A interface da identidade profissional da enfermeira com o processo de trabalho no campo da saúde mental

Abstract

This research has aims to analyze the interface between the nurse's professional identity and the work process in the field of mental health and the specific objectives are: to know the work process of nurses who work in the field of mental health; point out the context determinants of nurses' professional identity in the field of mental health and their work process; and to identify the interface between the nurse's professional identity and the work process in the field of mental health. This is a qualitative research in the form of a multiple case study. Data collection took place through semi-structured interviews with 10 nurse workers from six Psychosocial Care Centers in the city of Salvador - Brazil and document analysis of data extracted from medical records. Data were processed using the N-vivo 10 software and analyzed according to thematic analysis. The execution of the research was authorized through an opinion consubstantiated by the Ethics Committee and Research with Human Beings of the State University of Feira de Santana (CAAE: 95311918.4.0000.0053).Four categories of analysis were identified: (1) Professional Identity of the Nurse in the Mental Health Field; (2) Nurse's Work Process in the Field of Mental Health; (3) The interface between the nurse's professional identity and the CAPS work process; and (4) Documentary analysis of medical records. The findings of this study indicated that the perception that nurses have of themselves is strongly related to the historical representations linked to the origin of the field of nursing linked to the Christian religion and the gender role attributed to women, which places them in an underprivileged place when inserted in a social structure marked by power relations in the world of work. Among the significant findings regarding the characterization of their work processes, the absence of methods for systematization and/or planning of care, anchored in theoretical and practical references, whether from the psychosocial clinic or their own core of knowledge, stands out, which tends to reinforce the lack of definition of attributions traditionally experienced by the category, a condition that interferes with the recognition of their own professional identity. The activities of prevention and follow-up of clinical comorbidities and medication care were the tasks recognized by the nurses as belonging to their professional core, and this finding is consistent with the documental analysis of the medical records, which reinforces a perspective of care based on the biomedical model.The device of technical reference in mental health was observed as an element of self-recognition of nurses in their work context, with the understanding of a diluted professional identity being observed, accentuated by the difficulty these professionals have in distinguishing the distinction of their own know-how in this field performance scenario. The results point to the need for investments by Councils, Associations, Unions of Nursing and training spaces for discussion and construction of a device for the production of identities that operates in favor of professional appreciation and recognition of nurses who work in the field of mental health.