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1.
Enferm. clín. (Ed. impr.) ; 29(6): 370-375, nov.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184658

RESUMO

Los sistemas sanitarios tienen la responsabilidad de dar respuesta a las nuevas necesidades de salud de la población, que se caracterizan por factores como el envejecimiento, la cronicidad y/o las situaciones de dependencia y que requieren de cuidados de calidad, especializados y adaptados a diferentes ámbitos donde la atención se presta, cuidados ofertados por profesionales formados y cada vez más cualificados para mejorar los resultados en salud de las personas que cuidan. En el año 2016, en Andalucía se publica el marco normativo por el que se crea la categoría profesional estatutaria de enfermero/a especialista, entre las que se incluye la especialidad de Enfermería de Salud Mental en el Servicio Andaluz de Salud. En el ámbito de la Salud Mental, el desarrollo de este marco normativo y la definición y ocupación de puestos permitirá al sistema sanitario conjugar el papel de las enfermeras especialistas con el de las enfermeras que prestan cuidados generales, enfermeras de Grado, en pro de avanzar en la mejor respuesta a las necesidades de salud de la ciudadanía en este ámbito de atención. El desarrollo de la especialidad podrá suponer un valor añadido tanto para la mejora de los resultados en salud de las personas con problemas de salud mental como para mejorar la calidad asistencial, la eficiencia y la sostenibilidad de los sistemas sanitarios


Health systems have a responsibility to respond to the new health needs of the population, which are characterized by factors such as aging, chronicity and/or dependency situations and which requires quality and specialized care adapted to different areas where care is provided, care offered by trained and increasingly qualified professionals to improve the health outcomes of the caregivers. In 2016, in Andalusia the regulatory framework by which is created the statutory professional category of nurse/specialists is published, including the specialty of Mental Health Nursing in the Andalusian Health Service. In the field of Mental Health, the development of this normative framework and the definition and occupation of positions, will allow the health system to combine the role of nurse specialist nurses with that of nurses who provide general care, registered nurses, in order to advance in the best response to the health needs of citizens in this area of care. The development of the specialty will be an added value both to improve the health outcomes of people with mental health problems, and to improve the quality of care, efficiency and sustainability of health systems


Assuntos
Humanos , Especialidades de Enfermagem , Enfermagem Psiquiátrica/métodos , Enfermagem em Saúde Comunitária/métodos , Enfermagem em Saúde Comunitária/organização & administração , Saúde Mental , Sistemas de Saúde/organização & administração
2.
Enferm Clin ; 29(6): 370-375, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31668452

RESUMO

Health systems have a responsibility to respond to the new health needs of the population, which are characterized by factors such as aging, chronicity and/or dependency situations and which requires quality and specialized care adapted to different areas where care is provided, care offered by trained and increasingly qualified professionals to improve the health outcomes of the caregivers. In 2016, in Andalusia the regulatory framework by which is created the statutory professional category of nurse/specialists is published, including the specialty of Mental Health Nursing in the Andalusian Health Service. In the field of Mental Health, the development of this normative framework and the definition and occupation of positions, will allow the health system to combine the role of nurse specialist nurses with that of nurses who provide general care, registered nurses, in order to advance in the best response to the health needs of citizens in this area of care. The development of the specialty will be an added value both to improve the health outcomes of people with mental health problems, and to improve the quality of care, efficiency and sustainability of health systems.

3.
Rev. Asoc. Esp. Neuropsiquiatr ; 36(129): 79-102, ene.-jun. 2016. tab
Artigo em Espanhol | IBECS | ID: ibc-153063

RESUMO

Introducción: A lo largo de los últimos años, la Convención sobre los Derechos de las Personas con Discapacidad (CDPD) ha contribuido a una atención creciente a la detección y prevención de situaciones de vulneración de los derechos humanos en salud mental. Entre las estrategias de mejora se ha propuesto la introducción de modelos de Voluntades Anticipadas en Salud Mental (VVAA-SM) y Planificación Anticipada de Decisiones en Salud Mental (PAD-SM). Material y método: 1. Revisión bibliográfica. Análisis de conceptos, modelos, utilidades y limitaciones de documentos de Voluntades Anticipadas en Salud Mental y procesos de PAD-SM en diferentes países. 2. Debate, identificación y elaboración de estrategias para la adaptación al contexto andaluz, realizado por el Grupo Derechos Humanos y Salud Mental del Plan Integral de Salud Mental de Andalucía. Resultados: En el contexto internacional, se observa la existencia de modelos y terminologías diferenciadas. En los estudios revisados se identifican diferentes utilidades, entre ellas la protección de derechos, el aumento de la participación y empoderamiento, la mejora de la relación entre usuarios/as, profesionales sanitarios/as y familiares, así como aspectos relacionados con la utilidad clínica y la relación coste-eficacia. Entre las potenciales limitaciones destacan la escasez de apoyo institucional y la falta de formación profesional. Para el contexto andaluz, el Grupo propone la introducción de un proceso de PAD-SM como herramienta clínica enfocada en la información, el diálogo y la toma de decisiones, a la vez que trabajar hacia la creación de un modelo legalmente vinculante. Conclusiones: La introducción de la PAD-SM se identifica como una estrategia útil para proteger los derechos de personas usuarias de servicios de salud mental en coherencia con los principios establecidos en la CDPD (AU)


Introduction: Over the last years, the Convention on the Rights of Persons with Disabilities (CRPD) has contributed to increase attention to the detection and prevention of human rights violations in mental health services. Among different strategies for improvement, the introduction of models for Advance Directives in Mental Health (AD-MH) and Advance Care Planning in Mental Health (ACP-MH) has been proposed. Material and methods: 1. Literature review. Analysis of concepts, models, utilities and limitations of documents related AD-MH and ACP-MH processes in different countries. 2. Discussion, identification and elaboration of strategies for the adaptation in the Andalusian context conducted by the Human Rights and Mental Health Working Group of the Comprehensive Mental Health Plan of Andalusia. Results: In the international context, the existence of differentiated models and terminologies is observed. In the reviewed studies different utilities are identified, among them the protection of rights, an increased participation and empowerment, the improvement of the relation between users, health providers and relatives, as well as aspects related to clinical utility and cost-efficacy. Among the potential limitations, the lack of institutional support and professional training is highlighted. For the Andalusian context, the Working Group proposes the introduction of an ACP-MH process as a clinical tool focused on information, dialogue and decision making, at the same time as working towards the creation of a legally binding model. Conclusions: The introduction of ACP-MH is identified as a useful strategy to protect the rights of users of mental health services in coherence with the principles established in the CRPD (AU)


Assuntos
Humanos , Masculino , Feminino , Tomada de Decisões/fisiologia , Saúde Mental/educação , Saúde Mental/tendências , Modelos Psicológicos , Direitos Humanos/psicologia , Autonomia Pessoal , Cuidados Paliativos na Terminalidade da Vida/organização & administração , Cuidados Paliativos na Terminalidade da Vida/psicologia , Autoimagem , Pessoalidade , Saúde Mental/legislação & jurisprudência , Serviços de Saúde Mental/legislação & jurisprudência
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