Willrich Janaína Quinzen, Kantorski Luciane Prado, Chiavagatti Fabieli Gopinger, Cortes Jandro Moraes, Antonacci Milena Hohmann
Enfermeira. Mestre em Enfermagem. Professora Assistente da Faculdade de Enfermagem da Universidade Federal de Pelotas. Pelotas, RS, Brasil.
Enfermeira. Doutora em Enfermagem. Professora Adjunta da Faculdade de Enfermagem da Universidade Federal de Pelotas. Pelotas, RS, Brasil.
Rev Esc Enferm USP. 2013 Jun;47(3):657-63. doi: 10.1590/s0080-623420130000300019.
The attention to a crisis is a strategic point in the process of paradigm changes proposed by the Brazilian psychiatric reform, requiring changes in alternative services and in the professionals that must use new technologies of care. This study aimed to identify the actions of attention to a crisis in the territory and the meanings as they evolved, beginning from the discursive practices of the professionals. It was a qualitative study that used the theoretical perspective of social constructionism. From the database of the research, Evaluation of the Psychosocial Care Centers in Southern Brazil (CAPSUL), 27 interviews were analyzed from the professionals of Psychosocial Care Center for Alegrete, along with field diaries with 390 hours of observation. Results showed patient engagement/welcoming and accountability for care. We concluded that freedom, reciprocity, contractuality and responsibility for care were the new meanings needed for the alternative care services to overcome the asylum and sense of exclusion and dangerousness.
对危机的关注是巴西精神科改革所提出的范式转变过程中的一个战略要点，这需要替代服务以及必须使用新护理技术的专业人员做出改变。本研究旨在从专业人员的话语实践出发，确定该地区对危机的关注行动及其演变过程中的意义。这是一项采用社会建构主义理论视角的定性研究。从巴西南部心理社会护理中心评估（CAPSUL）这一研究数据库中，分析了来自阿雷格里特心理社会护理中心专业人员的27次访谈，以及时长390小时的观察实地日记。结果显示了患者参与/接待以及护理责任。我们得出结论，自由、互惠、契约性和护理责任是替代护理服务克服收容以及排斥感和危险感所需的新意义。
