The facets of violence in psychiatric institutions: the opposite of care
Keywords:psychiatric nursing; exposure to violence; mentally ill persons; mental health; continuing education
Aim: To reflect situations experienced by people in psychological distress admitted to a psychiatric hospital, understood as institutional violence. Method: a descriptive study with a qualitative approach, structured on the form of an experience report, in which participant observation was used to produce the data. The study was carried out in a psychiatric hospital located in the city of Rio de Janeiro. Four observed situations were described and described as actions that refer to institutional violence. Such situations were analyzed from a critical reflection based on the guidelines of the Ministry of Health by the National Humanization Program (PNH) and by the guidelines of the National Mental Health Policy. Results: It was observed that the managements adopted in the cases are dissonant with the aforementioned references and the ethical and empathic care are poorly aligned. In view of this, the following questions emerged: should heteroaggressive attitudes be combated with violence by the professional? What to do when management is no longer clinical? Conclusion: The perception of the difficulty of an adequate professional management refers to empirical practices disconnected from the theoretical references that support the practice of nurses in the field of mental health and psychiatry. It is necessary to address this theme in other studies, as well as to reassess the training processes and permanent education actions of health and mental health services, with a view to building comprehensive, singular, co-responsible and above all care empathetic.
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Copyright (c) 2020 Luisa Costa Alves Guidoux; Luciana Silvério Alleluia Higino da Silva; Thayná Martins Souza Machado; Aline Porto Reis
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