Experiências de alunos de enfermagem durante estágios clínicos em saúde mental

análise qualitativa

Autores

  • Elsa gil mateu univarsidad rovira i virgili
  • Josep Barceló Prats Universidad Rovira i Virgili. Campus Cataluña
  • Núria Albacar Riobóo Universidad Rovira i Virgili. Campus Terres de l'Ebre
  • Silvia Reverté Villarroya Universidad Rovira i Virgili. Campus Terres de l'Ebre

DOI:

https://doi.org/10.33159/25959484.repen.2024v35a03

Palavras-chave:

Investigación cualitativa, estudiantes de enfermeria, Salud mental, Prácticas clínicas, Pensamiento crítico, Método de enseñanza

Resumo

Objetivo: Explorar os sentimentos, as percepções e as experiências de estudantes de enfermagem em Unidades de Saúde Mental durante seus estágios clínicos. Métodos: estudo qualitativo. Amostra intencional de 81 estudantes de graduação em enfermagem matriculados na unidade curricular de prática clínica em Unidades de Saúde Mental. Um fórum de discussão dinâmico foi incorporado durante os estágios. Os fóruns foram analisados por meio de uma análise de conteúdo. Resultados: Foram realizados 6 fóruns com um total de 604 participações, com uma média de 100. Surgiram seis categorias: compreensão da doença mental, intervenções de enfermagem, estigma, relacionamento terapêutico, convivência com a doença mental, aprendizado. Considerações finais: Os estereótipos negativos, a vergonha e o estigma impostos pela sociedade são obstáculos que os alunos precisam superar. Uma metodologia que os acompanhe durante a prática leva a um processo de reflexão, integrando as crenças e os valores das pessoas, aplicando o conhecimento e o julgamento clínico.

Referências

1. Reverté-Villarroya S, Gil-Mateu E, Sauras-Colón E, Barceló-Prats J, Albacar-Riobóo N, Ortega L. Stressor factors for Spanish nursing students in a pandemic context: an observational pilot survey. Nurs Rep. 2022;12(4):708–16. https://doi.org/10.3390/nursrep12040070

2. Osorio-Spuler X, Illesca-Pretty M, Gonzalez-Osorio L, Masot O, Fuentes-Pumarola C, Reverté-Villarroya S, et al. Emotional exhaustion in nursing students: a multicenter study. Rev Esc Enferm USP. 2023;57:e20220319. https://doi.org/10.1590/1980-220X-REEUSP-2022-0319en

3. Torales J, Aveiro-Róbalo TR, Ríos-González C, Barrios I, Almirón-Santacruz J, González-Urbieta I, et al. Discrimination, stigma and mental health: ¿what’s next? Int Rev Psychiatr [Internet]. 2023 [cited 2023 Oct 4];353(4):242–50. Available from: https://www.tandfonline.com/action/journalInformation?journalCode=iirp20

4. Thornicroft G, Sunkel C. Announcing the Lancet Commission on stigma and discrimination in mental health. Lancet [Internet]. 2020[cited 2023 Oct 11];39610262):1543–4. Available from: http://www.thelancet.com/article/S0140673620322030/fulltext

5. Demir S, Ercan F. The first clinical practice experiences of psychiatric nursing students: a phenomenological study. Nurse Educ Today. 2018;61:146–52. https://doi.org/10.1016/j.nedt.2017.11.019

6. Günaydin N, Çoban SA. Experiences of nursing students during clinical education in mental health clinics: a phenomenological qualitative study. Nurse Educ Pract. 2021;54. https://doi.org/10.1016/j.nepr.2021.103113

7. Goh YS, Owyong JQY, Seetoh YM, Hu Y, Chng ML, Li Z. Exploring pedagogies used in undergraduate mental health nursing curriculum: an integrative literature review. Int J Ment Health Nurs. 2021;30(1):47-61. https://doi.org/10.1111/inm.12816

8. Chua WW, Kuek JHL, Goh YS. Nursing students’ perceptions toward recovery in mental health: a descriptive qualitative study. J Am Psychiatr Nurses Assoc. 2023;29(3):215–23. https://doi.org/10.1177/10783903211023564

9. Happell B, Platania-Phung C, Scholz B, Bocking J, Horgan A, Manning F, et al. Changing attitudes: the impact of Expert by Experience involvement in Mental Health Nursing Education: an international survey study. Int J Ment Health Nurs. 2019;282):480-91. https://doi.org/10.1111/inm.12551

10. Zuriguel Pérez E, Lluch Canut MT, Falcó Pegueroles A, Puig Llobet M, Moreno Arroyo C, Roldán Merino J. Critical thinking in nursing: scoping review of the literature. Int J Nurs Pract. 2015;21(6):820–30. https://doi.org/10.1111/ijn.12347

11. Schön DA. La formación de profesionales reflexivos: hacia un nuevo diseño de la enseñanza y el aprendizaje en las profesiones. Barcelona: Ediciones Paidós Ibérica; 1992.

12. Cerecero Medina IE. Diez modelos relacionados con la práctica reflexiva. Rev Panam Pedag [Internet]. 2019 [cited 2023 Dec 12];28. Available from: https://revistas.up.edu.mx/RPP/article/view/1671

13. Shaygan M, Jaberi A, Hosseini A, Moghadam MF. How to prepare nursing students for mental health clinical engagement: a qualitative study. BMC Med Educ. 2023;23:672. https://doi.org/10.1186/s12909-023-04657-8

14. Traverse M, Chong J, Sutherland JL. Nursing student experiences with the mental health population: a scoping review of qualitative and quantitative evidence. Issues Ment Health Nurs. 2022;43(6):568–77. https://doi.org/10.1080/01612840.2021.2003491

15. Patterson CF, Moxham L, Brighton RM, Taylor EK, Liersch S. Nursing students’ reflections on the learning experience of a unique mental placement. Nurse Educ Today. 2016;46:94-8 https://doi.org/10.1016/j.nedt.2016.08.029

16. Silva Quiroz J, Maturana Castillo D. Una propuesta de modelo para introducir metodologías activas en educación superior. Innov Educ [Internet]. 2017[cited 2023 Dec 12];177(3):117-31. Available from: https://www.redalyc.org/articulo.oa?id=179450594006

17. Gil-Mateu E, Reverté-Villarroya S, Albacar-Riobóo N, Barceló-Prats J. A hybrid methodology for the evaluation of clinical practice in final-year nursing students. Nurs Rep [Internet]. 2023[cited 2023 Dec 12];13(3):1004–15. Available from: https://www.mdpi.com/2039-4403/13/3/88

18. Bardin L. Análisis de contenido. 2a ed. Akal; 1996.

19. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57. https://doi.org/10.1093/intqhc/mzm042

20. Ceballos Ospino GA, Jiménez Villamizar MP, De La Torre Hasbun H, Suarez Colorado YP. Estigma-discriminación hacia personas con trastornos mentales en estudiantes de medicina. Perspect Interv. 2020;15(2):238-51. https://doi.org/10.37511/tesis.v15n2a13

21. Ma CF, Chien WT, Bressington DT. Family intervention for caregivers of people with recent-onset psychosis: a systematic review and meta-analysis. Early Interv Psychiatry. 2018;12(4):535–60. https://doi.org/10.1111/eip.12494

22. Hestmark L, Heiervang KS, Pedersen R. Hansson KM, Ruud T, Romøren M. Family involvement practices for persons with psychotic disorders in community mental health centres: a cross-sectional fidelity-based study. BMC Psychiatry. 2021;21:285. https://doi.org/10.1186/s12888-021-03300-4

23. Gainsford K, Fitzgibbon B, Fitzgerald PB, Hoy KE. Transforming treatments for schizophrenia: Virtual reality, brain stimulation and social cognition. Psychiatry Res [Internet]. 2020[cited 2023 Nov 7];288. Available from: https://pubmed.ncbi.nlm.nih.gov/32353694/

24. Cassani R, Novak GS, Falk TH, Oliveira AA. Virtual reality and non-invasive brain stimulation for rehabilitation applications: a systematic review. J Neuroeng Rehabil. 2020;171). https://doi.org/10.1186/s12984-020-00780-5

25. Mendonça SM. Dignidad y autonomía del paciente con trastornos mentales. Rev Bioét. 2019;27(1):46–52. https://doi.org/10.1590/1983-80422019271285

26. Fernández A, Serra L, Grup de Dones de Radio Nikosia. Vida comunitaria para todas: salud mental, participación y autonomía. Informe SESPAS 2020. Gac Sanit. 2020;34(Suppl-1):34-8. https://doi.org/10.1016/j.gaceta.2020.08.001

27. Goffman E. Estigma: la identidad deteriorada. 2a. ed. Buenos Aires: AMORRORTU; 1963.

28. Ramírez-Vielma R, Vaccari P, Cova F, Saldivia S, Vielma-Aguilera A, Grandón P. Interventions to reduce the stigma of mental health at work: a narrative review. Psicol Reflex Crit. 2023;36(1):14. https://doi.org/10.1186/s41155-023-00255-1

29. Pariseau-Legault P, Vallée-Ouimet S, Goulet MH, Jacob JD. Nurses’ perspectives on human rights when coercion is used in psychiatry: a systematic review protocol of qualitative evidence. BMC. 2019;318. https://doi.org/10.1186/s13643-019-1224-0

30. World Health Organization (WHO). Mental disorders: key facts [Internet]. 2023 [cited 2023 Nov 7]. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-disorders

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Publicado

24-11-2024

Como Citar

1.
gil mateu E, Barceló Prats J, Albacar Riobóo N, Reverté Villarroya S. Experiências de alunos de enfermagem durante estágios clínicos em saúde mental: análise qualitativa. Rev Paul Enferm [Internet]. 24º de novembro de 2024 [citado 13º de dezembro de 2024];35. Disponível em: https://aben.emnuvens.com.br/repen/article/view/198

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