Assistance provided by health professionals to women in situations of violence: a social representations study
DOI:
https://doi.org/10.12957/reuerj.2025.89308Keywords:
Health Personnel, Hospital Care, Women, Domestic ViolenceAbstract
Objective: to understand the contents included in the social representations of Urgency and Emergency health professionals about the assistance provided to women in situations of domestic violence and to discuss the health care practices for women in such situations. Method: a qualitative study, guided by the procedural approach proposed by the Theory of Social Representations and conducted between January and May 2023 with 40 professionals from the Urgency and Emergency sector of a public hospital, after due approval from an ethics committee. The data were collected by means of semi-structured interviews and processed in IRAMUTEQ. Results: health professionals’ care practices are based on treating injuries, in referring patients and in notifying violence, and point to the need for guidance regarding the services that are available in the municipal care network. Final considerations: it is evidenced that the professionals ground their social representations about the assistance provided to women in situations of domestic violence on everyday elements and on normative and institutional practices.
References
1. Presidência da República (Br). Lei Maria da Penha. Lei 11.340 de 7 de agosto de 2006. Brasília: Secretaria de Políticas para as Presidência da República (Br). Lei Maria da Penha. Lei 11.340 de 7 de agosto de 2006. Brasília: Secretaria de Políticas para as Mulheres. 2006 [cited 2023 Mar 08]. Available from: https://www.planalto.gov.br/ccivil_03/_ato2004-2006/2006/lei/l11340.htm.
2. Sousa, MR, Cunha, GIM, Sousa, MRS, Silva, Nascimento, IMS, Gonçalves, FR. Traumas in women victims of violence: an analysis in Recife-PE. Nursing, 2020 [cited 2023 Mar 08]; 23(269):4703–6. DOI: https://doi.org/10.36489/nursing.2020v23i269p4703-4710.
3. Stöckl H, Sardinha L, Maheu-Giroux M, Meyer S, García-Moreno C. Physical, sexual and psychological intimate partner violence and non-partner sexual violence against women and girls: a systematic review protocol for producing global, regional and country estimates. BMJ Open. 2021 [cited 2023 Apr 5]; 11(8):e045574. DOI: https://doi.org/10.1136/bmjopen-2020-045574.
4. Souza TMC, Martins TF. Vivências de policiais de uma DEAM no Sudoeste Goiano. Fractal: Rev Psicol. 2021 [cited 2023 Mar 15]; 33(1):21–30. DOI: https://doi.org/10.22409/1984-0292/v33i1/5776.
5. Teixeira JMS, Paiva SP. Violência contra a mulher e adoecimento mental: percepções e práticas de profissionais de saúde em um Centro de Atenção Psicossocial. Physis. 2021 [cited 2023 Mar 12]; 31(2):e310214. DOI: https://doi.org/10.1590/S0103-73312021310214.
6. Altenbernd B, Macedo MK. Rigor e sensibilidade: singulares demandas do cuidado em enfermagem no contexto de urgência e emergência. Psicol Conoc Soc. 2020 [cited 2023 Mar 12]; 10(1):9–32. DOI: https://doi.org/10.26864/pcs.v10.n1.1.
7. Machineski GG. O significado da atenção à mulher vítima de violência doméstica no contexto da atenção primária à saúde. Saúde Debate. 2023 [cited 2023 Dec 10]; 47(139):931–40. DOI: https://doi.org/10.1590/0103-1104202313915.
8. Moscovici S. Representações sociais: investigações em psicologia social. 11ª ed. Petrópolis: Vozes; 2015.
9. Jodelet D. Representações sociais: um domínio em expansão. In: Representações sociais. Rio de Janeiro: Eduerj; 2001. p.17–44.
10. Souza MAR, Wall ML, Thuler ACDMC, Lowen IMV, Peres AM. The use of IRAMUTEQ software for data analysis in qualitative research. Rev Esc Enferm USP. 2018 [cited 2023 Mar 12]; 52:e03353. DOI: https://doi.org/10.1590/S1980-220X2017015003353.
11. Silva CD, Mota MS, Acosta DF, Ribeiro JP. O cuidado às vítimas de violência doméstica: representação social de profissionais da saúde. Rev Baiana Saúde Púb. 2020 [cited 2023 Mar 8]; 44(4):160–73. DOI: https://doi.org/10.22278/2318-2660.2020.v44.n4.a2796.
12. Bakon S, Taylor A, Meyer S, Scott M. The provision of emergency healthcare for women who experience intimate partner violence part 1: an integrative review. Emerg Nurse. 2019 [cited 2023 Mar 8]; 27(6):19–25. DOI: https://doi.org/10.7748/en.2019.e1950.
13. Aguiar JM, Schraiber LB, Pereira S, Gragli CGV, Kalichmana BD, Reis MS, et al. Atenção primária à saúde e os serviços especializados de atendimento a mulheres em situação de violência: expectativas e desencontros na voz dos profissionais. Saúde Soc. 2023 [cited 2023 Dec 10]; 32(1):e220266pt. DOI: https://doi.org/10.1590/S0104-12902023220266pt.
14. Machado JC, Santos CS, Gomes AMT, Lira MOSC, Rodrigues VP, Vilela ABA. Conceitos e significados da violência doméstica contra a mulher: representações sociais de agentes comunitários de saúde. Contrib Cienc Soc. 2023 [cited 2025 Apr 16]; 16(9):13964–81. DOI: https://doi.org/10.55905/revconv.16n.9-008.
15. Richter TT, Silva TMG. Representações sociais da violência contra mulheres em práticas de cuidado dos profissionais da saúde. Rev Cesumar Cienc Humanas Sociais Apl. 2023 [cited 2025 Apr 16]; 25(1):1–15. Available from: https://periodicos.unicesumar.edu.br/index.php/revcesumar/article/view/12148/7570.
16. Leite FMC, Santos, DF, Ribeiro LA, Tavares FL, Correa ES, Ribeiro LEP, et al. Analysis of cases of interpersonal violence against women. Acta Paul Enferm. 2023 [cited 2023 Dec 10]; 36(1):eAPE001811. DOI: https://doi.org/10.37689/acta-ape/2023AO001811.
17. Gomes NP, Silveira YM, Diniz NMF, Paixão GPN, Camargo CL, Gomes NR. Identificação da violência na relação conjugal a partir da Estratégia Saúde da Família. Texto-Contexto Enferm. 2013 [cited 2025 Apr 18]; 22(3):778–84. DOI: https://doi.org/10.1590/S0104-07072013000300027.
18. Presidência da República (Br). Lei de Notificação Compulsória. Lei 10.778, de 24 de novembro de 2003. Brasília (DF): Casa Civil; 2003 [cited 2023 Mar 08]. Available from: https://www.planalto.gov.br/ccivil_03/Leis/2003/L10.778.htm.
19. Presidência da República (Br). Altera a Lei no 10.778, de 24 de novembro de 2003, para dispor sobre a notificação compulsória dos casos de suspeita de violência contra a mulher. Lei no 13.931, de 10 de dezembro de 2019. Brasília (DF): Casa Civil; 2019 [cited 2023 Mar 08]. Available from: https://www.planalto.gov.br/ccivil_03/_ato2019-2022/2019/lei/l13931.htm.
20. Machado JC, Santos CS, Gomes AMT, Boery RNSO, Rodrigues VP, Vilela ABA. Female community health agents’ structure of social thinking about domestic violence against women. Cien Saude Colet. 2023 [cited 2023 Dec 10]; 28(6):1663–73. DOI: https://doi.org/10.1590/1413-81232023286.14592022EN.
21. Leite AC, Fontanella BJB. Violência doméstica contra a mulher e os profissionais da APS: predisposição para abordagem e dificuldades com a notificação. Rev Bras Med Fam Comunidade. 2019 [cited 2023 Apr 24]; 14(41):2059. DOI: https://doi.org/10.5712/rbmfc14(41)2059.
22. Taskiran AC, Ozsahin A, Edirne T. Intimate partner violence management and referral practices of primary care workers in a selected population in Turkey. Prim Health Care Res Dev. 2019 [cited 2023 Apr 24]; 20(96):e96. DOI: https://doi.org/10.1017/S1463423619000288.
23. Gomes ICR, Lira MOSC, Rodrigues VP, Vilela ABA. Representações sociais de mulheres em relação à assistência policial prestada nas situações vivenciadas de violência doméstica. Enfermería Actual de Costa Rica. 2020 [cited 2025 Apr 19]; (39:100-12. DOI: http://dx.doi.org/10.15517/revenf.v0i39.39657.
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Copyright (c) 2025 Jéssica dos Santos Simões, Maria do Rosário Andrade Barreto Ferreira, Cleuma Sueli Santos Suto, Alba Benemérita Alves Vilela, Juliana Costa Machado, Vanda Palmarella Rodrigues
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