Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care1

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents. METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used. RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting. CONCLUSION: the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

[1]  S. Deslandes,et al.  Indicadores das ações municipais para a notificação e o registro de casos de violência intrafamiliar e exploração sexual de crianças e adolescentes , 2011 .

[2]  Marta Angélica Iossi Silva,et al.  Domestic violence: from the visible to the invisible. , 2007, Revista latino-americana de enfermagem.

[3]  David Finkelhor,et al.  Violence, crime, and abuse exposure in a national sample of children and youth: an update. , 2013, JAMA pediatrics.

[4]  M. Silva,et al.  Domestic violence: from the visible to the invisible , 2007 .

[5]  B. Grant,et al.  Combined role of childhood maltreatment, family history, and gender in the risk for alcohol dependence , 2012, Psychological Medicine.

[6]  M. Angelo,et al.  Vivências de enfermeiros no cuidado de crianças vítimas de violência intrafamiliar: uma análise fenomenológica , 2013 .

[7]  S. S. Marcon,et al.  Trabalhar com famílias no Programa de Saúde da Família: a prática do enfermeiro em Maringá-Paraná , 2007 .

[8]  D. Dell’Aglio,et al.  Abuso sexual intrafamiliar: da notificação ao depoimento no contexto processual-penal , 2010 .

[9]  D. Finkelhor,et al.  Youth Violence, Abuse, and Crime Exposure in a National Sample of Children and , 2010 .

[10]  Christine Baccarat de Godoy Martins,et al.  MORTALIDADE POR CAUSAS EXTERNAS EM CRIANÇAS, ADOLESCENTES E JOVENS: UMA REVISÃO BIBLIOGRÁFICA , 2013 .

[11]  Marc Bigras,et al.  ATUAÇÃO PROFISSIONAL DA ATENÇÃO BÁSICA DE SAÚDE FACE À IDENTIFICAÇÃO E NOTIFICAÇÃO DA VIOLÊNCIA INFANTO-JUVENIL , 2011 .

[12]  J. Hong,et al.  Child maltreatment in China: An ecological review of the literature , 2011 .

[13]  Kirk R. Smith,et al.  Barriers to the Mandatory Reporting of Domestic Violence Encountered by Nursing Professionals , 2008, Journal of Trauma Nursing.

[14]  José Luís Guedes Santos,et al.  Atendimento aos usuários em situação de violência: concepções dos profissionais de unidades básicas de saúde , 2009 .

[15]  M. Senna,et al.  Atenção à saúde em grandes centros urbanos: desafios à consolidação do SUS , 2012 .

[16]  E. Conill.  [A historical and conceptual model for Primary Health Care: challenges for the organization of primary care and the Family Health Strategy in large Brazilian cities]. , 2008, Cadernos de saude publica.

[17]  M. Driessnack,et al.  Am I sure I want to go down this road? Hesitations in the reporting of child maltreatment by nurses. , 2010, Journal for specialists in pediatric nursing : JSPN.

[18]  M. Ben-Natan.  Factors Affecting Medical and Nursing Staff Reporting of Child Abuse , 2013 .

[19]  R. Gomes,et al.  Primary care nurses' approach to cases of violence against children. , 2013, Revista latino-americana de enfermagem.

[20]  Eleonor Minho Conill.  Ensaio histórico-conceitual sobre a Atenção Primária à Saúde: desafios para a organização de serviços básicos e da Estratégia Saúde da Família em centros urbanos no Brasil , 2008 .