Violence suffered by nurses in pre-hospital care in risk areas or urban conflict
Keywords:Emergency medical services; Nursing care; Occupational health; Gun violence; Drug trafficking.
Objective: identify situations of violence suffered by nurses in pre-hospital care in areas of risk or urban conflict. Method: qualitative study, based on an instrument on violence at work formulated by the researchers and the use of the Johari Window to represent the results. Data collection occurred in 14 pre-hospital care units, with the participation of 67 nurses. Results: it was identified that 80.6% (n=54) of the participants were victims of threat by criminals, of them 90.7% (n=49) with presence of firearms, mainly rifles. 76.1% (n=51) of the participants reported that they had already been prevented from performing care by criminals or by threats of violence, due to exchanges of fire, barricades and prohibition of the entry of health teams in the communities. The participants reported feeling a lot of fear, stress, insecurity, anguish and tachycardia during work in pre-hospital care, using religious beliefs for protection. Conclusion: the study identified that pre-hospital nurses are working in areas of risk or urban conflict under the power of drug trafficking, being threatened with firearms and prevented from performing the aid by threats of violence, exchanges of fire, barricades and prohibition by members of drug trafficking.
Araújo, S., & Sofield, L. (2011). Workplace violence in nursing today. Nurs Clin of North Am; 46 (4), 457-64. Doi: https://doi.org/10.1016/j.cnur.2011.08.006
Barbar, A. E. M. (2018). Atenção primária à saúde e territórios latino-americanos marcados pela violência. Rev Panam Salud Publica 2018; 42, 1-5. Doi: https://doi.org/10.26633/RPSP.2018.142
Bardin L. (2011). Análise de Conteúdo. Lisboa: Edições 70.
Câmara dos Deputados (BR). (2003). Decreto nº 5.123, de 1 de julho de 2004. Regulamenta a Lei nº 10.826, de 22 de dezembro de 2003, que dispõe sobre registro, posse e comercialização de armas de fogo e munição, sobre o Sistema Nacional de Armas - SINARM e define crimes. Recuperado de https://www2.camara.leg.br/legin/fed/decret/2004/decreto-5123-1-julho-2004-532844-normaatualizada-pe.html
Cunha, V. P., Erdmann, A. L., Santos, J. L. G., Menegon, F. H. A., & Nascimento, K. C. (2019). Atención a pacientes en situación de urgencia: del servicio prehospitalario móvil al servicio hospitalario de emergencia. Enfermería Actual de Costa Rica; (37), 1-15. Doi: https://doi.org/0.15517/revenf.v0iNo. 37.3474
Farias, G. M., Morais Filho, L. A., Dantas, R. A. N., & Rocha, K. M. M. (2010). Occupational violence: risk situation to dignity and integrity of health professionals. J Nurs UFPE On Line; 4(1), 341-47. Doi: https://doi.org/10.5205/reuol.703-5707-1.0401201043
Fontes, M. A. S. (2017). A expressão de emoções: propostas teóricas e questionamentos. Intercâmbio; 36, 26-38. Recuperado de https://revistas.pucsp.br/intercam bio/article/view/35756/24594
Freitas, K. O., Martins, M. G. T., Silva, M. A. S., Jaques, M. B., & Vasconcelos, E. V. (2019). Health care from firefighters: the faced difficulties that impact in the population’s assistance. J res fundam care online; 11(n. esp), 317-23. Doi: http://dx.doi.org/10.9789/2175-5361.2019.v11i2.317-323
Fritzen, S.J . (2017). Janela de Johari. Exercícios vivenciais de dinâmica de grupo, relações humanas e de sensibilidade. (25a ed.), Petrópolis: Vozes.
Glasofer A., & Laskowski-Jones L. (2018). Mass shootings: A call for nursing awareness and action. Nurs Crit Care; 13 (5), 14-20. DOI: https://doi.org/10.1097/01.C CN.0000534922.93547.c1
Gonçalves, H. C. B., & Queiroz, M. R., & Delgado, P. G. G. (2017). Violência urbana e saúde mental: desafios de uma nova agenda? Fractal rev psicol; 29 (1), 17-23. Doi: https://doi.org/10.22409/1984-0292/v29i1/1256
Hassankhani, H., Parizad, N., Gacki-Smith, J., Rahmani, A., & Mohammadi, E. (2018) The consequences of violence against nurses working in the emergency department: a qualitative study. Int Emerg Nurs; 39, 20-5. Doi: https://doi.org/10.1016/j.ienj.2017.07.007
Hoglund, E., Schoder, A., Moller, M., Anderson-Hagiwara, M., & Ohlsson-Nevo, E. (2019). The ambulance nurse expriences of non-coveying patients. J Clin Nurs; 28 (1), 235-44. Doi: https://doi.org/10.1111/jocn.14626
Klassen, A. B., Marshall, M., Dai, M., Mann, N.C., & Sztajnkrycer, M. D. (2019). Emergency medical services response to mass shooting and active shooter incidents, United States, 2014-2015. Prehosp Emerg Care; 23 (2), 1-8. Doi: https://doi.org/10.1080/10903127.2018.1484970
Machado, C. B., Daher, D. V., Teixeira, E. R., & Acioli, S. (2016). Urban violence and effect on care practices in family health strategy territories. Rev enferm UERJ; 24 (5), 1-6. Doi: http://dx.doi.org/10.12957/reuerj.2016.25458
Manley, N. R., Fabian, T. C., Sharpe, J. P., Magnotti, L. J., & Croce, M. A. (2018). Good news, bad news: An analysis of 11,294 gunshot wounds (GSWs) over two decades in a single center. J Trauma Acute Care Surg.; 84 (1), 58-65. Doi: http://dx.doi.org/ 10.1097/TA.0000000000001635
Nascimento, M. O., & Araújo, G. F. (2017). Riscos ocupacionais dos profissionais de enfermagem atuantes no SAMU 192. Id na linha Rev. M. Psic.; 10 (33), 212-23. Recuperado de https://idonline.emnuvens.com.br/id/article/view/614/864
Noorana Zahra, A., & Jui-Yng, F. (2018). Workplace violence against nurses in Indonesian emergency departments. Enferm Clin; 28 (Suppl.1), 184-90. Doi: http://dx.doi.org/10.1016/S1130-8621(18)30064-0
Ok-Hee, C., Kyeong-Sook, C., & Yang-Sook, Y. (2015). Awareness and attitudes towards violence and abuse among emergency nurses. Asian Nurs Res; 9 (3), 213-18. Doi: https://doi.org/10.1016/j.anr.2015.03.003
Peres, P. S. Q., Arboit, E. L., Pilau, C. O. B., Menezes, L. P., & Kaefer, C. T. (2018). Nurse performance on a private prehospital assistance. J res fundam care online; 10 (2), 413-22. Doi: http://dx.doi.org/10.9789/2175-5361.2018.v10i2.413-422
Ramacciati, N., Gili, A., Mezzetti, A., Ceccagnoli, A., Addey, B., & Rasero, L. (2019). Violence towards emergency nurses: the 2016 Italian National Survey: a cross-sectional study. J Nurs Manag.; 27 (4), 1-14. Doi: https://doi.org/10.1111/jonm.12733
Tibães, H. B. B., Silva, D. M., Alves, M., Penna, C. M. M., & Brito, J. M. (2018). Service profile of the mobile emergency care service in the north of Minas Gerais State. J res fundam care online; 10(3), 675-82. Doi: http://dx.doi.org/10.9789/2175-5361.2018.v10i3.675-682
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care; 19 (6), 349-57. Doi: https://doi.org/10.1093/intqhc/mzm042
Zapparoli, A. S., & Marziale, M. H. P. I. (2006). Risco ocupacional em unidades de suporte básico e avançado de vida em emergências. Rev Bras Enferm.; 59 (1), 41-6. Doi: https://doi.org/10.1590/S0034-71672006000100008
How to Cite
Copyright (c) 2020 Aline Coutinho Sento Sé; Wiliam César Alves Machado; Sílvia Teresa Carvalho de Araújo; Renata da Silva Hanzelmann; Joanir Pereira Passos; Teresa Tonini; Raquel Calado da Silva Gonçalves; Nébia Maria Almeida de Figueiredo
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.