Abstract
ABSTRACT Objectives: to identify situations of violence in the daily work of the health professionals of the Family Health Strategy and to describe the conducts adopted by these professionals in relation to the situations of violence identified. Method: a qualitative, descriptive and exploratory study whose scenario was a Family Clinic of the city of Rio de Janeiro. Eighteen health professionals participated. Data was collected through semi-structured interviews and subjected to content analysis. Results: three thematic categories emerged: Situations of workplace violence in the Family Health Strategy; Consequences of workplace violence on the Family Health Strategy; The nurse's role as leader of the Family Health Team and the strategies adopted in the face of workplace violence. Conclusions: situations of interpersonal violence and collective violence were identified, exemplified by the contact with armed violence in the territory, racial discrimination, peer violence and violence suffered by the user, such as domestic violence, directly affecting the professional. The importance is highlighted of the nurse's role as leader of the Family Health Strategy team, envisioning the management of violence situations, often neglected.
Highlights
The Unified Health System (Sistema Único de Saúde, SUS), considering the bases provided for in the 1988 Constitution, predicts decentralized health actions and services, organized in a regionalized and hierarchical network with democratic and participative management aimed at achieving comprehensive care and equity in access
Primary Care (PC) has “strengthened itself as a national policy from the 96 Basic Operating Standard (Norma Operacional Básica 96, NOB 96) of the Unified Health System, which established per capita transfers for PC and specific incentives for the implementation of Family Health Programs and community agents in the municipalities”.1:30 The NPPC enabled the Municipal Health Departments, through federal resources, to expand the coverage in access to health actions, which influenced the reorganization of the Brazilian health care model, culminating in the establishment of the Family Health Strategy (FHS).[1]
Data collection was performed from October to December 2016, through semi-structured interviews, with the help of a script containing the following questions: What were the situations of workplace violence that you have experienced in the FHS? How do these situations influence your personal and work life? What are the conducts of the FHS team in situations of workplace violence? What strategies are or could be adopted to minimize situations of violence? The participants were characterized according to the variables of gender, age, time in the scenario and professional function performed
Summary
The Unified Health System (Sistema Único de Saúde, SUS), considering the bases provided for in the 1988 Constitution, predicts decentralized health actions and services, organized in a regionalized and hierarchical network with democratic and participative management aimed at achieving comprehensive care and equity in access. From this perspective, Primary Health Care or Primary Care (PC) should play a central role in the care network organization.[1]. PC has “strengthened itself as a national policy from the 96 Basic Operating Standard (Norma Operacional Básica 96, NOB 96) of the Unified Health System, which established per capita transfers for PC and specific incentives for the implementation of Family Health Programs and community agents in the municipalities”.1:30 The NPPC enabled the Municipal Health Departments, through federal resources, to expand the coverage in access to health actions, which influenced the reorganization of the Brazilian health care model, culminating in the establishment of the Family Health Strategy (FHS).[1]
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