Abstract
The present study is aimed at describing the perception of the nursing team concerning the care in a psychiatric hospital. The research used a qualitative approach, exploratory type, using focus group technique, with five participants, in August 2011, in Niteroi, RJ, Brazil. From the data analysis five categories emerged, covering: sensitive listening; personal availability; therapeutic projects; human issues of the team; Traditional Psychiatry vs. Psychosocial Paradigm tension. It was concluded that despite the research, the subjects were still working at the hospital model. It was possible to bring awareness in a human, comprehensive and complete manner. But this perception of care has frailties once it does not bring any evidence of scientific basis of nursing. It is recommended that the professional nursing team invest in their role of caring in the context of the Psychiatric Reform, in the pursuit of an approach centered on the subject and in his way of living.
Highlights
The changes in the area of assistance to Mental Health occurred in Brazil from the 80s and they were guided under the perspective of the Psychiatrist Reform, which brought the need of reorganization of the services and the creation of new ways of therapeutic assistance, among them the assistance rendered by the nursing professional is included
The categories show that the perception of the educative group concerning the care in psychiatric nursing and Mental Health are related to the notion of ‘operators’, who are people able to reconstruct the history of the life of the users beyond the diagnosis and symptoms, active workers in the process of reelaboration of the suffering and reinvention of life(7)
The psychiatric nursing, as social practice linked to the other practices of health, must be understood as an element which participates and has active voice within the transdisciplinary work of the team of Mental Health
Summary
The transformation of the psychiatry has been taking place in the last decades, bringing along with it requirements, once their professionals look for better education and updating in order to follow all the process of change, the psychiatric nursing and his health professionals are part of this context(1). The process of transformation of the practices in Mental Health as well as the effectiveness of the presupposition of the Movement of Anti-Mental Institution Fight imply changes of theoretical, juridical and socio-cultural scopes, permeating the area of the construction of policies and models of attention. We intend to build new assistential practices in Mental Health and to produce transformations regarding the social position given to madness, to the different citizen, questioning the culture which stigmatizes and marginalizes specific social groups. In an environment with such characteristics, the patient becomes a deposit of pathologies to be observed, diagnosed, controlled, documented and latter on sent to medical care to healed(2)
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