Nursing care to people admitted in emergency for attempted suicide

Abstract

Objective: to analyze the nursing care to people admitted in emergency for attempted suicide in the perception of the nursing staff. Method: descriptive and exploratory study, of qualitative approach, developed from semi-structured interviews with eight nurses and eight nursing technicians of the emergency service of a University Hospital in south Brazil. Data analysis was performed through content analysis. Results: three categories emerged: nursing care to the person who attempted suicide; the adult emergency service as a scenario of mental health practices; and permanent education-related needs in mental health Final considerations: initiatives capable to potentialize good practices in mental health care are still incipient and lack encouragement in the health service. There is an urgent need to think about changes in the care culture of the emergency service, especially to ensure the scope of psychosocial care actions.

Embracement of the person with mental illness at an emergency hospital service: a qualitative research

“…As in other studies, it is evident collection of clinical information valorization from a biological perspective, by complaint interrogation, symptoms search and severity classification (9,(20)(21) . Nursing can still present a fragmented understanding of its work process, diverting from its focus, which is the implementation of the bond with the patient and the attendance of their health needs (3,10,22) .…”

“…However, the conduct they take is to refer these people to the psychiatrist, who they think are the most appropriate professionals to serve them. The same is evidenced in studies on embracement of people in mental distress in the PC, where they are referred to Psychological Care Centers (Centros de Atenção Psicossocial) (8)(9)(10) .…”

“…Hence, it can be seen that the problem is not based on the lack of knowledge of nurses to identify psychiatric signs and symptoms, since their formation is predominantly biomedical, but rather on their difficulty in understanding the concept of embracement, as well as their care actions developed in their everyday world (8)(9)(10)(11)24) . Embracement, in the PNH, is not limited to isolated and punctual actions, such as the risk classification that is performed in a small room located at REU embracement.…”

“…Embracement implies sharing knowledge, needs, possibilities, anguish and inventions. This is how we differentiate it from triage, since it is not constituted as a stage of the process, but as an action that must take place in all places and moments of the health service (2,9) .…”

“…Thus, EU is an option for the patient to have his complaint heard by a health professional, which, in his conception, can solve his process of seeking care. Furthermore, it is important that the health professional establish a warm and human relationship to promote health care at the individual and collective levels, reducing access difficulty, which can be perceived when these patients arrive at the hospital and come across a professional unprepared to meet their demands (8)(9)(10) .…”