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Revista Portuguesa de Enfermagem de Saúde Mental

Print version ISSN 1647-2160

Abstract

SAMPAIO, Francisco; SEQUEIRA, Carlos  and  CANUT, Teresa Lluch. Psychotherapeutic intervention model in nursing: Guiding principles for implementation in clinical practice. Revista Portuguesa de Enfermagem de Saúde Mental [online]. 2018, n.19, pp.77-84. ISSN 1647-2160.  https://doi.org/10.19131/rpesm.0205.

BACKGROUND: Although in Portugal the competence of psychiatric nurses to perform psychotherapeutic interventions is regulated, there was no psychotherapeutic intervention model in nursing available to systematize this practice. Having a model been developed and evaluated for its efficacy, it is now important to make its use clear in order to transpose it into clinical practice. AIM: To describe the necessary steps for the operationalization of the psychotherapeutic intervention model in nursing in the clinical practice contexts. METHODS: This is an article of best practices in which the strategies to be adopted for the operationalization of the psychotherapeutic intervention model in nursing into clinical practice are presented, as well as some difficulties related to its use. RESULTS: In a session 0 the patient should be evaluated in order to assess whether he/she meets the inclusion criteria and does not present any exclusion criterion to be intervened using the psychotherapeutic intervention model in nursing. After identifying the priority nursing diagnosis/es (ICNP or NANDA-I) it is important to understand the origin/cause of the problem(s) and, according to it, to select the psychotherapeutic intervention(s) (according to what is recommended in the book “NOC and NIC linkages to NANDA-I and clinical conditions: Supporting critical reasoning and quality care"). CONCLUSIONS: The psychotherapeutic intervention model in nursing seems to be an added value for the possibility of systematizing the practice of the psychiatric nurses. However, it is still necessary to develop tools in order to simplify its transposition into clinical practice.

Keywords : Nursing; Psychiatric nursing; Professional practice; Psychotherapy.

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