Universidade Federal do Rio de Janeiro. Macaé, Rio de Janeiro, Brazil.
Universidade Ceuma. São Luís, Maranhão, Brazil.
Rev Bras Enferm. 2021 May 28;74(suppl 3):e20200408. doi: 10.1590/0034-7167-2020-0408. eCollection 2021.
To identify the nursing staff's difficulties in providing care in psychosocial rehabilitation to CAPS users.
Qualitative study based on constructionism. Sixteen members of the CAPS nursing staff participated in the study in the city of Rio de Janeiro. The data collected in the interviews and observations were organized in Nvivo software and analyzed based on thematic content.
The difficulties identified were: the territorial violence that imposes a silence to the actions of CAPS, low user education as a barrier to protagonism, impaired family adhesion, the technical-conceptual discomfort of nursing in acting in the crisis and material and human of CAPS dismantlement.
The challenges consist of overcoming staff exhaustion; however, they do not prevent nursing from betting on the possibility of protagonist care. Therefore, such care is dimensioned by the clinical-political-ethical relation in constant negotiation with the territory.
确定护理人员在为 CAPS 用户提供心理社会康复护理方面的困难。
基于建构主义的定性研究。里约热内卢市的 16 名 CAPS 护理人员参与了这项研究。通过访谈和观察收集的数据在 Nvivo 软件中进行组织，并根据主题内容进行分析。
确定的困难有：领土暴力使 CAPS 的行动变得沉默，用户教育水平低是阻碍患者发挥主导作用的障碍，家庭联系不紧密，护理在危机中采取行动的技术概念上的不适，以及 CAPS 的物质和人力解体。
挑战包括克服工作人员的疲惫；然而，这并不能阻止护理人员投注于主角护理的可能性。因此，这种护理是通过临床政治伦理关系来衡量的，这种关系与领土不断协商。
