Abstract
Diagnósticos de enfermagem num serviço de urgência psiquiátrica: contributos para a sistematização dos cuidados
Highlights
In a psychiatric emergency service, nursing interventions are mostly directed at the acute phases of the disease or the first episodes of disease onset
Patients’ cognitive status was assessed through the revised Portuguese version of the Mini-Mental State Examination (MMSE; Morgado, Rocha, Maruta, Guerreiro, & Martins, 2009); the degree of therapeutic adherence was assessed using the Measure of Adherence to Treatment (MAT), which reflects a version of the Morisky scale, validated by Delgado and Lima (2001) for the Portuguese reality; and the degree of insight was measured through the Marková and Berrios Insight Scale, which was validated in Portugal by Vanelli et al (2010)
This study was conducted in a psychiatric emergency service and showed that the use of nursing diagnoses enables a more detailed analysis of the actual intervention contexts, which are still very influenced by medical diagnoses
Summary
In a psychiatric emergency service, nursing interventions are mostly directed at the acute phases of the disease or the first episodes of disease onset. With regard to knowledge production, a psychiatric emergency service is an important unit of empirical analysis due to the variety of situations in this service and the fact that patients and family members provide information and present conditions that reflect very recent events. This allows a greater awareness about the emotional and thinking processes that lead people to seek professional help. The main objective of this study is to identify the most common mental health-related nursing diagnoses among patients in psychiatric emergency settings. An analysis that includes the reality of daily nursing practice should consider that the various clinical decisions and choices of interventions have multiple levels of implications and influences
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