Abstract:Este relato é um registro cartográfico do apoio institucional junto a uma Secretaria Estadual de Saúde na articulação da rede regional de Saúde Mental. O apoio institucional é uma estratégia da Política Nacional de Humanização nas redes de atenção à saúde e dispositivo de fomento de espaços de cogestão. O relato está pautado em três eixos: a produção de coletivos e os afetamentos dos encontros entre gestores e trabalhadores; a ação articuladora do apoio institucional, as ofertas na análise e a implicação coleg… Show more
“…Without the theoretical support provided by strategies of permanent education in the services, based on criticism and reflection in the teaching/learning process, the tendency of the institutions that work in the context of mental health would be the use of the asylum apparatus during the care provided (26) . Thus, it is necessary to turn our attention to the way in which mental health actions are operationalized, contributing to the service redefining its practices and making its intervention power more flexible in psychiatric emergencies (27) . In particular, the training of the Permanent Education Nucleus (NEP) of SAMU-Mossoró may be open to this need and not focus the activities developed in the transmission of knowledge and techniques in a traditionalist perspective of the educational process.…”
Objective: To understand how the nursing staff perceives the care provided to people in situations of psychiatric urgencies and emergencies in the Mobile Emergency Care Service (SAMU – Serviço de Atendimento Móvel de Urgência). Method: Descriptive and qualitative study conducted in the Northeast region of Brazil with 34 of the SAMU nursing workers. Data were obtained by semi-structured interviews and processed by the Thematic Analysis. Results: The analysis of interviews allowed the identification of three categories: mechanical practice, need for qualification and (de)humanization of care. The results showed that the care offered to users in psychiatric urgency or emergency situations is based on mechanistic and specific actions. Final considerations: Nursing workers perceive that the care for people in situations of psychiatric urgency and emergency in SAMU is mainly based on physical and chemical containment measures, performing a little resolute and dehumanized care and raising the need for professional qualification.
“…Without the theoretical support provided by strategies of permanent education in the services, based on criticism and reflection in the teaching/learning process, the tendency of the institutions that work in the context of mental health would be the use of the asylum apparatus during the care provided (26) . Thus, it is necessary to turn our attention to the way in which mental health actions are operationalized, contributing to the service redefining its practices and making its intervention power more flexible in psychiatric emergencies (27) . In particular, the training of the Permanent Education Nucleus (NEP) of SAMU-Mossoró may be open to this need and not focus the activities developed in the transmission of knowledge and techniques in a traditionalist perspective of the educational process.…”
Objective: To understand how the nursing staff perceives the care provided to people in situations of psychiatric urgencies and emergencies in the Mobile Emergency Care Service (SAMU – Serviço de Atendimento Móvel de Urgência). Method: Descriptive and qualitative study conducted in the Northeast region of Brazil with 34 of the SAMU nursing workers. Data were obtained by semi-structured interviews and processed by the Thematic Analysis. Results: The analysis of interviews allowed the identification of three categories: mechanical practice, need for qualification and (de)humanization of care. The results showed that the care offered to users in psychiatric urgency or emergency situations is based on mechanistic and specific actions. Final considerations: Nursing workers perceive that the care for people in situations of psychiatric urgency and emergency in SAMU is mainly based on physical and chemical containment measures, performing a little resolute and dehumanized care and raising the need for professional qualification.
“…In this study, some superficiality or tangency is observed, which can also be understood as a lack of knowledge about mental health care priorities in the current care policy, restricting their focus to the existence of the CAPS as something ordinary and uncritical. Another study observed the use of disparate strategies of decentralization and regionalization, with a focus on municipalities (isolated local systems), without a regional and systemic approach, and a delayed emphasis on regionalization in the national health policy (18) .…”
Section: Discussionmentioning
confidence: 99%
“…In this sense, the RPS was built without hierarchy, using an endless wheel method (17) , to handle the new approaches of process management with technical support, building and strengthening dialogue, personal and affective and institutional bonds, appreciation of articulators and workers, among others 18 , causing this distance based on what affected the managers, workers and the work process in psychosocial care.…”
Objective: Identify the knowledge of mental health service managers about the national mental health policy. Method: This is a qualitative study conducted with 20 coordinators, who were submitted to a structured interview. Data were categorized in a thematic analysis using ALCESTE software. Results: The results produced the following categories: Back to society: protagonism and autonomy of patients; Interprofessional team: assignments and activities; Structuring of a psychosocial care network; Challenges affecting the service; Distance between policy and practice. Final Considerations: Public managers demonstrated they are aware of the key concepts for effective structuring of a psychosocial care network based on patient protagonism and autonomy, the assignments and activities performed by interprofessional teams, and the challenges found while structuring a psychosocial care network.
“…As ações de mediação em saúde, pensadas nesse sentido, aproximam-se do apoio institucional, tendo em vista o aparecimento desta função e as contribuições com a expansão do sistema de saúde e com a tessitura de redes que promovam autonomia na gestão dos processos de trabalho e dos serviços (Almeida;Aciole, 2014). Esta função concretiza-se, nas RAS, a partir da figura do articulador, descrita pelos autores citados como sendo alguém externo às equipes que tem a função de atuar em prol de alguma política ou de uma atividade específica.…”
ResumoA atual organização das Redes de Atenção em Saúde (RAS) exige olhares que busquem analisá-las a partir dos profissionais e usuários que dão movimento a estes dispositivos. A mediação em saúde, enquanto uma ação do profissional em função das demandas de saúde do usuário e que intervém sobre seu fluxo de utilização dos serviços, é uma possibilidade de fazer esta análise. Tem-se como objetivo deste estudo analisar a organização local de uma RAS a partir da ação de mediação empreendida pelos profissionais que atuam nos serviços de saúde e que atendem populações rurais. Trata-se de um estudo qualitativo que se utilizou de entrevista semiestruturada, diário de campo e observação participante. Apreendeu-se que as ações de mediação em saúde, em seu exercí-cio, envolvem diferentes setores e atores que incidem sobre o campo da saúde, gerando desacomodações em diferentes espaços, circunscrevendo-se além daquilo que é protocolizado e formalmente instituído para os serviços de saúde. O campo de atuação do mediador, no entanto, depende do reconhecimento das ações de mediação como uma atuação legítima, do contrário, existe a possibilidade de a ação de mediação gerar processos de desautorização e cerceamento dos profissionais. Apreendeu-se igualmente que, ao estudar a mediação em saúde em uma RAS, dá-se visibilidade a uma potência, que existe nas tramas destes arranjos, e isto merece atenção e mais debate, uma vez que impacta a lógica institucional e interfere sobre a organização da RAS localmente. Palavras-chave: Redes de Atenção; Atenção à Saúde; Mediação em Saúde; População Rural.
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