Fatores restritivos para a promoção da segurança do cuidado na Atenção Psicossocial : Restrictive factors for promoting care safety in Psychosocial Care

Joyce Soares Silva Landim; Johnatan Martins Sousa; Marciana Gonçalves Farinha; Thatianny Tanferri de Brito Paranaguá; Camila Cardoso Caixeta; Ana Lúcia Queiroz Bezerra

doi:10.17765/2176-9206.2025v18e12996

Authors

Joyce Soares Silva Landim Universidade Federal de Goiás https://orcid.org/0000-0003-1377-9626
Johnatan Martins Sousa Universidade Federal de Goiás https://orcid.org/0000-0002-1152-0795
Marciana Gonçalves Farinha Universidade Federal de Uberlândia https://orcid.org/0000-0002-2024-7727
Thatianny Tanferri de Brito Paranaguá Universidade de Brasília https://orcid.org/0000-0003-0562-8975
Camila Cardoso Caixeta Goias Federal University https://orcid.org/0000-0003-2479-408X
Ana Lúcia Queiroz Bezerra Goias Federal University https://orcid.org/0000-0002-6439-9829

DOI:

https://doi.org/10.17765/2176-9206.2025v18e12996

Keywords:

Mental health care, Patient care team, Mental health, Patient safety, Community mental health services

Abstract

Objective: to analyze the restrictive factors for the promotion of care safety in Psychosocial Care Centers, from the perspective of professionals. Method: descriptive, exploratory study of a qualitative nature. Seventeen professionals from two Psychosocial Care Centers in the central region of Brazil participated. Data collection was performed through individual semi-structured online interviews. The data were subjected to thematic content analysis. Results: professionals' little knowledge about patient safety, ineffective guidance, discontinuity of monitoring of users and their families, low cognition of users to continue providing care, and the context of social vulnerability in which they live are challenges for the consolidation of care safety. Final considerations: the study allowed for a broader understanding of the factors that restrict the consolidation of care safety in the daily routine of community health services, which requires continuing health education to qualify professional practice.

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Author Biographies

Joyce Soares Silva Landim, Universidade Federal de Goiás

Graduated in Nursing from the Federal University of Goiás (2018). Master in Management in the Postgraduate Program of the Faculty of Nursing (PPGENF) of the Federal University of Goiás (2022). Specialist in Urgency and Emergency (UniBF) (2023). Specialist in Health Auditing (UniBF). Coordinator at Hospital Israelita Albert Einstein - Hospital Municipal de Aparecida Iris Rezende - Emergency Care and Hemodynamics. Member of RECUID - REFLECT TO CARE: Interdisciplinary Group for Research and Intervention in Mental Health. Has experience in the area of Nursing, working mainly in the following themes: urgency and emergency, hemodynamics, artistic manifestations to promote mental health; coping with alcohol and other drugs, group technologies in Psychosocial Care Centers (CAPS).

Johnatan Martins Sousa, Universidade Federal de Goiás

PhD in Nursing from the Federal University of Goiás (UFG) (2024) in the research line Health and Nursing Management with the theme of person-centered care in Psychosocial Care Centers. Graduated (Bachelor's and Licentiate's Degree) (2017) and Master in Nursing from UFG working with the theme of group technology, therapeutic factors and mental health (2020). Social therapist - specialist in Group Dynamics and Team Management (Faculdade Delta, Goiânia-GO, 2019); Mental Health and Psychiatric Nursing (Faculdade UniBF, Paraíso do Norte-PR, 2020); Pedagogical Practices (Federal Institute of Northern Minas Gerais (IFNMG) (2021); Postgraduate student in Mental Health Nursing (DNA postgraduate, 2024). Visiting professor in nursing courses at the following institutions: UFG in the discipline of mental health and psychiatric nursing and supervisor of practical classes in the UFG Saudável Program and CAPS Casa (2018); Faculdade Sul-Americana (FASAM) in the disciplines of health management and health education (2019); Faculdade Unida de Campinas (FacUnicamps) in the discipline of didactics (2019); and University of Brasília (UNB) in the discipline of integrative experiences (2021 and 2023). Reviewer of articles in the journals: NUFEN Journal (Phenomenology and interdisciplinarity) of the Federal University of Pará; Psychology: Theory and Research of the University of Brasília (UNB); Perspectives in Psychology of the Federal University of Uberlândia (UFU); Desafios Magazine of the Federal University of Tocantins (UFT); REVASF - Education Magazine of the Federal University of Vale do São Francisco; Psychological Studies of the State University of Maringá; Nursing in Focus Magazine - COFEN DF; Health and Research Magazine; ELO- Dialogues in Extension - Federal University of Viçosa; Mosaic: Studies in Psychology - Federal University of Minas Gerais; Psychology and Health Magazine - Dom Bosco Catholic University. Researcher at the Research Centers: RECUID - Interdisciplinary Group for Research and Intervention in Mental Health; Study Group on Management and Human Resources in Health and Nursing (GERHSEN); NUCLAIDS - Center for Research and Interdisciplinary Actions in infectious diseases with emphasis on STI/HIV/AIDS; INTEGRUS - Research, Intervention and Study Group in Group Technology in Health at UFG; LABGEST - Laboratory of Studies in Health Services Management of the University of Brasília (UNB) and Educasaudavel of the Institute of Psychology of the Federal University of Uberlândia. She has experience in the area of Nursing, working mainly on the following topics: mental health; group technologies in the context of care, management and education; development and management of people; pedagogical practices in health; and educational psychology with an emphasis on Carl Rogers' student-centered approach.

Marciana Gonçalves Farinha, Universidade Federal de Uberlândia

She has been a Federal public professor since 2011. She has a Bachelor's degree (1997) and a Bachelor's degree in Psychology from the Federal University of Uberlândia (1998). She has a Master's degree in Psychology from the University of São Paulo - USP in Sciences, subarea Psychology, area of concentration Phenomenology (2001) and a PhD in Psychiatric Nursing from the University of São Paulo (2006) area of concentration Mental Health and Phenomenology (2006). She worked in a psychological clinic using the Phenomenological-Existential approaches such as Existential and Gestalt, serving children, adolescents and adults (1999-2011). Worked in a Therapeutic Monitoring clinic (1999-2011). Worked in a Mental Health Outpatient Clinic (2000 - 2011), providing care to children, adolescents and adults. In Higher Education, she has worked as a professor in Undergraduate courses in several Public and Private Educational Institutions in Psychology and other courses, as well as Postgraduate courses. She is currently teaching in the undergraduate and Postgraduate Program in Psychology at the Institute of Psychology of the Federal University of Uberlândia. She is dedicated to research in the areas of Clinical Psychology, Gestalt, Phenomenology, Mental Health, Psychological Treatment and Prevention. Member of the Research Group RECUID - REFLECT TO CARE: Interdisciplinary Group for Research and Intervention in Mental Health and LEPPS - Laboratory for Teaching and Research in Health Psychology.

Thatianny Tanferri de Brito Paranaguá, Universidade de Brasília

PhD in Nursing from the School of Nursing of the Federal University of Goiás (2015). Master in Nursing from the School of Nursing of the Federal University of Goiás (2012). Graduated in Nursing (bachelor's and licentiate degrees) from the Federal University of Goiás (2009). Specialist in Auditing in Health Systems from the Pontifical Catholic University (2013). Completed a Postdoctoral Internship at the School of Nursing of the Federal University of Goiás. Currently, she is an Adjunct Professor II at the School of Health Sciences of the University of Brasília, a permanent professor of the Postgraduate Program in Nursing at the University of Brasília. Coordinator of the Continuous Action Extension Project Risk Management and Patient Safety Program (2017 to 2019 - SIEX n 57452). Leader of the Laboratory of Studies in Health Services Management (LABGEST/UnB), where she has worked as a researcher since 2015. Researcher at the Study Group on Management and Human Resources in Health and Nursing (GERHSEn/UFG) since 06/2020. Member of the DF Pole of the Brazilian Network of Nursing and Patient Safety (REBRAENSP). Representative of the Postgraduate Program in Nursing of the University of Brasília in the Research Network in Nursing Management (REPEGENF). Founding Member and Member of the Scientific Council of the Brazilian Society for Quality of Care and Patient Safety (SOBRASP). Works mainly on the following topics: patient safety; evaluation of health services; development of people in health; organizational learning; quality of health care and nursing.

Camila Cardoso Caixeta, Goias Federal University

Graduated in Nursing (2001) from the School of Medicine of Botucatu - UNESP; Specialization in Family Health (2004) from the School of Medicine of Botucatu - UNESP; Specialization in Mental Health from the School of Nursing of UFG (2011); Master's degree in Health Sciences from the School of Nursing of Ribeirão Preto - USP (Department of Psychiatric Nursing and Human Sciences - DEPCH); Doctorate in Health Sciences from the School of Nursing of Ribeirão Preto - USP (Department of Psychiatric Nursing and Human Sciences - DEPCH); Professor and advisor of Scientific Initiation (FEN / UFG); Accredited Professor of the Postgraduate Program of the School of Nursing of UFG (master's and doctorate) and Accredited Professor in the Professional Master's Degree in Public Health of UFG; Leader of the Research Group linked to CNPQ REFLETIR PARA CUIDAR: Interdisciplinary Group for Research and Intervention in Mental Health; Member of the Brazil chapter of The International Nurses Society on Addictions (IntNSA); Former Director of Student Care at the Pro-Rectory of Student Affairs at UFG. Currently Director of the School of Nursing (FEN) at the Federal University of Goiás (UFG).

Ana Lúcia Queiroz Bezerra, Goias Federal University

Nurse graduated from the School of Nursing of the Catholic University of Salvador and in Pedagogy with a specialization in School Supervision from the same university. Master's degree in Administration in Nursing Services (1995), Doctorate in Nursing (2000) from the School of Nursing of the University of São Paulo and Post-Doctorate from the University of São Paulo (2014). She worked as a Nurse at the Hospital Beneficência Portuguesa de São Paulo and at the National Institute of Social Security. She is an Associate Professor at the School of Nursing of the Federal University of Goiás. She is a permanent professor in the Postgraduate Program of the School of Nursing, Master's and Doctorate level and in the Professional Master's in Public Health of the Federal University of Goiás. She works in the thematic area of administration of nursing services including, training and management of human resources, evaluation of the quality of health services, risk analysis in hospital institutions and in primary care, patient safety. Leader of the Goiás Research Network on Human Resource Management in Public Health registered with the Goiás State Research Support Foundation (FAPEG) and of the Study Group on Human Resource Management in Health and Nursing (GERSEn) registered with the CNPq Research Group Directory. Member of the board and founder of the National Association for Personnel Management in Nursing - ANGEPE (2010), Member of the International Network for Nursing and Patient Safety (RIENSEP), of the Brazilian Network for Nursing and Patient Safety (REBRAENSP) and Vice Coordinator of the Brazilian Network for Nursing and Patient Safety (REBRAENSP) - Goiás Branch, of the Brazilian Nursing Association. Evaluator of Undergraduate Nursing Courses at the National Institute for Studies and Educational Research Anísio Teixeira - INEP, Ministry of Education of the Federative Republic of Brazil. Researcher and CNPq Productivity Scholar Level 2 - 2020 to 2023.

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Restrictive factors for promoting care safety in Psychosocial Care