Por uma prática libertadora: a psiquiátrica no território

RESUMO

A enfermagem psiquiátrica nasceu com a demanda da instituição psiquiátrica hospitalar, dentro do movimento de internação, perpassou pelo ambulatório e hospital dia e se reinventou com o nascimento e a expansão dos Centros de Atenção Psicossocial. Para tal, precisou-se transformar e adotar a complexidade da contemporaneidade e atuar em diferentes espaços e considerar as mudanças na forma de existir e sofrer das pessoas. A partir do Referencial Teórico Intuir Empático (OLIVEIRA, 2005), constituído pelos constructos teóricos escuta qualificada, empatia, prontidão para cuidar, cuidado pós-demanda, esperançar e tempo, foi proposto incluir outros elementos relacionados ao fenômeno da inclusão do território na prática de enfermagem. Este estudo teve como objetivos: desenvolver, em parceria com as enfermeiras, um processo de construção do conceito de território para a clínica de Enfermagem Psiquiátrica inovadora a fim de sustentar o cuidado no CAPS III do município do Rio de Janeiro; e avaliar as mudanças na prática dos sujeitos da pesquisa refere nte ao cuidado psiquiátrico na perspectiva territorial. O caminho metodológico escolhido foi a Pesquisa Convergente-Assistencial pela oportunidade de construir junto com os atores sociais da enfermagem que atuam em Centro de Atenção Psicossocial, e moldurado pela abordagem psicossocial, constructos ligados à prática da enfermagem psiquiátrica no território...

ABSTRACT

Psychiatric Nursing was born with the demand of hospital psychiatric ward, within themovement hospitalization, pervaded the clinic and hospital day and reinvented itselfwith the birth and expansion of mental health services. For such, it had to betransformed and adopt the complexity of contemporary and act in different spaces andconsider changes in the way of living and suffering people. From the Theoretical IntuitEmphatic (OLIVEIRA, 2005), consisting of theoretical constructs qualified listening,empathy, readiness to take care, after-care demand, and to hopes and time, it wasproposed to include other elements related to the phenomenon include the territory inpractice nursing. This study aimed to develop, in partnership with the nurses, aconstruction process the concept of territory for innovative psychiatric nursing tosupport clinical care in CAPS III in the city of Rio de Janeiro; and evaluate changes inthe practice of the research subjects related to psychiatric care in the territorialperspective. The methodological approach chosen was the Convergent Care Researchfor the opportunity to build with social actors of nursing who works in psychosocialcare center, framed by the psychosocial approach, constructs linked to the practice ofpsychiatric nursing in the territory...

RESUMEN

Psychiatric Nursing was born with the demand of hospital psychiatric ward, within themovement hospitalization, pervaded the clinic and hospital day and reinvented itselfwith the birth and expansion of mental health services. For such, it had to betransformed and adopt the complexity of contemporary and act in different spaces andconsider changes in the way of living and suffering people. From the Theoretical IntuitEmphatic (OLIVEIRA, 2005), consisting of theoretical constructs qualified listening,empathy, readiness to take care, after-care demand, and to hopes and time, it wasproposed to include other elements related to the phenomenon include the territory inpractice nursing. This study aimed to develop, in partnership with the nurses, aconstruction process the concept of territory for innovative psychiatric nursing tosupport clinical care in CAPS III in the city of Rio de Janeiro; and evaluate changes inthe practice of the research subjects related to psychiatric care in the territorialperspective. The methodological approach chosen was the Convergent Care Researchfor the opportunity to build with social actors of nursing who works in psychosocialcare center, framed by the psychosocial approach, constructs linked to the practice ofpsychiatric nursing in the territory...