Avaliação da estrutura e processo de trabalho dos centros de atenção psicossocial
Objective: Evaluate the work structure and process in Psychos ocial Care Centers (CAPS) and the professionals profile, the satisfaction, conditions and work overload. Methods: Cross - sectional study conducted in five CAPS in Campina Grande city. The study sample consisted of five...
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| Formato: | doctoralThesis |
| Idioma: | por |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Assuntos: | |
| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/19972 |
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| Resumo: | Objective: Evaluate the work structure and process in Psychos
ocial Care Centers (CAPS) and
the professionals profile, the satisfaction, conditions and work overload. Methods: Cross
-
sectional study conducted in five CAPS in Campina Grande city. The study sample consisted
of five coordinators, 42 graduate professional
s, 26 mid
-
level (technical and auxiliary nurses,
and caregivers), and the medical records pertaining to 413 users followed up. Data were
collected using validated questionnaires (CAPSUL
-
rating CAPS in southern Brazil) and
adapted to the study, between July
and October 2014. The questionnaires were double entered
and submitted to validation in the sub
-
program
“Validate Epi Info 3.5.4”
, used along with the
“SPSS 17.0”
for processing the statistical analyzes. Measures of central tendency and
dispersion were ap
plied to the descriptive analyzes;
“Fisher's”
exact test to check the CAPS
impact on hospital admissions and the
“Bonferroni”
adjusted to verify the diagnoses
according to sex. 5% significance level was adopted. The study was approved by the Ethics
Committ
ee of the Rio Grande do Norte Federal University (UFRN), protocol 719.435, of
05.30.2014. Results: From the structure analysis were identified contextual factors that
influenced the work process of CAPS professionals, such as: deficiencies with regard to
h
uman resources; forms of health professionals employment and qualifications; temporary
contract existence. As to process dimension, it was found that the home visits performance by
health professionals shows to be ineffective, given its insufficiency and i
rregularity, which
can be explained by the high demand, reduced staff and transportation lack. It was low
coverage of items inherent to Therapeutic Individual Project, as the income generation
program, insertion at work and home visit. The reference and co
unter reference flow are still
not satisfactorily organized. There was statistically significant difference for the diagnosis,
with a predominance of mood disorders related to stress among women and those related to
alcohol and other drugs among men (p <0.
05). There was an association between the degree
of health professionals satisfaction and working conditions, overload and factors related to
the content and working conditions, the security measures, comfort and CAPS appearance,
contact between the teams
and users, families treatment by the teams, temporary employment
relationship. Conclusion: The data collected indicate the need for the CAPS organization
through increased investments in the sector in order to enhance the infrastructure as
potentiating el
ement of practices with a view to changing the care model for mental health
proposed by the Psychiatric Reform. It is hoped therefore that this research will contribute to
better planning in CAPS unit management, with another tool to improve the dimensions
involving the structure and the professional work process and improve this mental health care
model. |
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