Marcelle Paiano

Percepções e atuação do Agente Comunitário de Saúde em saúde mental

The objectives of this study are to identity the perceptions of community health agents regarding health and mental disorders, and to verify the preparation these agents receive to work in this field. This qualitative study was performed using semi-structured interviews for data collection and utilizing content analysis to interpret the data. Interviews were performed with 45 community health agents working in the Family Health Strategy, who reported to 21 basic health units in the city of Maringá, PR. Results show the prejudice that these workers have regarding mental disorders. They recognize the importance of working with the patient and the family but do not feel prepared to provide adequate care. Because they share the same social context and have a close experience with the community dynamics, we see them as important facilitators of mental healthcare.The objectives of this study are to identity the perceptions of community health agents regarding health and mental disorders, and to verify the preparation these agents receive to work in this field. This qualitative study was performed using semi-structured interviews for data collection and utilizing content analysis to interpret the data. Interviews were performed with 45 community health agents working in the Family Health Strategy, who reported to 21 basic health units in the city of Maringa, PR. Results show the prejudice that these workers have regarding mental disorders. They recognize the importance of working with the patient and the family but do not feel prepared to provide adequate care. Because they share the same social context and have a close experience with the community dynamics, we see them as important facilitators of mental healthcare.

Aceitação da pessoa com transtorno mental na perspectiva dos familiares

Neste estudo descritivo, de natureza qualitativa, realizado junto a 10 familiares de pessoas com transtorno mental egressas da emergencia psiquiatrica do Hospital Municipal de Maringa - PR, o objetivo e apreender de que modo e percebida a aceitacao da pessoa com transtorno mental na familia e na comunidade. Os dados, coletados no periodo de outubro a dezembro de 2010, em entrevista aberta, foram submetidos a analise de conteudo, modalidade tematica, da qual resultaram tres categorias: “Cuidar, uma necessidade constante”, “Convivendo com a pessoa com transtorno mental: um turbilhao de sentimentos”, “Um muro construido com estigma e preconceito: necessidade de desconstrucao”. Conclui-se que a compreensao sobre a doenca e essencial para aceita-la e aceitar ao doente, e o profissional de saude precisa estar proximo a familia, dando-lhe suporte, esclarecendo duvidas relacionadas a doenca, e apoiando-a para que enfrente as dificuldades que emergirem no cotidiano.

Assistência de enfermagem às pessoas com transtornos mentais e às famílias na Atenção Básica

Objectives: To know how nurses working in primary care, more specifically in the Family Health Strategy (FHS), perceive their preparation for assisting the person with mental disorders and his family, and to identify the activities developed by them. Methods: A qualitative study was conducted with 17 nurses of the ESF belonging to 21 Basic Health Units in the municipality of Maringa-PR (Brazil). Data were analyzed using content analysis methodology. Results: For analysis, two categories were established: “Preparation of nurses for the development of care” and “Activities performed by nurses with families. Conclusion: The nurses, for the most part, did not feel prepared / qualified to attend to the specific needs of patients in the area of mental health, and their activities were restricted to those already recommended by the service, not being prepared for health promotion activities that included the family of patients with mental disorders in the care.

Community Health Agents' perceptions and practice in mental health

The objectives of this study are to identity the perceptions of community health agents regarding health and mental disorders, and to verify the preparation these agents receive to work in this field. This qualitative study was performed using semi-structured interviews for data collection and utilizing content analysis to interpret the data. Interviews were performed with 45 community health agents working in the Family Health Strategy, who reported to 21 basic health units in the city of Maringá, PR. Results show the prejudice that these workers have regarding mental disorders. They recognize the importance of working with the patient and the family but do not feel prepared to provide adequate care. Because they share the same social context and have a close experience with the community dynamics, we see them as important facilitators of mental healthcare.The objectives of this study are to identity the perceptions of community health agents regarding health and mental disorders, and to verify the preparation these agents receive to work in this field. This qualitative study was performed using semi-structured interviews for data collection and utilizing content analysis to interpret the data. Interviews were performed with 45 community health agents working in the Family Health Strategy, who reported to 21 basic health units in the city of Maringa, PR. Results show the prejudice that these workers have regarding mental disorders. They recognize the importance of working with the patient and the family but do not feel prepared to provide adequate care. Because they share the same social context and have a close experience with the community dynamics, we see them as important facilitators of mental healthcare.

Nursing care for people with mental disorders, and their families, in Primary Care

Objectives: To know how nurses working in primary care, more specifically in the Family Health Strategy (FHS), perceive their preparation for assisting the person with mental disorders and his family, and to identify the activities developed by them. Methods: A qualitative study was conducted with 17 nurses of the ESF belonging to 21 Basic Health Units in the municipality of Maringa-PR (Brazil). Data were analyzed using content analysis methodology. Results: For analysis, two categories were established: “Preparation of nurses for the development of care” and “Activities performed by nurses with families. Conclusion: The nurses, for the most part, did not feel prepared / qualified to attend to the specific needs of patients in the area of mental health, and their activities were restricted to those already recommended by the service, not being prepared for health promotion activities that included the family of patients with mental disorders in the care.

AMBULATÓRIO DE SAÚDE MENTAL: FRAGILIDADES APONTADAS POR PROFISSIONAIS

The aim of this study was to identify the weaknesses of the mental health ambulatory service from the professionals’ perspective. This was a qualitative study, developed by the Fourth Generation Evaluation method. Data were collected during February and March 2013 with the use of non-participant observation, individual opened interviews and group technique for the negotiation session. The informants were 12 working professionals at the ambulatory. The results pointed out weaknesses in the organizational structure of the healthcare network in mental health, especially regarding accessibility, physical structure and the presence of extensive waiting list for care. Regarding human resources, issues included: ignorance of the operation of the mental health network and of the activities performed, medical turnover, deficiency in training and continuous education and professional devaluation. It is necessary to reflect on the real role of ambulatories within the mental health network and its effectiveness in providing care. DESCRIPTORS: Health evaluation. Mental health services. Mental health. Nursing. AMBULATORIO DE SALUD MENTAL: DEBILIDADES SEÑALADAS POR PROFESIONALES RESUMEN: El objetivo del estudio fue identificar las debilidades de un servicio ambulatorio de salud mental en la perspectiva de los profesionales. Estudio cualitativo, de tipo estudio de caso, desarrollado por medio de la evaluación de Cuarta Generación. Los datos fueron recolectados en febrero y marzo de 2013 con el uso de la observación no participante, entrevista abierta individual, técnica grupal para la fase de negociación. Los informantes fueron 12 profesionales. Los resultados señalaron fragilidades en la estructura organizacional de la red de asistencia en Salud mental especialmente: forma de acceso, estructura física y la presencia de filas extensas. En los recursos humanos: desconocimiento del funcionamiento de la red de salud mental, de las actividades realizadas, rotatividad médica, deficiencia en la capacitación y educación permanente, desvalorización profesional. Las fragilidades identificadas señalan la necesidad de reflexión sobre la función de los ambulatorios y su eficacia en la prestación de cuidados. DESCRIPTORES: Evaluación en salud. Servicios de salud mental. Salud mental. Enfermería. http://dx.doi.org/10.1590/0104-07072016000040014

AMBULATORIO DE SALUD MENTAL: DEBILIDADES SEÑALADAS POR PROFESIONALES

The aim of this study was to identify the weaknesses of the mental health ambulatory service from the professionals’ perspective. This was a qualitative study, developed by the Fourth Generation Evaluation method. Data were collected during February and March 2013 with the use of non-participant observation, individual opened interviews and group technique for the negotiation session. The informants were 12 working professionals at the ambulatory. The results pointed out weaknesses in the organizational structure of the healthcare network in mental health, especially regarding accessibility, physical structure and the presence of extensive waiting list for care. Regarding human resources, issues included: ignorance of the operation of the mental health network and of the activities performed, medical turnover, deficiency in training and continuous education and professional devaluation. It is necessary to reflect on the real role of ambulatories within the mental health network and its effectiveness in providing care. DESCRIPTORS: Health evaluation. Mental health services. Mental health. Nursing. AMBULATORIO DE SALUD MENTAL: DEBILIDADES SEÑALADAS POR PROFESIONALES RESUMEN: El objetivo del estudio fue identificar las debilidades de un servicio ambulatorio de salud mental en la perspectiva de los profesionales. Estudio cualitativo, de tipo estudio de caso, desarrollado por medio de la evaluación de Cuarta Generación. Los datos fueron recolectados en febrero y marzo de 2013 con el uso de la observación no participante, entrevista abierta individual, técnica grupal para la fase de negociación. Los informantes fueron 12 profesionales. Los resultados señalaron fragilidades en la estructura organizacional de la red de asistencia en Salud mental especialmente: forma de acceso, estructura física y la presencia de filas extensas. En los recursos humanos: desconocimiento del funcionamiento de la red de salud mental, de las actividades realizadas, rotatividad médica, deficiencia en la capacitación y educación permanente, desvalorización profesional. Las fragilidades identificadas señalan la necesidad de reflexión sobre la función de los ambulatorios y su eficacia en la prestación de cuidados. DESCRIPTORES: Evaluación en salud. Servicios de salud mental. Salud mental. Enfermería. http://dx.doi.org/10.1590/0104-07072016000040014

MENTAL HEALTH AMBULATORY: WEAKNESSES POINTED OUT BY PROFESSIONALS

The aim of this study was to identify the weaknesses of the mental health ambulatory service from the professionals’ perspective. This was a qualitative study, developed by the Fourth Generation Evaluation method. Data were collected during February and March 2013 with the use of non-participant observation, individual opened interviews and group technique for the negotiation session. The informants were 12 working professionals at the ambulatory. The results pointed out weaknesses in the organizational structure of the healthcare network in mental health, especially regarding accessibility, physical structure and the presence of extensive waiting list for care. Regarding human resources, issues included: ignorance of the operation of the mental health network and of the activities performed, medical turnover, deficiency in training and continuous education and professional devaluation. It is necessary to reflect on the real role of ambulatories within the mental health network and its effectiveness in providing care. DESCRIPTORS: Health evaluation. Mental health services. Mental health. Nursing. AMBULATORIO DE SALUD MENTAL: DEBILIDADES SEÑALADAS POR PROFESIONALES RESUMEN: El objetivo del estudio fue identificar las debilidades de un servicio ambulatorio de salud mental en la perspectiva de los profesionales. Estudio cualitativo, de tipo estudio de caso, desarrollado por medio de la evaluación de Cuarta Generación. Los datos fueron recolectados en febrero y marzo de 2013 con el uso de la observación no participante, entrevista abierta individual, técnica grupal para la fase de negociación. Los informantes fueron 12 profesionales. Los resultados señalaron fragilidades en la estructura organizacional de la red de asistencia en Salud mental especialmente: forma de acceso, estructura física y la presencia de filas extensas. En los recursos humanos: desconocimiento del funcionamiento de la red de salud mental, de las actividades realizadas, rotatividad médica, deficiencia en la capacitación y educación permanente, desvalorización profesional. Las fragilidades identificadas señalan la necesidad de reflexión sobre la función de los ambulatorios y su eficacia en la prestación de cuidados. DESCRIPTORES: Evaluación en salud. Servicios de salud mental. Salud mental. Enfermería. http://dx.doi.org/10.1590/0104-07072016000040014

Acceptance of patients with mental illness: a family perspective

Neste estudo descritivo, de natureza qualitativa, realizado junto a 10 familiares de pessoas com transtorno mental egressas da emergencia psiquiatrica do Hospital Municipal de Maringa - PR, o objetivo e apreender de que modo e percebida a aceitacao da pessoa com transtorno mental na familia e na comunidade. Os dados, coletados no periodo de outubro a dezembro de 2010, em entrevista aberta, foram submetidos a analise de conteudo, modalidade tematica, da qual resultaram tres categorias: “Cuidar, uma necessidade constante”, “Convivendo com a pessoa com transtorno mental: um turbilhao de sentimentos”, “Um muro construido com estigma e preconceito: necessidade de desconstrucao”. Conclui-se que a compreensao sobre a doenca e essencial para aceita-la e aceitar ao doente, e o profissional de saude precisa estar proximo a familia, dando-lhe suporte, esclarecendo duvidas relacionadas a doenca, e apoiando-a para que enfrente as dificuldades que emergirem no cotidiano.

Aceptación de la persona con trastorno mental en la perspectiva de familiares

Neste estudo descritivo, de natureza qualitativa, realizado junto a 10 familiares de pessoas com transtorno mental egressas da emergencia psiquiatrica do Hospital Municipal de Maringa - PR, o objetivo e apreender de que modo e percebida a aceitacao da pessoa com transtorno mental na familia e na comunidade. Os dados, coletados no periodo de outubro a dezembro de 2010, em entrevista aberta, foram submetidos a analise de conteudo, modalidade tematica, da qual resultaram tres categorias: “Cuidar, uma necessidade constante”, “Convivendo com a pessoa com transtorno mental: um turbilhao de sentimentos”, “Um muro construido com estigma e preconceito: necessidade de desconstrucao”. Conclui-se que a compreensao sobre a doenca e essencial para aceita-la e aceitar ao doente, e o profissional de saude precisa estar proximo a familia, dando-lhe suporte, esclarecendo duvidas relacionadas a doenca, e apoiando-a para que enfrente as dificuldades que emergirem no cotidiano.