Psychosocial care network: adequacy of roles and functions performed by professionals

Santos, Raionara Cristina de Araújo; Pessoa Junior, João Mário; Miranda, Francisco Arnoldo Nunes de

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Revista Gaúcha de Enfermagem

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Original Article • Rev. Gaúcha Enferm. 39 • 2018 • https://doi.org/10.1590/1983-1447.2018.57448 copy

Psychosocial care network: adequacy of roles and functions performed by professionals

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVE

To verify the adequacy of the roles and functions performed by higher education professionals in the services of psychosocial care network in a Northeastern Brazilian capital.

METHOD

Cross-sectional, analytical study of quantitative approach. The sample was composed of 65 professionals from seven services of psychosocial care network in Natal, Rio Grande do Norte, Brazil. A questionnaire with closed and semi-open questions was used. The data were analyzed using SPSS version 20.0, with the chi-square test and the Fisher's exact test application. A significance level of 5 % (p<0,05) was adopted.

RESULTS

Inadequacy regarding the care of family groups (52.3%), specialist training in mental health (69.2%, p=0.02), and working difficulties in services (87.7%) were detected.

CONCLUSION

The roles and functions carried out by professionals in the services surveyed are adequate, although coexisting with numerous difficulties.

Keywords:
Mental health; Mental health services; Health manpower; Nursing; Professional role

Analysis variables		Institution searched				Total
		CAPS		Outpatient clinics		Total
		n	%	n	%	N	%	p
Individual care	Adequate	54	100	11	100	65	100	-
Individual care	Inadequate	-	-	-	-	-	-
Observation of patient’s behavior	Adequate	50	92.6	11	100	61	93.8	1.00
Observation of patient’s behavior	Inadequate	4	7.4	-	-	4	6.2
Family care	Adequate	50	92.6	10	90.9	60	92.3	1.00
Family care	Inadequate	4	7.4	1	9.1	5	7.7
Working time in mental health	Adequate	47	87.0	11	100	58	89.2	0.59^* * Chi-square test.
Working time in mental health	Inadequate	7	13.0	-	-	7	10.8
Record of the patient's observation on the chart	Adequate	48	88.8	9	81.8	57	87.7	0.61
Record of the patient's observation on the chart	Inadequate	6	11.2	2	18.2	8	12.3
Care in user’s groups	Adequate	46	85.2	10	90.9	56	86.2	1.00
Care in user’s groups	Inadequate	8	14.8	1	9.1	9	13.8
Record of the therapeutic conduct in medical records	Adequate	48	88.8	7	63.6	55	84.6	0.05
Record of the therapeutic conduct in medical records	Inadequate	6	11.2	4	36.4	10	15.4
Promotion of actions for patient’s autonomy	Adequate	46	85.2	9	81.8	55	84.6	0.67
Promotion of actions for patient’s autonomy	Inadequate	8	14.8	2	18.2	10	15.4
Assistance from another professional in family care	Adequate	36	66.7	7	63.6	43	66.2	1.00
Assistance from another professional in family care	Inadequate	18	33.3	4	36.4	22	33.8
Capacitação profissional	Adequate	35	64.8	7	63.6	42	64.6	1.00
Capacitação profissional	Inadequate	19	35.2	4	36.4	23	35.4
Type of approach used with the family	Adequate	29	53.7	8	72.7	37	56.9	0.32
Type of approach used with the family	Inadequate	25	46.3	3	27.3	28	43.1
Assistance to family groups	Adequate	27	50.0	4	36.4	31	47.7	0.51
Assistance to family groups	Inadequate	27	50.0	7	63.6	34	52.3
Specialization course in mental health	Adequate	13	24.1	7	63.6	20	30.8	0.02
Specialization course in mental health	Inadequate	41	75.9	4	36.4	45	69.2
The service has some difficulties	Adequate	6	11.2	2	18.2	8	12.3	0.61
The service has some difficulties	Inadequate	48	88.8	9	81.8	57	87.7

Analysis variables		Type of professional				Total
		Health		Other areas		Total
		n	%	n	%	N	%	p
Specialized care	Adequate	54	100	11	100	65	100	-
Specialized care	Inadequate	-	-	-	-	-	-
Observation of patient’s behavior	Adequate	50	92.6	11	100	61	93.8	1.00
Observation of patient’s behavior	Inadequate	4	7.4	-	-	4	6.2
Family care	Adequate	49	90.7	11	100	60	92.3	0.57^* * Chi-square test.
Family care	Inadequate	5	9.3	-	-	5	7.7
Working time in mental health	Adequate	47	87.0	11	100	58	89.2	0.59^* * Chi-square test.
Working time in mental health	Inadequate	7	13.0	-	-	7	10.8
Record of the patient's observation on the chart	Adequate	48	88.8	9	81.8	57	87.7	0.61
Record of the patient's observation on the chart	Inadequate	6	11.2	2	18.2	8	12.3
Care in user’s groups	Adequate	45	83.3	11	100	56	86.2	0.33^* * Chi-square test.
Care in user’s groups	Inadequate	9	16.7	-	-	9	13.8
Record of the therapeutic conduct in medical records	Adequate	47	87.0	8	72.7	55	84.6	0.35
Record of the therapeutic conduct in medical records	Inadequate	7	13.0	3	27.3	10	15.4
Promotion of actions for patient’s autonomy	Adequate	47	87.0	8	72.7	55	84.6	0.35
Promotion of actions for patient’s autonomy	Inadequate	7	13.0	3	27.3	10	15.4
Assistance from another professional in family care	Adequate	38	70.4	5	45.5	43	66.2	0.16^* * Chi-square test.
Assistance from another professional in family care	Inadequate	16	29.6	6	54.5	22	33.8
Capacitação profissional	Adequate	34	63.0	8	72.7	42	64.6	0.29
Capacitação profissional	Inadequate	20	37.0	3	27.3	23	35.4
Type of approach used with the family	Adequate	31	57.4	6	54.5	37	56.9	1.00^* * Chi-square test.
Type of approach used with the family	Inadequate	23	42.6	5	45.5	28	43.1
Assistance to family groups	Adequate	26	48.1	5	45.5	31	47.7	1.00^* * Chi-square test.
Assistance to family groups	Inadequate	28	51.9	6	54.5	34	52.3
Specialization course in mental health	Adequate	15	27.8	5	45.5	20	30.8	0.29^* * Chi-square test.
Specialization course in mental health	Inadequate	39	72.2	6	54.5	45	69.2
The service has some difficulties	Adequate	7	13.0	1	9.1	8	12.3	1.00
The service has some difficulties	Inadequate	47	87.0	10	90.9	57	87.7

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[1] Corresponding author:
Raionara Cristina de Araújo Santos. raionara_cristina@yahoo.com.br