Articles - Revista Brasileira de Enfermagem

ABSTRACT

Objective:

to investigate the prevalence of Minor Psychiatric Disorders and associated factors in nursing workers.

Method:

observational and analytical sectional study. Data were collected from 285 nursing workers. A questionnaire containing sociodemographic, occupational, psychosocial aspects of work and mental health was used. Bivariate and multivariate analysis were performed by binary logistic regression.

Results:

the global prevalence of suspected Minor Psychiatric Disorders among nursing workers was 32.6%. Higher prevalence rates were found among female, young, married/common-law married individuals, in the nursing assistant/technician categories, with income up to four minimum wages, developing high-demand work with low social support, high effort-reward imbalance, and over-commitment.

Conclusion:

the variables that remained associated with the mental health outcome in the final model were: female gender, married/common-law married, high-demand work, high effort-reward imbalance, and over-commitment.

ABSTRACT

Objective:

to describe the contribution of the concept of transference to the application of the nursing process in the care of patients with psychical suffering.

Method:

Theoretical study, structured from the following question: Is it possible to develop the nursing process in the care of patients with psychical suffering by using transference?

Result:

The patient is considered as a subject of the unconscious and has a demand he/she is unaware of.

Discussion:

The transference guides the nursing process and favors the elaboration of what has no meaning in the symptom.

Final considerations:

As an implication for practice, the nursing process will articulate the transference function through the nursing diagnosis, which will promote the capture of subsidies for the planning and implementation of care, in which the purpose will be the symbolization of the symptom. To highlight speech as a means to therapeutic relation will offer the patients the condition to dictate the pace of articulation between their signifiers, which will dynamically temporalize the process.

ABSTRACT

Objective:

To know the experience of nurses of the Psychosocial Care Networks on the development of Nursing Appointment in Mental Health.

Method:

Qualitative study, with interview of 20 nurses, through the analysis of the statements in the search of the meaning core.

Results:

was unveiled as meaning core: lack of preparation for Mental Health Care, Non-identification of the work of the nurse in Mental Health; and Performance of Nursing Appointment as bureaucratic fulfillment.

Final considerations:

Nurses understand Nursing Appointment as an individualized and bureaucratic activity, to consider professional regulations, and not as a work process in the multiprofessional work, thus, the Projeto Terapêutico Singular (freely translated as Unique Therapeutic Project) is not cited as a possibility of work process. It was identified necessary space for discussion of actuation and updates of the nurse in Mental Health Care in the health services studied, with emphasis on their performance in a multiprofessional team in consonance with the Mental Health Policy.

ABSTRACT

Objective:

To assess the relationship of post-traumatic stress symptoms and the perception of social support in women submitted to Severe Maternal Morbidity (SMM).

Method:

A prospective cohort study, with 549 women from public hospitals. The Impact of Events and Social Support scales were used.

Results:

Women with SMM were from the State countryside (p=0.046), with low schooling (p=0.039) and did not work (p<0.001). They presented higher consumption of alcoholic beverages (p<0.001), did not perform prenatal (p<0.001), and were older (28.15 ± 28 years). Women with SMM had higher mean values of avoidance behavior (24.32, SD: 4.16), intrusive thinking (18.28, SD: 3.80), lower social support (0.11, SD: 0.001) with large effect size and lower social support satisfaction (0.69; SD: 0.19), with small effect size.

Conclusion:

SMM is a differential and negative factor for women’s mental health, and social support can favor their coping.

ABSTRACT

Objective:

Analyze how professionals understood the multi, inter and transprofessionality and how these practices happened in the CAPS (Psychossocial Care Centers) of São Paulo/SP.

Method:

Qualitative, exploratory, descriptive study, and use of Content Analysis. We interviewed 27 professionals from nine CAPS.

Results:

Organized in two categories: definition of multiprofessional, interprofessional and transprofessional work in Mental Health; and specific aspects of professions and Conceptions about multi, inter and transprofessional teamwork in daily life. There were difficulties in conceptualizing modalities of disciplinary integration, little problematization in the reality of workers, and questions of specific practices of each area. The devices have been problematized, in which the distancing of Public Policies happen.

Final considerations:

There is coexistence of the biomedical, of insane asylum and Psychosocial Care paradigms in the discourses and actions of the teams, to compromise the effectiveness of the Psychiatric Reform. The practice was close to the ideas of integration and of auxiliary interdisciplinarity and not of the effective construction of shared therapeutic knowledge and projects.

ABSTRACT

Objective:

To understand the influence of the lifeworld on crack cocaine use by teenagers undergoing treatment at the Psychosocial Care Center for users of alcohol and other drugs.

Method:

Qualitative research carried out with thirteen teenagers attended at the Psychosocial Care Center for users of alcohol and other drugs, from a municipality in the South of Brazil. The data were collected through semi-structured interviews and the Comprehensive Analysis was carried out from the Phenomenology of the Social World of Alfred Schütz.

Results:

In the lifeworld, there is influence of the community to which the teenager belongs; of the family, by the excess of permissibility and being in an environment of drug use and violence; and the school, where it is influenced by individuals to consume them.

Conclusion:

Elements from the lifeworld influence the teenager for the consumption of crack cocaine, being necessary actions contextualized with their world of life.