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

Int J Environ Res Public Health. 2023 Aug 31;20(17):6693. doi: 10.3390/ijerph20176693.

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.

Keywords: nursing; nursing professionals; primary health care; violence; workplace health; workplace violence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brazil
  • Humans
  • Primary Health Care
  • Qualitative Research
  • Violence*
  • Workplace*

Grants and funding

This research was funded by Research Program for SUS (Programa de Pesquisa para o SUS-PPSUS) financed by The São Paulo Research Foundation (FAPESP) grant number 2019/03848-7 and grant number 2019/21926-5. This research was also funded by National Council for Scientific and Technological Development (CNPq) Research Productivity Scholarship 1D Grant 317384/2021-0.