Abstract
To understand how the nursing staff perceives the care provided to people in situations of psychiatric urgencies and emergencies in the Mobile Emergency Care Service (SAMU - Serviço de Atendimento Móvel de Urgência). Descriptive and qualitative study conducted in the Northeast region of Brazil with 34 of the SAMU nursing workers. Data were obtained by semi-structured interviews and processed by the Thematic Analysis. The analysis of interviews allowed the identification of three categories: mechanical practice, need for qualification and (de)humanization of care. The results showed that the care offered to users in psychiatric urgency or emergency situations is based on mechanistic and specific actions. Nursing workers perceive that the care for people in situations of psychiatric urgency and emergency in SAMU is mainly based on physical and chemical containment measures, performing a little resolute and dehumanized care and raising the need for professional qualification.
Highlights
Emergency services have occupied a place at the same time and problematic in RAPS, since in most cases, after emergency care, the individual can be referred for psychiatric hospitalization[2]
Regarding the participants’ socio-demographic data, they coincide with data from a survey conducted with nurses working in care services for psychiatric urgency and emergency in São Paulo, since most were women, young adults and single
The results of this study are in agreement with the Brazilian nurses’ profile, which describes that approximately 90% of nurses are female and that nursing is one of the ten professions in the health area that contributes to the feminization of work power in the health sector of the country[5]
Summary
The Brazilian National Policy for Psychosocial Care, regulated by Ordinance No 3088 of December 23, 2011, establishes the Psychosocial Care Network (RAPS – Rede de Atenção Psicossocial) for people with suffering or mental disorder and with needs arising from the use of crack, alcohol and other drugs, under the Unified Health System (SUS)(1).In addition, this ordinance is discriminated by wealth solutions, being: Specialized Psychosocial Attention, to the Teaching of Psychosocial Centralization (CAPS) in its different forms; Emergency and Emergency Care Formed, among other points of service, by the Mobile Emergency Care Service (SAMU); Residential Attention of transitory character, formed of points of attention; Strategies for deinstitutionalization, formation of Therapeutic Residences and Psychosocial Rehabilitation[1].Emergency services have occupied a place at the same time and problematic in RAPS, since in most cases, after emergency care, the individual can be referred for psychiatric hospitalization[2]. The Brazilian National Policy for Psychosocial Care, regulated by Ordinance No 3088 of December 23, 2011, establishes the Psychosocial Care Network (RAPS – Rede de Atenção Psicossocial) for people with suffering or mental disorder and with needs arising from the use of crack, alcohol and other drugs, under the Unified Health System (SUS)(1) This ordinance is discriminated by wealth solutions, being: Specialized Psychosocial Attention, to the Teaching of Psychosocial Centralization (CAPS) in its different forms; Emergency and Emergency Care Formed, among other points of service, by the Mobile Emergency Care Service (SAMU); Residential Attention of transitory character, formed of points of attention; Strategies for deinstitutionalization, formation of Therapeutic Residences and Psychosocial Rehabilitation[1]. The service continues the execution of repressive medical attitudes, such as physical and chemical restraints performed incorrectly and/or in moments in which they were expendable. This reinforces asylum practices and contradicts the Brazilian Psychiatric Reform[5]
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