圣保罗州心理社会关怀中心的多专业工作。
The multiprofessional work in the Psychosocial Care Centers of São Paulo State.
作者信息
Jafelice Giovana Telles, Marcolan João Fernando
机构信息
Universidade Federal de São Paulo, São Paulo School of Nursing. São Paulo, Brazil.
出版信息
Rev Bras Enferm. 2018;71(suppl 5):2131-2138. doi: 10.1590/0034-7167-2017-0300.
OBJECTIVE
Analyze how professionals understood the multi, inter and transprofessionality and how these practices happened in the CAPS (Psychossocial Care Centers) of São Paulo/SP.
METHOD
Qualitative, exploratory, descriptive study, and use of Content Analysis. We interviewed 27 professionals from nine CAPS.
RESULTS
Organized in two categories: definition of multiprofessional, interprofessional and transprofessional work in Mental Health; and specific aspects of professions and Conceptions about multi, inter and transprofessional teamwork in daily life. There were difficulties in conceptualizing modalities of disciplinary integration, little problematization in the reality of workers, and questions of specific practices of each area. The devices have been problematized, in which the distancing of Public Policies happen.
FINAL CONSIDERATIONS
There is coexistence of the biomedical, of insane asylum and Psychosocial Care paradigms in the discourses and actions of the teams, to compromise the effectiveness of the Psychiatric Reform. The practice was close to the ideas of integration and of auxiliary interdisciplinarity and not of the effective construction of shared therapeutic knowledge and projects.
目的
分析专业人员如何理解多专业、跨专业和跨职业性，以及这些实践在圣保罗/圣保罗的心理社会护理中心（CAPS）是如何发生的。
方法
定性、探索性、描述性研究，并使用内容分析法。我们采访了来自九个心理社会护理中心的27名专业人员。
结果
分为两类：精神卫生领域多专业、跨专业和跨职业工作的定义；以及职业的具体方面和日常生活中对多专业、跨专业和跨职业团队合作的概念。在对学科整合模式进行概念化方面存在困难，工作人员的现实情况中问题较少，以及每个领域的具体实践问题。这些手段已被质疑，公共政策在其中出现了脱节。
最终思考
在团队的话语和行动中，生物医学、疯人院和心理社会护理范式并存，损害了精神科改革的有效性。实践接近整合和辅助跨学科的理念，而不是有效构建共享治疗知识和项目。
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