scholarly journals Abordaje enfermero de la sexualidad en pacientes de salud mental de Asturias. Un estudio Delphi

Author(s):  
Mayte Palacio Roda ◽  
Natalia Del Campo Robles

This study aims to approach the sexuality in mental health patients in Asturias, using the Delphi technique. By sending three successive questionnaires, the views of 29 mental health nurses were sought. The first questionnaire raised open questions, the second one made a series of statements for nursing professionals to show their degree of agreement and the third one asked the experts to prioritize the most relevant sentences. The results show a consensus that the approach is limited, due to several factors: lack of training of professionals, lack of tools to guide exploration, and lack of time during working hours. Professionals feel more comfortable tackling sexuality with patients of their same gender. There is no consensus regarding the influence of the age or severity of the diagnosis on the approach to sexual aspects, despite what is expected compared to other studies, in which these factors act as clear limitations. In order to improve the quality of care, it would be necessary to consider sexuality as an aspect of comprehensive patient care, to increase specific training in sexuality and to carry out intra-personal work. Keywords: sexuality,mental health, nursing care, sex education, peer review,Delphi technique.

2020 ◽  
Vol 10 (31) ◽  
pp. 142-154
Author(s):  
Davi Porfirio da Silva ◽  
Igor Michel Ramos dos Santos ◽  
John Victor dos Santos Silva ◽  
Marcos André dos Santos ◽  
Yanna Cristina Moraes Lira Nascimento

Verificar na literatura os sentimentos dos profissionais de enfermagem que atuam em saúde mental para auxílio na assistência após consequências pandêmicas do novo coronavírus. Revisão integrativa realizada nas bases BVS, SciELO e Periódicos CAPES através dos descritores: Enfermagem; Equipe de Enfermagem; Enfermagem Psiquiátrica e Saúde Mental, foram selecionados 10 artigos dos 254 encontrados. Os estudos revelaram sentimentos de insegurança, sobrecarga, medo, incapacidade e despreparo pelos profissionais de enfermagem que comprometem o cuidado, reforçam estigmas e aumentam o estresse vivenciado durante as atividades laborais. Dentre os fatores causadores podem ser mencionado deficiência na formação, questões de gestão, assistência no modelo biomédico e desvalorização profissional. Investimentos na formação acadêmica, no acompanhamento da saúde ocupacional e psicoemocional dos profissionais, promoção de ações de educação permanente, além de transformações na gestão podem ser indicadores atenuantes para sentimentos desconfortáveis nos trabalhadores em saúde mental após impactos gerados pela pandemia da COVID-19.Descritores: Saúde Mental, Profissionais de Enfermagem, Sentimentos. Feelings of nursing professionals in mental health: a review to assist the assistence after the new coronavirusAbstract: To verify in the literature the feelings of nursing professionals who work in mental health to assist in assistance after pandemic consequences of the new coronavirus. Integrative review conducted on the BVS, SciELO and CAPES journals using the keywords: Nursing; Nursingteam; Psychiatric Nursing and Mental Health.10 articles were selected from the 254 found. The studies revealed feelings of insecurity, overload, fear, incapacity and unpreparedness by nursing professionals that compromise the care, reinforce stigmas and increase the stress experienced during work activities. Among the factors can be mentioned deficiency in training, management issues, assistance in the biomedical model and professional devaluation. Investments in academic training, monitoring occupational and psycho-emotional health of professionals, promotion of continuing educationactions, in addition to changes in management can be mitigating indicators for uncomfortable feelings in mental health workers after impacts generated by the pandemic of COVID-19.Descriptors: Mental Health, Nursing Professionals, Feelings. Sentimientos de los profesionales de enfermería en salud mental: una revisión para ayudar después de la nueva asistencia de coronavirusResumen: Verificar en la literatura los sentimientos de los profesionales de enfermería que trabajan en salud mental para ayudar en la asistencia después de las consecuencias pandémicas del nuevo coronavirus. Revisión integral realizada en las revistas BVS, SciELO y CAPES utilizando las palabras clave: Enfermería; Equipo de enfermería; Enfermería psiquiátrica y salud mental, se seleccionaron 10 artículos de los 254 encontrados. Los estudios revelaron sentimientos de inseguridad, sobrecarga, miedo, incapacidad y falta de preparación por parte de profesionales de enfermería que comprometen la atención, refuerzan los estigmas y aumentan el estrés experimentado durante las actividades laborales. Entre los factores causales se pueden mencionar deficiencias en la capacitación, cuestiones de gestión, asistencia en el modelo biomédico y devaluación profesional. Las inversiones en capacitación académica, el monitoreo de la salud ocupacional y psicoemocional de los profesionales, la promoción de acciones de educación permanente, además de los cambios en la gestión, pueden ser indicadores atenuantes de sentimientos incómodos en los trabajadores de salud mental después de los impactos generados por la pandemia de COVID-19.Descriptores: Salud Mental, Profesionales de Enfermería, Sentimientos.


2020 ◽  
Vol 10 (31) ◽  
pp. 142-154
Author(s):  
Davi Porfirio da Silva ◽  
Igor Michel Ramos dos Santos ◽  
John Victor dos Santos Silva ◽  
Marcos André dos Santos ◽  
Yanna Cristina Moraes Lira Nascimento

Verificar na literatura os sentimentos dos profissionais de enfermagem que atuam em saúde mental para auxílio na assistência após consequências pandêmicas do novo coronavírus. Revisão integrativa realizada nas bases BVS, SciELO e Periódicos CAPES através dos descritores: Enfermagem; Equipe de Enfermagem; Enfermagem Psiquiátrica e Saúde Mental, foram selecionados 10 artigos dos 254 encontrados. Os estudos revelaram sentimentos de insegurança, sobrecarga, medo, incapacidade e despreparo pelos profissionais de enfermagem que comprometem o cuidado, reforçam estigmas e aumentam o estresse vivenciado durante as atividades laborais. Dentre os fatores causadores podem ser mencionado deficiência na formação, questões de gestão, assistência no modelo biomédico e desvalorização profissional. Investimentos na formação acadêmica, no acompanhamento da saúde ocupacional e psicoemocional dos profissionais, promoção de ações de educação permanente, além de transformações na gestão podem ser indicadores atenuantes para sentimentos desconfortáveis nos trabalhadores em saúde mental após impactos gerados pela pandemia da COVID-19.Descritores: Saúde Mental, Profissionais de Enfermagem, Sentimentos. Feelings of nursing professionals in mental health: a review to assist the assistence after the new coronavirusAbstract: To verify in the literature the feelings of nursing professionals who work in mental health to assist in assistance after pandemic consequences of the new coronavirus. Integrative review conducted on the BVS, SciELO and CAPES journals using the keywords: Nursing; Nursingteam; Psychiatric Nursing and Mental Health.10 articles were selected from the 254 found. The studies revealed feelings of insecurity, overload, fear, incapacity and unpreparedness by nursing professionals that compromise the care, reinforce stigmas and increase the stress experienced during work activities. Among the factors can be mentioned deficiency in training, management issues, assistance in the biomedical model and professional devaluation. Investments in academic training, monitoring occupational and psycho-emotional health of professionals, promotion of continuing educationactions, in addition to changes in management can be mitigating indicators for uncomfortable feelings in mental health workers after impacts generated by the pandemic of COVID-19.Descriptors: Mental Health, Nursing Professionals, Feelings. Sentimientos de los profesionales de enfermería en salud mental: una revisión para ayudar después de la nueva asistencia de coronavirusResumen: Verificar en la literatura los sentimientos de los profesionales de enfermería que trabajan en salud mental para ayudar en la asistencia después de las consecuencias pandémicas del nuevo coronavirus. Revisión integral realizada en las revistas BVS, SciELO y CAPES utilizando las palabras clave: Enfermería; Equipo de enfermería; Enfermería psiquiátrica y salud mental, se seleccionaron 10 artículos de los 254 encontrados. Los estudios revelaron sentimientos de inseguridad, sobrecarga, miedo, incapacidad y falta de preparación por parte de profesionales de enfermería que comprometen la atención, refuerzan los estigmas y aumentan el estrés experimentado durante las actividades laborales. Entre los factores causales se pueden mencionar deficiencias en la capacitación, cuestiones de gestión, asistencia en el modelo biomédico y devaluación profesional. Las inversiones en capacitación académica, el monitoreo de la salud ocupacional y psicoemocional de los profesionales, la promoción de acciones de educación permanente, además de los cambios en la gestión, pueden ser indicadores atenuantes de sentimientos incómodos en los trabajadores de salud mental después de los impactos generados por la pandemia de COVID-19.Descriptores: Salud Mental, Profesionales de Enfermería, Sentimientos.


2003 ◽  
Vol 9 (4) ◽  
pp. 111-114 ◽  
Author(s):  
Nancy Hanrahan ◽  
Gail W. Stuart ◽  
Pat Brown ◽  
Mary Johnson ◽  
Claire Burke Draucker ◽  
...  

Managing the supply of psychiatric-mental health nursing labor, determining the financial incentives associated with the provision of services by these providers, and ensuring optimal patient and cost outcomes are critical elements of cost control and patient safety in the current health care market. Knowledge of the psychiatric-mental health nursing workforce is needed to plan and evaluate cost-effective programs to accomplish the aforementioned elements. However, the psychiatric-mental health nursing workforce data are woefully inadequate. This paper will review the extent to which national data sources contain workforce information on psychiatric-mental health nurses.


2011 ◽  
Vol 5 (10) ◽  
pp. 2572
Author(s):  
Raionara Cristina de Araújo Santos ◽  
Rafaella Leite Fernandes ◽  
Tarciana Sampaio Costa ◽  
Francisco Arnoldo Nunes de Miranda

ABSTRACTObjective: to report early experiencesin teaching resulting from practical classes in the discipline Adult Health I, under the perspective of Mental Health. Method: this is an experience report of three students from the Graduate Program in Nursing of Universidade Federal do Rio Grande do Norte (UFRN) on the participation in the practical classes in mental health, held on June 2009, in the 2nd male infirmary of Hospital Psiquiatrico Dr. João Machado (HJM), Natal, Rio Grande do Norte, Brazil, with undergraduate students at the 5th semester of the Nursing course. Results: the practical course activities of each subgroup were carried out during four days, where the individuals identified some aspects of the psychiatry history and the psychiatric reform and became responsible for the nursing care of a patient. Conclusion: the wealth of experiences gained from the practice in mental health at this hospital is highlighted, both on the part of the undergraduate students and the graduate students. Descriptors: nursing; mental health; nursing students; teaching.RESUMO Objetivo: relatar experiências iniciais na docência decorrentes das aulas práticas na disciplina de Saúde do Adulto I, na perspectiva da Saúde Mental. Método: trata-se de um relato da experiência de três alunas do Programa de Pós-Graduação em Enfermagem da Universidade Federal do Rio Grande do Norte (UFRN) acerca da participação nas aulas práticas em saúde mental, realizadas em junho de 2009, na 2ª enfermaria da ala masculina do Hospital Psiquiátrico Dr. João Machado (HJM), Natal/RN, com os acadêmicos do 5º período do curso de Enfermagem. Resultados: as práticas disciplinares de cada subgrupo ocorreram durante quatro dias, onde os indivíduos identificaram alguns aspectos da história da psiquiatria e da reforma psiquiátrica e tornaram-se responsáveis pelos cuidados de enfermagem de um paciente. Conclusão: salienta-se a riqueza de experiências advindas das práticas em saúde mental neste hospital, tanto por parte dos alunos de graduação como para as mestrandas. Descritores: enfermagem; saúde mental; estudantes de enfermagem; ensino.RESUMENObjetivo: relatar experiencias iniciales en la docencia derivadas de las clases prácticas en la disciplina de Salud del Adulto I, en la perspectiva de la Salud Mental. Método: esto es un relato de experiencia de tres alumnas del Programa de Posgrado en Enfermería de la Universidade Federal do Rio Grande do Norte (UFRN) acerca de las clases prácticas en salud mental, realizadas en junio de 2009, en la 2ª enfermería masculina del Hospital Psiquiátrico Dr. João Machado (HJM), Natal, Rio Grande do Norte, Brasil, con académicos del 5º periodo del curso de Enfermería. Resultados: las prácticas en la clase de cada subgrupo ocurrieron durante cuatro días, donde los individuos identificaron algunos aspectos de la historia de la psiquiatría y de la reforma psiquiátrica y se tornaron responsables por la atención de enfermería de un paciente. Conclusión: se destaca la riqueza de experiencias advenidas de las prácticas en salud mental en este hospital, tanto por parte de los estudiantes de graduación como de las estudiantes de postgrado. Descriptores: enfermería; salud mental; estudiantes de enfermería; enseñanza.


Author(s):  
Marjorie Lloyd

In this chapter we return to the story of Anthony and his brother David, who we originally met in Chapter 4, and Joyce, who first appears in Chapter 5. Previously we considered the role of the mental health nurse in working with people experiencing acute mental health crisis. This chapter seeks to consider how as mental health nurses we might go on to work with these people to support their rehabilitation and reintegration into the community. The chapter opens by outlining some key principles of recovery and proceeds to demonstrate how these ideas might be implemented in working with both Anthony and Joyce. “The way I was feeling my sadness was mine. When I was in hospital staff rarely took time to find out what this was like for me. Not taking the time often fuelled what I was thinking: ‘I’m not worth finding out about.’ Nigel Short (2007: 23)” This service user describes how it feels to live with mental illness continuously throughout their lives, not just while they are in hospital. Professional staff may contribute to this feeling if care planning becomes too focused upon symptoms and treatment rather than person-centred care and recovery. In this context, recovery should not be seen as a new concept; rather it can be traced back at least 200 years to one of the earliest asylums, the Tuke Retreat in Yorkshire. “For it was a critical appraisal of psychiatric practice that inspired the Tuke at York to establish a clinical philosophy and therapeutic practice based on kindness, compassion, respect and hope of recovery. Roberts and Wolfson (2004: 37).” Later, during the 1960s, The Vermont Project (an American psychiatric facility) also published research on successful rehabilitative practice that was based upon ‘faith, hope and love’ (Eldred et al. 1962: 45). However, much of the current focus upon recovery practices is based on longitudinal studies in America, services in Ohio, service users were asked to identify what was important to them. This resulted in the Emerging Best Practices document that is recommended guidance in the UK today (NIMHE 2004).


2019 ◽  
Vol 8 (2) ◽  
pp. 68-69
Author(s):  
John Fowler

In this new series, John Fowler, a noted nursing author, will explore the use of reflection in mental health nursing. Over the next eight issues, John will be examining some of the techniques that mental health nurses can use to aid their own reflection and how reflection can be applied to clinical practice and management. The series will cover portfolios, reflective learning, reflective evidence, the use of feedback and reflection in all aspects of life.


2020 ◽  
Vol 9 (2) ◽  
pp. 1-3
Author(s):  
John Fowler

This series on reflection is examining the place and importance of reflection for all mental health nurses. This article will explore how those two important areas of management and reflection can come together and from a Gestalt view point, be greater than the sum of the parts.


2019 ◽  
Vol 8 (4) ◽  
pp. 173-174
Author(s):  
John Fowler

In the third part of this series on reflection for mental health nurses, John Fowler examines the analogy of mirrors and lenses in the art and science of reflective nursing practice.


2019 ◽  
Vol 8 (2) ◽  
pp. 81-87
Author(s):  
Jan Macfarlane

This is the second article in a series of articles that explores the meaning of positive psychology and the importance of applying the latest research findings for the wellbeing of the mental health workforce. There will be an historical outline of positive psychology, showing it is not as ‘new’ as people may believe. The article sets the context and explains key terms through the underpinning theoretical work of Martin Seligman. This is followed by an explanation of how it is relevant to mental health nursing, five interventions mental health nurses can use to help encourage positive thinking, and a discussion on making new skills via neuroplasticity. The practical tasks provided in the boxes throughout the article will help the reader to understand what happiness means to an individual and how it can be developed with evidence-based, user-friendly effective exercises.


2009 ◽  
Vol 3 (3) ◽  
pp. 630
Author(s):  
Nadja Cristiane Lappann Botti ◽  
Vanessa Carvalho Araújo

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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