Resilience of the health team in caring for people with mental disorders in a psychiatric hospital

Brolese, Débora Felippe; Lessa, Greice; Santos, José Luís Guedes dos; Mendes, Jucimara da Silva; Cunha, Kamylla Santos da; Rodrigues, Jeferson

doi:10.1590/S1980-220X2016026003230

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Original Article • Rev. esc. enferm. USP 51 • 2017 • https://doi.org/10.1590/S1980-220X2016026003230 copy

Resilience of the health team in caring for people with mental disorders in a psychiatric hospital

Resiliencia del equipo sanitario en el cuidado a personas con trastornos mentales en un hospital psiquiátrico

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVE

Evaluating and understanding the resilience process of the health team in caring for people with mental disorders in a psychiatric hospital.

METHOD

A mixed-method study with concomitant triangulation of data from a cross-sectional study, with health professionals, and Grounded Theory in the data. Quantitative data were collected using the Resilience Scale and analyzed using descriptive and inferential statistics. Qualitative data were obtained from interviews and analyzed using initial and focused coding.

RESULTS

40 health professionals participated in the study. Mean responses of the participants in the resilience scale were 99.80 ± 12.86 points, with a minimum of 35 and a maximum of 114 points. From the qualitative data, we can highlight the professionals’ commitment in developing competencies in caring for people with mental disorders; valorization of teamwork and positive impact on work for the re-signification of the meaning of life.

CONCLUSION

Understanding this process of resilience enables developing strategies to improve the quality of life of workers in psychiatric hospitals.

Descriptors
Resilience, Psychological; Patient Care Team; Psychiatric Nursing; Health Personnel; Mental Health

Variables		n	%
Age (classified)	18 to 30 years	13	32.5
	31 to 43 years	17	42.5
	44 to 56 years	8	20.0
	≥ 57 years	2	5.0
Gender	Male	21	52.5
Gender	Female	19	47.5
Marital status	Married	20	50.0
	Single	15	37.5
	Divorced	5	12.5
Occupation	Nursing technician	27	67.5
	Physician	5	12.5
	Nurse	4	10.0
	Pharmacist	1	2.5
	Psychologist	1	2.5
	Social worker	1	2.5
	Physical educator	1	2.5
Experience in the institution	≤ 1 year	16	40
	1 to 5 years	4	10.0
	6 to 10 years	8	20.0
	≥ 10 years	12	30.0

Factor/items	Mean	SD
Factor I - Resolutions of Actions and Values	3.96	0.53
1. When I make plans, I follow through with them	4.40	0.93
2. I usually manage one way or another	2.75	1.84
6. I feel proud that I have accomplished things in life	4.60	0.98
7. I usually take things in stride	2.88	1.52
8. I am friends with myself	4.53	1.13
10. I am determined	4.63	0.92
11. I seldom wonder what the point of it all is	1.90	1.32
12. I take things one day at a time	3.28	1.52
14. I have self-discipline	4.35	1.00
16. I can usually find something to laugh about	3.65	1.41
18. In an emergency, I’m someone people can generally rely on	4.68	0.83
19. I can usually look at a situation in a number of ways	4.38	1.05
21. My life has meaning	4.72	0.78
23. When I’m in a difficult situation, I can usually find my way out of it	4.35	1.00
24. I have enough energy to do what I have to do	4.45	0.81
Factor II - Independence and Determination	4.29	0.71
4. Keeping interested in things is important to me	4.45	0.99
5. I can be on my own if I have to	3.98	1.14
15. I keep interested in things	4.42	1.15
25. It’s okay if there are people who don’t like me	4.33	1.00
Factor III - Self-confidence and ability to adapt to situations	3.85	0.60
3. I am able to depend on myself more than anyone else	4.00	1.22
9. I feel that I can handle many things at a time	3.40	1.46
13. I can get through difficult times because I’ve experienced difficulty before	4.55	0.88
17. My belief in myself gets me through hard times	4.20	1.26
20. Sometimes I make myself to do things whether I want to or not	3.42	1.50
22. I do not dwell on things that I can’t do anything about	3.52	1.41

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author
Greice Lessa. Centro Universitário Barriga Verde - UNIBAVE - Coordenação de Enfermagem. Rua Pe. João Leonir Dall'Alba, 601 - Bairro Murialdo CEP 88870-000 - Orleans, Santa Catarina, Brazil. greicelessa@hotmail.com