As competências dos enfermeiros que atuam na Atenção Primária à Saúde do Brasil no âmbito da saúde mental: uma revisão de escopo

Abstract

Introduction: In recent decades, there has been a need for closer health services between Primary Health Care and Mental Health, which should have services and professionals able to deal with most health problems in the community. Among these professionals is the nurse whose knowledge and skills are expected to enable them to act in the face of mental health demands in the territory. Identifying and mapping mental health nursing interventions in PHC settings is the first step to ensure the insertion and effectiveness of their interventions in mental health care within PHC. Objective: To identify and map the mental health competencies of the professional nurse who works in Primary Health Care services in Brazil. Method: This is a scope review, searching the main MEDLINE (PubMed), CINAHL, JBI Databases of systematic reviews, and Cochrane databases of research published between 2001 and 2019 in Portuguese, English and Spanish. The mental health competencies of the professional nurse who works in the Primary Health Care services in Brazil. Inclusioncriteria were studies that included nurses and / or other professionals, as long as they evidenced the PHC nurse's competencies in mental health. Data extraction occurred through a tool specifically developed for this purpose. Results: 11,450 publications were identified; 85 studies were included in the review. The largest number of publications was in Brazilian journals. The mental health nurse's interventions in PHC are restricted to welcoming the user, and referring them to the medical professional and / or to specialized health services. These data corroborate the findings that refer to nurses' lack of knowledge in using intervention tools in mental health advent. Conclusion:The nurse has a wide scope of mental health interventions, but the psychosocial attention of this professional is focused on the biomedical model, due to the lack of diffusion of these tools in PHC. Further research is needed to prove the effectiveness of interventions, which will contribute to validation, and the therapeutic and autonomous recognition of nurses.

Mental health nursing consultations in Brazilian primary care: analysis of proposed competencies for advanced practice nurses

“…In MH care, carrying out the consultation must be characterized as longitudinal monitoring in order to expand care strategies. However, nurses did not feel comfortable and encountered barriers, as evidenced in other studies (28,29,30,31) and presented critical points in the care of human responses, evidenced by the fragility in data collection, a key step for a good development of the nursing process, with care centered on the user's needs. Furthermore, the nursing records are incipient and fragile in the stages of the NP, as well as the development restricted to the physical examination in the MH consultation.…”