Context and dynamics of prenatal care for women with intimate partner violence
DOI:
https://doi.org/10.15649/cuidarte.2118Keywords:
Prenatal Care, Intimate Partner Violence, Pregnancy, Women's Health, Health PersonnelAbstract
Introduction: Women have health needs that vary according to their life course and intimate partner violence. Objective: To identify the contextual characteristics in which prenatal care is provided to women with intimate partner violence. Materials and Methods: A qualitative ethnographic study based on participant-focused observation was conducted throughout childbirth preparation course sessions and waiting rooms in five healthcare institutions in Cali, Colombia. Results: The following three dimensions were identified in the care context: (a) environment where care is provided, (b) power relations and (c) care dynamics. Findings suggest a traditional context in prenatal care with a predominance of a biomedical model. Results: three dimensions were identified regarding the care context: (a) The Environment where the Care is provided, (b) Power Relationships and (c) Dynamics of Care. The results show a traditional context in prenatal care with a predominance of a biomedical model. Discussion: The findings show the complexity of care in health institutions and a traditional context in prenatal care with a predominance of a biomedical model. Conclusions: During sessions held between women and healthcare personnel, intimate partner violence was not identified as the relationship was measured by a lack of knowledge of their needs, vertical relationships, power and non-assertive communication. For the adoption of support and accompaniment actions, it is necessary to recognize the importance of healthcare with a gender, differential and intersectional approach. In addition, in favor of women’s autonomy and dignity, it is necessary to strengthen the culture of respect and empathy towards users.
How to cite this article: Jaramillo Bolivar Cruz Deicy, Canaval Erazo Gladys Eugenia. Contexto y Dinámicas de Atención Prenatal para Mujeres con Violencia de Pareja. Revista Cuidarte. 2022;13(2):e2118. http://dx.doi.org/10.15649/cuidarte.2118
References
World Health Organization. Resolución 49.25 de la Asamblea Mundial de la Salud. WHA 49.25. Prevención De La Violencia Una Prioridad En Salud Pública. WHO. 1996. http://apps.who.int/iris/bitstream/handle/10665/203955/WHA49_R25_spa.pdf?sequence=1
Langer A, Meleis A, Knaul FM, Atun R, Aran M, Arreola-Ornelas H, et al. Women and Health: The key for sustainable development. Lancet. 2015; 386:1165–210. https://www.thelancet.com/commissions/women-health-2015b
Izaguirre A, Calvete E. Intimate partner violence during pregnancy: Women’s narratives about their mothering experiences. Psychosoc Interv. 2014;23:209–15. https://doi.org/10.1016/j.psi.2014.07.010
Izaguirre A, Calvete E. Exposure to family violence and internalizing and externalizing problems among Spanish adolescents. Violence Vict. 2018;33: 368–82. https://doi.org/10.1891/0886-6708.VV-D-17-00016
García-Moreno C. Multi-Country Study on Women’s Health and Domestic Violence against Women. 1ra ed. Switzerland: World Health Organization; 2005. 118 p. https://apps.who.int/iris/handle/10665/43390
Ministerio de Salud y Protección Social -MSPS. Resolución 3280 de 2018. Ruta de Atención para la Promoción y Mantenimiento de la salud y la Ruta Integral de Atención en Salud para la Población Materno Perinatal. MinSalud.. 2018. p. 348. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/Forms/DispForm.aspx?ID=17974
Devries KM, Kishor S, Johnson H, Stöckl H, Bacchus LJ, Garcia-Moreno C, et al. Intimate partner violence during pregnancy: Analysis of prevalence data from 19 countries. Reprod Health Matters. 2010: 18:158–70. https://doi.org/10.1016/S0968-8080(10)36533-5
Ministerio de Salud y Protección Social -MSPS. Resolución 2626, 2 de octubre, 2019.MinSalud. 2019. https://www.minsalud.gov.co/Normatividad_Nuevo/Forms/DispForm.aspx?ID=5751
Abdollahi F, Abhari FR, Delavar MA, Charati JY. Physical violence against pregnant women by an intimate partner, and adverse pregnancy outcomes in Mazandaran Province, Iran. J Family Community Med. 2015; 22:13–8. https://doi.org/10.4103/2230-8229.149577
Castro R, Peek-Asa C, Ruiz A. Violence Against Women in Mexico: A Study of Abuse before and during Pregnancy. Am J Public Health. 2003; 93:1110–6. https://doi.org/10.2105/ajph.93.7.1110
Campbell J, Garcia-Moreno C, Sharps P. Abuse during pregnancy in industrialized and developing countries. Violence Against Women. 2004;10:770–789. https://doi.org/10.1177/1077801204265551
Figueredo Borda N. La Investigación Cualitativa en Ciencias de la Salud: contribuciones desde la Etnografía. Enfermería Cuid Humaniz. 2017;6:14. http://dx.doi.org/10.22235/ech.v6iespecial.1445
Knoblauch H. Focused ethnography. Forum Qual Sozialforsch. 2005;6. https://www.qualitative-research.net/index.php/fqs/article/view/20/43
Guber R. El trabajo de campo: un marco reflexivo para la interpretación de las técnicas. La etnografía, método, campo y reflexividad. 2011. p. 45–50. https://abacoenred.com/wp-content/uploads/2016/01/etnografi-a-Me-todo-campo-reflexividad.pdf
Bradley EH, Curry LA, Devers KJ. Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Serv Res. 2007;42:1758– 72. http://doi.org/10.1111/j.1475-6773.2006.00684.x
Tuckerman J, Kaufman J, Danchin M. How to use qualitative methods for health and health services research. J Paediatr Child Health. 2020;56:818–20. https://doi.org/10.1111/jpc.14849
Gallagher TH, Waterman AD, Ebers AG, Fraser VJ, Levinson W. Patients’ and Physicians’ Attitudes Regarding the Disclosure of Medical Errors. J Am Med Assoc. 2003;289:1001–7. https://doi.org/10.1001/jama.289.8.1001
Ministerio de Salud y Protección Social. Proyecto de Resolución MAITE. Por medio la cual se Modif la Política Atención Integr en Salud –PAIS. MinSalud. 2019;1–10. Disponible en: https://consultorsalud.com/llego-el-reglamento-del-maite-resolucion-2626-de-2019/
Urra Eugenia M, Jana Alejandra A, García Marcela V. Some essential aspects of Jean Watson thought and her transpersonal caring theory. Cienc y Enferm. 2011;17:11–22. http://dx.doi.org/10.4067/S0717-95532011000300002
Watson J. Nursing: The Philosophy and Science of Caring. Vol. 79, The American Journal of Nursing. University press of Colorado; 2008. 337 p.
Sharifi N, Adib-Hajbaghery M, Najafi M. Cultural competence in nursing: A concept analysis. Int J Nurs Stud. 2019;99. https://doi.org/10.1016/j.ijnurstu.2019.103386
Boff L. Saber Cuidar. Rumbosostenible. 2014: 1–182. https://www.rumbosostenible.com/wp-content/uploads/Saber-Cuidar-Libro-de-Leonardo-Boff.pdf
Valpied J, Hegarty K. Intimate Partner Abuse: Identifying, Caring for and Helping Women in Healthcare Settings. Women’s Heal. 2015; 11:51–63. http://journals.sagepub.com/doi/10.2217/WHE.14.59
Tay LH, Hegney D, Ang E. Factors affecting effective communication between registered nurses and adult cancer patients in an inpatient setting: A systematic review. Int J Evid Based Healthc. 2011;9:151–64. https://doi.org/10.1111/j.1744-1609.2011.00212.x
Izquierdo Machin E. Enfermería: Teoría de Jean Watson y la inteligencia emocional, una visión humana. Rev Cubana Enferm. 2015;31. http://www.revenfermeria.sld.cu/index.php/enf/article/view/686/131
Canaval, GE, Jaramillo CD, Rosero DH, Valencia MG. La teoría de las transiciones y la salud de la mujer en el embarazo y en el posparto. Aquichan. 2007; https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/94
Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis. Vol. 10, 2006. 208 p. http://dx.doi.org/10.5565/rev/papers/v86n0.825
Bryant A, Charmaz K. The SAGE Handbook of Current developments in grounded theory. 2019. 714 p.
Stringer E. Action Research. Fourth Edition. Curtin University, Australia. 2013.
Redman-MacLaren M, Mills J. Transformational grounded theory: Theory, voice, and action. Int J Qual Methods. 2015; 14:1–12. https://doi.org/10.1177/160940691501400301
Jaramillo-Bolivar CD, Canaval-Erazo GE. Violencia de género: Un análisis evolutivo del concepto. Univ y Salud. 2020; 22:178–85. https://doi.org/10.22267/rus.202202.189
Chan EA, Wong F, Cheung MY, Lam W. Patients’ perceptions of their experiences with nurse-patient communication in oncology settings: A focused ethnographic study. PLoS One. 2018;13. https://doi.org/10.1371/journal.pone.0199183
Thorne S, Oliffe JL, Stajduhar KI, Oglov V, Kim-Sing C, Hislop TG. Poor communication in cancer care: Patient perspectives on what it is and what to do about it. Cancer Nurs. 2013; 36:445–53. https://doi.org/10.1097/NCC.0b013e31827eeda4
Bagherian S, Sharif F, Zarshenas L, Torabizadeh C, Abbaszadeh A, Izadpanahi P. Cancer patients’ perspectives on dignity in care. Nurs Ethics. 2020; 27:127–40. https://doi.org/10.1177/0969733019845126
Tierney S, Seers K, Tutton E, Reeve J. Enabling the flow of compassionate care: A grounded theory study. BMC Health Serv Res. 2017; 17:174. https://doi.org/10.1186/s12913-017-2120-8
Rosser Limiñana A, Suriá Martínez R, Mateo Pérez MÁ. Problemas de conducta infantil y competencias parentales en madres en contextos de violencia de género. Gac Sanit. 2018; 32:35–40. https://doi.org/10.1016/j.gaceta.2017.02.004
López-Soler C, Alcántara-López M, Castro M, Sánchez-Meca J, Fernández V. The Association between Maternal Exposure to Intimate Partner Violence and Emotional and Behavioral Problems in Spanish Children and Adolescents. J Fam Violence. 2017;32:135–44. https://doi.org/10.1007/s10896-016-9864-5
Moylan CA, Herrenkohl TI, Sousa C, Tajima EA, Herrenkohl RC, Russo MJ. The effects of child abuse and exposure to domestic violence on adolescent internalizing and externalizing behavior problems. J Fam Violence. 2010; 25:53–63. https://doi.org/10.1007/s10896-009-9269-9
Silva EP, Lemos A, Andrade CHS, Ludermir AB. Intimate partner violence during pregnancy and behavioral problems in children and adolescents: a meta-analysis. J Pediatr (Rio J). 2018; 94:471–82. https://doi.org/10.1016/j.jped.2018.01.007
Lafaurie Villamil MM, Ramírez Romero ML. Perspectiva de profesionales de salud sobre la violencia de la pareja en el embarazo. Investig en Enfermería Imagen y Desarro. 2019;21. https://doi.org/10.11144/Javeriana.ie21-2.ppsv
Castro R, Erviti J. Sociología de la práctica médica autoritaria: violencia obstétrica, anticoncepción inducida y derechos reproductivos. Primera ed. Cuernavaca, Morelos: Universidad Nacional Autónoma de México. 2015. 324 p. http://biblioteca.clacso.edu.ar/Mexico/crim-unam/20170511032438/pdf_1464.pdf
Forbes D, NEufeld A. Crisis inminente de atención de demencia: ¡Canadá necesita un modelo integrado de atención continua ahora! PubMed. 2008;40. https://pubmed.ncbi.nlm.nih.gov/18459269/
Moreno-Lavín D. Fundamentos del diseño de un modelo de atención de Enfermería para la gestión del cuidado. Rev Cubana Enferm. 2018;34. http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-03192018000100014
Meleis A. Transitions Theory: Middle Range and Situation Specific Theories in Nursing Research and Practice. Springer Publishing Company; 2010. https://taskurun.files.wordpress.com/2011/10/transitions_theory__middle_range_and_situation_specific_theories_in_nursing_research_and_practice.pdf
Leininger M. Quality of life from a transcultural nursing perspective. Nurs Sci Q. 1994; 7:22–8. https://doi.org/10.1177/089431849400700109
Guerrero R, Meneses M, De la Cruz M. Cuidado humanizado de enfermería según la teoría de Jean Watson, servicio de medicina del Hospital Daniel Alcides Carrión. Lima-Callao, 2015. Rev enferm Herediana. 2016; 9(2): [127- 136]. http://faenf.cayetano.edu.pe/images/2017/revistavol9/9.pdf
Chan EA, Jones A, Wong K. The relationships between communication, care and time are intertwined: A narrative inquiry exploring the impact of time on registered nurses’ work. J Adv Nurs. 2013; 69:2020–9. https://doi.org/10.1111/jan.12064
Carreño Dueñas JA. Calidad de la atención en salud en hospitales universitarios. Rev Int Adm y Finanz. 2013;6:81–90. https://ssrn.com/abstract=2326578
Nouri A, Sanagoo A, Jouybari L, Taleghani F. Challenges of respect as promoting healthy work environment in nursing: A qualitative study. J Educ Health Promot. 2019;8:261. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967129/
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