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[精神卫生保健中的主体间性:心理社会护理中心护理技术员的叙述]

[Intersubjectivity in Mental Health care: narratives of nursing technicians at a Psychosocial Care Center].

作者信息

Campos Rosana Onocko, Baccari Ivana Preto

机构信息

Departamento de Medicina Preventiva e Social, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.

出版信息

Cien Saude Colet. 2011 Apr;16(4):2051-8. doi: 10.1590/s1413-81232011000400004.

Abstract

Psychosocial Care Centers (Caps) were established as a result of the demand for Mental Health care and were an attempt to update psychiatric treatment for those afflicted with severe mental disorders. This article seeks to analyze subjective repercussions of work conducted in Caps on mid-level professionals and to contribute to healthcare planning. Two focal groups were conducted with workers of a Caps III. The methodology applied to the analysis was based on the critical hermeneutical approach proposed by Ricoeur and espoused by Gadamerian philosophy. Lack of appreciation in the workplace was revealed as being the main cause of suffering. Several themes stood out including the difficulty of obtaining the cooperation of users'; relatives, the tenuous interconnection between Caps and the health network, the attribution of responsibility for the night shift, controversies regarding overnight-stay patients and an excessive workload. Adequate structural planning and institutional organization is proposed when opening new Caps in order to reduce the workload of technicians and improve the clinical performance of the team.

摘要

心理社会关怀中心(Caps)是因心理健康护理需求而设立的,旨在尝试更新针对重度精神障碍患者的精神病治疗方法。本文旨在分析Caps机构中开展的工作对中级专业人员产生的主观影响,并为医疗规划提供参考。对一家Caps III机构的工作人员进行了两个焦点小组访谈。分析所采用的方法基于里科尔提出并为伽达默尔哲学所支持的批判性诠释学方法。研究发现,工作场所缺乏认可被视为痛苦的主要原因。几个突出的主题包括:难以获得服务对象亲属的配合、Caps与卫生网络之间的联系薄弱、夜班责任的归属、关于过夜患者的争议以及工作量过大。建议在开设新的Caps机构时进行适当的结构规划和机构组织,以减轻技术人员的工作量并提高团队的临床绩效。

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