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精神科紧急情况的移动护理服务:护理人员的看法

Mobile care service for psychiatric urgencies and emergencies: perception of nursing workers.

作者信息

Oliveira Lucídio Clebeson de, Menezes Harlon França de, Oliveira Richardson Lemos de, Lima Dhyanine Morais de, Fernandes Sâmara Fontes, Silva Richardson Augusto Rosendo da

机构信息

Universidade do Estado do Rio Grande do Norte. Mossoró, Rio Grande do Norte, Brazil.

Universidade Federal do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

Rev Bras Enferm. 2020 Feb 10;73(1):e20180214. doi: 10.1590/0034-7167-2018-0214. eCollection 2020.

DOI:10.1590/0034-7167-2018-0214
PMID:32049242
Abstract

OBJECTIVE

To understand how the nursing staff perceives the care provided to people in situations of psychiatric urgencies and emergencies in the Mobile Emergency Care Service (SAMU - Serviço de Atendimento Móvel de Urgência).

METHOD

Descriptive and qualitative study conducted in the Northeast region of Brazil with 34 of the SAMU nursing workers. Data were obtained by semi-structured interviews and processed by the Thematic Analysis.

RESULTS

The analysis of interviews allowed the identification of three categories: mechanical practice, need for qualification and (de)humanization of care. The results showed that the care offered to users in psychiatric urgency or emergency situations is based on mechanistic and specific actions.

FINAL CONSIDERATIONS

Nursing workers perceive that the care for people in situations of psychiatric urgency and emergency in SAMU is mainly based on physical and chemical containment measures, performing a little resolute and dehumanized care and raising the need for professional qualification.

摘要

目的

了解护理人员如何看待在移动紧急护理服务(SAMU - 紧急移动护理服务)中为处于精神科紧急情况的患者提供的护理。

方法

在巴西东北部地区对34名SAMU护理人员进行描述性和定性研究。通过半结构化访谈获取数据,并采用主题分析法进行处理。

结果

访谈分析确定了三个类别:机械性操作、资质需求和护理的(非)人性化。结果表明,在精神科紧急情况或急诊情况下为用户提供的护理基于机械性和特定的行动。

最终思考

护理人员认为,SAMU中对处于精神科紧急情况的患者的护理主要基于物理和化学约束措施,提供的护理有点坚决但缺乏人性化,并凸显了专业资质的需求。

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