Violence against women: Knowledge of Primary Health Care Nurses
DOI:
https://doi.org/10.62827/eb.v25i3.4230Keywords:
Violence Against Women; Nurses; Primary Health Care; Public Health; Health Policy.Abstract
Introduction: Violence against women is a serious violation of human rights and a public health problem, occurring frequently in the domestic setting. Primary Health Care, a setting in which nurses play a strategic role, being essential for the early identification, reception, reporting, and referral of victims. Objective: To analyze the knowledge of Primary Health Care nurses regarding violence against women. Methods: A cross-sectional, descriptive-analytical study was conducted with all nurses working in Primary Health Care in a municipality in southern Minas Gerais, Brazil (n=9). A validated questionnaire was used, comprising sociodemographic variables, professional training, perceptions, attitudes, and knowledge regarding violence against women. Data were analyzed using descriptive and inferential statistics, including Fisher's exact test, the Mann–Whitney test, the Kruskal–Wallis test, and Spearman's correlation coefficient, with statistical significance set at p<0,05. Results: Female professionals predominated, with experience in Primary Health Care and previous training on the topic. Most participants recognized violence against women as a public health issue and emphasized the importance of professional qualification. However, challenges remain regarding the management of cases involving intimate partner violence, confidence in providing care, and knowledge about mandatory reporting procedures. Conclusion: Although nurses recognize the relevance of the issue, weaknesses in training and professional practice persist, limiting the provision of comprehensive care. The findings highlight the need to strengthen continuing health education, implement clinical care protocols, and expand institutional support to improve the quality of care provided.
References
World Health Organization. RESPECT women: a framework for preventing violence against women [Internet]. Geneva: WHO; 2019 [cited 2026 Jul 6]. Available from: https://www.who.int/publications/i/item/respect-women-framework-for-preventing-violence-against-women
World Health Organization. Violence against women prevalence estimates, 2018: global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women [Internet]. Geneva: WHO; 2021 [cited 2026 Jul 6]. Available from: https://www.who.int/publications/i/item/9789240022256
Fórum Brasileiro de Segurança Pública. Visível e invisível: a vitimização de mulheres no Brasil. 5th ed. São Paulo: FBSP; 2025. Available from: https://forumseguranca.org.br/publicacoes_posts/visivel-e-invisivel-a-vitimizacao-de-mulheres-no-brasil-5a-edicao/
Fórum Brasileiro de Segurança Pública. Anuário Brasileiro de Segurança Pública 2024. São Paulo: FBSP; 2024. Available from: https://publicacoes.forumseguranca.org.br/items/f62c4196-561d-452d-a2a8-9d33d1163af0
Leite AS, Tavares RJ, Aoyama EA, Pacheco DF. The nurse's role in welcome to victims of violence against women. Int J Hum Sci Res [Internet]. 2022 [cited 2026 Jul 6];2(21):1-9. Available from: https://doi.org/10.22533/at.ed.5582212215079. doi:10.22533/at.ed.5582212215079.
Pereira DC. Ciclo de violência contra a mulher: atendimento de enfermeiros na Atenção Primária em Saúde em Florianópolis-SC [Internet] [undergraduate thesis]. Florianópolis: Universidade Federal de Santa Catarina; 2024 [cited 2026 Jul 6]. Available from: https://repositorio.ufsc.br/handle/123456789/256719.7.
Marques CCDG, Oliveira MEA. Abordagem às mulheres vítimas de violência por enfermeiras e enfermeiros. Rev FT Ciênc Saúde [Internet]. 2024 Aug 31 [cited 2026 Jul 6];28(137):1-21. Available from: https://doi.org/10.69849/revistaft/pa10202408311124. doi:10.69849/revistaft/pa10202408311124.
Santos SC, Barros PA, Delgado IF, Silva LV, Carvalho VKS. Violência contra a mulher: como os profissionais na atenção primária à saúde estão enfrentando esta realidade. Saúde Pesqui [Internet]. 2018 May-Aug [cited 2026 Jul 6];11(2):359-68. Available from: https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/6665. doi:10.17765/1983-1870.2018v11n2p359-368
Bacchus LJ, d'Oliveira AFP, Pereira S, Schraiber LB, Aguiar JM, Graglia CGV, et al. An evidence-based primary health care intervention to address domestic violence against women in Brazil: a mixed method evaluation. BMC Prim Care [Internet]. 2023 Sep 25 [cited 2026 Jul 6];24(1):198. Available from: https://doi.org/10.1186/s12875-023-02150-1. doi:10.1186/s12875-023-02150-1.
Brasil. Lei nº 10.778, de 24 de novembro de 2003. Estabelece a notificação compulsória, no território nacional, dos casos de violência contra a mulher que forem atendidos em serviços de saúde públicos ou privados [Internet]. Brasília (DF): Presidência da República; 2003 [cited 2026 Jul 6]. Available from: https://www.planalto.gov.br/ccivil_03/leis/2003/l10.778.htm.
Santos JAJ, Passos SG. Conhecimento dos profissionais de enfermagem acerca da ficha de notificação compulsória em relação à violência contra a mulher. Rev JRG Estud Acad [Internet]. 2021 Jul 3 [cited 2026 Jul 6];4(9):50-57. Available from: https://zenodo.org/records/5093810. doi:10.5281/zenodo.5093810.
Almeida JA, Oliveira AM, Silva GM, et al. Práticas da enfermagem forense frente à violência sexual contra a mulher: revisão de escopo. Rev Enferm Atual In Derme [Internet]. 2023 [cited 2026 Jul 6];97(40):e023157. Available from: https://mail.revistaenfermagematual.com.br/index.php/revista/article/view/1929. doi:10.31011/reaid-2023-v.97-n.40-art.1929.
Pereira FTV, Marques NS. Análise de documentos oficiais norteadores da atuação dos profissionais de saúde frente às demandas de violência doméstica contra as mulheres. Rev Bras Políticas Públicas [Internet]. 2024 [cited 2026 Jul 6];14(3):132-55. Available from: https://www.rdi.uniceub.br/RBPP/article/view/8699. doi:10.5102/rbpp.v14i3.8699.
Purbarrar F, Khani S, Zeydi AE, Cherati JY. A review of the challenges of screening for domestic violence against women from the perspective of health professionals. J Educ Health Promot [Internet]. 2023 Jun [cited 2026 Jul 6];12:183. Available from: https://doi.org/10.4103/jehp.jehp_733_22. doi:10.4103/jehp.jehp_733_22.
Silva TC, Silva JM, Silva LS, Silva BJL, Cardoso RFS, Soares DKS, et al. Assistência do enfermeiro na atenção primária à saúde à mulher vítima de violência por parceiro íntimo: revisão integrativa. Contrib Cienc Soc [Internet]. 2023 Nov [cited 2026 Jul 6];16(11):26422-39. Available from: https://doi.org/10.55905/revconv.16n.11-099. doi:10.55905/revconv.16n.11-099.
Polit DF, Beck CT. Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática da enfermagem [Internet]. 9th ed. Porto Alegre: Artmed; 2019 [cited 2026 Jul 6]. Available from: https://doceru.com/doc/nx15vexv
Baraldi ACP. O conhecimento dos profissionais médicos e enfermeiros das unidades básicas distritais de saúde de Ribeirão Preto-SP acerca da violência contra a mulher cometida por parceiro íntimo [Internet] [dissertation]. Ribeirão Preto: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo; 2009 [cited 2026 Jul 6]. Available from: https://teses.usp.br/teses/disponiveis/22/22133/tde-29102009-142008/pt-br.html
Vasconcelos NM, Guimarães RA, Leite FMC, Machado ÍE, Malta DC. Subnotificação da violência contra a mulher no Brasil: análise entre SINAN e PNS. Cien Saude Colet [Internet]. 2024 Oct [cited 2026 Jul 6];29(10):e07732023. Available from: https://doi.org/10.1590/1413-812320242910.07732023. doi:10.1590/1413-812320242910.07732023.
Flor TBM, Miranda NM, Araújo MPR, Siqueira MFC, Nascimento EGC. Análise da formação em Programas de Residência Multiprofissional em Saúde no Brasil: perspectiva dos egressos. Cien Saude Colet [Internet]. 2023 Jan [cited 2026 Jul 6];28(1):281-90. Available from: https://www.scielo.br/j/csc/a/ySNmCLg9L9NWRHm7g6tpkxx/?lang=pt. doi:10.1590/1413-81232023281.11292022.
Fernandes JM, Tonhom SFR, Peres CRFB. Obstetric violence in medical and nursing training. Contrib Cienc Soc [Internet]. 2024 Feb [cited 2026 Jul 6];17(2):e5235. Available from: https://ojs.revistacontribuciones.com/ojs/index.php/clcs/article/view/5235. doi:10.55905/revconv.17n.2-176.
Magalhães BC, Silva CF, Silva Filho JA, Pinto AGA, Maia ER, Lopes MSV, et al. How is violence themed in nursing education? Curricular components in Northeastern Brazil. J Interpers Violence [Internet]. 2022 Sep [cited 2026 Jul 6];37(17-18):NP16859-NP16884. Available from: https://doi.org/10.1177/08862605211025845. doi:10.1177/08862605211025845.
Souza FTP, Oliveira EN, Costa MIF, Fernandes MA, Miranda FAN, Aquino PS. Interface between women's health and violence in the training of nurses in Brazil. Invest Educ Enferm [Internet]. 2021 Jan-Apr [cited 2026 Jul 6];39(1):e06. Available from: https://revistas.udea.edu.co/index.php/iee/article/view/345520. doi:10.17533/udea.iee.v39n1e06.
Aurora S, Kalok A, Nordin N, Hassan S, Al-Worafi YM, Mohamed M, et al. Healthcare providers' perceptions and experiences of training to respond to violence against women: results from a qualitative study. Int J Environ Res Public Health [Internet]. 2023 Feb 13 [cited 2026 Jul 6];20(4):3606. Available from: https://doi.org/10.3390/ijerph20043606. doi:10.3390/ijerph20043606.
García-Moreno C, Hegarty K, d'Oliveira AFL, Koziol-McLain J, Colombini M, Feder G. Improving health system readiness to address violence against women and girls: a conceptual framework. BMC Health Serv Res [Internet]. 2022 Nov 23 [cited 2026 Jul 6];22(1):1429. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-08826-1. doi:10.1186/s12913-022-08826-1.
Signorelli MC, Taft A, Pereira PPG. Authors' commentary: domestic violence against women, public policies and community health workers in Brazilian Primary Health Care. Int Q Community Health Educ [Internet]. 2020 Apr [cited 2026 Jul 6];40(3):237-39. Available from: https://doi.org/10.1177/0272684X19865145. doi:10.1177/0272684X19865145
Kalra N, Hooker L, Reisenhofer S, Di Tanna GL, García-Moreno C. Training healthcare providers to respond to intimate partner violence against women. Cochrane Database Syst Rev [Internet]. 2021 May 24 [cited 2026 Jul 6];2021(5):CD012423. Available from: https://doi.org/10.1002/14651858.CD012423.pub2. doi:10.1002/14651858.CD012423.pub2
Li Q, Hegarty K, Yin H, Chen J, Wang L, Wang H, et al. Nurses' preparedness, opinions, barriers, and facilitators in responding to intimate partner violence: a mixed-methods study. J Nurs Scholarsh [Internet]. 2024 Jan [cited 2026 Jul 6];56(1):174-90. Available from: https://doi.org/10.1111/jnu.12929. doi:10.1111/jnu.12929.
Lu C, Wu M, Gu Y, Gao Y, Wang M, Wang Y, et al. Identifying the barriers faced by obstetricians and registrars in screening or enquiry of intimate partner violence in pregnancy: a systematic review of the primary evidence. Aust N Z J Obstet Gynaecol [Internet]. 2024 Feb [cited 2026 Jul 6];64(1):19-27. Available from: https://doi.org/10.1111/ajo.13747. doi:10.1111/ajo.13747
Brasil. Secretaria de Políticas para as Mulheres. Pacto Nacional pelo Enfrentamento à Violência contra as Mulheres [Internet]. Brasília (DF): Secretaria de Políticas para as Mulheres; 2011 [cited 2026 Jul 6]. Available from: https://www12.senado.leg.br/institucional/omv/copy_of_acervo/outras-referencias/copy2_of_entenda-a-violencia/pdfs/pacto-nacional-pelo-enfrentamento-a-violencia-contra-as-mulheres.
Brasil. Lei nº 11.340, de 7 de agosto de 2006. Cria mecanismos para coibir a violência doméstica e familiar contra a mulher, nos termos do § 8º do art. 226 da Constituição Federal, da Convenção sobre a Eliminação de Todas as Formas de Discriminação contra a Mulher e da Convenção Interamericana para Prevenir, Punir e Erradicar a Violência contra a Mulher [Internet]. Brasília (DF): Presidência da República; 2006 [cited 2026 Jul 6]. Available from: https://www.planalto.gov.br/ccivil_03/_ato2004-2006/2006/lei/l11340.htm
Araújo GS, Silva LRS, Oliveira RAS, et al. Advances and challenges in the implementation of the Maria da Penha Law in the fight against domestic violence. Rev Cient Multidiscip O Saber [Internet]. 2025 [cited 2026 Jul 6];1(1). Available from: https://submissoesrevistarcmos.com.br/rcmos/article/view/922
Nascimento SNBP, Bolwerk AA, Silva AC. A Lei Maria da Penha em perspectiva interdisciplinar: desafios conceituais e a complexidade das relações de gênero. Aracê [Internet]. 2025 [cited 2026 Jul 6];7(6):30175-91. Available from: https://periodicos.newsciencepubl.com/arace/article/view/5694. doi:10.56238/arev7n6-239.
Bueno-Cavanillas A, Sosa-Rubí SG, Vallejo-Torres L, Posso M, Martín-García M, Rivas-Ruiz F, et al. Worldwide prevalence of intimate partner violence in pregnancy: a systematic review and meta-analysis. Front Public Health [Internet]. 2021 Sep 24 [cited 2026 Jul 6];9:738459. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2021.738459/full. doi:10.3389/fpubh.2021.738459
Arboit J, Padoin SMM, Vieira LB. Violence against women in Primary Health Care: potentialities and limitations to identification. Aten Primaria [Internet]. 2020 Jan [cited 2026 Jul 6];52(1):14-21. Available from: https://www.sciencedirect.com/science/article/pii/S0212656718301215. doi:10.1016/j.aprim.2018.09.008.
Bishop K, Douglas H, Fitzgerald R. Coercive control, domestic violence and criminal law reform: challenges and developments. Aust J Soc Issues [Internet]. 2024 Jun [cited 2026 Jul 6];59(2):233-49. Available from: https://www.tandfonline.com/doi/full/10.1080/14461242.2024.2354801. doi:10.1080/14461242.2024.2354801.
Boer K, Watson H, Hulme J, Wegner L, Smith J, Feder G, et al. Nurses' experiences with screening for intimate partner violence: a meta-synthesis. J Nurs Scholarsh [Internet]. 2023 Mar [cited 2026 Jul 6];55(2):215-24. Available from: https://doi.org/10.1111/jnu.12835. doi:10.1111/jnu.12835
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Copyright (c) 2026 Talita Lemos Martins , Fábio de Souza Terra, Christianne Alves Pereira Calheiros , Sabrina Sousa Barros, Anna Paula Mendes Marques de Lima Franco, Patrícia Scotini Freitas (Autor)

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