Cuidados em emergências psiquiátricas na voz de profissionais de enfermagem

Abstract

The research aimed to understand the perception of nursing professionals which work in a Emergency Room of a general hospital about psychiatric emergencies and to know the care provided by nursing professionals in psychiatric emergency situations that work in this space. This is a qualitative study, of descriptive type, carried out at a medium-sized general hospital located in a municipality in the northwest of Rio Grande do Sul state. The participants were 13 nursing professionals which work in the Emergency Room of the Palmeira das Missões Charity Hospital. Regarding the data collection technique, a semi-structured interview was used. The ethical aspects were observed during the research. Data analysis took place following the thematic analysis steps. From the obtained data, it was identified that professionals understand that the psychiatric emergency consists of situations involving psychotic breaks, ideation and/or suicide attempt, psychomotor agitation and aggression and behavioral changes resulting from the Psychoactive Substances use. Nursing interventions are based on dialogue, drug administration and mechanical restraint. It was possible to identify problems that negatively interfere in the reception of the user in psychological distress, such as inadequate physical space and low theoretical and practical knowledge of nursing professionals in situations which require psychiatric management. In this context, it is necessary to qualify these professionals, in order to improve attention to the population assisted, facilitating the work process developed by nursing, minimizing professionals distress and providing a humanized reception.