Significados do papel do enfermeiro no contexto do Centro de Atenção Psicossocial infantojuvenil

Abstract

Mental health policies that include children and adolescents in Brazil are late. With the Psychiatric Reform and the implementation of specific policies in this area, there were evolutions regarding mental health care for children and adolescents, reaffirming that they are psychologicalactors and have rights. The Centers for Child and Adolescent Psychosocial Care (CAPSij), references in mental health for children and adolescents, were regulated in 2002 and designed to receive and treat children and adolescents for psychosocial rehabilitation, built by a multidisciplinary team. However, there still are challenges to the nurse´s role and consequent performance understanding in this area. Thus, this study aimed to analyze the meaning attributed to the role of nurses in child and adolescent mental health care in the context of CAPSij. This is a qualitative research, anchored in the Complex Paradigm in its systemic and hologrammatic principles. Data collection was performed through individual semi-structured interviews, conducted via a free online platform with ten nurses from CAPSij in the state of São Paulo, from March to September, 2022. Data analysis was done by thematic analysis, emerging two final themes entitled "Complexity of care" and "Complexity of the role". The first theme brought up the diversity and specificity of the mental health clinic for children and adolescents, with the need to delineate an expanded, territorial, intersectorial, and interprofessional care. Potentialities were identified, but especially weaknesses for acting in this scenario, mainly due to a fragmented training in the area. The second theme showed the lack of understanding of the nurse's place in CAPSij, especially for the necessary transit between the nucleus and the field for the construction of actions. It brought the need for a reconstruction of being a nurse, to be possible the production of more inclusive and salutogenic practices and legitimacy of the nurse's role in this space. It reinforces the need to train nurses with adequate knowledge and skills to care for the mental health of children, adolescents, and their families. Furthermore, the urgency of continuing education for the teams working in CAPSij with management support is relevant.