Professional practice and nursing care in Mental Health: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.18824

Keywords:

Nursing; Mental Health; Psychiatric Nursing; Nursing Care; Professional practice.

Abstract

Objective: to analyze nursing practices in studies within the psychiatric/mental health area. Methods: An integrative review process was used to guide this study. Four databases— LILACS, MEDLINE, SCOPUS and CINAHL —were searched for eligible studies using relevant keywords. PICo strategy was employed for selection of studies. Primary studies published in Portuguese and English language from 2010 to 2020 were reviewed following a pre-determined inclusion criteria. Studies that met the inclusion criteria were appraised using the recommendation from Stetler at al. (1998).Results: 15 publications were analyzed. The evidence showed the diversity of nursing practices involved medication administration, measurement of vital signs, hygiene, nutrition, in addition to actions aimed at self-esteem and self-care. Studies about nursing actions focused on the uniqueness of the patient were also identified. From the analyzed articles, it was possible to extract a total of 15 practical nursing activities, which, in fact, demonstrates a wide range in the understood role of the nursing profession. Assistance to patients’ medication was the most cited activity by the authors. Conclusions: the implementation of nursing practices in mental health must be seen as a challenge that goes beyond the medication standard and creates care proposals with a focus on the patient. This patient centered care was present in the work dynamics of the CAPS.

References

Allen, D. E. (2016). APNA member survey results: Role of psychiatric nurses in hospital emergency departments. Journal of the American Psychiatric Nurses Association, 22(3), 245-247. doi:10.1177/1078390316644325

Alves, M., & Oliveira, R. M. P. (2010). Psychiatric nursing: Speech the ideal and practice the real. Escola Anna Nery, 14(1), 64-70. doi:10.1590/S1414-81452010000100010

Barbosa, A. S., Nascimento, C. V., Lucas B. S. Dias, L. B. S., Santo, T. B. E., Chaves, R. S. C., & Fernandes, T. C. (2020). Processo de trabalho e cuidado em saúde mental no Centro de Atenção Psicossocial da UERJ na pandemia de COVID-19. Brazilian Journal of Health and Biomedical Sciences, 19(1). doi:10.12957/bjhbs.2020.53527

Bertram, J. E., Narendorf, S. C., & McMillen, J. C. (2013). Pioneering the psychiatric nurse role in foster care. Archives of Psychiatric Nursing, 27(6), 285-292. doi:10.1016/j.apnu.2013.09.003

Carrara, G. L. R. (2015). Humanized nursing care in mental health: A review of the literature. Revista Fafibe On-Line, 8(1), 86-107. Retrieved from https://www.unifafibe.com.br/revistasonline/arquivos/revistafafibeonline/sumario/36/30102015183642.pdf

Carvalho, M. B., & Felli, V. E. A. (2006). Psychiatric nursing work and workers' health problems. Revista Latino-Americana de Enfermagem, 14(1), 61-69. doi:10.1590/s0104-11692006000100009

Cieto, B. B., Garbuio, D. C., Camargo, V. B., & Napoleão, A. A. (2014). Nursing resources and innovations for hospital discharge: An integrative review. Revista Mineira de Enfermagem, 18(3), 752-757. doi:10.5935/1415-2762.20140055

Costa, J. M., Moraes Filho, I. M., & Souza, S. A. N. (2019). The perception of the nursing team through psychiatric emergencies. Revista de Iniciação Científica e Extensão, 2(1), 15-23. Retrieved from https://revistasfacesa.senaaires.com.br/index.php/iniciacao-cientifica/article/view/137/91

Damasceno, V. C., & Sousa, F. S. P. (2018). Mental health care for the elderly: The nurse's perception. Journal of Nursing UFPE, 12(10), 2710-2716. doi:10.5205/1981-8963-v12i10a234647p2710-2716-2018

Farmakas, A., Papastavrou, E., Siskou, O., Karayiannis, G., & Theodorou, M. (2014). Challenges in mental health nursing: Working in institutional or community settings? Journal of Psychiatric & Mental Health Nursing, 21(1), 39-45. doi:10.1111/jpm.12045

Ferreira, T. P. S., Sampaio, J., Souza, A. C. N., Oliveira, D. L., & Gomes, L. B. (2017). Produção do cuidado em Saúde Mental: desafios para além dos muros institucionais. Interface - Comunicação, Saúde, Educação, 21(61), 373-384. doi:10.1590/1807-57622016.0139

Franco, T. B., & Merhy, E. E. (2013). Trabalho, produção do cuidado e subjetividade em saúde: Textos reunidos (1st ed.). Sāo Paulo: Hutecitec.

Fritsch, R., Jacobus, A. E., & Vitelli, R. F. (2020). Diversification, commodification and performance of Brazilian higher education. Revista da Avaliação da Educação Superior, 25(1), 89-112. doi:10.1590/s1414-40772020000100006

Laker, C., Cella, M., Callard, F., & Wykes, T. (2019). Why is change a challenge in acute mental health wards? A cross-sectional investigation of the relationships between burnout, occupational status and nurses’ perceptions of barriers to change. International Journal of Mental Health Nursing, 28(1), 190-198. doi:10.1111/inm.12517

Larrosa, J. (2011). Experiência e alteridade em educação. Psicologia: Reflexão e Crítica, 19(2), 1-24. doi:10.17058/rea.v19i2.2444

Lei nº 7.498, de 25 de junho de 1986. (1986). Dispõe sobre a regulamentação do exercício da enfermagem e dá outras providências [Internet]. Diário Oficial da República Federativa do Brasil, Brasíli a(DF); 1986. Retrieved in: 8 de agosto de 2021.

Lima, D. W. d. C., Silveira, L. C., Vieira, A. N., Cunha, B. M. C. d., Almeida, A. N. S. d., & Guerreiro, E. M. (2014). Theoretical references that guide nursing practice in mental health. Escola Anna Nery, 18(2), 336-342. doi:10.5935/1414-8145.20140049

Lira, L. C. S., Silva, P. M. C., Clementino, F. S., & Barbosa, K. K. S. (2018). Between policies and practices: Therapeutic activities based on harm reduction. Journal of Nursing UFPE, 12(5), 1206-1215. doi:10.5205/1981-8963-v12i5a231307p1206-1215-2018

Lopes, C. S. (2020). How is Brazilian’s mental health? The importance of birth cohorts for better understanding the problem. . Cadernos de saude publica, 36(2), e00005020. doi:10.1590/0102-311X00005020

Loyola, C. M. D. (2017). Mental health and psychiatric nursing: Contributions to the resocialization of person in psychic suffering. Escola Anna Nery, 21(3), e20170301. doi:10.1590/2177-9465-ean-2017-0003-0001

Mattos, A., Moll, M., Souto, M., & Neves, M. (2018). Psychiatric care provided by nursing technicians. Journal of Nursing UFPE, 12(3), 618-625. doi:10.5205/1981-8963-v12i3a25080p618-625-2018

Mesquita, L. F., & Tavares, C. M. (2020). Systematization of nursing assistance in mental health in primary care: Integrative literature review. Enfermagem Atual in Derme, 91(29). Retrieved from https://revistaenfermagematual.com.br/index.php/revista/article/view/82

Moreira, D. F. N., Santos, I. l., Azevedo, B. M. E. P., Araujo, D. D., & Gusmao, R. O. M. (2019). Nursing diagnoses identified in alcohol and other drug users. Enfermagem em Foco, 10(5), 103-108. Retrieved from http://biblioteca.cofen.gov.br/wp-content/uploads/2020/05/Diagn%C3%B3sticos-de-enfermagem-identificados-em-usu%C3%A1rios-de-%C3%A1lcool-e-outras-drogas.pdf

Mota, A., Silva, A., & Souza, A. (2016). Educação permanente: Práticas e processos com a enfermagem em saúde mental. Revista Portuguesa de Enfermagem de Saúde Mental, 4, 9-16. doi:10.19131/rpesm.0135

Oliveira, R. C., Silva, L. F., Jesus, M. R., Santos, T. J., Evaristo, T. N., Ribeiro, W. F., . . . Gusmão, R. O. M. (2020). Clinical care and the nursing process in mental health: Integrative literature review. Revista Eletrônica Acervo Saúde, 38, e2018. doi:10.25248/reas.e2018.2020

Paes, M. R., Maftum, M. A., & Mantovani, M. F. (2010). Nursing care to patients with comorbidity clinical and psychiatric in hospital emergency service. Revista Gaucha de Enfermagem, 31(2), 277-284.

Pan American Health Organization. (2018). The burden of mental disorders in the region of the Americas. Retrieved from Washington, D.C.: https://iris.paho.org/handle/10665.2/49578

Peplau, H. E. (1962). Interpersonal relations in nursing. New York: Putnam's.

Pessoa Júnior, J. M., Santos, R. C. d. A., Clementino, F. d. S., Nascimento, E. G. C. d., & Miranda, F. A. N. d. (2016). Mental health education and professional practice in the psychiatric hospital. Texto & Contexto - Enfermagem, 25(3), e3020015. doi:10.1590/0104-07072016003020015

Rodrigues, J., Santos, S. M. A., & Spriccigo, J. S. (2012). Teaching nursing care in mental health in undergraduate nursing. Acta Paulista de Enfermagem, 25(6), 844-851. doi:10.1590/S0103-21002012000600004

Salberg, J., Bäckström, J., Röing, M., & Öster, C. (2019). Ways of understanding nursing in psychiatric patient care – A phenomenographic study. Journal of Nursing Management, 27, 1826-1834. doi:10.1111/jonm.12882

Santos, R. C. A., Pessoa Junior, J. M., & Miranda, F. A. N. (2018). Psychosocial care network: Adequacy of roles and functions performed by professionals. Revista Gaucha de Enfermagem, 39, e57448. doi:10.1590/1983-1447.2018.57448

Savarimuthu, D. (2020). The potential role of nurses in leading positive behaviour support. British Journal of Nursing, 29(7), 414-418. doi:10.12968/bjon.2020.29.7.414

Serapioni, M. (2019). Franco Basaglia: Biografia de um revolucionário. História, Ciências, Saúde-Manguinhos, 26(4), 1169-1187. doi:10.1590/S0104-59702019000400008

Sousa, S. S., Costa, L. S. P., & Jorge, M. S. B. (2019). Cuidado em saúde mental no contexto da atenção primária: Contribuições da enfermagem. Revista Baiana de Saúde Pública, 43(1). doi:10.22278/2318-2660.2019.v43.n1.a3024

Tavares, C. M., Silveira, P. G., Lima, T. O., Ferreira, R. E., & Santos, G. S. (2015). Changes in undergraduate education in psychiatric nursing and mental health area: Integrative review. Journal of Nursing UFPE, 9(12), 1329-1336. doi:10.5205/reuol.8127-71183-1-SM.0912201535

Travelbee, J. (1969). Intervention-psychiatric nursing: Process in the one-to-one relationship. Philadelphia: Davis.

Vargas, D., Bittencourt, M. N., Rocha, F. M., & Silva, A. C. O. (2014). Alcohol/drugs community mental health services: Insertion and practices of nursing professionals. Escola Anna Nery, 18(1), 101-106. doi:10.5935/1414-8145.20140015

Vargas, D., Soares, J., Ponce, T. D., & Oliveira, B. B. (2017). Psychiatric urgency and emergency care nurses: An analysis of their professional and educational profile. Cogitare Enfermagem, 22(4), e50704. doi:10.5380/ce.v22i4.50704

Published

13/08/2021

How to Cite

MOTA, A. dos S. .; ABRAHÃO, A. L.; WISNESKY, U. D.; VERNAGLIA, T. V. C.; SILVA, C. M. C. da; SILVA, R. V. B. da. Professional practice and nursing care in Mental Health: an integrative review. Research, Society and Development, [S. l.], v. 10, n. 10, p. e352101018824, 2021. DOI: 10.33448/rsd-v10i10.18824. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18824. Acesso em: 18 oct. 2021.

Issue

Section

Review Article