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From alienation to the nursing clinic: care of patients with psychiatric comorbidity

De la alienación a la clínica de la enfermería: cuidado a los pacientes psiquiátricos con comorbilidad

ABSTRACT

Objective:

to understand how nurses of mental health care for psychiatric patients with clinical comorbidities.

Method:

qualitative study based on the referential of historical and dialectical materialism. Interviews with nurses were conducted using semi-structured script. Sample determined in snowball. The interviews were recorded and transcribed in full. The data were analyzed through content analysis, including: organization and exhaustive reading of the material, exploration, grouping data into thematic units, processing of results, and interpretation.

Results:

the role of nurses is marked by the dialectic between knowing and not knowing, a movement that revealed two categories: clinic of psychiatric nursing, and alienation and subordination of nurse in the care process.

Final considerations:

the development of the nursing clinic, based on the therapeutic relationship, favors integral care towards the patient, whereas alienation/subordination distances the nurse from care and impairs care.

Descriptors:
Mental Health; Psychiatric Nursing; Nursing Care; Comorbidity; Professional Practice

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