Trabalhadores da saúde mental: cuidados de si e formas de subjetivação

Abstract

O artigo problematiza o modo como auxiliares de enfermagem da rede pública de saúde mental se tornam trabalhadores da saúde mental, mediante cuidados de si. Os cuidados de si, abordados neste estudo, segundo as discussões foucaultianas, são os exercícios, as tecnologias, as práticas cotidianas que auxiliares de enfermagem têm para consigo mesmos (e que constituem um si), pelos quais se reconhecem como trabalhadores da saúde mental. Os cuidados de si dizem respeito ao falar de si, ao silêncio e às "dietéticas" de bem-viver, engendrados no cotidiano de trabalho e correlacionalmente produzidos pelas enunciações de humanização da saúde e reabilitação psicossocial. Utiliza-se a proposta genealógica de Foucault para analisar o material empírico selecionado: a Lei 9716, que dispõe sobre a Reforma Psiquiátrica no RS, a Carta Instituinte São Pedro Cidadão, a Revista de Saúde Mental Coletiva, um fôlder de um encontro da Saúde Mental e entrevistas com auxiliares de enfermagem do Hospital Psiquiátrico São Pedro.

O profissional de saúde mental na reforma psiquiátrica

“…Dentre o total de 690 artigos, foram encontrado -listado em ordem crescente da publicação -, 14 artigos que focalizaram diretamente a figura do trabalha-dor de saúde mental e sua prática profissional (Bernardes & Guareschi, 2004;Campos & Soares, 2003;Carvalho & Felli, 2006;Honorato & Pinheiro, 2008;Jorge, Randemark, Queiroz & Ruiz, 2006;Nardi & Ramminger, 2007;Pinho, Hernández & Kantorski, 2010a;Pinho, Hernández & Kantorski, 2010b;Rabelo & Torres, 2006;Rodrigues & Figueredo, 2003;Santos & Cardoso, 2010a;Santos & Cardoso, 2010b;Silva & Costa, 2010;Silveira & Santos Júnior, 2011) (Quadro 1). Tais pesquisas foram selecionadas pelo critério de apresentarem pelo menos uma das seguintes expressões em seus títulos: "profissional(is)", "trabalhadores", "equipe".…”

Self-care in nursing: an integrative review

“…All studies are original articles [7][8][9][10][11] , developed through field research in the city of Porto Alegre (RS), Brazil, that is, 4 (four) studies (80%) 7,8,10,11 , and 1 (one) study (20%) 9 in the city of Brasília (DF), Brazil in intensive care units (ICU), medical clinic, rehabilitation units, medical oncology, onco-hematology pediatric and psychiatric care unit.…”

“…The articles presented a range of 5 (five) years of publication [7][8][9][10][11] , reality in which it was considered that taking care of himself is stumbling in the Brazilian and international research, without concern about this taking care of himself among nursing professionals.…”

“…9 The literature brings directions that give notoriety to care of himself in several studies, claiming that it is necessary to be authentic and aware of their choices through the practice of caring for himself, such as physical exercises, daily practices -live well, quality of life and other knowledge that should be recognized in the importance of maintaining health and that can transform the way of life of nursing professionals. 8,11 They show also that the intimate contact with nature, that human being are part it, translates a relationship of care of himself through the distancing of tumultuous environments and reflection about life in the middle of peace -being with the family. 7.8 Another factor is the care of the himself and self-awareness are reflexive acts to the caregivers see their inside, to their subjectivity, because from this action the caregiver is able to know himself, accept with authenticity, realizing their potentials and limitations and grow and change of himself.…”

Taking care of you and care for others: an analysis of the activity of the work of technical and nursing assistants of a psychiatric institution for children and adolescents

“…Assistance involves various groups of professionals working in the mental health of adolescence and childhood, such as psychiatry, pediatrics, neurology, social work, psychology, occupational therapy, speech therapy, physical therapy and pedagogy [6,9].…”