Kohlrausch E
Departamento de Assistência e Orientação Profissional da Escola de Enfermagem da Universidade Federal do Rio Grande do Sul.
Rev Gaucha Enferm. 1999 Jan;20(1 Suppl):70-85.
Nursing, in a clinical assistential model, and the daily practices in an in-patient psychiatric unit, are approached. It seems to have a discordance between the health system and clients problems. The nurses seem to plan actions that accomplish institutional goals instead of reaching out for clients' individual needs. In mental health, to include the client on planning his care is fundamental to reach therapeutical goals. Even in the actual model, there are initiatives incorporating these approaches, rescuing concepts that bring clients and workers closer. By recognizing the subjectivity of professionals and clients, we can understand that they are both singular, bringing up interdisciplinarity, and also a process of hierarchy happens, giving autonomy to the working teams and enlarging the space of work.
本文探讨了临床辅助模式下的护理工作以及住院精神科病房的日常实践。卫生系统与患者问题之间似乎存在不协调之处。护士们似乎倾向于规划实现机构目标的行动，而不是关注患者的个体需求。在心理健康领域，让患者参与护理计划的制定对于实现治疗目标至关重要。即使在当前模式下，也有一些举措纳入了这些方法，重拾那些拉近患者与工作人员距离的理念。通过认识到专业人员和患者的主观性，我们可以理解他们都是独特的个体，这促进了跨学科合作，同时也形成了一种层级关系，赋予工作团队自主权并扩大了工作空间。
