User perspectives on the ambience in a mental health unit in the hospital context

Perspectivas de los usuarios sobre el entorno en una unidad de salud mental en el contexto hospitalario

Authors

DOI:

https://doi.org/10.12957/reuerj.2025.89579

Keywords:

Mental Health, Mental Health Services, Mental Disorders, Humanization of Assistance

Abstract

Objective: to understand users' perceptions of the ambience in a Mental Health Unit in a hospital context. Method: a qualitative study conducted with users admitted to a hospital Mental Health Unit in a municipality in the interior of Rio Grande do Sul. Data collection took place between May and August 2023, using semi-structured interviews. The data was analyzed using the content analysis technique and the three axes of the ambience proposed by the Ministry of Health. All ethical aspects of research with human beings were respected. Results: users perceive the ambience in its entirety, according to the three axes. However, there are perceptions that the unit's ambience challenges psychosocial rehabilitation and humanized care. Final considerations: users' perceptions must be taken into account when implementing and improving the ambience to protect their rights, as guaranteed by public policies.

Author Biographies

Laura Carolina de Almeida e Souza, Universidade Federal de Santa Maria

Nurse by Universidade Federal de Santa Maria. Santa Maria, RS, Brazil.

Priscila de Melo Zubiaurre, Universidade Federal de Santa Maria. Santa Maria

Psychologist. Master's degree in Nursing. Doctoral student in the Postgraduate Program in Nursing at the Universidade Federal de Santa Maria. Santa Maria, RS, Brazil.

Rafael Pasche Silveira, Universidade Federal de Santa Maria. Santa Maria

Nurse. Master's degree in Nursing. Doctoral student in the Postgraduate Program in Nursing at the Universidade Federal de Santa Maria. Santa Maria, RS, Brazil.

Clarissa Iensen Boff, Universidade Federal de Santa Maria

Bachelor's Degree in Dance. Master's student in the Postgraduate Program in Nursing at the Universidade Federal de Santa Maria. Santa Maria, RS, Brazil.

Eneida Silva dos Santos, Universidade Federal de Santa Maria

Nurse. Master's student in the Postgraduate Program in Nursing at the Universidade Federal de Santa Maria. Santa Maria, RS, Brazil.

Dilce Rejane Peres do Carmo, Universidade Federal do Rio Grande

Nurse. PhD in Nursing from Universidade Federal do Rio Grande. Santa Maria, RS, Brazil.

Rosângela Marion da Silva, Universidade Federal de Santa Maria

Nurse. PhD in Nursing. Professor at the Universidade Federal de Santa Maria. Santa Maria, RS, Brazil.

Daiana Foggiato de Siqueira, Universidade Federal de Santa Maria

Nurse. PhD in Nursing. Professor at the Universidade Federal de Santa Maria Santa Maria, RS, Brazil.

References

1. Brasil DDR, Lacchini AJB. Reforma Psiquiátrica Brasileira: dos antecedentes aos dias atuais. PsicoFAE. Plural. Saú. Ment. 2021 [cited 2025 Jan 20]; 10(1):14-32. DOI: https://10.17648/2447-1798-revistapsicofae-v10n1-2.

2. Oliveira A, Toledo VP. Patient safety in a general hospital’s psychiatric hospitalization unit: a phenomenological study. Rev Esc Enferm USP. 2021 [cited 2025 Jan 20]; 55:1-9. DOI: https://doi.org/10.1590/S1980-220X2019013103671.

3. Ministério da Saúde (Br). A experiência da diretriz de Ambiência da Política Nacional de Humanização – PNH. Brasília (DF): Ministério da Saúde; 2017 [cited 2025 Jan 20]. Available from: https://pt.scribd.com/document/375557352/Experiencia-Diretriz-Ambiencia-Humanizacao-Pnh.

4. Salvati CO, Gomes CA, Haeffner LSB, Marchiori MRCT, Silveira RS, Backes DS. Humanization of the hospital: participatory construction of knowledge and practices on care and ambience. Rev Esc Enferm USP. 2021 [cited 2025 Jan 20]; 55(e2020058):1-8. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2020-0058.

5. Ministério da Saúde (Br). Ambiência. Brasíliua (DF): Ministério da Saúdem 2010 [cited 2025 Jan 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/ambiencia_2ed.pdf.

6. Oliveira C, Gomes CA, Pereira ADA, Lomba MLLF, Poblete M, Backes DS. Care and hospital ambience: perception of healthcare professionals. Acta Paul Enferm. 2022 [cited 2025 Jan 20]; 35(eAPE03216):1-8. DOI: https://doi.org/10.37689/acta-ape/2022AO032166.

7. Gil CA. Como fazer pesquisa qualitativa. Barueri: Atlas; 2021.

8. Bardin L. Análise de Conteúdo. São Paulo: Edições 70; 2016.

9. Ronsani APV, Siqueira DF, Mello AL, Terra MG, Cattani AN, Welter LS. Caring for the person with mental disorder according to the family’s understanding. R. pesqui.: cuid. Fundam. Online. 2020 [cited 2025 Jan 22]; 12:793-9. DOI: https://doi.org/10.9789/2175-5361.rpcfo.v12.7469.

10. David EC, Vicentin MCG. Nem crioulo doido nem negra maluca: por um aquilombamento da Reforma Psiquiátrica Brasileira. Saúde Debate. 2020 [cited 2025 Jan 23]; 44(spe3):264–77. DOI: https://doi.org/10.1590/0103-11042020E322.

11. Coelho SMPP. Mulheres Interrompidas pelo Poder do Patriarcado - a loucura. Gênero na Amazônia. 2023 [cited 2025 Jan 24]; 24:251-66. DOI: http://dx.doi.org/10.18542/rcga.v2i24.15623.

12. Monteiro DD, Reichow JRC, Sais HF, Fernandes FS. Spirituality / Religiosity and Mental Health in Brazil: a review. Bol.-Acad. Paul. Psicol. 2020 [cited 2025 Jan 25]; 40(98):129-39. Available from: https://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1415-711X2020000100014.

13. Tao W, Wu Y, Li W, Liu F. Influence of classroom colour environment on college students’ emotions during campus lockdown in the COVID-19 post-pandemic era—a case study in Harbin, China. Buildings. 2022 [cited 2025 Jan 27]; 12(11):1-20. DOI: https://doi.org/10.3390/buildings12111873.

14. Goulart FM, Ono R. Aspectos ambientais que influenciam o tratamento da saúde: uma revisão da literatura. Gestão Tecnologia de Projetos. 2021 [cited 2025 Jan 27]; 16(4):117–33, 2021. DOI: https://doi.org/10.11606/gtp.v16i4.176946.

15. Ladeia GL, Sousa DMM, Silva LHC, Leite TSA. Poluição sonora: uma ameaça à saúde? Rev. Saúde e Meio Ambiente. 2019 [cited 2025 Jan 27]; 9(3):34-40. Available from: https://periodicos.ufms.br/index.php/sameamb/article/view/8387.

16. Robinson C, Williams J. Ambient vulnerability. Global Environmental Change. 2024 [cited 2025 Jan 27]; 84:102801. DOI: https://doi.org/10.1016/j.gloenvcha.2024.102801.

17. Santos LCR, Mondo TS. A influência dos fatores estéticos na satisfação de consumidores hoteleiros. Revista Hospitalidade. 2022 [cited 2025 Jan 27]; 19:155–84. DOI: https://doi.org/10.29147/revhosp.v19.998.

18. Oliveira SM, Costa KNFM, Santos KFO, Oliveira JS, Pereira MA, Fernandes MGM. Comfort needs as perceived by hospitalized elders: an analysis under the light of Kolcaba’s theory. Rev Bras Enferm. 2020 [cited 2025 Jan 27]; 73(suppl3):1-8. DOI: https://doi.org/10.1590/0034-7167-2019-0501.

19. Fonseca APBM, Jastrow JMB, Bezerra IMP. A arquitetura e seu papel à luz da PNH: uma revisão integrativa. Aracê. 2024 [cited 2025 Feb 03]; 6(2):3826-44. DOI: https://doi.org/10.56238/arev6n2-202.

20. Villela MS, Ely VHMB. Humanization in the Complementary and Integrative Practice ambience: the meaning of well-being from the users’ perspective. Ciênc. Saúde coletiva. 2022 [cited 2025 Feb 03]; 27(05):2011-2022. DOI: https://doi.org/10.1590/1413-81232022275.07702021.

21. Santos EO, Pinho LB, Silva AB, Eslabão AD. Assessment of stigma and prejudice in the organization of care networks for drug users. Rev Bras Enferm. 2022 [cited 2025 Feb 03]; 75(1):e20210135. DOI: https://doi.org/10.1590/0034-7167-2021-0135.

22. Gama CAP, Lourenço RF, Coelho VAA, Campos CG, Guimarães DA. Os profissionais da Atenção Primária à Saúde diante das emandas de saúde mental: perspectivas e desafios. Interface (Botucatu). 2021 [cited 2025 Feb 03]; 25:1-16. DOI: https://doi.org/10.1590/interface.200438.

23. Campos FAAC, Silva JCB, Almeida JM, Feitosa FB. Reabilitação psicossocial: o relato de um caso na amazônia. Saúde em Redes. 2021 [cited 2025 Feb 03]; 7(supl.2):133-50. DOI: https://doi.org/10.18310/2446-4813.2021v7n2p133-150.

24. Wasum FD, Siqueira DF, Xavier MS, Zubiaurre PM, Oliveira MAF, Sequeira CAC. Avaliação de Quarta Geração: intervenções realizadas na atenção à crise em saúde mental. Saúde Debate. 2024 [cited 2025 Feb 03]; 48(142):1-12. DOI: https://doi.org/10.1590/2358-289820241429252P.

Published

2025-07-01

How to Cite

1.
Souza LC de A e, Zubiaurre P de M, Silveira RP, Boff CI, Santos ES dos, Carmo DRP do, et al. User perspectives on the ambience in a mental health unit in the hospital context: Perspectivas de los usuarios sobre el entorno en una unidad de salud mental en el contexto hospitalario. Rev. enferm. UERJ [Internet]. 2025 Jul. 1 [cited 2025 Oct. 2];33(1):e89579. Available from: https://www.e-publicacoes.uerj.br/enfermagemuerj/article/view/89579

Issue

Section

Research Articles