Abstract
To analyze the care provided by Basic Health Units (BHU) to families involved in domestic intrafamily violence against children and adolescents. Qualitative research, based on the Paradigm of Complexity. Data collection was performed with 41 professionals through focus groups and semi-structured interviews. The following categories emerged from data analysis: 'Everything comes here', which reflects the legitimate place of BHUs for the population and the actions taken to build care for families; and 'We only do what is really necessary', which brings the look to violence still based on the positivist and biomedical paradigm. The model of understanding and construction of work processes in the BHU is structured in the aforementioned paradigm. Nurses have the possibility to become agents of change, both in professionals' training and in the care thought and provided to communities.
Highlights
Primary Health Care (PHC) is called Basic Health Care (ABS - Atenção Básica à Saúde) in Brazil
56% (n = 23) of professionals reported having received instructions and information about violence during academic training; 41.5% (n = 17) of professionals reported not having received this information; and a professional did not respond. This number was higher in Basic Health Units (BHU) of districts where professionals were younger and with less training time, which may indicate the recent incorporation of violence content into the curricula of undergraduate and vocational training courses
51.2% (n = 21) of professionals reported having never participated in continuing education courses offered by the agency of the studied municipality with the objective to prepare them to deal with the problem of violence during working hours in the BHU
Summary
Primary Health Care (PHC) is called Basic Health Care (ABS - Atenção Básica à Saúde) in Brazil. It is the main proposal of the World Health Organization (WHO) health care model to improve health indicators. PHC is the main gateway and communication center of the Health Care Network[1]. PHC develops through teamwork, democratic and participative management and care directed to populations in defined territories. It has complex and diversified care technologies to meet all the needs, health needs or suffering of the population. PHC is developed with the highest degree of capillarity and decentralization, close to people’s lives[1]
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