Violence in the Nursing Workplace in the Context of Primary Health Care: A Qualitative Study

Author:

Carvalho Kisa Valladão1,Araujo Priscila Norié de1ORCID,Santos Felipe Lima dos12ORCID,Oliveira Poliana Silva de1ORCID,Silva Janaina Pereira da13ORCID,Santos Karen da Silva14,Viana Angelina Lettiere5ORCID,Fortuna Cinira Magali5ORCID

Affiliation:

1. Public Health Nursing Graduate Program, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil

2. Laboratoire École-Mutations-Apprentissages, CY Cergy Paris Université, 92230 Gennevilliers, France

3. Laboratoire Interdisciplinaire de Recherche sur les Transformations des Pratiques Educatives et des Pratiques Sociales, Université Paris-Est-Créteil-Val-de-Marne, 94010 Créteil, France

4. Laboratoire Éducation et Diversité en Espaces Francophones, Université de Limoges, 87036 Limoges, France

5. Public Health Nursing Graduate Program, Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil

Abstract

Violence demands considerable attention due to its complexity and social consequences. The objective of this study was to analyze violence in the nursing professional workplace in the context of primary health care in Brazil. It is a qualitative study with theoretical and methodological reference to institutional analysis. It was carried out in basic health units in Brazil. Nursing professionals (N = 11) participated in semi-structured interviews and discussion groups, in addition to a research diary and participant observation. Data collection took place from October to December 2021. The results are presented in five categories: types of violence and aggressors from the perspective of nursing professionals; the causes of violence reported by professionals; strategies for the management of violence; professionals’ proposals for preventing violence in health contexts; the consequences of violence in the workplace. Nursing professionals make up a large part of the workforce and have reported verbal, physical, moral, and psychological violence. The main causes are associated with user access to services. For the prevention of violence, professionals do not see themselves as protagonists of change. The consequences are the loss of quality of work and the health of professionals who requested sick leave and transfers. The study’s findings can help in the development of public policies and educational and management actions.

Funder

Research Program for SUS

São Paulo Research Foundation

National Council for Scientific and Technological Development (CNPq) Research Productivity Scholarship 1D

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Reference64 articles.

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3. Pan American Health Organization PAHO/WHO (2018). Expanding the Roles of Nurses in Primary Health Care, PAHO. Available online: https://iris.paho.org/handle/10665.2/34958.

4. Cheung, T., Lee, P., and Yip, P. (2017). Workplace Violence toward Physicians and Nurses: Prevalence and Correlates in Macau. Int. J. Environ. Res. Public Health, 14.

5. Bitencourt, M.R., Alarcão, A.C.J., Silva, L.L., Dutra, A.d.C., Caruzzo, N.M., Roszkowski, I., Bitencourt, M.R., Marques, V.D., Pelloso, S.M., and Carvalho, M.D.d.B. (2021). Predictors of Violence against Health Professionals during the COVID-19 Pandemic in Brazil: A Cross-Sectional Study. PLoS ONE, 16.

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