DOI:
https://doi.org/10.18471/rbe.v37.53486Palabras clave:
Salud Mental, Enfermería Psiquiátrica, Servicios Médicos de Urgencia, Atención a la Salud Mental, Urgencias MédicasResumen
Objetivo:conhecer as características da assistência à saúde mental dispensada por profissionais de enfermagem nos serviços médicos de emergência. Método: revisão integrativa de literatura nas bases de dados Literatura LatinoAmericano e do Caribe em Ciências da Saúde (LILACS), Publisher Medline (PUBMED), SciVerse Scopus (SCOPUS) e Cumulative Index to Nursing and Allied Health Literature (CINAHL),no período de março a junho de 2023, utilizando-se critérios de inclusão e exclusão previamente definidos. Resultados:obteve-se uma amostra final de 59 artigos os quais foram agrupados nas seguintes categorias temáticas:concepções em saúde mental, comunicação,intervenções, atendimento em rede, competência em cuidado em saúde mental e barreiras durante os atendimentos. Conclusão:o cuidado é feito de forma incipiente e permeado por elementos dificultadores. Os achados do presente estudo servem para rever e repensar práticas e políticas de cuidado em saúde mental e promover estratégias de aperfeiçoamento dos processos de trabalho.
Descritores:Saúde Mental.Enfermagem Psiquiátrica.Serviços Médicos de Emergência. Assistência à Saúde Mental.Emergências
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Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Coordenação Geral de Saúde Mental. Reforma psiquiátrica e política de saúde mental no Brasil [Internet]. Brasília; 2005 [cited 2021 Mar 18]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/Relatorio15_anos_Caracas.pdf
Brasil. Ministério da Saúde. Portaria nº 3088, de 23 de dezembro de 2011. Institui a Rede de Atenção Psicossocial para pessoas com sofrimento ou transtorno mental e com necessidades decorrentes do uso de crack, álcool e outras drogas, no âmbito do Sistema Único de Saúde (SUS). Diário Oficial da União [Internet]. Brasilia; 2011 [cited 2021 Mar 19]. Available from: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt3088_23_12_2011_rep.html
Cruz KDF, Guerrero AVP, Scafuto J, Vieira N. Atenção à crise em saúde mental: um desafio para a reforma psiquiátrica brasileira. Rev. Nufen [Internet]. 2019 [cited 2021 Mar 20]; 11(2): 117-32. DOI: http://dx.doi.org/10.26823/RevistadoNUFEN.vol11.n02ensaio51
Conselho Federal de Enfermagem. Resolução COFEN nº 678/2021. Aprova a atuação da Equipe de Enfermagem em Saúde Mental e em Enfermagem Psiquiátrica. Diário Oficial da União [Internet]. Brasilia; 2021 [cited 2021 Sept 19]. Available from: http://www.cofen.gov.br/resolucao-cofen-no-678-2021_90358.html
Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: Método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto contexto – enferm [Internet]. 2008 [cited 2021 Apr 18]; 17(4): 758-64. DOI: https://doi.org/10.1590/S0104-07072008000400018
Ercole FF, Melo LS, Alcoforado CL. Revisão integrativa versus revisão sistemática [editorial]. REME rev. min. Enferm [Internet]. 2014 [cited 2021 Apr 18]; 18(1):9-12. DOI: http://www.dx.doi.org/10.5935/1415-2762.20140001
Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it?. Einsten [Internet]. 2010 [cited 2021 Apr 18]; 8(1): 102-6. DOI: https://doi.org/10.1590/S1679-45082010RW1134
Santos CMC, Pimenta CAM, Nobre MRC. The PICO strategy for the research question construction and evidence search. Rev. Latino-Am. Enfermagem [Internet]. 2007 [cited 2021 Apr 19]; 15(3): 508-11. DOI: https://doi.org/10.1590/S0104-11692007000300023
Almeida AB, Nascimento ERP, Rodrigues J, Zeferino MT, Souza AI, Hermida PMV. Mobile Emergency Medical Services In The Psychological Crisis And The Psychosocial Paradigm. Texto contexto – enferm. [Internet]. 2015 [cited 2021 Apr 25]; 24(4): 1035-43. DOI: http://dx.doi.org/10.1590/0104-0707201500003580014
Oliveira LC, Silva RAR, Carvalho FPB, Soares FRR, Sousa KMN, Solano LC. Dificuldades no atendimento às urgências e emergências psiquiátricas no serviço de atendimento móvel de urgência. Enferm. foco [Internet]. 2018 [cited 2021 Apr 28]; 4(9): 18-22. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/view/1317/471
Brito AAC, Bonfada D, Guimarães J. Onde a reforma ainda não chegou: ecos da assistência às urgências psiquiátricas. Physis [Internet]. 2015 [cited 2021 Apr 28]; 25(4): 1293-1312. DOI: http://dx.doi.org/10.1590/s0103-73312015000400013
Oliveira LC, Silva RAR. Knowledge and practices in urgent and emergency psychiatric care. Rev enferm UERJ [Internet]. 2017 [cited 2021 Apr 30]; 25: 1-6. DOI: http://dx.doi.org/10.12957/reuerj.2017.10726.
Ács A, Mészáros J, Balogh Z. Egészségügyi szakdolgozók mentális zavarokkal kapcsolatos ismereteinek és a betegekkel szembeni attitűdjének vizsgálata. Orv. hetil. [Internet]. 2020 [cited 2021 Apr 30]; 161(2): 56-66. DOI: http://dx.doi.org/10.1556/650.2020.31577
Gerace A, Muir-Cochrane E. Perceptions of nurses working with psychiatric consumers regarding the elimination of seclusion and restraint in psychiatric inpatient settings and emergency departments: an australian survey. Int. J. Ment. Health Nurs. [Internet]. 2019 [cited 2021 May 01]; 28(1): 209-25. DOI: http://dx.doi.org/10.1111/inm.12522
Pereira LP, Duarte MLC, Eslabão AD. Care for people with psychiatric comorbidity in a general emergency unit: vision of the nurses. Rev. gaúch. enferm [Internet]. 2019 [cited 2021 May 01]; 40: 1-8. DOI: http://dx.doi.org/10.1590/1983-1447.2019.20180076
Broadbent M, Moxham L, Dwyer T. Understanding nurses perspectives of acuity in the process of emergency mental health triage: a qualitative study. Contemp. nurse [Internet]. 2020 [cited 2021 May 01]; 56(3): 280-95. DOI: http://dx.doi.org/10.1080/10376178.2020.1841014
Dombagolla MHK, Kant JÁ, Lai FWY, Hendarto A, Taylor DMD. Barriers to providing optimal management of psychiatric patients in the emergency department (psychiatric patient management). Australas. Emerg. Care [Internet]. 2019 [cited 2021 May 03]; 22(1): 8-12. DOI: http://dx.doi.org/10.1016/j.auec.2019.01.001
Weiland TJ, MacKinlay C, Hill N, Gerdtz MF, AJelinek G. Optimal management of mental health patients in Australian emergency departments: barriers and solutions. Emerg Med Australas. [Internet]. 2011 [cited 2021 May 05]; 23(6): 677-88. DOI: http://dx.doi.org/10.1111/j.1742-6723.2011.01467.x
Chou HJ, Tseng KY. The experience of emergency nurses caring for patients with mental illness: a qualitative study. Int J Environ Res Public Health [Internet]. 2020 [cited 2021 May 08]; 17(22): 8540. DOI: http://dx.doi.org/10.3390/ijerph17228540
Mello JJ, Bell JF, Siegel EO, Ward DH. Evaluating psychiatric nursing competencies applied to emergency settings: a pilot role delineation study. Int Emerg Nurs. [Internet]. 2016 [cited 2021 May 08]; 25: 37-42. DOI: http://dx.doi.org/10.1016/j.ienj.2015.07.005
Clarke DE, Boyce-Gaudreau K, Sanderson A, Baker JÁ. ED Triage Decision-Making With Mental Health Presentations: a “think aloud” study. J Emerg Nurs. [Internet]. 2015 [cited 2021 May 08]; 41(6): 496-502. DOI: http://dx.doi.org/10.1016/j.jen.2015.04.016
Kondo EH, Vilella JC, Borba LO, Paes MR, Maftum MA. A nursing team’s approach to users of a mental health emergency room. Rev Esc Enferm USP [Internet]. 2011 [cited 2021 May 09]; 45(2): 501-7. DOI: http://dx.doi.org/10.1590/s0080-62342011000200028
Gerdtz MF, Weiland TJ, AJelinek G, MacKinlay C, Hill N. Perspectives of emergency department staff on the triage of mental health-related presentations: implications for education, policy and practice. Emerg Med Australas. [Internet]. 2012 [cited 2021 May 10]; 24(5): 492-500. DOI: http://dx.doi.org/10.1111/j.1742-6723.2012.01592.x
Daggenvoorde TH, Klaren JM, Gijsman HJ, Vermeulen H, Goossens PJJ. Experiences of Dutch ambulance nurses in emergency care for patients with acute manic and/or psychotic symptoms: a qualitative study. Perspect Psychiatr Care [Internet]. 2020 [cited 2021 May 10]; 57(3): 1305-12. DOI: http://dx.doi.org/10.1111/ppc.12691.
Beks H, Healey C, Schlicht K. 'When you're it': a qualitative study exploring the rural nurse experience of managing acute mental health presentations. Rural Remote Health [Internet]. 2018 [cited 2021 May 11]; 18(3): 4616. DOI: http://dx.doi.org/10.22605/rrh4616
Innes K, Morphet J, O'Brien AP, Munro I. Caring for the mental illness patient in emergency departments - an exploration of the issues from a healthcare provider perspective. J Clin Nurs. [Internet]. 2013 [cited 2021 May 11]; 23(13-14): 2003-11. DOI: http://dx.doi.org/10.1111/jocn.12437
Rutledge DN, Wickman ME, Cacciata M, Winokur EJ, Loucks J, Drake D. Hospital staff nurse perceptions of competency to care for patients with psychiatric or behavioral health concerns. J Nurses Prof Dev. [Internet]. 2013 [cited 2021 May 13]; 29(5): 255-62. DOI: http://dx.doi.org/10.1097/01.nnd.0000433150.18384.1c
Mannocci A, Meggiolaro A, Feller E. Knowledge of emergency department triage nurses in management of patients with mental health needs: comparisons with the triage model of Lazio (TLM). Clin Ter [Internet]. 2015 [cited 2021 May 15]; 166(3): 121-30. DOI: http://dx.doi.org/10.7417/CT.2015.1842
Cranwell K, Polacsek M, McCann TV. Improving care planning and coordination for service users with medical co-morbidity transitioning between tertiary medical and primary care services. J Psychiatr Ment Health Nurs. [Internet]. 2017 [cited 2021 May. 15]; 24(6): 337-47. DOI: http://dx.doi.org/10.1111/jpm.12322
Ngune I, Hasking P, McGough S, Wynaden D, Janerka C, Rees C. Perceptions of knowledge, attitude and skills about non‐suicidal self‐injury: a survey of emergency and mental health nurses. Int J Ment Health Nurs. [Internet]. 2020 [cited 2021 May 17]; 30(3): 1-8. DOI: http://dx.doi.org/10.1111/inm.12825
Maina R, Bukusi D, Njuguna SK, Kumar M. Gaps in suicide assessment and management among accident and emergency nurses in Kenyatta National Hospital: a qualitative study. Glob Soc Wel [Internet]. 2018 [cited 2021 May 17]; 6(2): 87-96. DOI: http://dx.doi.org/10.1007/s40609-018-0127-7
Gholamrezaei A, Rezapour-Nasrabad R, Ghalenoei M, Nasiri M. Correlation between suicide literacy and stigmatizing attitude of nurses toward patients with suicide attempts. Rev. Latinoam. de Hipertens. [Internet]. 2021 [cited 2021 May 18]; 14(3): 351-55. Available from: http://www.revhipertension.com/rlh_3_2019/18correlationbetweensuicideliteracy.pdf
Macedo MM, Souza J, Almeida LY, Vedana KGG, Santos MA, Miasso AI. Visits to an emergency department by children and adolescents with substance-related disorders and the perceptions of nursing professionals. Child Youth Serv Rev [Internet]. 2018 [cited 2021 May 20]; 93: 492-500. DOI: http://dx.doi.org/10.1016/j.childyouth.2018.08.018
Molina-Mula J, González-Trujillo A, Simonet-Bennassar M. Emergency and mental health nurses’ perceptions and attitudes towards alcoholics. Int. J. Environ. Res. Public Health [Internet]. 2018 [cited 2021 May 20]; 15(8): 1-10. DOI: http://dx.doi.org/10.3390/ijerph15081733
Koning KL, Mcnaught A, Tuffin K. Emergency Department staff beliefs about self-harm: a thematic framework analysis. Community Ment Health J [Internet]. 2017 [cited 2021 May 20]; 54(6): 814-22. DOI: http://dx.doi.org/10.1007/s10597-017-0178-8
Fontão MC, Rodrigues J, Lino MM, Lino MM, Kempfer SS. Nursing care to people admitted in emergency for attempted suicide. Rev. Bras. Enferm. [Internet]. 2018 [cited 2021 May 22]; 71(5): 2199-205. DOI: http://dx.doi.org/10.1590/0034-7167-2017-0219
Vedana KG, Giacchero MDF, Zanetti ACG, Miasso AI, Borges TL, Santos MA. Attitudes towards suicidal behaviour and associated factors among nursing professionals: a quantitative study. J Psychiatr Ment Health Nurs [Internet]. 2017 [cited 2021 May 25]; 24(9-10): 651-59. DOI: http://dx.doi.org/10.1111/jpm.12413
Pekurinen V, Willman L, Virtanen M, Kivimäki M, Vahtera J, Välimäki M. Patient Aggression and the Wellbeing of Nurses: a cross-sectional survey study in psychiatric and non-psychiatric settings. Int. J. Environ. Res. Public Health [Internet]. 2017 [cited 2021 May 28]; 14(10): 1-14. DOI: http://dx.doi.org/10.3390/ijerph14101245
Pich JV, Kable A, Hazelton M. Antecedents and precipitants of patient-related violence in the emergency department: results from the australian vent study (violence in emergency nursing and triage). Australas Emerg Nurs J [Internet]. 2017 [cited 2021 May 28]; 20(3): 107-13. DOI: http://dx.doi.org/10.1016/j.aenj.2017.05.005
Marynowski-Traczyk D, Moxham L, Broadbent M. Emergency Department Registered Nurses' conceptualisation of recovery for people experiencing mental illness. Australas Emerg Nurs J. [Internet]. 2017 [cited 2021 May 29]; 20(2):75-81. DOI: 10.1016/j.aenj.2017.04.002
Llor-Esteban B, Muñoz MS, Ruiz-Hernández JA, Jiménez-Barbero JA. User violence towards nursing professionals in mental health services and emergency units. Eur J Psychol Appl to Leg Context. [Internet]. 2017 [cited 2021 May 29]; 9(1): 33-40. DOI: https://doi.org/10.1016/j.ejpal.2016.06.002
Harris B; Beurmann R; Fagien S; Shattell MM. Patients' experiences of psychiatric care in emergency departments: a secondary analysis. Int Emerg Nurs. [Internet]. 2016 [cited 2021 May 29]; 26: 14-19. DOI: http://dx.doi.org/10.1016/j.ienj.2015.09.004
Chapman R, Ogle KR, Martin C, Rahman A, McKenna B, Barnfield J. Australian nurses' perceptions of the use of manual restraint in the Emergency Department: a qualitative perspective. J Clin Nurs. [Internet]. 2016 [cited 2021 May 30]; 25(9-10): 1273-81. DOI: http://dx.doi.org/10.1111/jocn.13159
Broadbent M, Moxham L, Dwyer T. Implications of the emergency department triage environment on triage practice for clients with a mental illness at triage in an australian context. Australas Emerg Nurs J. [Internet]. 2014 [cited 2021 Jun 01]; 17(1): 23-9. DOI: http://dx.doi.org/10.1016/j.aenj.2013.11.002
AJelinek G, Weiland TJ, MacKinlay C, Gerdtz M, Hill N. Knowledge and confidence of Australian emergency department clinicians in managing patients with mental health-related presentations: findings from a national qualitative study. Int J Emerg Med. [Internet]. 2013 [cited 2021 Jun 01]; 6(1): 1-7. DOI: http://dx.doi.org/10.1186/1865-1380-6-2
Carmona-Navarro MC, Pichardo-Martínez MC. Attitudes of nursing professionals towards suicidal behavior: influence of emotional intelligence. Rev. Latino-Am. [Internet]. 2012 [cited 2021 Jun 03]; 20(6): 1161-8. DOI: http://dx.doi.org/10.1590/s0104-11692012000600019
O'brien A, Leonard L, Deering D. Could an advance practice nurse improve detection of alcohol misuse in the emergency department? Int J Ment Health Nurs. [Internet]. 2012 [cited 2021 Jun 03]; 21(4): 340-8. DOI: http://dx.doi.org/10.1111/j.1447-0349.2011.00797.x
Sivakumar S, Weiland TJ, Gerdtz MF, Knott J, AJelinek G. Mental health-related learning needs of clinicians working in Australian emergency departments: a national survey of self-reported confidence and knowledge. Emerg Med Australas. [Internet]. 2011 [cited 2021 Jun 03]; 23(6): 697-711. DOI: http://dx.doi.org/10.1111/j.1742-6723.2011.01472.x
Marynowski-Traczyk D, Broadbent M. What are the experiences of Emergency Department nurses in caring for clients with a mental illness in the Emergency Department? Australas Emerg Nurs J. [Internet]. 2011 [cited 2021 Jun 04]; 14,(3): 172-9. DOI: http://dx.doi.org/10.1016/j.aenj.2011.05.003
Melo ZM, Pegoraro NPJ, Santos MA, Pillon SC. Attitudes and knowledge of nursing technicians about care to patients with mental disorders. Rev. eletrônica enferm. [Internet]. 2016 [cited 2021 Jun 04]; 18: 1-11. DOI: http://dx.doi.org/10.5216/ree.v18.37746
Paes MR, Maftum MA. Communication between nursing team and patients with mental disorder in an emergency service. Ciênc. cuid. saúde [Internet]. 2013 [cited 2021 Jun 06]; 12(1): 55-62. DOI: https://dx.doi.org/10.4025/cienccuidsaude.v12i1.15830
Andersson H, Carlsson J, Karlsson L, Holmberg M. Competency requirements for the assessment of patients with mental illness in somatic emergency care: a modified Delphi study from the nurse’s perspective. Nord. J. Nurs. Res. [Internet]. 2020 [cited 2021 Jun 07]; 40(3): 162-70. DOI: http://dx.doi.org/10.1177/2057158520946212
Bonfada D, Guimarães J, Brito AAC. Concepções de profissionais de saúde do serviço de atendimento móvel quanto à urgência psiquiátrica. Rev. RENE [Internet]. 2012 [cited 2021 Jun 07]; 2(13): 309-20. Available from: http://periodicos.ufc.br/rene/article/download/3918/3111/
Artis L, Smith JR. Emergency department staff attitudes toward people who self-harm. Adv. Emerg. Nurs. J. [Internet]. 2013 [cited 2021 Jun 10]; 35(3): 259-69. DOI: http://dx.doi.org/10.1097/tme.0b013e31829d202b
Plant LD, White JH. Emergency room psychiatric services: a qualitative study of nurse’s experiences. Issues Ment Health Nurs. [Internet]. 2013 [cited 2021 Jun 10]; 34(4): 240-8. DOI: http://dx.doi.org/10.3109/01612840.2012.718045
Elias ADS, Tavares CMM, Cortez EA. Impact of stigma of madness on the attention of nursing to psychiatric patient in emergency. Ciênc. cuid. saúde [Internet]. 2013 [cited 2021 Jun 12]; 4(12): 776-83, 05 dez. 2013. DOI: 10.4025/cienccuidsaude.v12i4.22553
Almeida AB, Nascimento ERP, Rodrigues J, Schweitzer G. Intervenção nas situações de crise psíquica: dificuldades e sugestões de uma equipe de atenção pré-hospitalar. Rev Bras Enferm. [Internet]. 2014 [cited 2021 Jun 12]; 67(5): 708-14. DOI: http://dx.doi.org/10.1590/0034-7167.2014670506
Sands N, Elsom S, Berk M, Hosking J, Prematunga R, Gerdtz M. Investigating the predictive validity of an emergency department mental health triage tool. Nurs. health sci. [Internet]. 2013 [cited 2021 Jun 15]; 16(1): 11-8. DOI: http://dx.doi.org/10.1111/nhs.12095
Santos ACT, Nascimento YCML, Lucena TS, Rodrigues PMS, Brêda MZ, Santos GF. Mobile service attendance of urgency to psychiatric urgencies and emergencies. J Nurs UFPE [Internet]. 2014 [cited 2021 Jun 18]; 6(8): 1586-96. DOI: 10.5205/reuol.5876-50610-1-SM.0806201418
Alabarce JAL, Sánchez DH, Mula JM, Medina JMF, Fernández AIC, Álvarez ES, et al. Perception, knowledge and attitudes of emergency and mental health nurses regarding alcoholism and other drug dependencies. Metas enferm. [Internet]. 2014 [cited 2021 Jun 18]; 17(2): 22-31, mar. 2014. Available from: https://www.enfermeria21.com/revistas/metas/article/80555/perception-knowledge-and-attitudes-of-emergency-and-mental-health-nurses-regarding-alcoholism-and-other-drug-dependencies/
Holmberg M, Hammarbäck S, Andersson H. Registered nurses’ experiences of assessing patients with mental illness in emergency care: a qualitative descriptive study. Nord. J. Nurs. Res [Internet]. 2020 [cited 2022 Jun 20]; 40(3): 151-61. DOI: http://dx.doi.org/10.1177/2057158520941753
Usher K, Jackson D, Woods C, Sayers J, Kornhaber R, Cleary M. Safety, risk, and aggression: health professionals: experiences of caring for people affected by methamphetamine when presenting for emergency care. Int. J. Ment. Health Nurs. [Internet]. 2017 [cited 2022 Jun 20]; 26(5): 437-44. DOI: http://dx.doi.org/10.1111/inm.12345
Fry M, Abrahamse K, Kay S, Elliott RM. Suicide in older people, attitudes and knowledge of emergency nurses: a multi-centre study. Int Emerg Nurs. [Internet]. 2019 [cited 2022 Jun 20]; 43: 113-18. DOI: http://dx.doi.org/10.1016/j.ienj.2019.01.003
Diana AH, Olfson M, Cullen SW, Marcus SC. The relationship between evidence-based practices and emergency department managers’ perceptions on quality of care for self-harm patients. J Am Psychiatr Nurses Assoc. [Internet]. 2019 [cited 2022 Jun 20]; 26(3): 288-92. DOI: http://dx.doi.org/10.1177/1078390319889673
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