Nursing Practice at a Psychiatric Emergency Service: Evaluation Using Fourth Generation Assessment

Abstract

Qualitative study that used the framework of Fourth Generation Assessment and aimed to apprehend the perception of professionals, users and family members, about the nurse's practice at a psychiatric emergency service. Data were collected from February to June 2014, involving with 15 professionals, nine users and six family members. In the data collection, non-participant observation, participant observation and individual interviews were held, using hermeneutic-dialectic circle, with analysis by the constant comparative method. The results were grouped into two main themes: The nurse as a facilitator of multidisciplinary and humanized care and; activity accumulation: limitation for nurses to work at the psychiatric emergency service. It was concluded that the use of Fourth Generation Assessment reveals the empowerment of stakeholders as protagonists of change and that the nurse's practice is essential for the humanization of care and the dynamics of multidisciplinary work.

Enfermeiros De Serviços De Urgência E Emergência Psiquiátrica: Análise De Perfil Profissional E Educacional

“…Apesar da importância do atendimento adequado às pessoas em situação de urgências e emergências psiquiátricas, estudos vêm demonstrando que equipes de enfermagem encontram dificuldades de comunicação, falta de conhecimento e experiência na área, além de, no caso do enfermeiro, acúmulo de atividades (6)(7) . Esses fatores, associados à estrutura física precária, falta de recursos humanos (8) e o estigma e preconceito frente a esses quadros (9) , constituem limitações para a assistência de enfermagem adequada aos pacientes.…”

Avaliação Da Estrutura Física E De Recursos Humanos De Um Serviço De Emergência Psiquiátrica

“…3 This voluntary search, deriving from a deficient primary health care, 12 makes the demand for emergency services grow even more, generating an overload, with consequent damage to qualified and problem-solving care. [13][14] In short, the care for children interferes significantly in the physical space, and it is known that providing a differentiated care by age group is an important aspect for the quality of care in psychiatric emergency units, and jointly attending to children and adults in this scenario is considered inappropriate. 15 The purpose of attending to children in psychiatric emergency services is to identify the initial clinical picture, the risks deriving from the presence of the mental disorder, the factors that lead to the exacerbation or worsening of the clinical condition, and the presence of family, social and extra-hospital health services for the continuity of treatment anchored in the family.…”

Evaluation of Care for Children and Adolescents Users of Psychoactive Substances: Potentiality and Fragilities

“…20 That said, this new way of producing health is closely linked with constructivist thinking that works with the premise of constant reconstruction of people and processes in the interaction of subjects with the world and subjects with each other. [20][21] This ability is developed in matrix, by the reflective elaboration of the experiences made within an interdisciplinary context, in which each professional…”