O cotidiano programático e institucional em um Centro de Atenção Psicossocial: elementos representacionais acerca do cuidado de enfermagem na perspectiva de usuários do serviço

Abstract

This study sought the desire to know the Social Representation of users of a Psychosocial Care Center and aimed to analyze the programmatic and institutional routine of a CAPS, from representational elements about the nursing care in the users perspective of the service, It was theoretically supported by the Theory of Social Representations of Serge Moscovici, which is presented as "a form of socially developed and shared knowledge with a practical purpose, and that contributes to the construction of a common reality to a social group." To support data collection, the study had a qualitative approach and as a method the case study (Yin, 2010). The interview with semi-structured script was used as a data collection technique. It had as a study site the Psychosocial Care Center Maria Ferreira de Moura, located in the city of Coari, inside the Amazon, with a sample of 30 users. The study was submitted to the Ethics Committee on Human Research, respecting the rules of Resolution 466/2012, under the advice of CAEE number 36934714.3.00005020. As for financial support, a scholarship in the strict sense modality for masters students was implemented, granted by the Higher Education Personnel Improvement Coordination. To analyze the content of the interviews it was adopted the methodology described by Laurence Bardin (2011). As of results achieved by the content analysis technique, three categories were defined: 1) Therapeutic pathway, 2) Structure of service and 3) Nursing and health caring, which where subdivided into subcategories: 1.1) The invisible wanderers of mental health services; 1.2) Exams versus uncertainties; 1.3) The fragmentation between body and mind; 2.1) Physical structure; 2.2) Professional technical staff; 2.3) CAPS as a place of possibilities and (re) discoveries; 3.1) The invisibility of nursing in the CAPS and 3.2) A technical vision of the professional nurse. Therefore, it is concluded that it was possible to understand what the social representation of users is like and thus better understand the caring routine in their representations and complexities because as from the understanding of users, it was possible to trace possible interventions and best practices in caring of mental health of the population.