Mental health nursing: assistance in a changing scenario

Abstract

The aim was to identify in the scientific literature the nursing care in mental health in the Brazilian context, given the challenges imposed by the Psychiatric Reform. It is an integrative literature review. The data collection used descriptors relevant to the theme and was carried out through the internet, in the MEDLINE, LILACS and BDENF databases. The sample consisted of 19 articles, divided into thematic axes related to the performance of the nursing professional in care and its challenges, and the implications of the Psychiatric Reform in this process. The practice of professionals can be seen in the Brazilian context, in general hospitals and in primary care, and in the mental health devices. Psychiatric Reform is a guiding principle for more comprehensive and humanized care. Challenges in assistance were also perceived, such as physical and mental strain on the professional, as well as devaluation of knowledge. The productions approached a nursing active in the most diverse fields of mental health, being guided by the Psychiatric Reform and focusing on the patient, however there are still many challenges and advances inherent to the profession in this context. To this end, greater recognition of their actions and qualities is necessary, in addition to measures focusing on the promotion of their biopsychosocial health.