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Previous issue date: 2014-12-12 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Este estudo emergiu do intuito de conhecer a realidade assistencial da sa?de mental do Rio
Grande do Norte (RN) diante dos avan?os e desafios na pactua??o de caminhos intersetoriais
e da consolida??o da Rede de Aten??o Psicossocial (RAPS) do Estado. Definiu-se como
objetivos, a partir da problem?tica e das inquieta??es: Identificar o conhecimento dos gestores
do Rio Grande do Norte sobre a Pol?tica Nacional de Sa?de Mental (PNSM) no estado do RN;
Descrever as atividades desenvolvidas pelos profissionais de sa?de no atendimento individual
realizado nos Centros de Aten??o Psicossocial (CAPS) do RN; Compreender a rela??o do
conhecimento dos gestores sobre a Pol?tica Nacional de Sa?de Mental na pr?tica dos
profissionais que atuam nos CAPS do interior do RN. Estudo descritivo com abordagem
quanti-qualitativa, realizado em 30 CAPS do interior do RN, onde 183 profissionais dos
servi?os responderam a um question?rio estruturado com quest?es fechadas a respeito do
trabalho que desenvolvem no atendimento individual; e 19 coordenadores de sa?de mental
dos munic?pios e o coordenador estadual da RAPS foram entrevistados a respeito do seu
conhecimento sobre a Pol?tica de Sa?de Mental. Coletou-se os dados ap?s aprova??o do
Comit? de ?tica e Pesquisa da Universidade Federal do Rio Grande do Norte, sob o parecer n?
508.430 CAAE: 25851913.7.0000.5537, nos meses de agosto a outubro de 2014 nos 26
munic?pios do interior do Estado que disp?em de CAPS. Os dados quantitativos foram
tabulados e analisados pela estat?stica descritiva com o aux?lio do software Statistical Package
for the Social Scienses (SPSS) vers?o 20.0, enquanto os dados qualitativos foram preparados
em um corpus e analisados com o aux?lio do software Analyse Lexicale par Contexte d?um
Ensemble de Segments de Texte (ALCESTE) que permite realizar an?lises estat?sticas
textuais e categoriza??o das falas dos sujeitos, submetidos a an?lise de conte?do de Bardin.
Cinco categorias foram geradas com enfoques no conhecimento dos gestores, denominadas:
De volta ? sociedade: protagonismo e autonomia dos usu?rios; Distanciamento entre a pol?tica
e a pr?tica; Entraves que afetam o servi?o; Estrutura??o da Rede de Aten??o Psicossocial;
Equipe multiprofissional: atribui??es e atividades. As idades dos profissionais dos CAPS
variaram de 20 a 58 anos, com preval?ncia do sexo feminino, com 76,5% do total, destaca-se
em sua maioria de assistentes sociais (16,8%), psic?logos (15,3%), enfermeiros (14,8%) e
t?cnicos de enfermagem (14,8%). Evidenciou-se precariza??o na assist?ncia no que diz
respeito a elevada carga hor?ria de trabalho e dos baixos sal?rios dos profissionais dos CAPS
e p?de-se observar grande envolvimento dos profissionais na assist?ncia, mesmo diante das
dificuldades encontradas nos servi?os. Constatou-se pouco conhecimento dos gestores a
respeito da Pol?tica Nacional de Sa?de Mental tendo como causas dessa realidade a m?
forma??o e capacita??o desses profissionais. A resposta dos profissionais que trabalham na
assist?ncia revela uma maior coer?ncia com o que se espera de um servi?o de aten??o
psicossocial. Aponta-se como tese deste estudo que a Reforma Psiqui?trica e a Pol?tica de
Sa?de Mental no Rio Grande do Norte caminham num processo de expans?o estrutural,
por?m com precariza??o dos servi?os a partir de uma gest?o ainda despreparada para atuar
num contexto psicossocial. / This study arose from an interest in knowing the reality of mental health care in Rio Grande
do Norte (RN) on the advances and challenges in the intersectoral agreements paths and
consolidation of the Psychosocial Care Network (RAPS) from the state. Considering
problematic and concerns were defined as objectives: Identify the knowledge of managers of
Rio Grande do Norte on the National Mental Health Policy (PNSM) in the RN State; Describe
the activities developed by health professionals in the individual service offered in the CAPS
from RN; Understanding the relationship of managers? knowledge on national mental health
policy in professionals? practice working in the the CAPS from the countryside. It is a
descriptive study with a quantitative and qualitative approach, carried out in 30 CAPS from
RN?s countryside, where 183 professionals answered a structured questionnaire with closed
questions about the activities they do in individual care; and 19 mental health coordinators of
municipalities and the state coordinator of RAPS were interviewed about their knowledge on
the Mental Health Policy. Data were collected after approval by the Research Ethics
Committee of the Federal University of Rio Grande do Norte, with the number 508.430
CAAE: 25851913.7.0000.5537 from August through October of 2014 in 26 municipalities
with CAPS from the state. Quantitative data were tabulated and analyzed using a descriptive
statistics aided by the software Statistical Package for the Social Scienses (SPSS) version
20.0. The qualitative data were prepared in a corpus and analyzed through software Analyse
Lexicale par Contexte d?um Ensemble de Segments de Texte (ALCESTE) that allow to
perform textual statistical analysis and categorization from their comments, submitted to
Bardin content analysis. Five categories were generated approaching the managers?
knowledge, namely: Back to society: leadership and users? role and autonomy; The gap
between policy and practice; Barriers that affect the service; Structuring the Psychosocial
Care Network; Multidisciplinary team: attribuitios and activities. The CAPS professionals?
ages ranged from 20 to 58 years, prevailing females, with 76.5% of the total, the majority
were social workers (16.8%), psychologists (15.3%), nurses (14.8%) and nursing technicians
(14.8%). The results showed precariousness in care associated with physical workload regard
to high workload and low wages of the CAPS professionals' and, also, it was possible to
observe a large involvement of professionals in care delivery, despite the difficulties
encountered in services. It was found little knowledge in managers regarding the National
Mental Health Policy having as causes of this reality the poor education and training of these
professionals. The responses of professionals working in care reveals strong consistency with
what is expected of a psychosocial care service. Points up as a thesis of this study that the
psychiatric reform and mental health policy in Rio Grande do Norte is following a structural
expansion process, but with precariousness of services from a still unprepared management to
act in a psychosocial context.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19909 |
| Date | 12 December 2014 |
| Creators | Fernandes, Rafaella Leite |
| Contributors | 04960360330, http://lattes.cnpq.br/9242337504601387, Furegato, Antonia Regina Ferreira, 86263790806, http://lattes.cnpq.br/4312020032304532, Dantas, Daniele Vieira, 00800897471, http://lattes.cnpq.br/0404704679319143, Farias, Francisca Luc?lia Ribeiro de, 04304900382, http://lattes.cnpq.br/3124165737602160, Torres, Gilson de Vasconcelos, 51326728415, http://lattes.cnpq.br/1944547152815226, Miranda, Francisco Arnoldo Nunes de |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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