<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2216-0973</journal-id>
<journal-title><![CDATA[Revista Cuidarte]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuid]]></abbrev-journal-title>
<issn>2216-0973</issn>
<publisher>
<publisher-name><![CDATA[Programa de Enfermería, Facultad de Ciencias de la Salud, Universidad de Santander UDES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2216-09732017000201656</article-id>
<article-id pub-id-type="doi">10.15649/cuidarte.v8i2.404</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[VIOLENCIA FÍSICA CONTRA LA MUJER: UNA PROPUESTA DE ABORDAJE DESDE UN SERVICIO DE SALUD]]></article-title>
<article-title xml:lang="pt"><![CDATA[VIOLÊNCIA FÍSICA CONTRA A MULHER: UMA PROPOSTA DE ABORDAGEM DESDE UM SERVIÇO DE SAÚDE]]></article-title>
<article-title xml:lang="en"><![CDATA[PHYSICAL VIOLENCE AGAINST WOMEN: AN APPROACH PROPOSAL FROM A HEALTH SERVICE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero]]></surname>
<given-names><![CDATA[María Fernanda Rivadeneira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Católica del Ecuador  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>8</volume>
<numero>2</numero>
<fpage>1656</fpage>
<lpage>1667</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2216-09732017000201656&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2216-09732017000201656&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2216-09732017000201656&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción La violencia física contra la mujer es un problema de salud pública y una necesidad sentida por la comunidad, que exige una respuesta desde los servicios de salud. El objetivo de esta investigación fue desarrollar un modelo de abordaje a partir del servicio de salud que permita la detección, apoyo y seguimiento de estos casos.  Materiales y Métodos Se realizó una investigación-acción en un servicio de primer nivel de atención. Participaron personal de salud. Inicialmente se realizó un diagnóstico situacional para evaluar: percepción de violencia física contra la mujer, calidad del servicio y organización funcional ante casos de violencia. Se desarrolló un modelo de abordaje para enfrentar este problema a partir de: formación del personal de salud, reorganización funcional del servicio de salud y diseño de herramientas de detección y seguimiento. Se evaluó la intervención a partir de indicadores operativos y evaluación de su impacto a corto plazo.  Resultados Se logró que el personal se capacite y empodere del problema; se introdujeron elementos operativos para la reorganización funcional de la unidad operativa: tamizaje para violencia intrafamiliar, flujograma de atención y hoja de seguimiento. En las tres semanas siguientes a la implementación de estos instrumentos, tres casos de violencia fueron detectados y abordados por el servicio de salud.  Discusión y Conclusiones La metodología de investigación-acción permitió que los actores se empoderen del problema de violencia física contra la mujer, diseñen y apliquen herramientas para abordarlo. Es necesaria una evaluación posterior para determinar su impacto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução A violência física contra a mulher é um problema de saúde pública e uma necessidade sentida pela comunidade, que exige uma resposta dos serviços de saúde. O objetivo desta pesquisa foi desenvolver um modelo de abordagem a partir do serviço de saúde que permita a detecção, apoio e seguimento desses casos.  Materiais e Métodos Foi realizada uma pesquisa de investigação-ação em um serviço de atendimento de primeiro nível. Participaram pessoal de saúde. Inicialmente foi realizado um diagnóstico da situação para avaliar: a percepção da violência física contra a mulher, qualidade de serviço e organização funcional em casos de violência. Foi desenvolvido um modelo de abordagem para afrontar este problema a partir de: formação de pessoal de saúde, reorganização funcional do serviço de saúde e design de ferramentas de detecção e seguimento. Foi avaliada a intervenção a partir de indicadores operacionais e avaliação do seu impacto em curto prazo.  Resultados Conseguiu-se que os funcionários se capacitem e empoderem do problema; foram introduzidos elementos operativos para a reorganização funcional da unidade operativa: rastreio para violência doméstica, fluxograma de atenção e folha de seguimento. Nas três semanas seguintes à implementação desses instrumentos, três casos de violência foram detectados e abordados pelo serviço de saúde.  Discussão e Conclusões A metodologia de investigação-ação permitiu que os atores se empoderem do problema de violência física contra a mulher, concebam e apliquem ferramentas para abordá-lo. É necessária uma avaliação posterior para determinar o seu impacto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction Physical violence against women is a public health problem and a need felt by the community, which demands an answer from health services. The aim of this research was to develop an approach model from the health service that permits detection, support, and follow up of these cases.  Materials and Methods A research-action was conducted in a first-level of care service, with the participation of health staff. Initially, a situational diagnosis was carried out to assess the perception of physical violence against women, quality of service, and functional organization against cases of violence. An approach model was developed to confront this from the formation of the health staff, functional reorganization of the health service, and design of detection and follow-up tools. The intervention was evaluated through operational indicators and assessment of its short-term impact.  Results The work managed to train the staff and empower it with the problem; operational elements were introduced for the functional reorganization of the operational unit: screening for intra-family violence, care flow diagram, and follow-up sheet. Within three weeks after implementing these instruments, three cases of violence were detected and addressed by the health service.  Discussion and Conclusions The research-action methodology permitted the participants to be empowered with the problem of physical violence against women, as well as to design and apply tools to address it. A subsequent evaluation is necessary to determine its impact.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Investigación sobre Servicios de Salud]]></kwd>
<kwd lng="es"><![CDATA[Violencia Contra la Mujer]]></kwd>
<kwd lng="es"><![CDATA[Participación Comunitaria]]></kwd>
<kwd lng="pt"><![CDATA[Pesquisa sobre Serviços de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Violência Contra a Mulher]]></kwd>
<kwd lng="pt"><![CDATA[Participação Comunitária]]></kwd>
<kwd lng="en"><![CDATA[Health Services Research]]></kwd>
<kwd lng="en"><![CDATA[Violence Against Women]]></kwd>
<kwd lng="en"><![CDATA[Consumer Participation]]></kwd>
</kwd-group>
</article-meta>
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