Mental health nurses: conceptions about professional qualification in a Psychosocial Care Center

ABSTRACT This study aimed at identifying the opinion of professionals about mental health education and professional practice in the psychiatric hospital. It is a descriptive, exploratory study with qualitative approach, developed with 60 professionals of higher education in two psychiatric macro-hospitals in Rio Grande do Norte. Data were collected through a questionnaire, then transcribed, processed according to the Alceste software and subjected to content analysis. The results were structured in two thematic axes and their respective themes: thematic axis 1 - Professional practice in mental health, and thematic axis 2 - Mental health education. The confluence of asymmetries and differences in the performance of the teams in the psychiatric hospital were evident. The resulting scenario reflects the current political and ideological discrepancy of the current Brazilian process of Psychiatric Reform, considering the challenges of implementation and professional qualification in the field of psychosocial care.

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Working conditions of a nursing team in mental health facility

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0407 ◽

2021 ◽

Vol 74 (suppl 3) ◽

Author(s):

Aline Silvia Esteves Morais ◽

Gisele Fernandes Tarma Cordeiro ◽

Angela Aparecida Peters ◽

Tatiana Marques dos Santos ◽

Rosa Gomes dos Santos Ferreira ◽

...

Keyword(s):

Mental Health ◽

Working Conditions ◽

Care Center ◽

Psychosocial Care ◽

Structured Interviews ◽

Nursing Services ◽

Nursing Team ◽

Analytical Research ◽

Interdisciplinary Partnership ◽

Nursing Professionals

ABSTRACT Objective: To analyze how the nursing team from a Psychosocial Care Center II relates its insertion in the service with the work process. Methods: Descriptive, analytical research outlined as a case study with a qualitative approach. The data were collected through semi-structured interviews with nursing professionals and went through content analysis subsidized by Bardin’s work. Results: Two thematic categories emerged: a) Ways of intake in the nursing services at the Psychosocial Care Center; b) Setbacks in nursing routine at the Psychosocial Care Center. Final considerations: The fact that the professionals have not planned to work in mental health nor have training impacts the rhythm of psychosocial care development at the Psychosocial Care Center, forcing them to seek training in the field after admission. Unmotivated by the working conditions, the nursing team suffers from the absence of an interdisciplinary partnership and goes to great lengths to approach psychosocial care.

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Treatment outcome indicators of schizophrenia according to Brazilian family caregivers and outpatients

Journal of Nursing Education and Practice ◽

10.5430/jnep.v9n9p73 ◽

2019 ◽

Vol 9 (9) ◽

pp. 73

Author(s):

Marcos Hirata Soares ◽

Adriano Luiz da Costa Farinasso ◽

Fernanda Pâmela Machado ◽

Layla Karina Ferrari Ramos ◽

Cristiane De Souza Gonçalves

Keyword(s):

Mental Health ◽

Treatment Outcome ◽

Independent Living ◽

Care Center ◽

Mental Health Policy ◽

Family Members ◽

Psychosocial Care ◽

Fundamental Aspect ◽

Subjective Burden ◽

The Family

Background and objective: The need to measure treatment outcomes in mental health services from the perspective of users and family members has been highlighted in the literature as a fundamental aspect to improve the care provided. The objective of this study was to measure the treatment outcome provided by a Brazilian Psychosocial Care Center from the perspective of outpatients and their family members.Methods: A correlational study was performed with 84 outpatients and 40 family members, between 2015 and 2016, interviewing them using the Satisfaction (SATIS-BR), Perception of Change (PCS), Independent Living Skills (ILSS) and Family Burden (FBIS-BR) scales.Results: There was a high index of satisfaction with the mental health service, with a mean of 4.23 for the users interviewed and 4.36 for the family members. The perception of change presented a mean of 2.58 for the patients and 2.19 for the family members. The independent living ability presented a mean of 2.52.Conclusions: The high indices of satisfaction suggest successes, as well as points to be improved in the mental health policy implemented in the municipality. However, reintegration into the labor market was presented as an aspect with a need for investments through health and labor policies, since it was related to the subjective burden.

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Implicações bioéticas no agir do enfermeiro que presta assistência em saúde mental

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.149-181-1-rv.0303200926 ◽

2009 ◽

Vol 3 (3) ◽

pp. 630

Author(s):

Nadja Cristiane Lappann Botti ◽

Vanessa Carvalho Araújo

Keyword(s):

Mental Health ◽

Care Center ◽

Psychosocial Care ◽

Models Of Care ◽

Minas Gerais ◽

Mental Health Nursing ◽

Minas Gerais State ◽

Salud Mental ◽

Nurses Role ◽

Health Nursing

ABSTRACTObjective: to analyze the understanding of nurses on care in the area of Mental Health and identify the association between bioethics and care in mental health. Methodology: qualitative research in the Psychosocial Care Center (CAPS III), located in the countryside of Minas Gerais state. Data were collected through interviews with four nurses from the CAPS III. The results were analyzed through the technique of the Discourse of the Collective Subject. The research project was approved of the Research Ethics Committee of the Catholic University of Minas Gerais (CAAE 0047.0.213.000-08). Results: the nurses’ role in mental health as it is hybrid and that requires different skills. Conclusion: there is the paradigm shift from the practice of nurses in mental health to still find itself in duality models of care to the sufferers of mental disorders. Descriptors: bioethics; mental health; nursing; mental health service.RESUMOObjetivos: analisar a compreensão do enfermeiro em relação a cuidado na área da Saúde Mental e identificar a associação entre Bioética e cuidado no campo da Saúde Mental. Metodologia: pesquisa qualitativa no Centro de Atenção Psicossocial (CAPS III) do interior de Minas Gerais. Os dados foram coletados através de entrevistas com quatro enfermeiros do CAPS III. Os resultados foram analisados pela técnica do Discurso do Sujeito Coletivo. O projeto de pesquisa foi aprovado pelo Comitê de Ética da Universidade Católica de Minas Gerais (CAAE 0047.0.213.000-08). Resultados: a atuação do enfermeiro no campo da Saúde Mental se revela como híbrida e diferenciada que exige capacitação. Conclusão: verifica-se transição paradigmática da prática dos enfermeiros no campo da Saúde Mental por ainda encontrar-se dualidade de modelos no cuidado ao portador de sofrimento mental. Descritores: bioética; saúde mental; enfermagem; serviço saúde mental.RESUMENObjetivo: analizar la comprensión de los enfermeros en la atención en el área de Salud Mental y determinar la asociación entre la bioética y los cuidados en salud mental. Metodología: se realizó una investigación cualitativa en el Centro de Atención Psicosocial (CAPS III), en el interior de Minas Gerais. Los datos fueron recolectados a través de entrevistas con cuatro enfermeras de los CAPS III. Los resultados fueron analizados por la técnica del Discurso del Sujeto Colectivo. El estudio fue aprobado por el Comité de Ética de la Universidad Católica de Minas Gerais (CAAE 0047.0.213.000-08). Resultados: el papel del personal de enfermería en salud mental, ya que es híbrido y que requiere de diferentes habilidades. Conclusión: Es el cambio de paradigma de la práctica de enfermería en salud mental para encontrar todavía en la dualidad de modelos de atención al portador de sufrimiento mental. Descriptores: bioética; salud mental; enfermería; servicio de salud mental.

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Perfil de pacientes atendidos em um centro de atenção psicossocial

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.242177 ◽

2019 ◽

Vol 13 ◽

Author(s):

Carolina Amaral Oliveira Rodrigues ◽

Natália Hiany Fonseca Santos ◽

Samara Frantheisca Almeida Barbosa ◽

Diego Dias de Araújo ◽

Ricardo Otávio Maia Gusmão ◽

...

Keyword(s):

Mental Health ◽

Psychiatric Hospitalization ◽

Care Center ◽

Psychosocial Care ◽

Clinical Profile ◽

Cross Sectional ◽

Levels Of Care ◽

Salud Mental ◽

Sociodemographic Profile ◽

Program Version

Objetivo: caracterizar o perfil sociodemográfico e clínico dos pacientes atendidos em um Centro de Atenção Psicossocial. Método: trata-se de estudo quantitativo, transversal, descritivo e documental, com prontuários de usuários em um Centro de Atenção Psicossocial. Coletaram-se os dados em dezembro de 2017 e janeiro de 2018, organizando-os em um banco de dados do Programa SPSS, versão 20.0. Resultados: verificou-se, quanto ao perfil sociodemográfico, que a maioria dos usuários era do sexo feminino; solteira; com idade média de 36 anos; com Ensino Fundamental incompleto; não trabalhava; não tinha filhos; possuía cuidador/acompanhante. Observou-se, em relação ao perfil clínico, que a maioria esteve em tratamento semi-intensivo; teve alguma internação psiquiátrica; apresentou diagnóstico de esquizofrenia e depressão. Conclusão: considerou-se que conhecer o perfil desses usuários poderá auxiliar gestores e equipes de Saúde Mental no planejamento de políticas locais e de ações de saúde nos diversos níveis de atenção por possibilitar o fortalecimento das relações intersetoriais, visto que o cuidado em Saúde Mental deve ser de corresponsabilidade dos setores de Saúde, Assistência Social, Justiça e Educação. Descritores: Saúde Mental; Epidemiologia; Transtornos Mentais; Humanização da Assistência; Serviços de Saúde Mental; Psicanálise.AbstractObjective: to characterize the sociodemographic and clinical profile of patients treated at a Psychosocial Care Center. Method: this is a quantitative, cross-sectional, descriptive and documentary study, with medical records of users in a Psychosocial Care Center. Data was collected in December 2017 and January 2018 and organized into a database of the SPSS Program, version 20.0. Results: it was found, regarding the sociodemographic profile, that the majority of users were female; single; with average age of 36 years; with incomplete elementary school; didn't work; I had no children; had caregiver / companion. Regarding the clinical profile, most of them were in semi-intensive treatment; had any psychiatric hospitalization; presented diagnosis of schizophrenia and depression. Conclusion: it was considered that knowing the profile of these users can help managers and teams of Mental Health in the planning of local policies and health actions at various levels of care by enabling the strengthening of intersectoral relationships, since Mental Health care should be co-responsible for the Health, Social Welfare, Justice and Education sectors. Descriptors: Mental Health; Epidemiology; Mental Disorders; Humanization of Assistance; Mental Health Services; Psychoanalysis.ResumenObjetivo: caracterizar el perfil sociodemográfico y clínico de los pacientes tratados en un Centro de Atención Psicosocial. Método: este es un estudio cuantitativo, transversal, descriptivo y documental, con registros médicos de usuarios en un Centro de Atención Psicosocial. Los datos se recopilaron en diciembre de 2017 y enero de 2018, y se organizaron en una base de datos del Programa SPSS, versión 20.0. Resultados: se encontró en cuanto al perfil sociodemográfico, que la mayoría de los usuarios eran mujeres; solteros; con edad promedio de 36 años; con escuela primaria incompleta; no funcionó; no tenía hijos; tenía cuidador / acompañante. En cuanto al perfil clínico, la mayoría estuvo bajo tratamiento semi-intensivo; tuvo alguna hospitalización psiquiátrica; presentó diagnóstico de esquizofrenia y depresión. Conclusión: se consideró que conocer el perfil de estos usuarios puede ayudar a los gerentes y equipos de Salud Mental en la planificación de políticas locales y acciones de salud en los diversos niveles de atención al permitir el fortalecimiento de las relaciones intersectoriales, ya que la atención de Salud Mental debería ser corresponsable de los sectores de salud; asistencia social; justicia y educación. Descriptores: Salud Mental; Epidemiología Trastornos Mentales; Humanización de la Atención; Servicios de Salud Mental; Psicoanálisis.

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Multiprofessional team perception of a music therapeutic workshop developed by nurses

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0853 ◽

2020 ◽

Vol 73 (1) ◽

Author(s):

Dionasson Altivo Marques ◽

Marcelo da Silva Alves ◽

Fábio da Costa Carbogim ◽

Divane de Vargas ◽

Graziela Lonardoni de Paula ◽

...

Keyword(s):

Mental Health ◽

Qualitative Study ◽

Nursing Care ◽

Care Center ◽

Psychosocial Care ◽

Minas Gerais ◽

Human History ◽

Structured Interviews ◽

Multiprofessional Team ◽

Type Data

ABSTRACT Objective: To understand the perception of a multiprofessional team regarding the use of music in a therapeutic workshop developed by nurses. Method: Qualitative study, of the exploratory type. Data were collected through semi-structured interviews, with the participation of 13 professionals from a Psychosocial Care Center in a municipality of Minas Gerais’ Zona da Mata, and analyzed according to Michel Maffesoli’s comprehensive sociology approach. Results: The testimonies revealed that the use of music in the nurse’s activities in mental health represents a re-signification of nursing care and favors the user’s subjectivity. Final considerations: This study allowed us to show that nurses need to listen to the music that comes from the heart, from the soul, and to the truths that are not always stated in the scenarios of therapeutic practices with individuals going through psychic suffering. Therefore, the care offered should be centered on the human history, which wants to be unveiled and understood.

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Continuing Education in Mental Health: Critical Moments to Analyze Group Process

Paidéia (Ribeirão Preto) ◽

10.1590/1982-4327e2834 ◽

2018 ◽

Vol 28 (0) ◽

Author(s):

Gabriela Martins Silva ◽

Ottar Ness ◽

Carla Guanaes-Lorenzi

Keyword(s):

Mental Health ◽

Continuing Education ◽

Mental Health Professionals ◽

Group Process ◽

Care Center ◽

Psychosocial Care ◽

Educational Process ◽

Social Constructionist ◽

Interactional Process ◽

Critical Moments

Abstract In Brazilian context, literature points to Continuing Education in Health (CEH) policy as a means to actualize the Psychiatric Reform. Although it is also a challenge considering its proposal of close connectedness with each context in which it occurs. This study aimed to understand how mental health professionals learn together in CEH-processes, identifying and understanding conversational transformations that occurred in the interactional process. An educational process inspired by the CEH policy was then carried out with a group of eight professionals from a Psychosocial Care Center. This process was analyzed from the notion of critical moments, with a social constructionist stance. In doing so, the critical moment “Sharing the Feeling of Standstill” was delimited considering its effects on the conversational process. With this, it is argued that, even in conversations that seem saturated by problems, it is possible to identify generative moments, as a relational achievement, through dialogue.

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Mental health assistance: identification of nursing diagnoses in a community mental health service

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-1175 ◽

2022 ◽

Vol 75 (2) ◽

Author(s):

Eurides Santos Pinho ◽

Adrielle Cristina Silva Souza ◽

Ana Caroline Gonçalves Cavalcante Moreira ◽

Luzana Eva Ferreira Lopes Nogueira ◽

Amanda Melo e Santos Limongi ◽

...

Keyword(s):

Mental Health ◽

Medical Records ◽

Care Center ◽

Psychosocial Care ◽

Nursing Interventions ◽

Community Mental Health Service ◽

Health It ◽

Nursing Diagnoses ◽

Evidence Based Nursing ◽

Research Type

ABSTRACT Objective: to map and identify nursing diagnoses targeted at night care users in a Psychosocial Care Center according to NANDA-I Taxonomy. Method: this is a descriptive-exploratory study, of documentary research type of 319 records in medical records. It was held in a Psychosocial Care Center III in Goiás, from 2014-2018. Nursing diagnoses and records were extracted with non-standardized language. Results: 813 records of nursing diagnoses identified in 53 different titles, in 10 domains, were identified. The most frequent diagnosis was risk for self-extermination. The domain with the highest number of diagnostic records was activity/rest. There was a predominance of diagnoses focused on the problem. Final considerations: mapping contributes to the planning of evidence-based nursing interventions and to the strengthening of professional identity in mental health. It is evident the need for practices that go beyond the symptoms in a preventive perspective, with a view to comprehensiveness.

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Ideology and mental health: analysis of the discourse of workers in the psychosocial area

Texto & Contexto - Enfermagem ◽

10.1590/s0104-07072014000100008 ◽

2014 ◽

Vol 23 (1) ◽

pp. 65-73 ◽

Cited By ~ 2

Author(s):

Leandro Barbosa de Pinho ◽

Luciane Prado Kantorski ◽

Agnes Olschowsky ◽

Jacó Fernando Schneider ◽

Annie Jeanninne Bisso Lacchini

Keyword(s):

Mental Health ◽

Qualitative Research ◽

Discourse Analysis ◽

Care Center ◽

Psychosocial Care ◽

Social Practices ◽

Southern Brazil ◽

Structured Interviews ◽

Psychiatric Reform ◽

Changing Practices

This study proposes to analyze the discourse of workers in a Psychosocial Care Center regarding the operation of the ideologies which express the dimension of social practices incorporated at this service. This was a qualitative research, and the corpus was originated by transcription of semi-structured interviews, applied to 17 out of the 25 workers of a substitute service in a city in southern Brazil. The theoretical-methodological analysis of the operation of ideologies by John Thompson was used. The discourse analysis of the workers' practice shows a plurality of ideological manifestations, so that they reserve the changing practices with innovative and creative features such as the maintenance of obsolete models, hindering or even preventing these changes. In conclusion, these issues should be worked continuously in everyday services, being a major challenge to the consolidation of the psychiatric reform in Brazil.

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Trabalho e saúde mental: a relação existente no cenário do CAPS Maria Boneca de Uberaba-MG

Revista Família Ciclos de Vida e Saúde no Contexto Social ◽

10.18554/refacs.v5i1.1123 ◽

2017 ◽

Vol 5 (1) ◽

Author(s):

Daniella Amaral Aguiar

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Social Work ◽

Occupational Therapy ◽

Care Center ◽

Psychosocial Care ◽

Service Users ◽

Salud Mental ◽

The City ◽

New Strategies

RESUMOA presente pesquisa trás uma análise acerca de como a categoria trabalho se apresenta à área da saúde mental brasileira, expressa em um Centro de Atenção Psicossocial da cidade de Uberaba-MG. Através da participação de usuários dos serviços e de profissionais da área do Serviço Social e Terapia Ocupacional traçou-se um apanhado dos limites e das possibilidades que permeiam à saúde mental através de novas estratégias intervir de forma a fortalecer a (re) inserção e (re) socialização de pessoas em condição de sofrimento psíquico na dinâmica de uma sociedade capitalista, entendendo a percepção individual de usuários e abrangendo o papel do Estado, enquanto provedor e regulador de políticas sociais. ABSTRACTThis research back an analysis on how the work category is presented to the area of the Brazilian mental health, expressed in a Psychosocial Care Center in the city of Uberaba-MG. Through the participation of service users and professionals in the field of Social Work and Occupational Therapy drew up an overview of the limits and possibilities that permeate the mental health through new strategies intervene to strengthen the (re) integration and (re ) socialization of people in psychological distress condition in the dynamic of a capitalist society, understanding the individual's perception of users and covering the state's role as provider and regulator of social policies. RESUMENEsta investigación de vuelta un análisis sobre cómo la categoría de trabajo se presenta a la zona de la salud mental de Brasil, expresaron en un Centro de Atención Psicosocial en la ciudad de Uberaba-MG. A través de la participación de los usuarios de los servicios y los profesionales en el campo del Trabajo Social y Terapia Ocupacional elaboró un resumen de los límites y las posibilidades que impregnan la salud mental a través de nuevas estrategias de intervención para fortalecer la (re) integración y (re ) la socialización de las personas en condición de malestar psicológico en la dinámica de una sociedad capitalista, la comprensión de la percepción del individuo de los usuarios y que cubre el papel del Estado como proveedor y regulador de las políticas sociales.

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