Clinical internship in mental health: Deconstruction of prejudice to the stigmatized and construction of care
DOI:
https://doi.org/10.33448/rsd-v10i9.17837Keywords:
Nursing; Mental Health; Clinical Clerkship; Social Stigma; Professional Training; Teaching.Abstract
Objective: To report the experience of a nursing student about the deconstruction of prejudice in relation to the stigmatized in the process of mental health care from the clinical practice of graduation. Methodology: Descriptive study, of the experience report type, with data extracted from a 16-day field diary composed of daily reflections, referring to the experience of the nursing student in the practical field of mental health. These reflections were analyzed based on Erving Goffman's theoretical model on stigma and presented in a descriptive way. Results: The student arrived in the practical field with prejudiced beliefs and values towards people with mental health problems, however, with the development of the therapeutic relationship permeated by the bond and trust of both involved, in addition to self-motivation generated with the care, student and together, they were able to deconstruct and reframe their previous conceptions. Final considerations: The experience of insertion in the practical field of mental health, added to the possibilities of the therapeutic relationship, enabled the deconstruction of prejudice by the nursing student towards the stigmatized individual with mental health problems. Furthermore, it can recognize the integrality of the discipline in relation to the nurse's work process.
References
Caldas, G. R. F., et. al. (2021) Nursing and Psychiatry- Trajectory and Evolution: A literature Review. Research, Society and Development; 10(2).
Freitas, B. M. C. & Kebbe, L. M. (2013) Mental Health by the perception of trainees: A literature review. Psicologia Argument. 31(74): 519-28.
Goffman, E. (1963) Estigma- Notas sobre a manipulação da identidade deteriorada. 124p.
Graham, N., et. al. (2007) Reducing stigma and discrimination against older people with mental disorders: a technical consensus statement. Rev. Psiq. Clín. 34(1): 39-49.
Martínez, C., Martínez, V. S., Orts, R. S., Dinca, A., Martínez, M. R. & Pichardo, J. D. R. (2019) Effectiveness of direct contact intervention with people with mental illness to reduce stigma in nursing students. Int J Ment Health Nurs. 28(3): 735-43.
Mersin, S., Demiralp, M. & Öksüz, E. (2019) Addressing the psychosocial needs of patients: Challenges for nursing students. Perspect Psychiatr Care. 1–8.
Moreira, M. I. B. (2020) Shared trajectories: experiences of students, users and family members of mental health services in teaching-learning actions in health. Saúde Debate. 44(127): 1189-1200.
Neto, J. B. M., Silva, E. S. M., Figueira, G. M. & Souza, J. C. (2021) The Stigma of mental illness among students and health professionals. Research, Society and Development. 10(3).
Peplau, H. E. (1952) Interpersonal Relations in Nursing. 1952. 356 p.
Pereira, A. S., et al. (2018). Metodologia da pesquisa científica. UFSM.
Querido, A. I. F., Tomás, C. C., Carvalho, D. R. S., Gomes, J. M. F. & Cordeiro, M. S. S. (2020) Impact of an intervention on stigma in mental health and intergroup anxiety. ACTA Paul Enferm. 33:1-9.
Ramos, T. K., Nietsche, E. A., Cogo, S. B., Cassenote, L. G., Bock, A. & Martins, F. S. (2018) Supervised Curricular Internship and training of the Nurse: Developed Activities. Rev Enferm UFSM. 8(1): 59-71.
Ribeiro, A. F. S., et al. (2020) Social stigma, family functioning pattern and the importance of treating mental disorders for users of psychoactive substances. Research, Society and Development. 9(8).
Rosa, D. C. J. R., Lima, D. M., Miranda, L. & Peres, R. S. (2021) "Paciente-problema": Imaginário coletivo de enfermeiros acerca do usuário com diagnóstico de esquizofrenia.Physis: Rev de Saúde Coletiva. 31(1).
Santos, J. C., Barros, S. & Santos, I. M. M. (2016) Stigma: The Perspective of Workers on Community Mental Health Services- Brazil. Global Qualitative Nursing Research. 3: 1-9.
Silva, T. C. M. F. & Marcolan, J. F.(2018) Preventing individuals with mental disorders as a grievance of suffering. Rev Enf. UFPE. 2018; 12(8): 2089-98.
Souza, D. M., Boska, G. A., Oliveira, M. S. R. & Oliveira, M. A. F. (2021) Construction of mental health care based on the experiences of a nursing student. Rev Bras Enferm. 74(3).
Souza, R. M. & Medrado, A. C. C. (2021) On bodies as object: a postcolonial reading of the ‘Brazilian Holocaust’. Saúde Debate. 45(128): 164-177.
Phelan, J., Link, B. & Dovidio, J. (2013) Estigma e preconceito: Um animal ou dois? Estigma e Saúde. 2013; 183-207.
Vargas, D., Maciel, M. E. D., Bittencourt, M. N., Lenate, J. S. & Pereira, C. F. (2018) O Ensino de Enfermagem Psiquiátrica e Saúde Mental no Brasil: Análise Curricular da Graduação. Texto & Contexto Enferm. 27(2): 1-9.
Weber, C. A. T. & Juruena, M. F. (2017) Paradigm in care and stigma of the mental disorder in Brazilian psychiatric reform. Psicologia, Saúde e Doença. 18(3): 640-56.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Danton Matheus de Souza; Gabriella de Andrade Boska; Paula Hayasi Pinho; Márcia Aparecida Ferreira de Oliveira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.