Violência institucional contra a criança hospitalizada: percepção dos profissionais de enfermagem

Ana Carla Petersen de Oliveira Santos; Thais Nogueira Piton; Climene Laura de Camargo; Mara Ambrosina de Oliveira Vargas; Lara Máyra Jesus da Silva Almeida; Mirna Gabriela Prado Gonçalves Dias

doi:10.5294/aqui.2023.23.2.3

Authors

Ana Carla Petersen de Oliveira Santos Author Universidade Federal da Bahia https://orcid.org/0000-0002-9816-1560
Thais Nogueira Piton Author Universidade Federal da Bahia https://orcid.org/0000-0002-6363-4428
Climene Laura de Camargo Author Universidade Federal da Bahia https://orcid.org/0000-0002-4880-3916
Mara Ambrosina de Oliveira Vargas Author Universidade Federal de Santa Catarina https://orcid.org/0000-0003-4721-4260
Lara Máyra Jesus da Silva Almeida Author Universidade Federal da Bahia https://orcid.org/0000-0002-9076-0286
Mirna Gabriela Prado Gonçalves Dias Author Universidade Federal da Bahia https://orcid.org/0000-0003-2162-830X

DOI:

https://doi.org/10.5294/aqui.2023.23.2.3

Keywords:

Pediatric Nursing, child violence, Nursing care, in-hospital care, child

Abstract

Objective: To understand the perception of the Nursing team about institutional violence against hospitalized children. Materials and method: A qualitative, descriptive and exploratory study, performed at a large-size public hospital in Salvador, Bahia, Brazil, with 17 Nursing professionals working in the Pediatrics unit, to whom semi-structured interviews were applied between March and May 2019. The collected data were categorized in the NVIVO12 software and submitted for content analysis. Results: The results are presented in four categories: The professionals’ lack of knowledge about institutional violence against hospitalized children; Recognition of institutional violence related to problems in the hospital infrastructure, Recognition of institutional violence in interpersonal relationships and Recognition of institutional violence in the care practices. Conclusions: It becomes necessary to apply policies to confront institutional violence, ranging from training the professionals to adapting the spaces and care practices to favor the children’s hospitalization environment.

Downloads

Download data is not yet available.

References

Santos ACPO, Camargo CL, Vargas MAO. Hospital structure elements demarcating (in)visibilities of institutional violence against children. Rev Bras Enferm. 2022; 14;75(supl. 2):e20200785. DOI: https://doi.org/10.1590/0034-7167-2020-0785

Clemens V, Hoffmann U, König E, Sachser C, Brähler E, Fegert JM. Child maltreatment by nursing staff and caregivers in German institutions: A population-representative analysis. Child Abuse Negl. 2019;95:104046. DOI: https://doi.org/10.1016/j.chiabu.2019.104046

Hoffmann U, Clemens V, König E, Brähler E, Fegert JM. Violence against children and adolescents by nursing staff: Prevalence rates and implications for practice. Child Adolesc Psychiatry Ment Health. 2020;14(1):43. DOI: https://doi.org/10.1186/s13034-020-00350-6

Finch M, Featherston R, Chakraborty S, Bjørndal L, Mildon R, Albers B et al. Interventions that address institutional child maltreatment: An evidence and gap map. Campbell Syst Rev. 2021;17:e1139. DOI: https://doi.org/10.1002/cl2.1139

Alfandari R, Taylor BJ. Processes of multiprofessional child protection decision making in hospital settings: Systematic narrative review. Trauma Violence Abuse. 2021:295-312. DOI: https://doi.org/10.1177/15248380211029404

Rosa CN, Santos ACPO, Camargo CL, Vargas MAO, Whitaker MCO, Araujo CNV et al. Direitos da criança hospitalizada: percepção da equipe de enfermagem. Enferm Foco. 2021;12(2):244-49. DOI: https://doi.org/10.21675/2357-707X.2021.v12.n2.3853

Albert-Lõrincz C. The situation of pediatric patients’ rights in the Transylvanian healthcare. Orv Hetil. 2018;159(11):423-29. DOI: https://doi.org/10.1556/650.2018.30999

Bisogni S, Aringhieri C, McGreevy K, Olivini N, Lopez JRG, Ciofi D et al. Actual implementation of sick children’s rights in Italian pediatric units: a descriptive study based on nurses’ perceptions. BMC Med Ethics. 2015;16:33. DOI: https://doi.org/10.1186/s12910-015-0021-0

Neutzling BRS, Tomaschewski-Barlem JG, Barlem ELD, Hirsch CD, Pereira LA, Schallenberguer CD. Em defesa dos direitos da criança no ambiente hospitalar: o exercício da advocacia em saúde pelos enfermeiros. Esc. Anna Nery. 2017;21(1):e20170025. DOI: https://doi.org/10.5935/1414-8145.20170025

Comparcini D, Simonetti V, Tomietto M, Leino-Kilpi H, Pelander T, Cicolini G. Children’s perceptions about the quality of pediatric nursing care: A large multicenter cross-sectional study. J Nurs Scholarsh. 2018;50(3):287-95. DOI: https://doi.org/10.1111/jnu.12381

Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Tradução e validação para a língua portuguesa e avaliação do guia COREQ. Acta Paul enferm. 2021;34:eAPE02631. DOI: https://doi.org/10.37689/acta-ape/2021AO02631

Lima JLO, Manini MP. Metodologia para análise de conteúdo qualitativa integrada à técnica de mapas mentais com o uso dos softwares NVIVO e FREEMIND. Inf. Inf. 2016;21(3):63-100. DOI: https://doi.org/10.5433/1981-8920.2016v21n3p63

Holanda GS, Farias IMS. Estratégia da triangulação: uma incursão conceitual. Revista Atos de Pesquisa em Educação. 2020;15(4):1150-66. DOI: https://doi.org/10.7867/1809-0354.2020v15n4p1150-1166

Brasil. Resolução 466/12, de 12 de dezembro de 2012, Dispõe sobre pesquisa envolvendo seres humanos. [Internet]. Brasília: Ministério da Saúde; 2012. Disponível em: http://goo.gl/joVV2Q

Cappa C, Petrowski N. Thirty years after the adoption of the Convention on the Rights of the Child: Progress and challenges in building statistical evidence on violence against children. Child Abuse Negl. 2020;110(Pt. 1):104460. DOI: https://doi.org/10.1016/j.chiabu.2020.104460

M’jid NM. Global status of violence against children and how implementation of SDGs must consider this issue. Child Abuse Negl. 2020;110(Pt. 1):104682. DOI: https://doi.org/10.1016/j.chiabu.2020.104682

Vaghri Z, Samms-Vaughan M. Accountability in protection of children against violence: Monitoring and measurement. Child Abuse Negl. 2020;110(Pt. 1):104655. DOI: https://doi.org/10.1016/j.chiabu.2020.104655

Fortson BL, Klevens J, Merrick MT, Gilbert LK, Alexander SP. Preventing child abuse and neglect: A technical package for policy, norm, and programmatic activities. [Internet]. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2016. Available from: https://stacks.cdc.gov/view/cdc/38864

Brasil. Ministério da Mulher, da Família e dos Direitos Humanos. Painel de dados da ouvidoria nacional de direitos humanos [Internet]. Brasília: Ministério da Mulher, da Família e dos Direitos Humanos; 2021. Disponível em: https://www.gov.br/mdh/pt-br/ondh/paineldedadosdaondh/copy_of_dados-atuais-2021

Oliveira VJ, Penna CMM. O discurso da violência obstétrica na voz das mulheres e dos profissionais de saúde. Texto Contexto Enferm. 2017;26(2):1-10. DOI: https://doi.org/10.1590/0104-07072017006500015

Santos ACPO, Camargo CL, Vargas MAO, Araújo CNV, Conceição MM, Zilli F. Violência institucional hospitalar na prática de cuidado à criança: análise do discurso na perspectiva foucaultiana. Texto Contexto Enferm. 2022;31:e20220002. DOI: https://doi.org/10.1590/1980-265x-tce-2022-0002pt

Moreira GAR, Vieira LJES, Cavalcanti LF. Manifestações de violência institucional no contexto da atenção em saúde às mulheres em situação de violência sexual. Saúde Soc. 2020;29(1):e180895. DOI: https://doi.org/10.1590/S0104-12902020180895

Hansen J, Terreros A, Sherman A, Donaldson A, Anderst J. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. DOI: https://doi.org/10.1542/peds.2021-050555

Tickell KD, Mangale DI, Tornberg-Belanger SN, Bourdon C, Thitiri J, Timbwa M et al. A mixed method multi-country assessment of barriers to implementing pediatric inpatient care guidelines. PLoS One. 2019;14(3):e0212395. DOI: https://doi.org/10.1371/journal.pone.0212395

Pūras D. Human rights and the practice of medicine. Public Health Rev. 2017;38(9). DOI: https://doi.org/10.1186/s40985-017-0054-7

Santos ACPO, Camargo CL, Vargas MAO, Conceição MM, Whitaker MCO, Maciel RCM, Baptista SCO, Santo, MRE. Perception of family members and health professionals about institutional violence against hospitalized children. Rev Gaúcha Enferm. 2022;43:e20210244. DOI: https://doi.org/10.1590/1983-1447.2022.20210244.en

Lee SP, Haycock-Stuart E, Tisdall K. Participation in communication and decisions with regards to nursing care: The role of children. Enferm Clin. 2019;29(2):715-19. DOI: https://doi.org/10.1016/j.enfcli.2019.04.109

Kruszecka-Krówka A, Smoleń E, Cepuch G, Piskorz-Ogórek K, Perek M, Gniadek A. Determinants of parental satisfaction with nursing care in paediatric wards-a preliminary report. Int J Environ Res Public Health. 2019;16(10):1774. DOI: https://doi.org/10.3390/ijerph16101774

Foucault M. Microfísica do poder. Rio de Janeiro: Edições Graal; 2001.

Reyes MA, Etinger V, Hall M, Salyakina D, Wang W, Garcia L et al. Impact of the Choosing Wisely® campaign recommendations for hospitalized children on clinical practice: Trends from 2008 to 2017. J Hosp Med. 2020;15(2):68-74. DOI: https://doi.org/10.12788/jhm.3291

Levinson W, Born K, Wolfson D. Choosing Wisely Campaigns: A work in progress. JAMA. 2018;319(19):1975-976. DOI: https://doi.org/10.1001/jama.2018.2202

Foucault M. Vigiar e punir: História da violência nas prisões. 27ª ed. Petrópolis: Vozes; 1987.

Sampath R, Nayak R, Gladston S, Ebenezer K, Mudd SS, Peck J et al. Sleep disturbance and psychological distress among hospitalized children in India: Parental perceptions on pediatric inpatient experiences. J Spec Pediatr Nurs. 2022;27(1):e12361. DOI: https://doi.org/10.1111/jspn.12361

Kc A, Singh DR, Upadhyaya MK, Budhathoki SS, Gurung A, Målqvist M. Quality of care for maternal and newborn health in health facilities in Nepal. Matern Child Health J. 2020;24(supl. 1):31-8. DOI: https://doi.org/10.1007/s10995-019-02846-w

Santos AC, Vargas MA, Camargo CL, Forte EC, Nepomuceno CM, Ventura CA. Desafios para o exercício da advocacia em saúde à criança hospitalizada durante a pandemia COVID-19. Acta Paul Enferm. 2023;36:eAPE009931. DOI: https://doi.org/10.37689/acta-ape/2023AO009931

Abbasinia M, Ahmadi F, Kazemnejad A. Patient advocacy in nursing: A concept analysis. Nurs Ethics. 2020; 27(1):141-51. DOI: https://doi.org/10.1177/0969733019832950