde, 2016; 15(3): 507-514.
34. MCCAULEY M, et al. “Keeping family matters behind closed doors”: Healthcare providers’ perceptions and experiences of identifying and managing domestic violence during and after pregnancy. BMC Pregnancy Childbirth, 2017; 17(1).
35. MEDINA A e PENNA L. The perception of obstetrics nurses concerning domestic violence involving pregnant women. Texto Context Enferm, 2008; 17(3): 466-473.
36. MIRANDA RB e LANGE S. Domestic violence and social norms in Norway and Brazil: A preliminary, qualitative study of attitudes and practices of health workers and criminal justice professionals. PLoS One, 2020; 15(12): 0243352.
37. MOREIRA TNF, et al. A construção do cuidado: o atendimento às situações de violência doméstica por equipes de Saúde da Família. Saúde e Soc, 2014; 23(3): 814-827.
38. MOTA JA e AGUIAR RS. Percepções de enfermeiros da atenção primária no atendimento às mulheres vítimas de violência sexual. Nurs, 2020; 23(262): 3651-3848.
39. O’REILLY R e PETERS K. Opportunistic domestic violence screening for pregnant and post-partum women by community-based health care providers. BMC Womens Health, 2018; 18(1): 128.
40. OLIVE P. Care for emergency department patients who have experienced domestic violence: a review of the evidence base. J Clin Nurs, 2007; 16(9): 1736-1748.
41. OTERO-GARCIA L, et al. Accessibility of intimate partner violence-related services for young women in Spain. Qualitative study on professionals’ perspectives. PLoS One, 2024; 19(4): 0297886.
42. PETERS MD, et al. Scoping reviews. In: JBI Manual for Evidence Synthesis. JBI; 2020; 11.
43. PORTNOY GA, et al. Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening. BMC Health Serv Res, 2020; 20(1): 746.
44. PROCENTESE F, et al. Healthcare Professionals’ Perceptions and Concerns towards Domestic Violence during Pregnancy in Southern Italy. Int J Environ Res Public Health, 2019; 16(17).
45. RIZKALLA K, et al. Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study. BMC Womens Health, 2020; 20(1): 209.
46. ROBERTS SCM, et al. Health care provider reporting practices related to self-managed abortion. BMC Womens Health, 2023; 23(1): 136.
47. RODRIGUES VP, et al. The practice of family health strategy workers when caring for women in gender violence situations. Texto & Context enferm, 2014; 23(3): 735-743.
48. SABRI B, et al. Effect of COVID-19 pandemic on women’s health and safety: A study of immigrant survivors of intimate partner violence. Health Care Women Int, 2020; 41(11): 1294-1312.
49. SOUZA V e FERREIRA S. The influence of marital violence on the decision to have an abortion. Rev Bras Enferm, 2000; 53(3): 375-385.
50. TOCCALINO D, et al. Addressing the Shadow Pandemic: COVID-19 Related Impacts, Barriers, Needs, and Priorities to Health Care and Support for Women Survivors of Intimate Partner Violence and Brain Injury. Arch Phys Med Rehabil, 2022; 103(7): 1466-1476.
51. UMUBYEYI A, et al. Gender inequality prevents abused women from seeking care despite protection given in gender-based violence legislation: A qualitative study from Rwanda. PLoS One, 2016; 11(5).
52. UN WOMEN. Normative aspects of the work of the United Nations Entity for Gender Equality and the Empowerment of Women. Published online 2024.
https ://documents.un.org/doc/undoc/gen/n23/411/57/pdf/n2341157.pdf?token=t2S9YNTLLJl2gC4JEa&fe=true.
53. VIEIRA LB, et al. A percepção de profissionais da saúde de um hospital sobre a violência contra as mulheres. Rev gaúch enferm, 2009; 30(4): 609-616.
54. WHO. WORLD HEALTH ORGANIZATION. Respect women: preventing violence against women. World Health Organization.
55. WYK N VAN e WATH A VAN DER. Two male nurses’ experiences of caring for female patients after intimate partner violence: A South African perspective. Contemp Nurse, 2015; 50(1): 94-103.
56. ZUCHI CZ, et al. Violência contra as mulheres: concepções de profissionais da Estratégia Saúde da Família acerca da escuta. REME rev min enferm, 2018; 22: 1085.
2. AMARIJO CL, et al. Nursing personnel’s social representations of domestic violence against women: A structural approach. Rev Enferm, 2017; 25(1).
3. ARBOIT JP, et al. Health care for women in situations of violence: discoordination of network professionals. Revista da Escola de Enfermagem da USP, 2017; 51.
4. BACCHUS LJ, et al. Adaptive work in the primary health care response to domestic violence in occupied Palestinian territory: a qualitative evaluation using Extended Normalisation Process Theory. BMC Fam Pract, 2021; 22(1): 3.
5. BACCHUS LJ, et al. An evidence-based primary health care intervention to address domestic violence against women in Brazil: a mixed method evaluation. BMC Prim care, 2023; 24(1): 198.
6. BAFFSKY R, et al. “The real pandemic’s been there forever”: qualitative perspectives of domestic and family violence workforce in Australia during COVID-19. BMC Health Serv Res, 2022; 22(1): 337.
7. BARDIN L. Análise de Conteúdo. 2011; 70: 229.
8. BONFIM EG, et al. Os registros profissionais do atendimento pré-natal e a (in)visibilidade da violência doméstica contra a mulher. Esc Anna Nery, 2010; 14(1): 97-104.
9. BRASIL. Lei n. 11.340, de 7 de Ago. de 2006. Lei Maria Da Penha. Cria Mecanismos Para Coibir a Violência Doméstica e Familiar Contra a Mulher. 2006.
http ://www.tjmt.jus.br/INTRANET.ARQ/CMS/GrupoPaginas/18/984/Lei-maria-da-penha-11340.pdf.
10. BURD C, et al. Our services are not the same: the impact of the COVID-19 pandemic on care interactions in women’s shelters. BMC Womens Health, 2023; 23(1): 427.
11. CHIBBER KS e KRISHNAN S. Confronting Intimate Partner Violence: A Global Health Priority. Mt SINAI J Med, 2011; 78(3): 449-457.
12. CONVENÇÃO INTERAMERICANA. Convenção Interamericana para prevenir, punir e erradicar a violência contra a mulher - convenção de Belém do Pará. Published 1994. Accessed January 31, 2022. http ://www.pge.sp.gov.br/centrodeestudos/bibliotecavirtual/instrumentos/belem.htm.
13. CORTES LF, et al. Instrumentos para articulação da rede de atenção às mulheres em situação de violência: construção coletiva. Rev gaúch enferm, 2016; 37: 20160056-20160056.
14. COSTA DAC, et al. Assistência multiprofissional à mulher vítima de violência: atuação de profissionais e dificuldades encontradas. Cogitare enferm, 2013; 18(2): 302-309.
15. COSTA MC e LOPES MJM. Elementos de integralidade nas práticas profissionais de saúde a mulheres rurais vítimas de violência. Rev Esc Enferm USP, 2012; 46(5): 1088-1095.
16. DE FERRANTE FG, et al. Violência contra a mulher: percepção dos médicos das unidades básicas de saúde da cidade de Ribeirão Preto, São Paulo. Interface - Comun Saúde, Educ, 2009; 13(31): 287-299.
17. DHEENSA S, et al. “From taboo to routine”: a qualitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse. BMC Health Serv Res, 2020; 20(1): 129.
18. DIXON S, et al. General practice wide adaptations to support patients affected by DVA during the COVID-19 pandemic: a rapid qualitative study. BMC Prim care, 2023; 24(1): 78.
19. DOUGHTY JL, et al. Dental Public Health in Action: Delivering a domestic violence and abuse screening and identification training programme in North Staffordshire-based dental practices. Community Dent Health, 2023; 40(1): 3-8.
20. DOUGHTY JL, et al. Dental Public Health in Action: Delivering a domestic violence and abuse screening and identification training programme in North Staffordshire-based dental practices. Community Dent Health, 2023; 40(1): 3-8.
21. EMSLEY E, et al. General practice as a place to receive help for domestic abuse during the COVID-19 pandemic: a qualitative interview study in England and Wales. Br J Gen Pract, 2023; 73(735): 769-777.
22. FERRARA AM, et al. Army home visitors’ implementation of military family violence prevention programming in the context of the COVID-19 pandemic. Couple Fam Psychol Res Pract, 2022; 11(1): 60-73.
23. FORNARI LF e FONSECA RMGS. Board Game Violetas: the perspective of professionals addressing violence against women. Rev da Esc Enferm da USP, 2021; 55.
24. UNIFEM. FUNDO DE DESENVOLVIMENTO DA NAÇÕES UNIDAS PARA MULHER.Quem responde às mulheres? Género e responsabilização. Progresso das mulheres do mundo 2008/2009. Published 2009. Accessed December 21, 2023. https ://www.onumulheres.org.br/wp-content/uploads/2019/11/Portuguese-POWW-2008-indd.pdf.
25. GADAPPA S, et al. Innovations in implementing a health systems response to violence against women in 3 tertiary hospitals of Maharashtra India: Improving provider capacity and facility readiness. Implement Res Pract, 2022; 3: 26334895211067988.
26. GUERRERO MFR. Violencia física contra la mujer: una propuesta de abordaje desde un servicio de salud. rev Cuid, 2017; 8(2): 1656-1667.
27. HAESELER LA. Themes of Coping in the Spectrum of Domestic Violence Abuse: A Review of the Literature. J Evid Based Soc Work, 2013; 10(1): 25-32.
28. HORWOOD J, et al. Assessing for domestic violence in sexual health environments: a qualitative study. Sex Transm Infect, 2018; 94(2): 88-92.
29. IVERSON KM, et al. Intimate Partner Violence Screening Programs in the Veterans Health Administration: Informing Scale-up of Successful Practices. J Gen Intern Med, 2019; 34(11): 2435-2442.
30. JACK SM, et al. Identification and assessment of intimate partner violence in nurse home visitation. J Clin Nurs, 2017; 26(15): 2215-2228.
31. LIMA MADS, et al. Atendimento aos usuários em situação de violência: concepções dos profissionais de unidades básicas de saúde. Rev Gaúcha Enferm. 2009; 30(4): 625-632.
32. MARQUES SS, et al. Estratégias para identificação e enfrentamento de situação de violência por parceiro íntimo em mulheres gestantes. Rev Gaúcha Enferm, 2017; 38(3).
33. MARTINS LCA, et al. Violência contra mulher: acolhimento na estratégia saúde da família. Ciênc Cuid saúde, 2016; 15(3): 507-514.
34. MCCAULEY M, et al. “Keeping family matters behind closed doors”: Healthcare providers’ perceptions and experiences of identifying and managing domestic violence during and after pregnancy. BMC Pregnancy Childbirth, 2017; 17(1).
35. MEDINA A e PENNA L. The perception of obstetrics nurses concerning domestic violence involving pregnant women. Texto Context Enferm, 2008; 17(3): 466-473.
36. MIRANDA RB e LANGE S. Domestic violence and social norms in Norway and Brazil: A preliminary, qualitative study of attitudes and practices of health workers and criminal justice professionals. PLoS One, 2020; 15(12): 0243352.
37. MOREIRA TNF, et al. A construção do cuidado: o atendimento às situações de violência doméstica por equipes de Saúde da Família. Saúde e Soc, 2014; 23(3): 814-827.
38. MOTA JA e AGUIAR RS. Percepções de enfermeiros da atenção primária no atendimento às mulheres vítimas de violência sexual. Nurs, 2020; 23(262): 3651-3848.
39. O’REILLY R e PETERS K. Opportunistic domestic violence screening for pregnant and post-partum women by community-based health care providers. BMC Womens Health, 2018; 18(1): 128.
40. OLIVE P. Care for emergency department patients who have experienced domestic violence: a review of the evidence base. J Clin Nurs, 2007; 16(9): 1736-1748.
41. OTERO-GARCIA L, et al. Accessibility of intimate partner violence-related services for young women in Spain. Qualitative study on professionals’ perspectives. PLoS One, 2024; 19(4): 0297886.
42. PETERS MD, et al. Scoping reviews. In: JBI Manual for Evidence Synthesis. JBI; 2020; 11.
43. PORTNOY GA, et al. Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening. BMC Health Serv Res, 2020; 20(1): 746.
44. PROCENTESE F, et al. Healthcare Professionals’ Perceptions and Concerns towards Domestic Violence during Pregnancy in Southern Italy. Int J Environ Res Public Health, 2019; 16(17).
45. RIZKALLA K, et al. Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study. BMC Womens Health, 2020; 20(1): 209.
46. ROBERTS SCM, et al. Health care provider reporting practices related to self-managed abortion. BMC Womens Health, 2023; 23(1): 136.
47. RODRIGUES VP, et al. The practice of family health strategy workers when caring for women in gender violence situations. Texto & Context enferm, 2014; 23(3): 735-743.
48. SABRI B, et al. Effect of COVID-19 pandemic on women’s health and safety: A study of immigrant survivors of intimate partner violence. Health Care Women Int, 2020; 41(11): 1294-1312.
49. SOUZA V e FERREIRA S. The influence of marital violence on the decision to have an abortion. Rev Bras Enferm, 2000; 53(3): 375-385.
50. TOCCALINO D, et al. Addressing the Shadow Pandemic: COVID-19 Related Impacts, Barriers, Needs, and Priorities to Health Care and Support for Women Survivors of Intimate Partner Violence and Brain Injury. Arch Phys Med Rehabil, 2022; 103(7): 1466-1476.
51. UMUBYEYI A, et al. Gender inequality prevents abused women from seeking care despite protection given in gender-based violence legislation: A qualitative study from Rwanda. PLoS One, 2016; 11(5).
52. UN WOMEN. Normative aspects of the work of the United Nations Entity for Gender Equality and the Empowerment of Women. Published online 2024.
https ://documents.un.org/doc/undoc/gen/n23/411/57/pdf/n2341157.pdf?token=t2S9YNTLLJl2gC4JEa&fe=true.
53. VIEIRA LB, et al. A percepção de profissionais da saúde de um hospital sobre a violência contra as mulheres. Rev gaúch enferm, 2009; 30(4): 609-616.
54. WHO. WORLD HEALTH ORGANIZATION. Respect women: preventing violence against women. World Health Organization.
55. WYK N VAN e WATH A VAN DER. Two male nurses’ experiences of caring for female patients after intimate partner violence: A South African perspective. Contemp Nurse, 2015; 50(1): 94-103.
56. ZUCHI CZ, et al. Violência contra as mulheres: concepções de profissionais da Estratégia Saúde da Família acerca da escuta. REME rev min enferm, 2018; 22: 1085.