O objetivo deste trabalho foi identificar a percepção de usuários de um serviço de saúde sobre direito à informação e integralidade do cuidado. Trata-se de pesquisa qualitativa, exploratória, com orientação analítico-descritiva, cujo eixo teórico foi o direito à saúde relacionado ao acesso a informação e integralidade do cuidado. As seguintes categorias foram construídas: dificuldades para concretização do cuidado humanizado à saúde em uma unidade básica; despersonalização da relação profissional/usuário do serviço; lacunas na infraestrutura física e humana do serviço; e relacionamento interpessoal entre os diferentes atores do processo de cuidar. O acesso à informação se constitui como aspecto central para a promoção do cuidado integral à saúde. Para conseguir proporcioná-lo de forma adequada, torna-se importante sensibilizar a equipe com relação à importância do empoderamento do usuário, para torná-lo protagonista do cuidado e tê-lo como um aliado no processo do cuidar.

People with mental illness are subjected to stigma and discrimination and constantly face restrictions in the exercise of their political, civil and social rights. Considering this scenario, mental health, ethics and human rights are key approaches to advance the well-being of persons with mental illnesses. The study was conducted to review the scope of the empirical literature available to answer the research question: What evidence is available regarding human rights and ethical issues regarding nursing care to persons with mental illnesses? A scoping review methodology guided by Arksey and O’Malley was used. Studies were identified by conducting electronic searches on CINAHL, PubMed, SCOPUS and Hein databases. Of 312 citations, 26 articles matched the inclusion criteria. The central theme which emerged from the literature was “Ethics and Human Rights Boundaries to Mental Health Nursing practice”. Mental health nurses play a key and valuable role in ensuring that their interventions are based on ethical and human rights principles. Mental health nurses seem to have difficulty engaging with the ethical issues in mental health, and generally are dealing with acts of paternalism and with the common justification for those acts. It is important to open a debate regarding possible solutions for this ethical dilemma, with the purpose to enable nurses to function in a way that is morally acceptable to the profession, patients and members of the public. This review may serve as an instrument for healthcare professionals, especially nurses, to reflect about how to fulfil their ethical responsibilities towards persons with mental illnesses, protecting them from discrimination and safeguarding their human rights, respecting their autonomy, and as a value, keeping the individual at the centre of ethical discourse.

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Background: International experiences provide a rich, transformative learning opportunity and are fundamental to the internationalization of universities that is occuring globally. To date there has been limited research to evaluate the experiences of, and benefits to, faculty members who participate in an international experience. In the current paper, we report findings from the evaluation of a Visiting Scholar Program (VSP) between the University of São Paulo at Ribeirão Preto College of Nursing (EERP-USP), Brazil and the Faculty of Nursing, University of Alberta (UA), Canada. The VSP was initiated in 2004, with a generous donation from a private donor, as one component of a broader partnership between the two university schools of nursing. Methods: The evaluation of the VSP program was carried out between January and June 2011 using a qualitative approach. An interpretative descriptive design was used for the study and in-depth interviews were used to collect the data. At the UA, 17 individuals affiliated with the Brazil project participated in an interview and two provided email feedback. At EERP-USP, 12 former scholars, one graduate student, two staff members responsible for the International Cooperation Office, and a former Dean participated in the evaluation. Results: Several key themes emerged during the analysis of the interviews. The program was highly successful from the perspective of both scholars and supervisors alike. The commitment to internationalization at each site, the wellestablished partnership between EERP-USP and UA, and the financial resources available all contributed to the provision of a supportive, enabling environment for the scholars to develop their own research capacity and for both scholars and supervisors to build new research networks. Participants commented on the importance of personal relationships and convergent research interests between scholars and the supervisors. Several challenges related to language, length of the program, and at times, inadequate pre-planning between the scholar and supervisor were identified by participants. Conclusion: Overall the leadership team at each site and the scholars and supervisors believed that the VSP was successful. Despite several challenges, supervisors and scholars alike benefited from ongoing relationships and were appreciative of the opportunities for professional growth and research development that participation in the VSP program provided. Recommendations for future similar programs include: commitment to internationalization; a well-established www.sciedu.ca/jnep

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Resumo: O objetivo geral deste estudo é compreender como o direito à saúde mental pode influenciar no processo criminal em que é acusada a pessoa com transtornos mentais e que, conforme as definições legais a respeito, o entendimento dos fatos e autodeterminação da conduta, seriam possíveis sujeitos à aplicação da medida de segurança. Trata-se de pesquisa descritiva documental, realizada com base na análise da normativa penal sobre medida de segurança e a base legal da Reforma Psiquiátrica. Por meio da análise foi possível perceber que é necessária uma maior aproximação das leis penais com a realidade jurídica atual das pessoas com transtornos mentais, com vistas a proporcionar um trabalho mais integrado entre judiciário e profissionais de saúde, e, consequentemente, um tratamento de melhor qualidade. Palavras-chave: Direito Penal; Saúde Mental; Psiquiatria Legal; Reforma Psiquiátrica; Medida de Segurança.Right to mental health and evolution of safety measure under the view of psychiatric reform Abstract: The aim of this study is to understand how the right to mental health can influence criminal cases in which the person with mental disorders is charged. And according to legal definitions on that, the understanding of facts and self-determination of conduct would be subjects of the possible security measure's application. It is a descriptive research paper that was made based on the analysis of the criminal rules on security measures and the legal basis of the Psychiatric Reform. Through the analysis it was possible to realize that we need greater approximation of criminal laws with the current legal reality of people with mental disorders, with the intention to provide a more integrated work between legal and health professionals, and hence a better treatment quality.