This is an integrative review of the literature on the working processes of professionals
Objective: to discuss the process of Permanent Health Education conducted with professionals working in Psychosocial Care Centers, on using Group Technology in psychosocial care. Method: this is an action-research where 66 workers from 29 mental health services in a Midwestern Brazilian using Maguerez Arch as data collect strategy. Data was presented according to the chronology of the gathering meetings and discussed from Freire's conception of problematizing education. Results: the participants identified “the lack of knowledge about what group dynamics is and how to use it properly” as a problem to be addressed, having the following as causes: low adherence of users to group activities; poor worker competence in conducting and planning therapeutic groups; little theoretical mastery on group dynamics; inadequate handling of silence and group techniques. The following themes were chosen for theorization: motivation, participation, communication, planning, group structuring and coordination, use of techniques and group experiences. In the action phase, the participants built 16 proposals for interventions, 13 related to the construction of learning spaces and three to the reorganization of group service practices. Conclusion: using the action-research method in this process of Permanent Health Education allowed workers and their teams to exercise critical analysis on working with groups, as well as to become aware on the restrictive aspects of this practice, which led them to find more effective ways for using group technology in mental health care.
Objective: to describe professionals’ perceptions about the therapeutic effectiveness of group care. Method: a descriptive, exploratory, qualitative research of the type of intervention carried out with 30 professionals from Psychosocial Care Centers for Alcohol and Drugs in a municipality in center-westerns Brazil, from March to April 2019. Self-applicable instruments and round circles were used. The emerging data were submitted to content analysis. Results: professionals perceive the benefits of group practices and relate them to some therapeutic factors in the group. It is evident the little formal and systematized knowledge about the group process elements. Final Considerations: the therapeutic effectiveness of group processes is compromised due to absence of systematic records that allow to perceive the therapeutic progress of users, even though professionals perceive the emergence of therapeutic factors of the groups in the context of psychosocial care.
Objective: To understand the professionals’ perception of risks and factors related to patient safety incidents in psychosocial care. Methods: Descriptive-exploratory study, with a qualitative approach, carried out with 31 professionals in type III Psychosocial Health Care Centers, between October 2016 and April 2017. Data collection was mediated by the Experiential Learning Cycle. Content analysis was performed. Results: The professionals revealed risks and factors related to safety incidents in their daily practices, associated with the institution’s physical and organizational structure, with the configuration of the clinical process, with clinical administration and organizational management. Final considerations: Continuous efforts are needed on the part of senior managers and professionals to improve the work process and organizational structure in psychosocial care, contributing to the development of the patient’s autonomy and social rehabilitation, avoiding institutionalization and, especially, ensuring the safety of this type of care.
Objective: to map and identify nursing diagnoses targeted at night care users in a Psychosocial Care Center according to NANDA-I Taxonomy. Method: this is a descriptive-exploratory study, of documentary research type of 319 records in medical records. It was held in a Psychosocial Care Center III in Goiás, from 2014-2018. Nursing diagnoses and records were extracted with non-standardized language. Results: 813 records of nursing diagnoses identified in 53 different titles, in 10 domains, were identified. The most frequent diagnosis was risk for self-extermination. The domain with the highest number of diagnostic records was activity/rest. There was a predominance of diagnoses focused on the problem. Final considerations: mapping contributes to the planning of evidence-based nursing interventions and to the strengthening of professional identity in mental health. It is evident the need for practices that go beyond the symptoms in a preventive perspective, with a view to comprehensiveness.
Objetivo: relatar a experiência, vivenciada por serviços de saúde, na análise de medidas de segurança durante a pandemia de infecções por Coronavírus. Método: trata-se de um estudo qualitativo, descritivo, tipo relato de experiência, das vivências de profissionais da rede de atenção à saúde. Consistiu-se no levantamento de medidas protetivas para evitar a transmissão da COVID-19 no ambiente de prestação do cuidado com o uso da matriz SWOT para a organização de dados. Resultados: agruparam-se os resultados em categorias: Forças - boa qualificação da equipe, adaptação das medidas protetivas; Fraquezas - capacitação e comunicação entre profissionais aquém, desperdícios de insumos e contratos de trabalho precários; Oportunidades - protocolos elaborados, educação continuada sobre medidas de proteção; Ameaças - declaração de situação de calamidade pública, risco de déficit de insumos e de profissionais. Conclusão: conclui-se que o cenário de propagação do SARS-CoV-2 é complexo e desafiador, assim, é imprescindível empreender medidas de mitigação no enfrentamento da doença, respaldando a segurança do trabalhador e do paciente.
Resumo O objetivo desta pesquisa qualitativa foi investigar as concepções teóricas dos trabalhadores sobre o grupo bem como analisar os fatores impulsores e restritivos da prática terapêutica grupal nos Centros de Atenção Psicossocial (CAPS). Participaram do estudo 66 trabalhadores de CAPS e ambulatórios da Rede de Atenção Psicossocial (RAPS) de 23 municípios do estado de Goiás. A coleta de dados se deu por meio de questionário estruturado e entrevista grupal registrada em gravação de áudio e fotografias. Da análise temática dos dados emergiram o conceito do que o grupo é e do que o grupo não é. Tanto no eixo das forças impulsoras, quanto das forças restritivas, as categorias foram organizadas em três blocos de análise: aspectos relacionados ao serviço, aos profissionais e aos usuários. Aspectos relacionais, estruturais, terapêuticos e a competência profissional para a coordenação de grupo se integram de modo antagônico, complementar e indissociável para apreensão da realidade estudada. Conclui-se que evidenciar os aspectos restritivos que precisam ser reconhecidos e aprimorados bem como os impulsores que precisam ser mantidos e potencializados pode contribuir ativamente para ampliar a capacidade terapêutica do uso da tecnologia grupal no contexto da saúde mental.
Descrever a utilização da estratégia e-SUS Atenção Primária nos processos de trabalho das equipes de Consultório na Rua. Estudo descritivo exploratório de abordagem qualitativa realizado com 20 profissionais que compõem três equipes de Consultórios na Rua da Região central do Brasil. Os instrumentos de coleta de dados foram: questionário de contextualização profissional, grupo focal e diário de campo. Os dados foram submetidos à análise de conteúdo, modalidade temática. Emergiram duas categorias temáticas: Estratégia e-SUS Atenção Primária nos processos de trabalho das equipes de Consultório na Rua e Estratégia e-SUS Atenção Primária à luz dos profissionais. Os registros realizados via e-SUS APS não são valorizados pelos serviços de saúde visto que ainda priorizam o preenchimento das informações de forma manual em outras fontes. É necessário capacitações para que as equipes tenham competência na utilização dessa ferramenta. Descritores: Atenção Primária à Saúde, Pessoas em Situação de Rua, Registros Eletrônicos de Saúde, Sistemas de Informação em Saúde. E-SUS primary care strategy in teams of street clinics Abstract: To describe the use of the e-SUS Primary Care strategy in the work processes of Consultório na Rua teams. Descriptive exploratory study with a qualitative approach carried out with 20 professionals who make up three teams of Offices on the Street in the central region of Brazil. The data collection instruments were: professional contextualization questionnaire, focus group and field diary. Data were submitted to content analysis, thematic modality. Two thematic categories emerged: Strategy e-SUS Primary Care in the work processes of the Street Clinic teams and Strategy e-SUS Primary Care in the light of professionals. The records carried out via e-SUS APS are not valued by the health services as they still prioritize the filling of information manually in other sources. Training is necessary for teams to be competent in the use of this tool. Descriptors: Primary Health Care, Homeless Persons, Electronic Health Records, Health Information Systems. Estrategia de atención primaria del e-SUS en equipos de clínicas de calle Resumen: Describir el uso de la estrategia e-SUS de Atención Primaria en los procesos de trabajo de los equipos del Consultório na Rua. Estudio descriptivo exploratorio con abordaje cualitativo realizado con 20 profesionales que integran tres equipos de Oficinas en la Calle en la región central de Brasil. Los instrumentos de recolección de datos fueron: cuestionario de contextualización profesional, grupo focal y diario de campo. Los datos fueron sometidos al análisis de contenido, modalidad temática. Surgieron dos categorías temáticas: Estrategia e-SUS Atención Primaria en los procesos de trabajo de los equipos de la Clínica de Calle y Estrategia e-SUS Atención Primaria a la luz de los profesionales. Los registros realizados a través del e-SUS APS no son valorados por los servicios de salud, ya que todavía priorizan el llenado manual de información en otras fuentes. Se requiere capacitación para que los equipos sean competentes en el uso de esta herramienta. Descriptores: Atención Primaria de Salud, Personas sin Hogar, Registros Electrónicos de Salud, Sistemas de Información en Salud.
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