Representações sociais de familiares sobre o atendimento das emergências psiquiátricas
The reformist movements in the field of mental health have pointed battle flags, among which the prioritization of production of mental health care out of the asylum environment should be highlighted, aiming the reduction of psychiatric beds, greater control over the hospitalization, family co-pa...
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Saúde mental Serviços de emergência psiquiátrica Teoria das representações sociais Enfermagem CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
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Saúde mental Serviços de emergência psiquiátrica Teoria das representações sociais Enfermagem CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM Soares, Francisco Rafael Ribeiro Representações sociais de familiares sobre o atendimento das emergências psiquiátricas |
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The reformist movements in the field of mental health have pointed battle flags,
among which the prioritization of production of mental health care out of the asylum
environment should be highlighted, aiming the reduction of psychiatric beds, greater
control over the hospitalization, family co-participation and the rescue of the
citizenship of the social players involved. With the progressive reduction of asylum
beds, associated with a lot of structural problems in the health services, the
occurrence of crises outside the hospital environment has been increasingly
frequent, thus giving the family an important therapeutic role. In face of this scenario,
there is an urgent need to understand the social construction of the care for
psychiatric emergencies, identifying the meanings assigned by family members to
their constituent aspects. This study seeks to answer the following research question:
what are the social representations of family members about the care of psychiatric
emergencies in the city of Mossoró, Rio Grande do Norte? Therefore, the aim is to
analyze the social representations of family members about the care of psychiatric
emergencies in the city of Mossoró, Rio Grande do Norte. This is an exploratory and
descriptive study, with a mixed approach, making use of multimethods: for collection,
the semi-structured interview and the Technique of Free Association of Words; for
data analysis, the Thematic Analysis of Bardin and its steps was used, with the
informational support of the softwares ALCESTE (Analyse Lexicale par Contexte d'un
Ensemble de Segments de Texte) and Iramuteq (Interface de R pour les Analyses
Multidimensionnelles de Textes et de Questionnaires); and the theoretical support of
social representations. The study participants totaled 72, and they were selected
from the following criteria: older than18 years, with degree of kinship with users
suffering from some mental and behavioral disorder, and who have already
witnessed a situation of crisis, rescued by the SAMU or other means and taken to the
psychiatric hospital or general emergency room. Preliminary results point out:
1.Previous note of the research project with the aim to disseminate it in the scientific
community and ensure the intellectual property of the work; 2.The contextual analysis
of the care for emergencies in the study place. Reflection about the phenomenon
provide a name to the care for the psychiatric emergencies, which is called
immediate context; the technical and operational aspects that influence the care, as a
specific/ general context; and mental health policies in Brazil are identified as
metacontext; 3. The systematic review from randomized clinical trials in the
databases PubMed, COCHRANE, LILACS, SciELO and SCIRUS, with the use of the
descriptors: ‘Physical restraint’, ‘Psychiatric emergency services’, ‘Restraint’,
‘Physical and Emergency Services’, ‘Psychiatric’. Only one work met the search
protocol criteria: a short-term essay that records limited results about the proportion
of people who are in restraint and seclusion. It does not show statistically significant
results in relation to indications, contraindications and risks of the use of physical
restraint; 4. The social representations of the care for psychiatric emergencies. The
study results point to the presence of five thematic categories: 1. feeling in the face of
the crisis/care; 2. thoughts and perspectives about the crisis/care; 3. centrality of care
in the medical- medication-hospitalization triad; 4. the thinking/acting in the face of
the use of physical restraint and police force; 5. periodicity of crises. The central core
of the representation is in the first category, whilst the peripheral elements are in the
third and fifth categories. The contrast zone is in the second and fourth categories.
The sadness is the most prominent element of the structure. The social
representations about the care for psychiatric crises are at a time of transition
between the hegemonic and reformist models, with the traditional aspects being
predominant, but already showing peripheral and contrast elements that point to a
possible change in the representational field. |
| author2 |
Miranda, Francisco Arnoldo Nunes de |
| author_facet |
Miranda, Francisco Arnoldo Nunes de Soares, Francisco Rafael Ribeiro |
| format |
masterThesis |
| author |
Soares, Francisco Rafael Ribeiro |
| author_sort |
Soares, Francisco Rafael Ribeiro |
| title |
Representações sociais de familiares sobre o atendimento das emergências psiquiátricas |
| title_short |
Representações sociais de familiares sobre o atendimento das emergências psiquiátricas |
| title_full |
Representações sociais de familiares sobre o atendimento das emergências psiquiátricas |
| title_fullStr |
Representações sociais de familiares sobre o atendimento das emergências psiquiátricas |
| title_full_unstemmed |
Representações sociais de familiares sobre o atendimento das emergências psiquiátricas |
| title_sort |
representações sociais de familiares sobre o atendimento das emergências psiquiátricas |
| publisher |
Universidade Federal do Rio Grande do Norte |
| publishDate |
2016 |
| url |
https://repositorio.ufrn.br/jspui/handle/123456789/19963 |
| work_keys_str_mv |
AT soaresfranciscorafaelribeiro representacoessociaisdefamiliaressobreoatendimentodasemergenciaspsiquiatricas AT soaresfranciscorafaelribeiro socialrepresentationsoffamilymembersaboutthecareforpsychiatricemergencies |
| _version_ |
1773958035236978688 |
| spelling |
ri-123456789-199632017-11-03T01:53:32Z Representações sociais de familiares sobre o atendimento das emergências psiquiátricas Social representations of family members about the care for psychiatric emergencies Soares, Francisco Rafael Ribeiro Miranda, Francisco Arnoldo Nunes de http://lattes.cnpq.br/4923844192698870 http://lattes.cnpq.br/9242337504601387 Martino, Milva Maria Figueiredo de http://lattes.cnpq.br/7096939242634758 Almeida, Sandra Aparecida de http://lattes.cnpq.br/6689781886879777 Saúde mental Serviços de emergência psiquiátrica Teoria das representações sociais Enfermagem CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM The reformist movements in the field of mental health have pointed battle flags, among which the prioritization of production of mental health care out of the asylum environment should be highlighted, aiming the reduction of psychiatric beds, greater control over the hospitalization, family co-participation and the rescue of the citizenship of the social players involved. With the progressive reduction of asylum beds, associated with a lot of structural problems in the health services, the occurrence of crises outside the hospital environment has been increasingly frequent, thus giving the family an important therapeutic role. In face of this scenario, there is an urgent need to understand the social construction of the care for psychiatric emergencies, identifying the meanings assigned by family members to their constituent aspects. This study seeks to answer the following research question: what are the social representations of family members about the care of psychiatric emergencies in the city of Mossoró, Rio Grande do Norte? Therefore, the aim is to analyze the social representations of family members about the care of psychiatric emergencies in the city of Mossoró, Rio Grande do Norte. This is an exploratory and descriptive study, with a mixed approach, making use of multimethods: for collection, the semi-structured interview and the Technique of Free Association of Words; for data analysis, the Thematic Analysis of Bardin and its steps was used, with the informational support of the softwares ALCESTE (Analyse Lexicale par Contexte d'un Ensemble de Segments de Texte) and Iramuteq (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires); and the theoretical support of social representations. The study participants totaled 72, and they were selected from the following criteria: older than18 years, with degree of kinship with users suffering from some mental and behavioral disorder, and who have already witnessed a situation of crisis, rescued by the SAMU or other means and taken to the psychiatric hospital or general emergency room. Preliminary results point out: 1.Previous note of the research project with the aim to disseminate it in the scientific community and ensure the intellectual property of the work; 2.The contextual analysis of the care for emergencies in the study place. Reflection about the phenomenon provide a name to the care for the psychiatric emergencies, which is called immediate context; the technical and operational aspects that influence the care, as a specific/ general context; and mental health policies in Brazil are identified as metacontext; 3. The systematic review from randomized clinical trials in the databases PubMed, COCHRANE, LILACS, SciELO and SCIRUS, with the use of the descriptors: ‘Physical restraint’, ‘Psychiatric emergency services’, ‘Restraint’, ‘Physical and Emergency Services’, ‘Psychiatric’. Only one work met the search protocol criteria: a short-term essay that records limited results about the proportion of people who are in restraint and seclusion. It does not show statistically significant results in relation to indications, contraindications and risks of the use of physical restraint; 4. The social representations of the care for psychiatric emergencies. The study results point to the presence of five thematic categories: 1. feeling in the face of the crisis/care; 2. thoughts and perspectives about the crisis/care; 3. centrality of care in the medical- medication-hospitalization triad; 4. the thinking/acting in the face of the use of physical restraint and police force; 5. periodicity of crises. The central core of the representation is in the first category, whilst the peripheral elements are in the third and fifth categories. The contrast zone is in the second and fourth categories. The sadness is the most prominent element of the structure. The social representations about the care for psychiatric crises are at a time of transition between the hegemonic and reformist models, with the traditional aspects being predominant, but already showing peripheral and contrast elements that point to a possible change in the representational field. Os movimentos reformistas no campo da saúde mental apontaram bandeiras de luta, entre as quais se destaca a priorização da produção de cuidado em saúde mental fora do ambiente manicomial, objetivando a redução dos leitos psiquiátricos, maior controle sobre a internação, coparticipação da família e o resgate da cidadania dos atores sociais envolvidos. Com a diminuição progressiva dos leitos manicomiais, associada a uma série de problemas estruturais nos serviços de saúde, tem sido cada vez mais frequente a ocorrência de crises fora do ambiente hospitalar, dando à família importante papel terapêutico. Diante deste cenário, urge a necessidade de compreender a construção social do atendimento às emergências psiquiátricas, identificando os significados atribuídos pelos familiares aos seus aspectos constitutivos. O presente estudo busca responder à seguinte questão de pesquisa: quais as representações sociais de familiares sobre o atendimento das emergências psiquiátricas no município de Mossoró, Rio Grande do Norte? Portanto, objetiva-se analisar as representações sociais dos familiares acerca do atendimento das emergências psiquiátricas no município de Mossoró, Rio Grande do Norte. Trata-se de um estudo exploratório, descritivo, com abordagem mista, utilizando-se de multimétodos: para coleta, a entrevista semiestruturada e a Técnica de Associação Livre de Palavras; para a análise dos dados, utilizou-se a Análise Temática de Bardin e suas etapas, com o suporte informacional dos softwares ALCESTE (Analyse Lexicale par Contexte d’un Ensemble de Segments de Texte) e Iramuteq (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires); e do suporte teórico das representações sociais. Os sujeitos participantes do estudo, em número de 72, foram selecionados a partir dos seguintes critérios: maiores de 18 anos, com grau de parentesco com usuários que sofram de algum transtorno mental e comportamental, e que já tenham presenciado alguma situação de crise, resgatado pelo SAMU ou outro meio e conduzido ao hospital psiquiátrico ou pronto-socorro geral. Resultados preliminares apontam: 1. Nota prévia do projeto de pesquisa com o objetivo divulgá-lo no meio científico e garantir a propriedade intelectual do trabalho; 2. A análise contextual do atendimento às emergências no locus do estudo. A reflexão sobre o fenômeno denomina o atendimento às emergências psiquiátricas como contexto imediato; os aspectos técnicos e operacionais que influenciam no atendimento, como contexto específico/geral; e as políticas de saúde mental no Brasil são identificadas como metacontexto; 3. A revisão sistemática a partir de ensaios clínicos randomizados nas bases de dados PubMed, COCHRANE, LILACS, SciELO e SCIRUS, sendo utilizados os descritores: ‘Restrição física’, ‘Serviços de emergência psiquiátrica’, ‘Restraint’, ‘Physical e Emergency Services’, ‘Psychiatric’. Somente um trabalho atendeu aos critérios do protocolo de busca: um ensaio de curta duração que registra resultados limitados sobre a proporção de pessoas que estão em restrição e isolamento. Não apresenta resultados estatisticamente significativos em relação a indicações, contraindicações e riscos da utilização da restrição física; 4. As representações sociais do atendimento às emergências psiquiátricas. Os resultados do estudo apontam a presença de cinco categorias temáticas: 1. sentimento diante da crise/atendimento; 2. pensamento e perspectivas sobre a crise/atendimento; 3. centralidade do atendimento no tripé médico-medicação-internação; 4. o pensar/agir diante do uso da restrição física e força policial; 5. periodicidade das crises. O núcleo central da representação se encontra na primeira categoria, enquanto os elementos periféricos estão na terceira e quinta categorias. A zona de contraste está na segunda e quarta categorias. A tristeza é o elemento de maior destaque da estrutura. As representações sociais sobre o atendimento às crises psiquiátricas se encontram em um momento de transição entre os modelos hegemônico e reformista, sendo os aspectos tradicionais ainda predominantes, mas já apresentando elementos periféricos e de contraste que apontam para uma possível mudança no campo representacional. 2016-03-07T19:33:14Z 2016-03-07T19:33:14Z 2014-12-09 masterThesis SOARES, Francisco Rafael Ribeiro. Representações sociais de familiares sobre o atendimento das emergências psiquiátricas. 2014. 96f. Dissertação (Mestrado em Enfermagem) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2014. https://repositorio.ufrn.br/jspui/handle/123456789/19963 por Acesso Aberto application/pdf Universidade Federal do Rio Grande do Norte Brasil UFRN PROGRAMA DE PÓS-GRADUAÇÃO EM ENFERMAGEM |