Social support network of family members of abused children and adolescents: Perspectives and possibilities.


Journal

Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 08 01 2018
revised: 20 08 2018
accepted: 28 08 2018
pubmed: 6 9 2018
medline: 14 3 2019
entrez: 6 9 2018
Statut: ppublish

Résumé

To analyse the network of care and social support from the perspectives of family members of children and adolescents who have been abused. The theoretical-methodological background of the ecological model for understanding violence and the Paradigm of Complexity provide a broad perspective of violence. The paradigm considers all aspects that constitute a phenomenon as well as particular features. Qualitative research based on the Paradigm of Complexity, developed by Edgar Morin, the primary philosopher. We have adhered to the COREQ Checklist guidelines for qualitative research. Data were collected through Minimal Maps of Personal Social Networks, and semi-structured interviews were held with 15 families who were assisted by a nongovernmental organisation in a Brazilian city. The notions of comprehension and contextualisation guided the data analysis. Two categories emerged from the data analyses: "Social isolation" and "Affective relationships needs." The maps revealed a weakened and limited network with low-density, homogeneous bonds and few significant bonds. Therefore, the network provided predominantly instrumental and material social support with few important effective relationships. The participants disclosed some strategies to empower their lives. We conclude that it is urgent to develop strategies in a broad manner to promote family empowerment, especially on education and employment dimension, and to construct supportive and respectful relationships between services and families as well. The present study contributes to international clinical nursing, especially in low- and middle-income countries, by discussing (a) looking at and caring for family members of children and adolescents who have been abused in a contextualised manner; (b) family empowerment, which enables them to have access to healthier environments and to educational/employment opportunities; and (c) broad comprehension of health care among the family members, which provides perspectives not only for looking at violence but also for strengthening supportive social relationships.

Sections du résumé

AIMS AND OBJECTIVES OBJECTIVE
To analyse the network of care and social support from the perspectives of family members of children and adolescents who have been abused.
BACKGROUND BACKGROUND
The theoretical-methodological background of the ecological model for understanding violence and the Paradigm of Complexity provide a broad perspective of violence. The paradigm considers all aspects that constitute a phenomenon as well as particular features.
DESIGN METHODS
Qualitative research based on the Paradigm of Complexity, developed by Edgar Morin, the primary philosopher. We have adhered to the COREQ Checklist guidelines for qualitative research.
METHODS METHODS
Data were collected through Minimal Maps of Personal Social Networks, and semi-structured interviews were held with 15 families who were assisted by a nongovernmental organisation in a Brazilian city. The notions of comprehension and contextualisation guided the data analysis.
RESULTS RESULTS
Two categories emerged from the data analyses: "Social isolation" and "Affective relationships needs." The maps revealed a weakened and limited network with low-density, homogeneous bonds and few significant bonds. Therefore, the network provided predominantly instrumental and material social support with few important effective relationships. The participants disclosed some strategies to empower their lives.
CONCLUSIONS CONCLUSIONS
We conclude that it is urgent to develop strategies in a broad manner to promote family empowerment, especially on education and employment dimension, and to construct supportive and respectful relationships between services and families as well.
RELEVANCE TO CLINICAL PRACTICE CONCLUSIONS
The present study contributes to international clinical nursing, especially in low- and middle-income countries, by discussing (a) looking at and caring for family members of children and adolescents who have been abused in a contextualised manner; (b) family empowerment, which enables them to have access to healthier environments and to educational/employment opportunities; and (c) broad comprehension of health care among the family members, which provides perspectives not only for looking at violence but also for strengthening supportive social relationships.

Identifiants

pubmed: 30184282
doi: 10.1111/jocn.14665
doi:

Types de publication

Journal Article

Langues

eng

Pagination

814-827

Subventions

Organisme : Fundação de Amparo à Pesquisa do Estado de São Paulo
ID : 2014/23620-7
Organisme : Fundação de Amparo à Pesquisa do Estado de São Paulo
ID : 2015/14668-9

Informations de copyright

© 2018 John Wiley & Sons Ltd.

Auteurs

Diene Monique Carlos (DM)

Nursing Department, Federal University of São Carlos, São Paulo, Brazil.

Lygia Maria Pereira Silva (LMP)

Nossa Senhora das Graças Nursing School, University of Pernambuco, Recife, Brazil.

Maria Aparecida Beserra (MA)

Nossa Senhora das Graças Nursing School, University of Pernambuco, Recife, Brazil.

Ailton de Souza Aragão (AS)

Triângulo Mineiro Federal University, Uberaba, Brazil.

Alison Gregory (A)

Centre for Academic Primary Care, University of Bristol, Bristol, UK.

Maria das Graças Carvalho Ferriani (MDGC)

Nursing Department, Federal University of São Carlos, São Paulo, Brazil.

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