title: The care network of the families involved in violence against children and adolescents: the Primary Health Care perspective.
abstract: OBJECTIVE
  To contribute the understanding of the network care provided to families involved in family violence against children and adolescents (FVACA), from the Primary Health Care (PHC) perspective.
  
  
  BACKGROUND
  Children and adolescents figure among the main victims of violence around the world, which occurs predominantly in the family context. PHC-guided network care has emerged as a new process that contrasts with traditional approaches, which rely on fragmented, punctual and compensatory actions and produce simplified and segmented interventions in response to complex phenomena like violence. The Paradigm of Complexity interacts with the network care approach and, by articulating the multiple dimensions of the research phenomenon, contributes to its understanding.
  
  
  METHODS
  Qualitative research, based on the Paradigm of Complexity.
  
  
  METHODS
  Data were collected through minimal maps of the external institutional social network, focus groups and semi-structured interviews held with 41 PHC professionals in Brazil. The notions of comprehension and contextualisation as well as dialogical, recursive and holographic principles from complexity theory guided the data analysis.
  
  
  RESULTS
  The two thematic categories that emerged revealed reduced institutional networks, with low-density and homogeneous bonds, which resulted in fragmented care in all stages of the care process.
  
  
  CONCLUSIONS
  Although the network organisation of care for the families involved in FVACA is fundamental, the construction of these networks still represents a great challenge, as it requires the joint work of a multiprofessional team.
  
  
  CONCLUSIONS
  For nursing to respond to the contemporary care demands in a contemplative and pertinent manner, a perspective and a reference framework need to be developed, leading to broader and more contextualised actions, with a multidimensional approach to the families and communities of which child and adolescent victims of violence are a part.
authors.affiliation: University of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research and Development, Ribeirão Preto, SP, Brazil.|Nursing School of Coimbra, Coimbra, Portugal.
authors.forename: Diene Monique
authors.initials: DM
authors.lastname: Carlos
authors.affiliation: Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil.
authors.forename: Elisabete Matallo Marchesini
authors.initials: EMM
authors.lastname: de Pádua
authors.affiliation: Faculdade de Enfermagem Nossa Senhora das Graças, Universidade de Pernambuco, Recife, PE, Brazil.
authors.forename: Lygia Maria Pereira
authors.initials: LMP
authors.lastname: da Silva
authors.affiliation: University of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research and Development, Ribeirão Preto, SP, Brazil.
authors.forename: Marta Angélica Iossi
authors.initials: MAI
authors.lastname: Silva
authors.affiliation: Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Walter Ernesto Ude
authors.initials: WEU
authors.lastname: Marques
authors.affiliation: Nursing School of Coimbra, Coimbra, Portugal.
authors.forename: Maria Neto da Cruz
authors.initials: MNDC
authors.lastname: Leitão
authors.affiliation: University of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research and Development, Ribeirão Preto, SP, Brazil.
authors.forename: Maria das Graças Carvalho
authors.initials: MDGC
authors.lastname: Ferriani
mesh_terms: D000293:Adolescent; D001938:Brazil; D002648:Child; D002649:Child Abuse / Q000517:prevention & control / Q000523:psychology*; D002669:Child Welfare; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D011320:Primary Health Care / Q000458:organization & administration*
keywords: adolescent; child protection; community care; domestic violence; family care; health promotion; nursing; primary care; public health nursing; qualitative study