Training in common mental disorders in the ward: use of active methodologies in the construction of care
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2021.168134Keywords:
Psychiatric nursing, Mental health, Problem-based learning, Nursing educationAbstract
Objective: to analyze how nurses providing care to bedridden psychiatric patients in a general hospital perceive the conduction of mental health training by using active methodologies. Method: descriptive, exploratory, qualitative study including five nurses, carried out in a large general hospital from June to November 2019. Data collection consisted of two phases: performance and training evaluation. Active methodologies focused on problem-based learning and problematization were used to conduct the training. Training evaluation was performed by a semi-structured interview designed according to the model proposed by Kirkpatrick, and the data were analyzed by thematic content analysis according to Bardin. Results: the nurses considered the training to be positive and developed skills, such as therapeutic approach, active listening and behavior change. Conclusion: the training was effective in knowledge construction, thus promoting significant changes and reflections in nurses’ learning, in addition to contributing to the development of skills and attitudes in mental health by valuing meaningful learning.
Downloads
References
Arrue M, Alegría BR, Zarandona J, Cillero IH. Effect of a PBL teaching method on learning about nursing care for patients with depression. Nurse Educ Today. May 2017;52: 109-15. doi: https://doi.org/10.1016/j.nedt.2017.02.016
Fernandes MA, Soares NSA, Ribeiro IAP, Sousa CCM, Ribeiro HKP. Active methodologies as a tool for training in mental health. Rev Enferm UFPE on line. 2018 dez;12(12):3172-80.doi: https://doi.org/10.5205/1981-8963-v12i12a237762p3172-3180-2018
Cruz RAO, Araujo ELM, Nascimento NM, Lima RJ, França JRFS, Oliveira JS. Reflections in the light of the complexity theory and nursing education. Rev Bras Enferm.[Internet]. 2017;70(1):224-7. doi: http://dx.doi.org/10.1590/0034-7167-2016-0239
Gigante RL, Campos GWS. Continuing training and education in health policy in Brazil: legal basis and theoretical referencess. Trabalho, Educação e Saúde. 2016;14(3):747-63. doi: https://doi.org/10.1590/1981-7746-sip00124
Sade PMCS, Peres AM, Brusamarelo T, Mercês NNA, Wolff LDG, Lowen IMV. Continuous nursing education requirements in a teaching hospital. Cogitare Enferm. 2019; 24. doi: http://dx.doi.org/10.5380/ce.v24i0.57130
Berbel NAN. "Problematization" and problem-based learning: different words or different ways? Interface. (Botucatu). 1998;2(2):139-54. doi: https://doi.org/10.1590/S1414-32831998000100008
Leal LB, Pereira KLA, Negreiros ALB, Pequeno AMC, Lima GC, Negreiros FDS, et al. Active problematizing method as a strategy for training in health Rev Enferm UFPE on-line.[Internet]. 2018;12(4):1139-43. doi: https://doi.org/10.5205/1981-8963-v12i4a231346p1139-1143-2018
Pessoa JM Júnior, Santos RCA, Clementino FS, Nascimento EGC, Miranda FAN. Mental health education and professional practice in the psychiatric hospital. Texto Contexto Enferm, 2016;25(3):e3020015. doi: https://doi.org/10.1590/0104-07072016003020015.
Rézio LA, Fortuna CM, Borges FA. Tips for permanent education in mental health in primary care guided by the Institutional Socio-clinic. Rev. Latino-Am. Enfermagem. 2019;27:e3204. doi:https://doi.org/10.1590/1518-8345.3217.3204
Braga FS, Olschowsky. A Pleasure and suffering in the work of mental health nurses in the context of the psychiatric reform. Rev Enferm UFPE online. [Internet]. 2015;9(3):7086-94. Available from: http://www.lume.ufrgs.br/bitstream/handle/10183/115332/000956660.pdf?sequence=1
Sobral F, Campos C. Nurses and mental health education in primary care: an integrative review. SMAD Rev Eletr Saúde Mental Álcool Drog [Internet]. 1 ago.2012;8(2):100-7. doi: https://doi.org/10.11606/issn.1806-6976.v8i2p100-107
Bordenave JD, Pereira AM. Estratégias de ensino-aprendizagem. 25ª ed. Rio de Janeiro: Vozes; 2004.
Kirkpatrick DL, Kirkpatrick JD. Como avaliar programas de treinamento de equipes – os quatro níveis. Rio de Janeiro: SENAC-RIO; 2010.
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.
Ministério da Saúde (BR). Conselho Nacional de Saúde. Resolução n. 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União. Brasília (DF); 2013 jun 13; Seção 1, p. 59-62.
Mota AS, Silva ALA, Souza AC. Educação permanente: Ongoing education: Practices and processes related to mental health nursing. Rev Portuguesa Enferm Saúde Mental. [Internet]. 2016;(spe4):9-16. doi: http://dx.doi.org/10.19131/rpesm.0135
Wosinski J, Belcher AE, Dürrenberger Y, Allin AC, Stormacq C, Gerson L. Facilitating problem-based learning among undergraduate nursing students: A qualitative systematic review. Nurse Educ Today. 2018;(60):67–74. doi: http://dx.doi.org/10.1016/j.nedt.2017.08.015.
Hung MSY, Lam SKK, Chow MCM. Nursing students’ experiences of mental health first aid training: A qualitative descriptive study. Collegian. 2019;26 (5):534-40.doi: https://doi.org/10.1016/j.colegn.2019.02.006
Furnes M, Kvaal KS ,Høye S Communication in mental health nursing - Bachelor Students' appraisal of a blended learning training programme - an exploratory study. BMC Nurs. 2018;17(20):1-10. doi: https://doi.org/10.1186/s12912-018-0288-9
Nascimento MGG, Nadaleti NP, Nadaleti SC, Vilela SC, Terra FS, Silva SA, Resck ZMR. nursing work process in the promotion of mental health: reflective analysis. RECOM, Rev Enferm Centro Oeste Mineiro. 2017;7:e2097. doi: http://dx.doi.org/10.19175/recom.v7i0.2097
Beurs, DP, Groot MH, Keijser J, Dujin EV, Winter RFP, Kerkhof FM. Evaluation of benefit to patients of training mental health professionals in suicide guidelines: cluster randomised trial. Br J Psychiatry. [Internet]. 2016;208(5):477-83. doi: https://doi.org/10.1192/bjp.bp.114.156208
Lima FFL, Alencar NES, Fernandes MA, Moura ECCM, Silva-Júnior FJG.. Situational strategic planning in a psychiatric institution: contributions and challenges. SMAD Rev Eletr Saúde Mental Álcool Drog [Internet]. 28 ago.2019;15(2):20-8. Available from: 10.11606/issn.1806-6976.smad.2019.000377
Gould BH, Brodie L, Carver F, Logan P. Not just ticking all the boxes. Problem based learning and mental health nursing. A review. Nurse Educ Today. 2015;35(10):e1–e5. doi:http://dx.doi.org/10.1016/j.nedt.2015.07.013
Luis MAV. Current knowledge demands in mental health care. SMAD Rev Eletr Saúde Mental Álcool Drog [Internet]. 31mar.2018;14(1):1-. doi: http://dx.doi.org/10.11606/issn.1806-6976.smad.2018.152779
Canabarro JL. Inserção de residentes multiprofissionais nos serviços de saúde mental: percepção dos trabalhadores. Dissertação (Mestrado em enfermagem). Santa Maria: Universidade Federal de Santa Maria; 2017. Available from:https://repositorio.ufsm.br/bitstream/handle/1/11818/Canabarro%2C%20Jana%C3%ADna%20Lunardi.pdf?sequence=1&isAllowed=y
Monteiro PV, Almeida ANS, Pereira MLD, Freitas MC, Guedes MVC, Silva LF. When body care is not enough: the emotional dimension of nursing care. REME - Rev Min Enferm. 2016;20: e957.doi: http://dx.doi.org/10.5935/1415-2762.20160026
Fernandes MA, Almeida JS, Oliveira EKC, Sousa KHJF. Nursing process based on Peplau interpersonal relationship theory applied to schizophrenia. Rev Enferm UFPI. 2018 Jul-Sep;7(3):42-7. doi: http://dx.doi.org/10.26694/2238-7234.7342-47
Buriola AA, Kantorski LP, Sales CA, Matsuda LM. Nursing practice at a psychiatric emergency service: evaluation using fourth generation assessment. Texto Contexto Enferm, 2016; 25(1):e4540014. Available from: https://doi.org/10.1590/0104-070720160004540014
