Meanings of nursing workers' actions in a psychiatric inpatient unit

Authors

DOI:

https://doi.org/10.12957/reuerj.2024.87481

Keywords:

Mental Health, Psychiatric Nursing, Hospitalization, Nursing Care

Abstract

Objective: to understand the meanings of nursing workers' actions in a psychiatric inpatient unit. Method: a qualitative study based on Alfred Schutz's phenomenological sociology, conducted in a psychiatric inpatient unit at a university hospital in Porto Alegre, Brazil. Data were collected from 20 nursing workers through phenomenological interviews between May and August 2017. Research protocol approved by the Ethics Committee. Results: comprehensive analysis of the interviews resulted in three concrete categories: actions oriented toward interactive relationships; actions oriented toward care management; and actions guided by teaching and research. Final considerations: the environment and the professional-patient relationship are fundamental to mental health care. The integration of teaching and research into the study setting was a distinguishing factor for the team, enhancing mental health care from a Psychosocial Care perspective.

Author Biographies

Cíntia Nasi, Universidade Federal do Rio Grande do Sul

Nurse. PhD. Associate Professor at Universidade Federal do Rio Grande do Sul. Porto Alegre, Brazil.

 

Jacó Fernando Schneider, Universidade Federal do Rio Grande do Sul

Nurse. PhD. Full Professor at Universidade Federal do Rio Grande do Sul. Porto Alegre, Brazil.

Leandro Barbosa de Pinho, niversidade Federal do Rio Grande do Sul

Nurse. PhD. Associate Professor at Universidade Federal do Rio Grande do Sul Porto Alegre, Brazil.

Marcio Wagner Camatta, Universidade Federal do Rio Grande do Sul

Nurse. PhD. Adjunct Professor at Universidade Federal do Rio Grande do Sul. Porto Alegre, Brazil.

Savannah Leitzke Carvalho, Universidade Federal do Rio Grande do Sul

Nurse. Master's Degree by the Postgraduate Nursing Program, Universidade Federal do Rio Grande do Sul. Porto Alegre, Brazil.

Natália Klauck de Souza, Universidade Federal do Rio Grande do Sul

Nurse. Specialist in Mental Health. Universidade Federal do Rio Grande do Sul. Porto Alegre, Brazil.

References

David EC, Vicentin MCG, Schucman LV. Bewilderment, aquilombar, and the antimanicolonial: three ideas to radicalize Brazilian Psychiatric Reform. Ciênc. Saude Colet. 2024 [cited 2024 Sep 24]; 29(3):e04432023. DOI: https://doi.org/10.1590/1413-81232024293.04432023EN.

Lima IB, Alves D, Furegato ARF. Mental Health Indicators for the Brazilian Psychosocial Care Network: a proposal. Rev. Latino-Am. Enfermagem. 2022 [cited 2024 Sep 24]; 30:e3599. DOI: https://doi.org/10.1590/1518-8345.5618.3533.

Lejderman B, Parisotto A, Spanemberg L. Trends in suicidal behavior at a general hospital emergency department in southern Brazil. Trends Psychiatry Psychother. 2020 [cited 2024 Sep 24]; 42(4):311-7. DOI: https://doi.org/10.1590/2237-6089-2019-0080.

Demetrio WF, Foggiato SD, Silva XM, Melo ZP, Aparecida FOM, Cruz SCA. Avaliação de quarta geração: intervenções realizadas na atenção à crise em saúde mental; Saúde debate. 2024 [cited 2024 Nov 13]. DOI: https://doi.org/10.1590/2358-289820241429252P.

Oliveira A, Toledo VP. Patient safety in a general hospital’s psychiatric hospitalization unit: a phenomenological study. Rev Esc Enferm USP. 2021 [cited 2024 Sep 25]; 55:e03671. DOI: https://doi.org/10.1590/S1980-220X2019013103671.

Braga FJL, Surjus LTLS. Management of mental health policy in daily life: contributions from the Santos network analysis. Cad. Bras. Saúde Ment. 2022 [cited 2024 Sep 26]; 14(39):107-29. Available from: https://periodicos.ufsc.br/index.php/cbsm/article/view/80470/51215.

Schutz A. A construção significativa do mundo social: uma introdução à sociologia compreensiva. Petrópolis: Vozes; 2018.

Carvalho SL, Tissot ZL, Willrich JQ, Pinho LB, Tomielo CA, Ketzer N, et al. The crisis phenomenon in the care of people who use drugs: a phenomenological study. Cogitare Enferm. 2024 [cited 2024 Sep 26]; 29:e91820. DOI: https://doi.org/10.1590/ce.v29i0.95021.

Silva FM, Camatta MW, Lachini AJB, Nasi C. Family motivations and expectations in the care for psychoactive substance users. Rev Gaúcha Enferm. 2023 [cited 2024 Sep 26]; 44:e20220141.DOI: https://doi.org/10.1590/1983-1447.2023.20220141.pt.

Silveira BRM, Araújo DD, Silva DVA, Vieira MA, Sampaio CA. The daily life of health professionals in palliative care: a study in social phenomenology by Alfred Schültz. Rev. Enferm. Atual In Derme. 2020. [cited 2024 Nov 11]; 91(29):70-9. Available from: https://revistaenfermagematual.com.br/index.php/revista/article/view/593.

Bessa MM, Lima MVC, Freitas RJM, Araújo JL, Oliveira KKD. A fenomenologia de Alfred Schutz e sua aplicação no campo da pesquisa em saúde e enfermagem. Sustinere. 2023 [cited 2024 Nov 11]; 11(2):842-57. DOI: https://doi.org/10.12957/sustinere.2023.72222.

Echebarrena RC, Silva PRF. Mental health beds in general hospitals: the case of Rio de Janeiro. Saúde debate. 2020 [cited 2024 Sep 27]; 4(3):223-34. DOI: https://doi.org/10.1590/0103-11042020E319.

Paula PR. Psycho group analysis facing helplesnesss, and the strength of the preservation lin. Vinculo. 2021 [cited 2024 Sep 27]; 18(3):34-9 DOI: https://doi.org/10.32467/issn.19982-1492v18nesp.p535-543.

Higgins M, Palepu R, Little J. Silent reflections remain unheard. Australas Psychiatry. 2024 [cited 2024 Sep 27]; 32(3):235-37. DOI: https://doi.org/10.1177/10398562241236317.

Cassola EG, Santos MC, Molck BV, Silva JVP, Domingos TS, Barbosa GC. Participatory music workshop for the Subjective and Psychological Well-being of users in psychiatric hospitalization. Esc Anna Nery. 2021 [cited 2024 Sep 27]; 25(5):e2021009. DOI: https://doi.org/10.1590/2177-9465-EAN-2021-0091.

Silva TG, Santana RF, Dutra VFD, Souza PA. Nursing process implantation in mental health: a convergent-care research. Rev Bras Enferm. 2020 [cited 2024 Sep 27]; 73(Suppl 1):e20190579. DOI: http://dx.doi.org/10.1590/0034-7167-2019-0579.

Lima MEP, Cortez EA, Almeida VLA, Xavier SCM, Fernandes FC. El acto de cuidar en salud mental: aspectos alineados la cultura de seguridad del paciente. SMAD. 2021 [cited 2024 Sep 27]; 17(2):92-103. DOI: https://doi.org/10.11606/issn.1806-6976.smad.2021.168515.

Sampaio ML, Junior JPB. Network of psychosocial care: evaluation of the structure and process of mental healthcare linkage. Cad. Saúde Pública. 2021 [cited 2024 Sep 27]; 37(3):e00042620 DOI: https://doi.org/10.1590/0102-311x00042620.

Braga CP, D’Oliveira AFPL. Reasons and mechanisms for admission of children and adolescents to a psychiatric hospital: the control circuit. Cad. Saúde Pública. 2022[cited 2024 Sep 27]; 38(5):e00170821.DOI: https://doi.org/10.1590/0102-311X00042620.

Rezende LC, Vilela GS, Caram CS, Caçador BS, Brito MJM. Bedside nurses’ caremodel: challenges and perspectives for an innovative practice. Rev Gaúcha Enferm. 2021 [cited 2024 Sep 27]; 42(spe):e20200155. DOI: https://doi.org/10.1590/1983-1447.2021.20200155.

Zubiaurre PM, Wasum FD, Oliveira MAF, Barroso TMMDA, Padoin ATM, Tissott ZL. Singular therapeutic project actions in a psychosocial care center: professionals’ and users’ perscpectives. Texto Contexto Enferm. 2024 [cited 2024 Sep 27]; 33:e20240049. DOI: https://doi.org/10.1590/1980-265X-TCE-2024-0049pt.

Mello RM, Schneider JF, Nasi C, Camatta MW, Kohlrauschb ER, Lacchin AJB. The significance of the nursing actions in psychiatric hospitalization of female adolescent users of psychoactive substances. Rev Gaúcha Enferm. 2021 [cited 2024 Sep 27]; 42:e20200011. DOI: https://doi.org/10.1590/1983-1447.2021.20200011.

Oliveira JLC, Rodrigues NH, Acosta AM, Ribeiro RG, Mergen T, Silva AR. Comparison of Nursing dependency levels and sizing between clinical and surgical inpatient units. Esc Anna Nery. 2024 [cited 2024 Sep 27]; 28:e20230109. DOI: https://doi.org/10.1590/2177-9465-EAN-2023-0109en.

Silva GTR, Silva INC, Lima JMM, Veiga KB, Teixeira GAS, Almeida DB. Ursing management models: a mechanism for (DIS) agreements in the hospital setting. Ciencia y enfermaria. 2022 [cited 2024 Sep 27]; 28(25): 1-9. DOI: https://doi.org/10.29393/CE28-25MGGD60025.

Published

2024-12-19

How to Cite

1.
Nasi C, Schneider JF, Pinho LB de, Camatta MW, Carvalho SL, Souza NK de. Meanings of nursing workers’ actions in a psychiatric inpatient unit. Rev. enferm. UERJ [Internet]. 2024 Dec. 19 [cited 2025 Dec. 7];32(1):e87481. Available from: https://www.e-publicacoes.uerj.br/enfermagemuerj/article/view/87481

Issue

Section

Research Articles

Most read articles by the same author(s)