Nursing students and mental health education in primary care

Abstract

The University of Sao Paulo School of Nursing (EEUSP) went through a period of transition from undergraduate syllabus between the years 2009 and 2010. This change was made to integrate basic and clinical cycles and to reduce fragmentation of the disciplines. The mental health nursing education was included in many modules including the primary care. This qualitative study aimed to identify how the service offered to people with mental illness was performed by 20 undergraduate students in the context of primary care and how they were prepared. Data collection was conducted through semi-structured interviews, in August 2012, in EEUSP After thematic analysis, we separated in categories: Teaching-learning process, Basic Health Unit and Mental health-illness process. The socially constructed conception of madness added to the problems related to academic training may result in lack of preparation in nursing mental health care.

Nursing students and their perspective about mental health formation: an integrative review/ O estudante de enfermagem e sua percepção sobre a formação em saúde mental: revisão integrativa

“…(11,13,(15)(16) Estágios, atividades práticas ou visita de campo ajudam a visualizar melhor o trabalho e promovem uma formação mais completa. (10)(11)(12)(13)(14)(15)(16)(17)(18)(19) Possibilidade de desenvolvimento de competências e habilidades terapêuticas no campo prático. (10,(12)(13)(14)(15)(16)(17)(18)(19) Aspectos de fragilizam a formação em saúde mental A carga horária das disciplinas não é adequada.…”

Psychiatric nursing and mental health teaching in relation to Brazilian curriculum

“…Nursing students and mental health education in primary care (26) To identify how care for people with mental illness was performed by 20 undergraduate students in nursing in the context of basic care.…”

“…With regard to places of practice, training continues to take place predominantly in psychiatric hospitals and alone in outpatient clinics. There were already incipient questions from some professors about the possibility of providing mental health care without isolation of the individual from their family and from their own environment (13,20,26,28,33) . Regarding the contents, the discipline of psychiatric nursing prioritized the study of psychopathologies with a focus on normal and pathological, maintaining a stigmatizing practice (6,13,17,30,39) .…”

“…In this curriculum, the places of practice indicated are the most varied: psychiatric hospital (5,14,19,32) , territorial health service (5)(6) , Psychosocial care Center (5,8,(11)(12)19,25,32,39) , hospital (6,10,(18)(19)25,32) , primary care (8,19,23,(25)(26)32,34,36) , therapeutic residences (12,25) , help groups (18)(19) , schools (18)(19) , outpatient clinics (19,32,39) , Family Health Support Centers (25) , day hospital (32,39) and chemical dependency rehabilitation center (32) .…”

Atenção primária à saúde: estigma a indivíduos com transtornos mentais

“…26 In view of this situation, it is possible to criticize the problems related to the academic mental health training, which, together with the discriminatory and exclusivist social conception, lead to the nurses' lack of preparation for providing mental healthcare. 26 It has been observed that, even in the possibility of providing healthcare in primary healthcare units, in accordance with the Systematization of Qualified Nursing Care, and offering the necessary healthcare to meet the complaints of individuals with mental disorders, referral has commonly been the first action. It is important to emphasize that this action should only be considered in the impossibility of providing the necessary healthcare to the patients.…”