Women care in situations of sexual violence: an integrative literature review
Atención a las mujeres en situación de violencia sexual: revisión integrativa de la literatura
Atendimento a mulheres em situação de violência sexual: revisão integrativa da literatura
Daiane Trentin; Mara Ambrosina de Oliveira Vargas; Monica Motta Lino; Sandra Maria Cezar Leal; Micheli Leal Ferreira; Isabela Saioron
Abstract
Keywords
Resumen
Palabras clave
Resumo
Objetivo: Identificar as evidências científicas nacionais e internacionais acerca do atendimento a mulheres em situação de violência sexual pela equipe multiprofissional em saúde.
Método: Revisão integrativa da literatura, realizada em quatro bases de dados e em uma biblioteca digital, com os critérios de inclusão: tipo de estudo, idioma e recorte temporal. A amostra final foi composta por 34 estudos.
Resultados: Da síntese das evidências, emergiram nove categorias: rede de atendimento, trabalho em equipe, profissional de saúde na rede de atendimento, capacitação e treinamento, integralidade, protocolos, serviços, acesso aos serviços e apoio dos gestores; organizadas em potencialidades, demandas e fragilidades. Constituindo elementos necessários para a eficácia do atendimento pela equipe multiprofissional à mulher em situação de violência sexual.
Conclusão e Implicações para a prática: Apesar das potencialidades do atendimento à mulher em situação de violência sexual, sobressaem fragilidades, como incipiente e inexistente articulação da rede de atendimento intersetorial, gerando demandas de construção, articulação e sustentabilidade da rede. Além disso, a qualificação profissional e o apoio dos gestores na efetivação de políticas públicas possibilitam a integralidade da atenção, atualização e evidências no atendimento.
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Referências
1 World Health Organization (WHO). Strengthening health systems to respond to women subjected to intimate partner violence or sexual violence: a manual for health managers [Internet]. Geneva: WHO; 2017. [cited 2018 Apr 7]. Available from:
2 Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Prevenção e Tratamento dos Agravos Resultantes da Violência Sexual Contra Mulheres e Adolescentes: Norma Técnica. Brasília (DF): Ministério da Saúde; 2012 [Internet]. [cited 2018 Mar 29]. Available from:
3 Delziovo CR, Coelho EBS, d'Orsi E, Lindner SR. Sexual violence against women and care in the health sector in Santa Catarina - Brazil. Ciênc Saúde Coletiva [Internet]. 2018 May; [cited 2019 Jan 12]; 23(5):1687-96. Available from:
4 Persson S, Dhingra K, Grogan S. Attributions of victim blame in stranger and acquaintance rape: A quantitative study. J Clin Nurs [Internet]. 2018 Jul; [cited 2019 Jan 12]; 27(13-14):2640-49. Available from:
5 Brasil. Instituto de Pesquisa Econômica Aplicada (IPEA); Cerqueira D, Coelho DSC, orgs. Nota Técnica Estupro no Brasil: uma radiografia segundo os dados da Saúde (versão preliminar). Brasília (DF): IPEA; 2014 [Internet]. [cited 2019 Jan 12]. Available from:
6 Delziovo CR, Bolsoni CC, Nazário NO, Coelho EBS. Characteristics of sexual violence against adolescent and adult women reported by the public health services in Santa Catarina State, Brazil. Cad Saúde Pública [Internet]. 2017 Jul; [cited 2019 Jan 12]; 33(6):e00002716. Available from:
7 Silva LEL, Oliveira MLC. Epidemiological characteristics of violence against women in the Federal District, Brazil, 2009-2012. Epidemiol Serv Saúde [Internet]. 2016 Apr/Jun; [cited 2019 Jan 12]; 25(2):331-42. Available from:
8 Trigueiro TH, Silva MH, Oliveira DM, Jesus MCP, Merighi MAB. Non-adherence to outpatient follow-up by women who experienced sexual violence. Texto Contexto Enferm [Internet]. 2018 Mar; [cited 2018 Sep 27]; 27(1):e6490015. Available from:
9 Mafioletti TM, Peres AM, Larocca LM, Fontoura MP. Violence against women: historical trajectory of a care program (Curitiba - 1997-2014). Rev Bras Enferm [Internet]. 2018 Nov/Dec; [cited 2019 Apr 9]; 71(6):2907-15. Available from:
10 Lino MM, Backes VMS, Costa MASMC, Martins MMFPS, Lino MM. Aspectos epistemológicos de la nueva investigación em Enfermería: colaborativa, transdisciplinaria y translacional. Index Enferm [Internet]. 2017 Jun; [cited 2018 Sep 27]; 26(1-2):118-22. Available from:
11 Ganong LH. Integrative reviews of nursing research. Res Nurs Health [Internet]. 1987 Feb; [cited 2018 Apr 16]; 10(1):1-11. Available from:
12 Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Vigilância de Doenças e Agravos Não Transmissíveis e Promoção da Saúde. Viva: Instrutivo Notificação de Violência Interpessoal e Autoprovocada. Brasília (DF): Ministério da Saúde; 2016 [Internet]. [cited 2019 Jan 12]. Available from:
13 Melnyk BM, Fineout-Overholt E. Making the case for evidence-based practice. In: Melnyk BM, Fineout-Overholt E, eds. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lippincot Williams & Wilkins; 2011.
14 Osis MJD, Duarte GA, Faúndes A. Violence among female users of healthcare units: prevalence, perspective and conduct of managers and professionals. Rev Saúde Pública [Internet]. 2012 Feb; [cited 2017 Sep 27]; 46(2):351-8. Available from:
15 Cortes LF, Padoin SMM, Kinalski DDF. Instruments for articulating the network of attention to women in situation of violence: collective construction. Rev Gaúcha Enferm [Internet]. 2016 Jun; [cited 2017 Sep 27]; 37(no.esp):e2016-0056. Available from:
16 Moylan CA, Lindhorst T, Tajima EA. Sexual Assault Response Teams (SARTs): Mapping a Research Agenda That Incorporates an Organizational Perspective. Violence Against Women [Internet]. 2015 Apr; [cited 2017 Sep 27]; 21(4):516-34. Available from:
17 Netto LA, Moura MAV, Araújo CLF, Souza MHN, Silva GF. Social support networks for women in situations of violence by an intimate partner. Texto Contexto Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 26(2):e07120015. Available from:
18 D'oliveira AFPL, Schraiber LB. Violence against women: between critical path and assistance multisectoral networks. Rev Med (São Paulo) [Internet]. 2013 Apr/Jun; [cited 2017 Sep 27]; 92(2):134-40. Available from:
19 Menezes PRM, Lima IS, Correia CM, Souza SS, Erdmann AL, Gomes NP. Process of dealing with violence against women: intersectoral coordination and full attention. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):778-86. Available from:
20 Silva EB, Padoin SMM, Vianna LAC. Women in situations of violence: limits of assistance. Ciênc Saúde Coletiva [Internet]. 2015; [cited 2017 Sep 27]; 20(1):249-58. Available from:
21 Cortes LF, Padoin SMM, Vieira LB, Landerdahl MC, Arboit J. Care for women victims of violence: empowering nurses in the pursuit of gender equity. Rev Gaúcha Enferm [Internet]. 2015; [cited 2017 Sep 27]; 36(no.esp):77-84. Available from:
22 Cortes LF, Padoin SMM. Intentionality of the action of caring for women in situations of violence: contributions to Nursing and Health. Esc Anna Nery [Internet]. 2016 Aug; [cited 2017 Sep 27]; 20(4):e20160083. Available from:
23 Arboit J, Padoin SMM, Vieira LB, Paula CC, Costa MC, Cortes LF. Health care for women in situations of violence: discoordination of network professionals. Rev Esc Enferm USP [Internet]. 2017; [cited 2017 Sep 27]; 51:e03207. Available from:
24 García-Moreno C, Hegarty K, d'Oliveira AF, Koziol-McLain J, Colombini M, Feder G. The health-systems response to violence against women. Lancet [Internet]. 2015 Apr; [cited 2017 Sep 27]; 385(9977):1567-79. Available from:
25 Costa MC, Silva EB, Soares JSF, Borth LC, Honnef F. Rural women and violence situation: access and accessibility limits to the healthcare network. Rev Gaúcha Enferm [Internet]. 2017 Jul; [cited 2017 Sep 27]; 38(2):e59553. Available from:
26 Lima HS, Silva ATMC, Souza JA, Almeida LR, Lucena RP, Lucena KDT. Análise das práticas profissionais na atenção em saúde às mulheres em situação de violência sexual. Rev Enferm UFPE On Line [Internet]. 2013; [cited 2017 Sep 27]; 7(12):6964-72. Available from:
27 Lima CA, Deslandes SF. Sexual violence against women in Brazil: achievements and challenges of the health sector in the 2000s. Saúde Soc [Internet]. 2014 Jul/Sep; [cited 2017 Sep 27]; 23(3):787-800. Available from:
28 Lettiere A, Nakano AMS. Rede de atenção à mulher em situação de violência: os desafios da transversalidade do cuidado. Rev Eletr Enferm [Internet]. 2015 Oct/Dec; [cited 2017 Sep 27]; 17(4):1-8. Available from:
29 Smith JR, Ho LS, Langston A, Mankani N, Shivshanker A, Perera D. Clinical care for sexual assault survivors multimedia training: a mixed-methods study of effect on healthcare providers' attitudes, knowledge, confidence, and practice in humanitarian settings. Confl Health [Internet]. 2013 Jul; [cited 2017 Sep 27]; 7:14. Available from:
30 Jina R, Jewkes R, Christofides N, Loots L. A cross-sectional study on the effect of post-rape training on knowledge and confidence of health professionals in South Africa. Int J Gynaecol Obstet [Internet]. 2014 Aug; [cited 2017 Sep 27]; 126(2):187-92. Available from:
31 Wadsworth P, Van Order P. Care of the Sexually Assaulted Woman. J Nurse Pract [Internet]. 2012 Jun; [cited 2017 Sep 27]; (8):6433-40. Available from:
32 Heffron LC, Busch-Armendariz NB, Vohra SS, Johnson RJ, Camp V. Original research: Giving sexual assault survivors time to decide: an exploration of the use and effects of the nonreport option. Am J Nurs [Internet]. 2014 Mar; [cited 2017 Sep 27]; 114(3):26-35. Available from:
33 Baptista RS, Chaves OBBM, França ISX, Sousa FS, Oliveira MG, Leite CCS. Sexual violence against women: nurses' practice. Rev Rene [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 16(2):210-7. Available from:
34 Reyes HLM, Billings DL, Paredes-Gaitan Y, Zuniga KP. An assessment of health sector guidelines and services for treatment of sexual violence in El Salvador, Guatemala, Honduras and Nicaragua. Reprod Health Matters [Internet]. 2012 Dec; [cited 2017 Sep 27]; 20(40):83-93. Available from:
35 Jakubec SL, Carter-Snell CJ, Ofrim J, Skanderup J. Identificación de las fortalezas, preocupaciones y necesidades educativas del Servicio Rural de Agresión sexual en las comunidades rurales y aborígenes de Alberta (Canadá). Enferm Glob [Internet]. 2013 Jul; [cited 2017 Sep 27]; 12(3):409-42. Available from:
36 Acosta DF, Gomes VLO, Oliveira DC, Gomes GC, Fonseca AD. Ethical and legal aspects in nursing care for victims of domestic violence. Texto Contexto Enferm [Internet]. 2017Aug; [cited 2017 Sep 27]; 26(3):e6770015. Available from:
37 Bezerra JF, Silva RM, Cavalcanti LF, Nascimento JL, Vieira LJES, Moreira GAR. Conceitos, causas e repercussões da violência sexual contra a mulher na ótica de profissionais de saúde. Rev Bras Promoç Saúde [Internet]. 2016 Jan/Mar; [cited 2017 Sep 27]; 29(1):51-9. Available from:
38 Vieira LJES, Silva ACF, Moreira GAR, Cavalcanti LF, Silva RM. Protocolos na atenção à saúde de mulheres em situação de violência sexual sob a ótica de profissionais de saúde. Ciênc Saúde Coletiva [Internet]. 2016 Dec; [cited 2017 Sep 27]; 21(12):3957-65. Available from:
39 Annan SL. 'We desperately need some help here'--The experience of legal experts with sexual assault and evidence collection in rural communities. Rural Remote Health [Internet]. 2014; [cited 2017 Sep 27]; 14(4):2659. Available from:
40 Andalaft Neto J, Faúndes A, Osis MJD, Pádua KS. Perfil do atendimento à violência sexual no Brasil. FEMINA [Internet]. 2012; [cited 2017 Sep 27]; 40(6):301-6. Available from:
41 Shahali S, Mohammadi E, Lamyian M, Kashanian M, Eslami M, Montazeri A. Barriers to Healthcare Provision for Victims of Sexual Assault: A Grounded Theory Study. Iran Red Crescent Med J [Internet]. 2016 Mar; [cited 2017 Sep 27]; 18(3):e21938. Available from:
42 McMillan L, White D. "Silly Girls" and "Nice Young Lads": Vilification and Vindication in the Perceptions of Medico-Legal Practitioners in Rape Cases. Fem Criminol [Internet]. 2015 Mar; [cited 2017 Sep 27]; 10(3):279-98. Available from:
43 Zijlstra E, Lo Fo Wong S, Teerling A, Hutschemaekers G, Lagro-Janssen A. Challenges in interprofessional collaboration: experiences of care providers and policymakers in a newly set-up Dutch assault centre. Scand J Caring Sci [Internet]. 2018 Mar; [cited 2017 Sep 27]; 32(1):138-46. Available from:
44 Campbell R, Patterson D, Bybee D. Prosecution of Adult Sexual Assault Cases: A Longitudinal Analysis of the Impact of a Sexual Assault Nurse Examiner Program. Violence Against Women [Internet]. 2012 Feb; [cited 2017 Sep 27]; 18(2):223-44. Available from:
45 Campbell R, Bybee D, Townsend SM, Shaw J, Karim N, Markowitz J. The Impact of Sexual Assault Nurse Examiner Programs on Criminal Justice Case Outcomes: A Multisite Replication Study. Violence Against Women [Internet]. 2014 May; [cited 2017 Sep 27]; 20(5):607-25. Available from:
46 Barros LA, Albuquerque MCS, Gomes NP, Riscado JLS, Araújo BRO, Magalhães JRF. The (un)receptive experiences of female rape victims who seek healthcare services. Rev Esc Enferm USP [Internet]. 2015 Mar/Apr; [cited 2017 Sep 27]; 49(2):193-200. Available from:
47 Juraska A, Wood L, Giroux J, Wood E. Sexual Assault Services Coverage on Native American Land. J Forensic Nurs [Internet]. 2014 Apr/Jun; [cited 2017 Sep 27]; 10(2):92-7. Available from:
Submetido em:
11/05/2018
Aceito em:
13/06/2019
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