“I won’t sleep tonight”: professional emotions related with family violence against child in Brazil

Abstract

Abstract Background Interpersonal violence is a diverse cultural phenomenon. Worldwide, 300 million children aged 2 to 4 years has experienced violent discipline by their caregivers. In Brazil, Family Health Strategy (ESF) and Extended Family Health Core (NASF) are essential public policies of primary health care in Unified Health System (SUS). Emotions are extended psychological dimensions; however, society gets influence the way to express it. As a matter of fact, they cannot be an isolated case of contextual social interactions. This research aims to identify and discuss emotions that arises at health professional area which supports children victims of family violence. Methods Qualitative, descriptive research collecting data from observation, diary notes and interviews. Authorized by Human Research Ethics Committee of Federal University of Bahia. Held with 7 ESF teams and 1 NASF team, between November 2017 and June 2018, in Salvador-Bahia-Brazil. Empirical data were analysed through thematic analysis with ATLAS.ti 8.0. Results The code group 'subjectivity' grouped 2 codes: 'fear' and 'emotions'. The code 'fear' appeared in co-occurrence with 17 other codes, mostly: reception, reporting, avoiding case; and received 21 quotations. This topic stood out about nurses check notes, home visitors, psychologist and social worker, supporting their care needs. Fear appeared strongly related to those people who are “involved” with drug trafficking and avoiding of “getting into cases”. The code 'emotions' had 35 quotations and in co-occurrence with 11 other codes: suspicion, monitoring, referral, among others. Participants cited different emotions produced in these cases: revolt, sadness, anger, pain, despair, indignation, compassion. Conclusions Health professionals, both ESF and NASF teams were affected by family violence against children. The results suggest the necessity of a professional multidisciplinary supervision to improve child care. Key messages For managers: suggestion implementing systematic supervision with multidisciplinary team practicing primary health care services. For professionals: suggestion including the family violence topic to discuss in group, meetings and educational activities.