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Citation
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Carlos DM, de Pádua EM, da Silva LM, Silva MA, Marques WE, da Cruz Leitão MN, Ferriani MD. J. Clin. Nurs. 2016; 26(15-16): 2452-2467. |
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Abstract
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AIMS AND OBJECTIVES: Contribute to the understanding of the network care provided to families involved in family violence against children and adolescents (FVACA), from the Primary Health Care (PHC) perspective.
BACKGROUND: Children and adolescents figure among the main victims of violence around the world, which occurs predominantly in the family context. PHC-guided network care has emerged as a new process that contrasts with traditional approaches, which rely on fragmented, punctual, and compensatory actions and produce simplified and segmented interventions in response to complex phenomena like violence. The Paradigm of Complexity interacts with the network care approach and, by articulating the multiple dimensions of the research phenomenon, contributes to its understanding.
DESIGN: Qualitative research, based on the Paradigm of Complexity.
METHODS: Data were collected through minimal maps of the external institutional social network, focus groups, and semistructured interviews held with 41 PHC professionals in Brazil. The notions of comprehension and contextualization, as well as dialogical, recursive, and holographic principles from complexity theory guided the data analysis.
RESULTS: The two thematic categories that emerged revealed reduced institutional networks, with low-density and homogeneous bonds, which resulted in fragmented care in all stages of the care process.
CONCLUSIONS: Although the network organization of care for the families involved in FVACA is fundamental, the construction of these networks still represents a great challenge, as it requires the joint work of a multiprofessional team. This article is protected by copyright. All rights reserved.
This article is protected by copyright. All rights reserved.
Language: en |