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Hospital structure elements demarcating (in)visibilities of institutional violence against children

Ana Carla Petersen de Oliveira Santos1, Climene Laura de Camargo1, Mara Ambrosina de Oliveira Vargas2

  • 1Universidade Federal da Bahia. Salvador, Bahia, Brazil.

Revista Brasileira De Enfermagem
|January 19, 2022
PubMed

Insights

Hospital infrastructure issues, including resource shortages and poor maintenance, contribute to institutional violence against hospitalized children. Addressing these structural "invisibilities" is crucial for effective intervention and improved child welfare.

Area of Science:

  • Pediatric Healthcare
  • Medical Sociology
  • Public Health Policy

Background:

  • Institutional violence in pediatric healthcare settings remains a significant concern.
  • Understanding the structural factors contributing to this violence is essential for developing targeted interventions.

Purpose of the Study:

  • To analyze how hospital structural elements create or obscure institutional violence experienced by hospitalized children.

Main Methods:

  • A descriptive-exploratory qualitative study utilizing Foucault's theoretical framework.
  • Semi-structured interviews were conducted with 10 patient companions and 39 healthcare professionals.
  • Discourse analysis was employed to interpret the collected data.

Main Results:

  • Institutional violence manifests through violations and invisibilities within the health service structure.
  • Key problem areas identified include infrastructure deficits (physical, human, material resources, equipment), administrative/management issues, and patient "pilgrimage" (navigating fragmented care).

Conclusions:

  • Recognizing and addressing the "invisibilities" within hospital infrastructure is paramount.
  • Confronting institutional violence against hospitalized children requires a focus on structural reform and resource allocation.
Abstract

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