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基层医疗保健护士在心理困扰人群护理中的实践。

Practices of primary health care nurses in the care for people in psychological distress.

机构信息

Universidade de São Paulo (USP). Escola de Enfermagem. Departamento de Enfermagem Materno-Infantil e Psiquiátrica. São Paulo, São Paulo, Brasil.

Escola Superior de Enfermagem do Porto (ESEP). Centro de Investigações em Tecnologias e Serviços de Saúde. Porto, Portugal.

出版信息

Rev Gaucha Enferm. 2024 Jul 29;45:e20230192. doi: 10.1590/1983-1447.2024.20230192.en. eCollection 2024.

DOI:10.1590/1983-1447.2024.20230192.en
PMID:39082494
Abstract

OBJECTIVE

To understand the practices of nurses working in Primary Health Care in caring for people in psychological distress.

METHOD

Qualitative study conducted with 30 nurses working directly in Primary Health Care. Data were collected from January to March 2023 through semi-structured interviews, which were fully transcribed. The resulting material was organized in the IRaMuTeQ® software and subjected to the thematic content analysis, anchored in the precepts of Eric Cassell's Theory of the Nature of Human Suffering.

RESULTS

Five categories emerged: 1. Causes of Psychological Distress (14.65%), 2. Needs of the person in psychological distress (31.3%), 3. Team case discussions (26.5%), 4. Care network for the person in psychological distress (15.99%) and 5. Care instruments (11.57%).

FINAL CONSIDERATIONS

The practices that nurses perform involve listening spaces to express feelings, case discussions within the team and matrixing and the understanding that psychological distress is the result of environmental, social, and family factors. However, they report a lack of training to assess individuals experiencing psychological distress and request the development of institutional protocols and training to support care.

摘要

目的

了解初级保健护理人员在照顾心理困扰人群方面的实践。

方法

这是一项与直接在初级保健工作的 30 名护士进行的定性研究。数据收集于 2023 年 1 月至 3 月,通过半结构化访谈,将访谈内容完整转录。生成的材料在 IRaMuTeQ®软件中进行组织,并进行主题内容分析,以 Eric Cassell 的人类苦难本质理论为基础。

结果

出现了五个类别:1. 心理困扰的原因(14.65%);2. 心理困扰者的需求(31.3%);3. 团队案例讨论(26.5%);4. 心理困扰者的护理网络(15.99%);5. 护理工具(11.57%)。

最终结论

护士所执行的实践包括表达感受的倾听空间、团队内部的案例讨论以及矩阵化,并且理解心理困扰是环境、社会和家庭因素的结果。然而,他们报告缺乏评估心理困扰个体的培训,并要求制定机构协议和培训以支持护理。

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