Construção e validação de um guia de diretrizes clínicas para intervenção em saúde mental de profissionais de enfermagem no pós Covid-19

Abstract

To build and validate a guide with clinical guidelines for intervention in Mental Health, based on the evaluation of the profile of symptoms of mental suffering of nurses and nursing technicians from a Brazilian municipality who worked on the front line of COVID-19. Method: This is a study with multiple design, consisting of three complementary steps, which are: Step 1 - quantitative, observational and cross-sectional study with nursing professionals from a municipality in the interior of São Paulo; Step 2 - Scopping Review according to the guidelines of the Joanna Briggs Institute (JBI), for the construction of a guide with clinical guidelines for intervention in Mental Health of nurses and nursing technicians; Step 3 - construction and validation of a guide with clinical guidelines for intervention in Mental Health of nurses and nursing technicians. Results: The results of the quantitative stage showed an association between mental distress and workload, sex, use of non-prescription medication and also, presence of nurses with a higher prevalence of anxiety symptoms than nursing technicians. Through the scoping review it was possible to identify strategies to promote mental health, which included: the strengthening of interpersonal relationships, encouraging the search for specialized support, carrying out actions promoting subjective well-being and encouraging the adoption of healthy habits such as balanced eating, adequate sleep, rest and regular practice of physical activity. Based on these results, the Integrated Guide to Mental Health Care for Nursing Professionals was built. The validation of the content of the guide was carried out by 08 expert judges, through the Content Validity Index (IVC), reaching a global CVI of 0.97, which indicates a high degree of agreement between the judges. Conclusion: It is expected that these results can serve as a subsidy for new investigations, as well as the instrument is implemented by management in support of the mental health of health workers, because just as it is important to recognize the need for mental health improvement, it is necessary to intervene in the factors that compromise it.