Percepción del uso del humor por parte de enfermeras y pacientes en los servicios de salud mental / Perception of the use of humour by nurses and patients at Mental Health Units

Objetivo: conocer, en función de la literatura disponible, el significado del sentido del humor entre enfermeras y pacientes en el contexto de servicios de salud mental, así como determinar los factores que facilitan o dificultan el uso del sentido del humor en las unidades de salud mental. Métodos: se llevó a cabo una revisión narrativa en el periodo 2022-2023. Las búsquedas se realizaron en Pubmed, PsycINFO, LILACS y CINAHL, usando los descriptores: “Nurse-patient relations”, “mental health”, “wit and humor as topic”, "psychiatric nursing”. Se incluyeron todo tipo de documentos que abordaran el tema según los objetivos, publicados desde 2012 hasta noviembre de 2022 en inglés, español o portugués. Se añadió un artículo traducido del coreano por su relevancia. Resultados: se incluyeron 10 manuscritos en la revisión. Los hallazgos sugieren que el sentido del humor se percibe como una herramienta esencial para fortalecer la relación entre enfermeras y pacientes en entornos psiquiátricos. No obstante, se destaca la existencia de factores que podrían conducir a un uso inapropiado del humor, llevando a la deshumanización de la atención y la posible ruptura del vínculo terapéutico. Conclusiones: es importante considerar cuidadosamente el empleo del humor en el contexto de la salud mental, para garantizar su efectividad sin comprometer la calidad asistencial. (AU)

Objective: based on the literature available, to understand the meaning of sense of humour between nurses and patients in the setting of Mental Health Units, as well as to determine the factors that facilitate its use, o make it difficult. Methods: a narrative review was conducted during the 2022-2023 period. Searches were conducted in Pubmed, PsycINFO, LILACS and CINAHL, using the descriptors: “Nurse-patient relations”, “mental health”, “wit and humor as topic”, “psychiatric nursing”. All type of documents addressing this matter according to the objectives were included, published from 2012 until November 2022 in English, Spanish or Portuguese. An article translated from Korean was added due to its relevance. Results: ten (10) manuscripts were included in the review. Findings suggested that sense of humour was perceived as an essential tool in order to strengthen the relations between nurses and patients in psychiatric settings. However, it was highlighted that there are factors which could induce an inadequate use of humour, leading to dehumanization in care and a potential breach in the therapeutic link. Conclusions: it is important to carefully consider the use of humour in the mental health setting, in order to guarantee its effectiveness without compromising the quality of care. (AU)

Viaje de ida y vuelta: Reflexiones sobre la enfermería psiquiátrica penitenciaria / Travel back and forth: Reflections on prison psychiatric nursing / Viajar e para trás: Reflexões sobre a prisão de enfermagem psiquiátrica

OBJETIVO: Describir las dificultades a la hora de poder aplicar la Relación Terapéutica en el cuidado de pacientes que padecen una enfermedad mental, ingresados en un Centro Psiquiátrico Penitenciario. MÉTODO: La narratividad como instrumento para redimensionar y reflexionar sobre la práctica asistencial enfermera, des de la perspectiva de la relación de ayuda en el cuidado de pacientes con enfermedad mental. RESULTADOS: La elaboración de este relato en primera persona ha contribuido a mostrar que los profesionales de enfermería en Centros Psiquiátricos Penitenciarios trabajan para lograr visibilidad y evitar ser institucionalizados. CONCLUSIONES: Mediante la narrativa se ha alcanzado el propósito inicial de describir las diferentes dificultades a la hora de poder aplicar la Relación Terapéutica en el cuidado de pacientes que padecen una enfermedad mental, ingresados en un Centro Psiquiátrico Penitenciario. La narrativa constituye un instrumento pertinente para la reflexión sobre la práctica de la enfermería especialista en Salud Mental. | OBJECTIVE: To describe the difficulties in applying the Therapeutic Relationship in the care of patients suffering from mental illness, admitted to a Prison Psychiatric Center. METHOD: Narrativity as an instrument to resize and reflect on nursing care practice, from the perspective of the relationship of help in the care of patients with mental illness. RESULTS: The elaboration of this first-person account has contributed to show that the nursing professionals in Penitentiary Psychiatric Centers work to achieve visibility and avoid being institutionalized. CONCLUSIONS: Through the narrative the initial purpose of describing the different difficulties in the application of the Therapeutic Relationship in the care of patients suffering from mental illness, admitted to a Prison Psychiatric Center, has been reached. The narrative constitutes a pertinent instrument for the reflection on the practice of the nursing specialist in Mental Health

OBJECTIVE: To describe the difficulties in applying the therapeutic relationship in the care of patients suffering from mental illness, admitted to a Prison Psychiatric Center. METHOD: Narrativity as an instrument to resize and reflect on nursing care practice, from the perspective of the relationship of help in the care of patients with mental illness. RESULTS: The elaboration of this first-person account has contributed to show that the nursing professionals in Penitentiary Psychiatric Centers work to achieve visibility and avoid being institutionalized. CONCLUSIONS: Through the narrative the initial purpose of describing the different difficulties in the application of the Therapeutic Relationship in the care of patients suffering from mental illness, admitted to a Prison Psychiatric Center, has been reached. The narrative constitutes a pertinent instrument for the reflection on the practice of the nursing specialist in Mental Health

OBJETIVO: Descrever as dificuldades podem aplicar a relação terapêutica no tratamento de pacientes que sofrem de doença mental internado em uma clínica psiquiátrica prisão. MÉTODO: Narratividade como uma ferramenta para redimensionar e refletir sobre a enfermeira prática assistencial, des do ponto de vista da relação de ajuda no cuidado de pacientes com a doença mental. RESULTADOS: O desenvolvimento deste relato em primeira pessoa ajudou a mostrar que os enfermeiros trabalham em prisões Centros psiquiátricos para alcançar visibilidade e evitar a institucionalização. CONCLUSÕES: Através da narrativa atingiu o objetivo inicial de descrever as várias dificuldades podem aplicar a relação terapêutica no tratamento de pacientes que sofrem de doença mental internado em uma clínica psiquiátrica prisão. A narrativa é um reflexo relevante sobre a prática de instrumento especialista em enfermagem de saúde mental