Nursing experiences in specialized services in child and adolescent mental health: a systematic review of qualitative studies.

OBJECTIVE: to synthesize evidence from qualitative studies on nursing experiences regarding child and adolescent mental health care in specialized services. METHOD: a systematic review with meta-synthesis of qualitative studies according to JBI guidelines. CINAHL, EMBASE, MEDLINE, LILACS, PSYCinfo, Scopus and Web of Science databases were used. The findings were classified according to the level of reliability and credibility and categorized by similarity between contents. RESULTS: 229 articles were identified, and five were included in the final sample and organized into the categories: Emotional impact; and Understanding nursing role. The level of evidence found was moderate. FINAL CONSIDERATIONS: nursing experiences are permeated by emotional exhaustion, feelings of frustration and difficulty in understanding their professional role. The need for training spaces that qualify this care is highlighted.

Percepções da equipe de enfermagem sobre cuidados de crianças e adolescentes internados com transtornos mentais / Percepciones del equipo de enfermería sobre la atención a niños y adolescentes hospitalizados con trastornos mentales / Nursing team's perceptions on care for children and adolescents hospitalized with mental disorders

Resumo Objetivo conhecer as percepções da equipe de enfermagem ante o cuidado de crianças e adolescentes com transtornos mentais internados. Método estudo qualitativo fenomenológico social cuja coleta de dados foi realizada com 12 membros das equipes de enfermagem por meio de entrevista fenomenológica. Resultados "Motivos porque" descritos em duas categorias: a percepção da equipe de enfermagem em face dos cuidados prestados e ações e cuidados da equipe de enfermagem da criança com transtornos mentais. "Motivos para" expressos na categoria: a recuperação da criança com transtorno mental e o seu retorno para casa. Conclusões e Implicações para a prática a possibilidade do estabelecimento da relação face a face entre equipe, família e criança como forma de apreender a situação biográfica e o acervo de conhecimento dos sujeitos envolvidos e, então, entender as suas reais necessidades e demandas promovem um cuidado integral. Através da fenomenologia social de Alfred Schutz, traz-se como implicação para a prática a possibilidade de compreender a percepção da equipe de enfermagem sobre a relevância da relação face a face no cuidado de crianças e adolescentes com transtornos mentais.

Resumen Objetivo conocer las percepciones del equipo de enfermería sobre los cuidados prestados a los niños y adolescentes hospitalizados con trastornos mentales. Método estudio cualitativo fenomenológico social cuya recogida de datos se realizó con 12 miembros de los equipos de enfermería mediante entrevista fenomenológica. Resultados "Motivos-por qué" se describen en dos categorías: la percepción del equipo de enfermería ante los cuidados prestados y las acciones y cuidados del equipo de enfermería del niño con trastornos mentales. "Motivos-para" expresadas en la categoría: la recuperación del niño con trastorno mental y su regreso a casa. Conclusiones e Implicaciones para la práctica La posibilidad de establecer una relación cara a cara entre el equipo, la familia y el niño como una forma de aprehender la situación biográfica y el cuerpo de conocimiento de los sujetos involucrados y luego comprender sus necesidades y demandas reales, promueve la atención integral. A través de la fenomenología social de Alfred Schutz, aporta como implicaciones para la práctica la posibilidad de entender la percepción del equipo de enfermería sobre la relevancia de la relación cara a cara en el cuidado de niños y adolescentes con trastornos mentales.

Abstract Objective to know the perceptions of the nursing team about the care of hospitalized children and adolescents with mental disorders. Method social phenomenological qualitative study whose data collection was carried out with 12 members of the nursing teams by means of phenomenological interviews. Results "Reasons why" described in two categories: the perception of the nursing team in view of the care provided and actions and care of the nursing team of the child with mental disorders. "Reasons for" expressed in the category: the recovery of the child with mental disorder and his return home. Conclusions and Implications for practice The possibility of establishing a face-to-face relationship between the team, the family, and the child to apprehend the biographical situation and the body of knowledge of the subjects involved, and then understand their real needs and demands promotes comprehensive care. Through Alfred Schutz's social phenomenology, it brings as implications for practice the possibility of understanding the perception of the nursing staff about the relevance of the face-to-face relationship in caring for children and adolescents with mental disorders.

Percepção de gestores municipais diante da implementação da política de saúde mental / Percepción de los gestores municipales ante la implementación de la política de salud mental / Perception of municipal managers in the face of the implementation of the mental health policy

RESUMO Objetivo: apreender a percepção dos gestores de saúde sobre a implementação da Política de Saúde Mental nos municípios pertencentes a 5ª Regional de Saúde do Estado do Paraná. Métodos: estudo de abordagem qualitativa e caráter exploratório, realizado nos meses de fevereiro e março de 2015. Foram entrevistados 20 gestores de saúde da 5° Regional de Saúde, por meio de entrevistas semiestruturadas. A análise dos dados foi desenvolvida segundo o método de análise de conteúdo de Bardin, modalidade temática. Resultados: emergiram duas categorias: "A percepção dos gestores sobre aSM nos municípios" e "Dificuldades para a implementação da PNSM". Os gestores de saúde destacam a necessidade da melhor implementação da Política de Saúde Mental em seus municípios e a adequação da Rede de Atenção Psicossocial. As dificuldades enfrentadas são a falta de recursos financeiros, capacitação profissional e preconceitos. Considerações finais: é perceptível a falta de visibilidade entre os gestores em saúdesobre o papel dos serviços que compõem a Rede de Atenção àSaúde Mental, especialmente a atenção primária, pois é a principal responsável pelas ações de acolhimento e de promoção e prevenção aos transtornos mentais.

RESUMEN Objetivo: comprender la percepción de los gestores de salud sobre la implementación de la Política de Salud Mental en los municipios pertenecientes a la 5ª Regional de Salud del Estado de Paraná-Brasil. Método: estudio de enfoque cualitativo y carácter exploratorio, realizado en los meses de febrero y marzo de 2015. Se entrevistaron a 20 gestores de salud de la 5ª Regional de Salud, mediante entrevistas semiestructuradas. El análisis de datos se desarrolló según el método de análisis de contenido de Bardin, modalidad temática. Resultados: surgieron dos categorías: "La percepción de los gestores sobre la SM en los municipios" y "Dificultades para la implementación de la PNSM". Los gestores de salud señalan la necesidad de una mejor aplicación de la Política de Salud Mental en sus municipios y la adecuación de la Red de Atención Psicosocial. Las dificultades a las que se enfrentan son la falta de recursos financieros, la formación profesional y los prejuicios. Consideraciones finales: es perceptible la falta de visibilidad entre los gestores de salud sobre el rol de los servicios que componen la Red de Atención a la Salud Mental, especialmente la atención primaria, por ser la principal responsable de las acciones de acogida y de promoción y prevención de los trastornos mentales.

ABSTRACT Objective: to understand the perception of health managers about the implementation of the Mental Health Policy in municipalities belonging to the 5th Health Regional Unit of the State of Paraná. Methods: study with a qualitative approach and an exploratory nature, conducted in the months of February and March 2015. Twenty health managers from the 5th Health Regional Unit were interviewed, through semi-structured interviews. Data analysis was developed according to Bardin's content analysis method, thematic modality. Results: two categories emerged: "The perception of managers about MH in the municipalities" and "Difficulties in implementing PNSM". Health managers highlight the need for better implementation of the Mental Health Policy in their municipalities and the adequacy of the Psychosocial Care Network. The difficulties faced are the lack of financial resources, professional training and prejudice. Final considerations: the lack of visibility among health managers about the role of the services that make up the Mental Health Care Network is noticeable, especially primary care, as it is primarily responsible for the actions of welcoming and promotion/prevention of mental disorders.

Os cuidados do técnico em enfermagem com pacientes com transtornos mentais / Nursing technician care with patients with mental disorders

Este trabalho é um relato de uma vivência pessoal com o objetivo de refletir sobre os cuidados da equipe de enfermagem, em específico, o técnico de enfermagem. Os cuidados do técnico de enfermagem com pacientes psiquiátricos são muito importantes, a realização de práticas equivocadas pode acabar não só afetando a condição física do paciente, mas também afetando seu estado mental e emocional. A ética e cuidado ao lidar com esse tipo de paciente é muito importante bem como a capacidade de se colocar no lugar do próximo. Para explicar, relato minhas vivências durante o período que estive internado em uma clínica psiquiátrica no Rio Grande do Sul e mostro do ponto de vista do paciente a visão sobre a equipe de enfermagem, bem como relato a realização de práticas erradas por parte da equipe da clínica. (AU)

Oficina musical participativa para o Bem-Estar Subjetivo e Psicológico de usuários em internação psiquiátrica / Taller musical participativo para el Bienestar Subjetivo y Psicológico de usuarios en hospitalización psiquiátrica / Participatory music workshop for the Subjective and Psychological Well-being of users in psychiatric hospitalization

Resumo Objetivo identificar as contribuições de uma intervenção musical participativa sobre o Bem-Estar Psicológico e Subjetivo na assistência da enfermagem de usuários com transtorno mental grave e persistente durante a internação. Método pesquisa quase-experimental, do tipo antes e depois, realizada em uma instituição hospitalar do estado de São Paulo. Dez usuários em internação psiquiátrica participaram das quatro oficinas musicais. O repertório atendeu às suas preferências e foram distribuídos instrumentos musicais para promover a participação. Aplicou-se a escala de Bem-Estar Psicológico e dos Afetos Positivos e Negativos ao início e ao término de cada oficina. Os dados foram analisados considerando Intervalo de Confiança de 95%. Resultados não foram identificadas diferenças estatísticas entre os valores encontrados antes e depois das oficinas musicais para as variáveis do Bem-Estar e Afetos Positivos e Negativos. Os desfechos do Bem-Estar Subjetivo foram mais lineares quando comparados ao Bem-Estar Psicológico, observando-se aumento nos afetos positivos e diminuição dos afetos negativos. Conclusão e implicações para a prática a oficina musical participativa favorece o bem-estar subjetivo de usuários com transtornos mentais graves e persistentes. Essa intervenção correspondeu a uma tecnologia leve potencial para a enfermagem atuar de modo autônomo e qualificado no cuidado psicoemocional do usuário na internação psiquiátrica.

Resumen Objetivo identificar los aportes de una intervención musical participativa sobre el Bienestar Psicológico y Afectos Positivos y Negativos en el cuidado de enfermería de usuarios con trastorno mental severo y persistente durante la hospitalización. Método investigación cuasi experimental, del tipo antes y después, realizada en un hospital del estado de São Paulo. Diez usuarios en hospitalización psiquiátrica participaron en los cuatro talleres de música. El repertorio cumplió con sus preferencias y se distribuyeron instrumentos musicales para promover la participación. La escala de Bienestar Psicológico y Afectos Positivos y Negativos se aplicó al inicio y al final de cada taller. Los datos se analizaron considerando un intervalo de confianza del 95%. Resultados no se identificaron diferencias estadísticas entre los valores encontrados antes y después de los talleres musicales para las variables de bienestar y afectos positivos y negativos. Los resultados del Bienestar Subjetivo se comportaron de forma más lineal en comparación con el Bienestar Psicológico, con un aumento de los afectos positivos y una disminución de los afectos negativos. Conclusión e implicaciones para la práctica el taller de música participativa favorece el bienestar subjetivo de los usuarios con trastornos mentales graves y persistentes. Esta intervención correspondió a una potencial tecnología de luz para que Enfermería actuara de manera autónoma y calificada en la atención psicoemocional del usuario durante la hospitalización psiquiátrica.

Abstract Objective to identify the contributions of a participatory musical intervention on Psychological and Subjective Well-Being in nursing care for users with severe and persistent mental disorder during hospitalization. Method this is a quasi-experimental before-and-after research, carried out in a hospital in the state of São Paulo. Ten users in psychiatric hospitalization participated in the four music workshops. The repertoire catered to their preferences and musical instruments were distributed to promote participation. Psychological Well-Being and the Positive and Negative Affect Schedule were applied at the beginning and at the end of each workshop. Data were analyzed considering a confidence interval of 95%. Results no statistical differences were identified between the values found before and after the music workshops for the variables Well-Being and Positive and Negative Affects. The outcomes of Subjective Well-Being behaved more linear when compared to Psychological Well-Being, with an increase in positive affects and a decrease in negative affects. Conclusion and implications for practice participatory music workshops favor the subjective well-being of users with severe and persistent mental disorders. This intervention corresponded to a potential light technology for nursing to act autonomously and qualified in the psycho-emotional care of users in psychiatric hospitalization.

Prazer-sofrimento de enfermeiros no cuidado à pessoa com transtorno mental e à família / Placer-sufrimiento de enfermeros en la atención de personas con trastornos mentales y familiares / Pleasure-suffering of nurses in caring for people with mental disorders and their families

RESUMO Objetivos: mensurar e comparar os indicadores de prazer-sofrimento em enfermeiros brasileiros e portugueses de cuidados primários à pessoa/família no contexto do transtorno mental. Método: estudo quantitativo, descritivo-correlacional, multicêntrico, com 500 enfermeiros de Portugal e Brasil. Coleta realizada via Google forms de abril a agosto de 2018, com questionário sociodemográfico e escala de indicadores de prazer-sofrimento no trabalho. Resultados: nos dois países, o domínio gratificação-realização profissional foi avaliado como satisfatório; insegurança/falta de reconhecimento e desgaste/esgotamento como graves. Os enfermeiros portugueses avaliaram a liberdade de expressão como satisfatória, os brasileiros como crítica. Em ambos os países houve correlação da liberdade de expressão com tempo de atuação no serviço, carga horária de trabalho e gênero; insegurança com tempo de formação, atuação no serviço e carga horária de trabalho; desgaste-esgotamento com tempo de atuação no atual serviço e tempo de formação. Conclusão: os enfermeiros de ambos os países apresentaram níveis críticos de sofrimento no trabalho. Avaliam com gratificação e com possibilidade de realização profissional a condução de cuidado à pessoa e famílias no contexto do transtorno mental, mas sua liberdade de expressão está comprometida.

RESUMEN Objetivos: medir y comparar los indicadores placer-sufrimiento en enfermeros de atención primaria brasileños y portugueses para la persona / familia en el contexto de trastorno mental. Método: estudio cuantitativo, descriptivo-correlacional, multicéntrico con 500 enfermeros de Portugal y Brasil. Recogida realizada a través de Google forms de abril a agosto de 2018, con cuestionario sociodemográfico y escala de indicadores placer-sufrimiento en el trabajo. Resultados: en ambos países, el dominio gratificación-realización profesional fue evaluado como satisfactorio; inseguridad / falta de reconocimiento y desgaste / agotamiento como graves. Los enfermeros portugueses evaluaron la libertad de expresión como satisfactoria, los enfermeros brasileños como crítica. En ambos países existía una correlación entre la libertad de expresión y el tiempo de servicio, la jornada laboral y el género; inseguridad con el tiempo de formación, el desempeño laboral y la carga de trabajo; desgaste-agotamiento con tiempo de trabajo en el servicio actual y tiempo de formación. Conclusión: enfermeros de ambos países tenían niveles críticos de sufrimiento en el trabajo. Evalúan, con gratificación y con posibilidad de realización profesional, la atención brindada a la persona y sus familias en el contexto de la enfermedad mental, pero su libertad de expresión se ve comprometida.

ABSTRACT Objectives: to measure and compare the pleasure-suffering indicators in Brazilian and Portuguese primary care nurses for the person/family in a mental disorder context. Method: this is a quantitative, descriptive-correlational, multicenter study with 500 nurses from Portugal and Brazil. Data collection was carried out via Google forms from April to August 2018, with a sociodemographic questionnaire and a scale of pleasure-suffering indicators at work. Results: In both countries, the reward-professional fulfillment domain was evaluated as satisfactory; insecurity/lack of recognition and wear/depletion as serious. Portuguese nurses assessed freedom of expression as satisfactory, Brazilian nurses as critical. In both countries there was a correlation between freedom of expression and length of service, working hours and gender; insecurity with training time, work performance, and workload; wear-depletion with working time in the current service and training time. Conclusion: nurses from both countries had critical levels of suffering at work. They assess, with reward and with the possibility of professional fulfillment, the care provided to the person and families in a mental disorder context, but their freedom of expression is compromised.

The Mental Health Recovery Model and Its Importance for Colombian Nursing. / El modelo de recuperación de la salud mental y su importancia para la enfermería colombiana.

The article aims to describe the Mental Health Recovery Model, the Tidal Model in Mental Health Recovery and their relevance to implementation within the practice of Colombian nursing. Some concepts about mental health recovery and the theoretical model proposed by Phil Barker are presented in the text, analysing these with the challenges of the nursing professional to improve mental health care, taking into account the current context of care practice. The principles proposed with the Recovery model help to focus care on the person and not on the symptomatology of the illness, understanding that the person has different dimensions which make it possible for him/her to explore his/her own path to recovery. We can conclude that, through the theory, we can develop interventions and nursing activities that contribute to improving the quality of life of people who have been diagnosed with a mental illness, modifying the traditional healthcare models.

Nurses' attitudes facing the family involvment in caring for people with mental disorder.

OBJECTIVE: To characterize the attitudes of Primary Health Care nurses, regarding the involvement of the family in the care for people with Mental Disorder. METHODS: Correlational study with 257 nurses from the city of São Paulo. The scale "Importance of Families in Nursing Care- Nurses' Attitudes" was used. For the analysis, descriptive and inferential statistics were used. RESULTS: The scale scores were high, with a mean value of 82.1 (SD=8.4) favorable to the families' involvement, and are related to being a nurse in the Family Health Strategy (p<0.001), having received education/training in family nursing (p<0.005), the workload of 40 hours/week (p<0.005), working in the West, East and Center Regions (p<0.005). CONCLUSION: Most nurses have positive attitudes towards the involvement of families, a relevant indicator for their inclusion in the health-mental care process.

Importance of families in nursing care for people with mental disorders: attitudes of Portuguese and Brazilian nurses.

OBJECTIVE: To characterize and compare the attitudes of nurses working in primary healthcare on the importance of involving the families of people with mental disorders in nursing care. METHOD: A cross-sectional study carried out in the cities of Porto (Portugal) and São Paulo (Brazil). Data was collected in 2018 using the "The Importance of Families in Nursing Care - Nurses' Attitudes" scale. RESULTS: There were 250 Portuguese and 250 Brazilian nurses who participated. The total average score on the scale was 86.0 in Portugal and 82.1 in Brazil (with a maximum possible of 104). The variables which influence a more favorable attitude towards the involvement of families in nursing care in the Portuguese context are academic qualifications and age, while in Brazil they are training on Family Nursing and the weekly workload. CONCLUSION: Participants in both countries have a positive attitude towards families, which constitutes a first step towards their integration in nursing care and also enables advances in mental health politics.

O cuidado ao idoso com transtorno mental em uma instituição de longa permanência no Sudoeste de Minas Gerais: relatos de cuidadores e equipe de enfermagem / The care of the elderly with mental disorder in a long permanent institution in Southeast Minas Gerais: reports of caregivers and nursing staff

Objetivo: identificar o cuidado ao idoso institucionalizado com transtorno mental, as principais dificuldades e percepções da equipe diante do cuidado e de seu impacto na relação profissional-paciente. Métodos: estudo transversal e descritivo, de abordagem qualitativa. A amostra foi constituída de oito profissionais, entre membros da equipe de enfermagem e cuidadores de idosos, em uma instituição de longa permanência para idosos de um município do sudoeste mineiro. A coleta de dados foi realizada na própria instituição, por meio de gravação das verbalizações (depoimentos) dos participantes, mediante roteiro padronizado de entrevista individual, contendo variáveis sociodemográficas e profissionais para a caracterização da amostra, bem como três questões disparadoras concernentes ao objetivo do estudo. Para a interpretação dos dados, utilizou-se a técnica da análise temática de conteúdo. Resultados: entre os entrevistados, houve predomínio de profissionais do sexo feminino, com nível médio de escolaridade e curto tempo de formação e de atuação em instituições de longa permanência para idosos. Ao investigar o cuidado ao idoso com transtorno mental, evidenciaram-se duas categorias temáticas: lidando com as reações de agressividade do idoso e seu impacto no cuidado; despreparo/ insegurança do profissional e a falta de recursos. Conclusão: os achados reiteram a necessidade de capacitação de recursos humanos na área de Gerontologia, com ênfase em Saúde Mental, assim como a atuação de uma equipe multidisciplinar junto aos idosos institucionalizados.

Objective: to identify the care for institutionalized elderly person with mental disorders, the main difficulties and perceptions of the team regarding the care and its impact on the professional-patient relationship. Methods: cross-sectional and descriptive study with a qualitative approach. The sample consisted of eight professionals, including members of the nursing team and elderly caregivers, in a long-term care institution for the elderly in a southwestern Minas Gerais municipality. Data collection was carried out in the institution itself, by recording participants' verbalizations (statements), through a standardized individual interview script, containing socio-demographic and professional variables to characterize the sample, as well as three triggering questions concerning the purpose of the study. For data interpretation, the technique of thematic content analysis was used. Results: among the interviewees, there was a predominance of female professionals, with a medium level of education and short time of training and working in long-term care institutions for the elderly. When investigating the care to the elderly with mental disorders, two thematic categories were highlighted: dealing with the aggressive reactions of the elderly and their impact in the care; unpreparedness / insecurity of the professional and the lack of resources. Conclusion: the findings reiterate the need for training human resources in the area of Gerontology, with emphasis on Mental Health, as well as the performance of a multidisciplinary team with institutionalized elderly.

Factors Associated with Marital Satisfaction and Quality of Life in Family Caregivers of Patients with Mental Disorders.

(1) Background: The aim of this research was to analyze factors associated with quality of life (QoL) and marital satisfaction in married family caregivers of patients with mental disorders. (2) Methods: A cross-sectional study was conducted in all community mental health services in Goiania municipality, Brazil, in 2016-2017. Married family caregivers of patients with severe and persistent mental disorders were recruited and their QoL and marital satisfaction was assessed by using the World Health Organization Quality of Life Instrument Abbreviated version (WHOQOL-BREF) and Marital Satisfaction Scale. Multiple linear regressions were performed to identify factors associated with QoL and marital satisfaction. (3) Results: For 163 family caregivers, the psychological and environmental QoL domains presented the best and the worst scores, respectively. Factors independently associated with better QoL for caregivers were male caregiver, the younger age of a caregiver, >8 years of schooling, ≥5 years as a caregiver who performed physical activities, caregiver without chronic disease, and no patient's crisis in the last 30 days. Factors independently associated with marital satisfaction of the caregiver were male caregiver, caregiver with >8 years of schooling, caregiver who received support by relatives to care for the patient, caregiver who performed physical activities, no patient's crisis in the last 30 days, and patient hospitalization in the last six months; (4) Conclusions: The main predictor for marital satisfaction was support by relatives, and for QoL it was no patient's crisis in the last 30 days.

Care for people with psychiatric comorbidity in a general emergency unit: vision of the nurses. / O cuidado à pessoa com comorbidade psiquiátrica em emergência geral: visão dos enfermeiros.

OBJECTIVE: To analyze the difficulties encountered by nurses when providing care to people with psychiatric comorbidity in the general emergency unit and their suggestions for improving the care of these patients. METHOD: This is a qualitative, descriptive, and exploratory study conducted with twelve nurses at a general hospital in southern Brazil, in 2016. Information was collected during an interview and the results were evaluated using content analysis. RESULTS: Data interpretation led to two categories: Difficulties of nurses when providing care to people with psychiatric comorbidity and Nurses' suggestions to improve care for people with psychiatric comorbidity. The first category is related to the physical structure and material resources of the service, overcrowding, and lack of preparation of the team and professionals who provide psychiatric consultations. In the second category, the workers suggested a care flow chart, psychiatric consultations, and team training. CONCLUSIONS: We must transcend the fragmentation of care from the education years of health professionals, emphasize the need for training, and make greater investments in health education.

Prevalence and factors associated with suicidal ideation among family caregivers of people with mental disorders.

AIMS AND OBJECTIVES: This study aimed to analyse the prevalence and factors associated with suicidal ideation among family caregivers of people with mental disorders. BACKGROUND: Studies conducted with family caregivers of people with dementia and cancer point out a high prevalence of suicidal ideation among these subjects; however, this aspect has not yet been investigated among family caregivers of people with mental disorders. DESIGN: This is a cross-sectional study, conducted with 537 family caregivers of patients from 16 Psychosocial Care Centers (CAPS) of the 21st Health Region of the state of Rio Grande do Sul, Brazil. METHODS: Question 17 of the Self-Reporting Questionnaire (SRQ-20) was used for suicidal ideation screening. The prevalence of suicidal ideation was calculated according to sociodemographic and care variables, with confidence interval estimate (95% CI). Crude and adjusted odds ratios were calculated by logistic regression. The Guidelines to Reporting of Observational Studies in Epidemiology (STROBE Statement) was adhered in this study (See File S1). RESULTS: The prevalence of suicidal ideation found in this study for the 30 days preceding the interview was 12.5% (95% CI: 10-15). The factors associated with the outcome were lower age, lower schooling, feeling of burden, self-report of stress problem and dissatisfaction with family relationships. CONCLUSION: The prevalence of suicidal ideation among the studied family caregivers was high and strongly associated with issues regarding care, showing the need for interventions that provide support. RELEVANCE FOR CLINICAL PRACTICE: Nurses are a large part of the workforce of the community mental health services. The careful characterisation of the subjects who show suicidal ideation, as performed in this study, may reveal specificities capable of refining the diagnostic potential for establishment of action plans in a timely manner, avoiding possible attempts or even the consummation of suicide.

Knowledge and perceptions of Indian primary care nurses towards mental illness.

OBJECTIVES: To assess nurses' knowledge and perceptions towards mental illness. METHODS: This was a cross-sectional descriptive study conducted among 126 randomly selected nurses those are working under District Mental Health program in Karnataka (India). The data was collected through self-reported questionnaires Using the modified version of Public perception of mental illness questionnaire and Attitude Scale for Mental Illness. RESULTS: The findings revealed that majority of the subjects were women (74.4%), Hindus (92.1%) and were from rural background (69.8%). The mean Knowledge score 10.8±1.6 adequate knowledge (maximum possible =12) among 91% of the subjects, and 52% of them hold negative attitudes towards people with mental illness (88.9±13.6). While majority of the subjects hold negative attitudes in 'Separatism' (53.5%), 'Stereotyping' (73%), 'Benevolence' (54%), 'Pessimistic prediction' (53%) domains, they hold positive attitudes in 'Restrictiveness' (88%) and 'Stigmatization' (72%) domains. Women than men endorsed positive attitudes towards persons with mental illness in Stereotyping' (p<0.001), 'Restrictiveness' (p<0.01), 'Benevolence' (p<0.001) and 'Pessimistic prediction' (t= 2.22, p<0.05) domains. Similarly, Auxiliary Nursing Midwifery found to be less restrictive (p<0.05), more benevolent (p<0.001) and less pessimistic (p<0.05) compared to nurses with higher education (General Nursing and Midwifery and Bachelor of Science in Nursing). CONCLUSIONS: The present study showed adequate knowledge on mental illness among nurses. Yet they hold stigmatizing and negative attitudes towards mental illness. Hence, it is an urgent priority to develop and implement educational programs to inculcate positive attitudes towards people with mental illness to provide optimal care to this vulnerable population.

Nursing actions for liberty deprived people: a scoping review / Acciones de enfermería para las personas privadas de libertad: una scoping review / Ações de enfermagem para as pessoas privadas de liberdade: uma scoping review

Abstract Objective: To identify and map the care practices carried out by the nursing team for the Liberty Deprived People. Method: Scoping review according to the JBI Institute Reviewer's Manual. In the initial search we used MESH: Nursing, Delivery of Health Care and Prisoners, to delimit the final search strategy, made up by a combination of twelve keywords, performed in scientific and gray databases, with no temporal limit. Information about publication year, country of origin, objective, aspects of the method, results and conclusions related to the scoping review, were extracted. Results: 59.310 texts were found, after reading the title and abstract, 55 were read in full and 15 articles composed the final selection. Among nursing actions there is preponderance of clinical practices, screening and qualified listening, which contribute to improving the health conditions of liberty deprived people and their families. Conclusions and implications for practice: The nursing actions carried out in prisons contribute to health for liberty deprived people. This paper elucidates the role of nursing in the penitentiaries, informing on the actions that this professional class performs, in order to highlight the gaps that are still perceived and contributing to the training of nurses for acting in the prison system health teams.

Resumen Objetivo: Identificar y mapear las prácticas asistenciales ejercidas por un equipo de enfermería para las Personas Privadas de Libertad. Método: Scoping review según el JBI Institute Reviewer's Manual. En la búsqueda inicial se utilizaron los MESH: Nursing, Delivery of Health Care y Prisoners, para delimitar la estrategia final de búsqueda, compuesta por una combinación de doce palabras claves, realizada en bases de datos científicas y grises, sin límite temporal. Se extrajeron informaciones sobre el año de publicación, el país de origen, el objetivo, los aspectos del método, los resultados y las conclusiones relacionados con la scoping review. Resultados: Se encontraron 59.310 textos, después de la lectura de títulos y resúmenes, de los cuales se leyeron 55 en su totalidad y 15 artículos compusieron la selección final. Entre las acciones de enfermería hay preponderancia de las prácticas clínicas, la selección y la escucha cualificada, que contribuyen a una mejora de las condiciones de la salud de las PPL y sus familias. Conclusiones e implicaciones para la práctica: Las acciones de enfermería realizadas en las cárceles han sido resolutivas y equiparadas a aquella suministrada extramuros. Este trabajo aclara el papel de la enfermería en las cárceles, informa sobre las acciones llevadas a cabo, y contribuye a la formación de enfermeros para su desempeño en el sistema penitenciario.

Resumo Objetivo: Identificar e mapear as práticas assistenciais exercidas pela equipe de enfermagem para as Pessoas Privadas de Liberdade. Método: Scoping review segundo o JBI Institute Reviewer's Manual. Na busca inicial foram utilizados os MESH: Nursing, Delivery of Health Care e Prisoners, para delimitar a estratégia final de busca, composta por uma combinação de doze palavas-chaves, realizada em bases de dados científicas e cinzentas, sem limite temporal. Foram extraídas informações sobre o ano, país de origem, objetivo da publicação, aspectos do método, resultados e conclusões relacionados a scoping review. Resultados: Foram encontrados 59.310 textos, após a leitura de título e resumo, 55 foram lidos na íntegra e 15 artigos compuseram a seleção final. Entre as ações de enfermagem há preponderância de práticas direcionadas para doenças infectocontagiosas e saúde mental, com ações clínicas, triagem e escuta qualificada, que melhoram as condições de saúde nos presídios. Conclusões e implicações para a prática: As ações de enfermagem nos presídios contribuem para o acesso à saúde entre privados de liberdade. Este trabalho elucida o papel da enfermagem nas penitenciárias, informa sobre as ações desempenhadas e contribui para a formação de enfermeiros para a atuação no sistema prisional.

O cuidado à pessoa com comorbidade psiquiátrica em emergência geral: visão dos enfermeiros / Cuidado a la persona con comorbidad psiquiátrica en emergencia general: visión de los enfermeros / Care for people with psychiatric comorbidity in a general emergency unit: vision of the nurses

Resumo OBJETIVO Analisar dificuldades encontradas pelos enfermeiros no cuidado à pessoa com comorbidade psiquiátrica em uma emergência geral e suas sugestões para melhoria do cuidado à estas neste serviço. MÉTODO Estudo qualitativo, descritivo e exploratório, realizado com doze enfermeiros em hospital geral do sul do Brasil em 2016. Para a coleta de informações utilizou-se entrevista e os resultados foram avaliados por Análise de Conteúdo. RESULTADOS Emergiram duas categorias: Dificuldades encontradas pelos enfermeiros no cuidado à pessoa com comorbidade psiquiátrica e Sugestões dos enfermeiros para qualificar o cuidado à pessoa com comorbidade psiquiátrica. A primeira relacionada à estrutura física e recursos materiais; superlotação; falta de preparo da equipe e de consultoria psiquiátrica e a segunda indicou fluxograma de atendimento; consultoria psiquiátrica e capacitação para a equipe. CONCLUSÕES Deve-se transcender a fragmentação do cuidado desde a formação dos profissionais de saúde, trazendo a necessidade de capacitações e de maior investimento na formação acadêmica.

Resumen OBJETIVO Analizar dificultades encontradas por los enfermeros en el cuidado a la persona con comorbilidad psiquiátrica en una emergencia general y sus sugerencias para mejorar el cuidado a éstas en este servicio. MÉTODO Estudio cualitativo, descriptivo y exploratorio, realizado con doce enfermeros en hospital general del sur de Brasil en 2016. Para la recolección de informaciones se utilizó entrevista y los resultados fueron evaluados por Análisis de Contenido. RESULTADOS Emergieron dos categorías: Dificultades encontradas por los enfermeros en el cuidado a la persona con comorbilidad psiquiátrica y Sugerencias de los enfermeros para calificar el cuidado a la persona con comorbilidad psiquiátrica. La primera relacionada con la estructura física y los recursos materiales; hacinamiento; falta de preparación del equipo y de consultoría psiquiátrica y la segunda indicó diagrama de atención; consultoría psiquiátrica y capacitación para el equipo. CONCLUSIONES Se debe trascender la fragmentación del cuidado desde la formación de los profesionales de salud, trayendo la necesidad de capacitaciones y de mayor inversión en la formación académica.

Abstract OBJECTIVE To analyze the difficulties encountered by nurses when providing care to people with psychiatric comorbidity in the general emergency unit and their suggestions for improving the care of these patients. METHOD This is a qualitative, descriptive, and exploratory study conducted with twelve nurses at a general hospital in southern Brazil, in 2016. Information was collected during an interview and the results were evaluated using content analysis. RESULTS Data interpretation led to two categories: Difficulties of nurses when providing care to people with psychiatric comorbidity and Nurses' suggestions to improve care for people with psychiatric comorbidity. The first category is related to the physical structure and material resources of the service, overcrowding, and lack of preparation of the team and professionals who provide psychiatric consultations. In the second category, the workers suggested a care flow chart, psychiatric consultations, and team training. CONCLUSIONS We must transcend the fragmentation of care from the education years of health professionals, emphasize the need for training, and make greater investments in health education.

Nursing diagnosis for Risk of Suicide in elderly: integrative review. / Diagnóstico de enfermagem Risco de Suicídio em idosos: revisão integrativa.

OBJECTIVE: To analyze the specialized literature regarding the risk factors in nursing diagnosis for suicide risks in elderly. METHOD: This is an integrative literature review carried out during June 2015 in the following databases with no time limit: MEDLINE, PsycINFO and CINAHL. RESULTS: A total of 80 full papers were analyzed. It was suggested the inclusion of 23 risk factors in NANDA-I taxonomy: apathy; unrest; low self esteem; carelessness with medication; Inability to ask for help; Inability to express feelings; suicidal plan; rigidity; functional disability; visual problems; sadness; hostility; anxiety; failure; frustration; unhappiness; dishonor; frequent visits to a physician with unclear symptoms; social deprivation; social devaluation; psychological violence; Interfamilial violence; and financial violence. CONCLUSION: The risks for suicide presented in NANDA-I taxonomy need to be refined and adapted to the elderly reality. Furthermore, a review is also recommended for the risk factors not included in this classification.