Nursing process in mental health: an integrative literature review

Mental health assistance: identification of nursing diagnoses in a community mental health service

OBJECTIVE

to map and identify nursing diagnoses targeted at night care users in a Psychosocial Care Center according to NANDA-I Taxonomy.

METHOD

this is a descriptive-exploratory study, of documentary research type of 319 records in medical records. It was held in a Psychosocial Care Center III in Goiás, from 2014-2018. Nursing diagnoses and records were extracted with non-standardized language.

RESULTS

813 records of nursing diagnoses identified in 53 different titles, in 10 domains, were identified. The most frequent diagnosis was risk for self-extermination. The domain with the highest number of diagnostic records was activity/rest. There was a predominance of diagnoses focused on the problem.

FINAL CONSIDERATIONS

mapping contributes to the planning of evidence-based nursing interventions and to the strengthening of professional identity in mental health. It is evident the need for practices that go beyond the symptoms in a preventive perspective, with a view to comprehensiveness.

The nursing team work process in Children and Adolescents Psychosocial Care Centers

OBJECTIVE

To know the nursing team work process in Children and Adolescents Psychosocial Care Centers in a city of the state of São Paulo.

METHOD

This is a qualitative, descriptive, and exploratory study, based on the approach of historical and dialectical materialism, carried out with the nursing team through participant observation and semi-structured interviews.

RESULTS

Eleven subjects from the nursing team participated in the study. The nursing team work process emerges from the dialectical tension of two categories: the non-knowledge, based on the alienation of the nursing work process and subordination to the knowledge of the multidisciplinary team, and the knowledge based on the nursing clinic outlined within the biological and relational perspectives.

CONCLUSION

The nursing team work process takes place when guided by a non-knowledge resulting from alienation due to the knowledge of the other, and by knowledge through the implementation of the Nursing Process through the Nursing Care Systematization based on a biological perspective, considering relational and administrative aspects, which emerges as a contradiction.

Nursing process implantation in mental health: a convergent-care research

OBJECTIVE

to understand the perception of nurses and their needs regarding Nursing Process implantation in a long-term psychiatric hospitalization unit.

METHOD

a convergent care research, carried out in a psychiatric institute in Rio de Janeiro, with 13 nurses. Data were produced between May/2016 and August/2017, with observation in a field diary, semi-structured interviews and groups. Data were analyzed regarding content, theme and by the software NVivo.

RESULTS

three thematic categories were developed: Knowledge and practices of participants on Systematization of Nursing Care, Nursing Process and classification system; Convergence points: Nursing Process in practice and research; Challenges of Nursing Process implantation in mental health. Final considerations: implantation was perceived by nurses as a way to be constructed: in the stages of Nursing Process, in handling classifications, but mainly in articulation with the Brazilian National Mental Health Policy.

Data, diagnoses, and interventions addressing the nursing focus "delusion": A scoping review

PURPOSE

To explore and synthesize literature related to the nursing process addressing the focus "Delusion".

DESIGN AND METHODS

This literature review is integrated with a scoping study framework. From the total 252 papers found, 39 were selected.

FINDINGS

Relevant data and diagnostic activities, hypothetic nursing diagnoses, and interventions addressing the focus "Delusion" were identified.

PRACTICE IMPLICATIONS

This literature review allowed the development of a clinical data model addressing the focus "Delusion", based on the steps of the nursing process identified. This clinical data model may contribute towards improving nursing clinical decision-making and nursing care quality in relation to a client suffering from delusion as well as producing more reliable nursing-sensitive indicators.

Nursing interventions in mental health and psychiatry: Content analysis of records from the nursing information systems in use in Portugal

WHAT IS KNOWN ABOUT THE SUBJECT?: Planning and implementation of care are based on the selection and application of nursing interventions, which correspond to a key element in the nursing process. No information was found in the literature about which major nursing interventions are documented by nurses working in psychiatric wards. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: Despite the criteria applied to the intervention records' analysis may have led to the exclusion of certain important aspects of mental health nursing, this study provides information on some of the most relevant interventions in the field of psychiatric and mental health nursing documented in Portugal, placing them into the different steps of the nursing process. This study revealed the lack of standardized language used by nurses in intervention definitions, which results in the use of varied terminology to describe the same intervention. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This study constitutes an important contribution towards the standardization of language used by mental health nurses in intervention definitions, which may lead to the production of health indicators that will show policymakers the importance of nursing care towards population health. This study also contributes to the improvement of nursing informatics systems in use in psychiatric departments, particularly through the differentiation between different types of intervention, placing them into the proper steps of the nursing process. The problems identified in this study regarding nursing documentation may suggest that more training for professional nurses in the field of intervention formulation is needed. ABSTRACT: Introduction The nursing intervention corresponds to a key element in the nursing process. No information was found in the literature about which major interventions are documented by nurses working in psychiatric wards. Aims (a) To identify the interventions documented by nurses in Portugal that respond to nursing needs within the scope of psychiatric nursing; (b) to identify the main problems in identifying these interventions. Method A descriptive study combining: (a) quantitative content analysis of intervention records identified by mental health nurses in Portugal and (b) a focus group meeting with 14 nurses exploring the results of the first study phase. Results The 2,881 initial intervention records were systematized into 198 intervention categories. Some problems in the interventions' documentation by nurses were identified. Discussion Despite certain important aspects of mental health nursing may have been excluded, this study provides information on some of the most relevant interventions in the field of mental health nursing documented in Portugal. Implications for practice This study may offer an important contribution to the improvement of nursing informatics systems and the production of health indicators that reveal the contribution of nursing care towards population health.

From alienation to the nursing clinic: care of patients with psychiatric comorbidity

OBJECTIVE

to understand how nurses of mental health care for psychiatric patients with clinical comorbidities.

METHOD

qualitative study based on the referential of historical and dialectical materialism. Interviews with nurses were conducted using semi-structured script. Sample determined in snowball. The interviews were recorded and transcribed in full. The data were analyzed through content analysis, including: organization and exhaustive reading of the material, exploration, grouping data into thematic units, processing of results, and interpretation.

RESULTS

the role of nurses is marked by the dialectic between knowing and not knowing, a movement that revealed two categories: clinic of psychiatric nursing, and alienation and subordination of nurse in the care process.

FINAL CONSIDERATIONS

the development of the nursing clinic, based on the therapeutic relationship, favors integral care towards the patient, whereas alienation/subordination distances the nurse from care and impairs care.