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Previous issue date: 2009-10-30 === Exploratory descriptive study, with a quantitative approach and prospective data, performed in Pronto Socorro Cl?vis Sarinho (PSCS), in Natal/RN, aiming to analyze care given by the nursing and medical staff to victims of violence attended to in an emergency hospital in Natal/RN; to identify care given by the nursing and medical staff as viewed by the victims; to
compare data observed during the process of care with the victim s view on the care given by the nursing and medical staff; to identify the existing knowledge on violence and the process of caring for victims and its relation with prejudice; to identify obstacles and perspectives for prevention during the process of caring for victims in the emergency services. The population consisted of 97 physicians, 16 nurses, 75 nursing technicians and assistants and 365 victims of violence, with data collected from April to May 2009. Out of 188 professionals, 52.1% are female; 32% were aged 41 to 50; 99.5% had given care to a victim of violence; 90.4%
reported to have given care to patients under custody; among these, 17.3% felt prejudice; 55.3% stated they don t provide different care for assaulted victims and assailants, however 44.7% stated they do; 86.7% feel their workplace is unsafe; 61.7% denied the existence of any obstacle and 38.3% reported the existence of obstacles; among these, 26.1% referred to inadequate facilities; 37.8% believe reinforcing security and professional training are the main
solutions. Among the 365 researched violence victims, 82.2% were assaulted; male (69.6%); aged 18 to 24 (24.9%); hailing from the Greater Natal area (89.9%); on 19.7% the event
happened on Saturday; during the night (48.8%); victim of physical assault (61.4%); produced by body force (27.7%); 24.4% were injured in the head and neck. 57% had used some drug, among which alcohol was predominant (75.5%). On 621 observations performed during the victim care process, when compared to the report of assaulted victims, there was a statistical difference, at 5% significance level, regarding reception, resistance from the professionals,
questioning about the violent event, providing of guidance, interaction with the patient and the understanding of receiving proper care, and care resolution. In comparisons involving the observed and the assailant victims reports, there was a statistical difference regarding the resence of resistance from the professionals, performance of necessary procedures and the nteraction with the patient and the understanding of receiving proper care and 58.1% reported
the nursing team was the one that provided the best care. We conclude that professionals had lready given care to assailant patients, acknowledge the importance of knowing how the vent took place and acquired this preparation during their practice. The most often referred bstacles that hinder assistance were: inadequate facilities, material deficit and lack of rofessional preparation. As solutions for these problems, they cited the reinforcement of ecurity and professional training === Estudo explorat?rio descritivo, com abordagem quantitativa e dados prospectivos, realizado no Pronto Socorro Cl?vis Sarinho (PSCS), em Natal/RN, com vistas a analisar o cuidado
prestado pela equipe de enfermagem e m?dica, ?s v?timas de viol?ncia atendidas em um hospital de urg?ncia em Natal/RN; identificar na vis?o das v?timas o cuidado prestado pela
equipe de enfermagem e m?dica; comparar os dados observados durante o processo de cuidar com a vis?o da v?tima sobre o cuidado prestado pela equipe de enfermagem e m?dica; identificar o conhecimento existente sobre viol?ncia e o processo de cuidar ?s v?timas e sua rela??o com o preconceito; identificar os obst?culos e as perspectivas de preven??o durante o processo de cuidar ?s v?timas nos servi?os de urg?ncia. A popula??o constou de 97 m?dicos,
16 enfermeiros, 75 t?cnicos e auxiliares de enfermagem e 365 v?timas de viol?ncia, com dados coletados de abril a maio de 2009. Dos 188 profissionais, 52,1% s?o do sexo feminino;
32% tinham entre 41 e 50 anos; 99,5% haviam cuidado de alguma v?tima de viol?ncia; 90,4% afirmaram j? ter cuidado de paciente custodiado; dentre estes, 17,3% sentiram preconceito; 55,3% afirmaram que n?o cuidam de uma v?tima agredida diferente de uma agressora, por?m 44,7% afirmaram que sim; 86,7% acham seu local de trabalho inseguro; 61,7% negaram a exist?ncia de algum obst?culo e 38,3% afirmaram a exist?ncia de obst?culo; dentre estes, 26,1% referiram-se ao espa?o f?sico inadequado; 37,8% acham que o refor?o na seguran?a e a capacita??o dos profissionais, s?o as principais solu??es. Das 365 v?timas de viol?ncia pesquisadas, 82,2% foram agredidas; do sexo masculino (69,6%); tinham entre 18 a 24 anos de idade (24,9%); procedentes da Grande Natal (89,9%); em 19,7% o evento ocorreu no s?bado; no hor?rio noturno (48,8%); v?tima de agress?o f?sica (61,4%); produzida por for?a corporal (27,7%); 24,4% sofreram les?es na cabe?a e pesco?o; 57% haviam usado alguma
droga, destes, predominando o ?lcool (75%). Das 621 observa??es feitas durante o processo de cuidar das v?timas, quando comparadas ao relato das v?timas agredidas, houve diferen?a estat?stica, ao n?vel de signific?ncia de 5%, em rela??o ao acolhimento, presen?a de resist?ncia por parte dos profissionais, questionamento sobre o evento violento, fornecimento de orienta??es, intera??o com o paciente e entendimento de ser bem atendido, e resolutividade do atendimento. Nas compara??es entre o observado e o relato das v?timas agressoras, houve diferen?a estat?stica, quanto ? presen?a de resist?ncia por parte dos profissionais, realiza??o
dos procedimentos necess?rios e quanto a intera??o com o paciente e entendimento de ser bem atendido e 58,1% das v?timas relataram que a equipe de enfermagem foi a que melhor
atendeu. Conclu?mos que os profissionais j? haviam cuidado de pacientes agressores, reconhecem a import?ncia de conhecer como se deu o evento e adquiriram esse preparo em
suas pr?ticas. O cuidado durante as observa??es e no relato das v?timas, este sofre interfer?ncia dos sentimentos de medo ou preconceito em rela??o as v?timas agressoras e isto
foi percebido por elas. Os obst?culos mais referidos que dificultam a assist?ncia, foram: o espa?o f?sico inadequado, o d?ficit de materiais e o despreparo dos profissionais. Como
solu??es desses problemas, citaram o refor?o na seguran?a e capacita??o dos profissionais
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