Nurses' perception on mental health interventions in Primary Health Care
Rafaela Sales Medeiros1, Divane de Vargas1, Jaqueline Lemos de Oliveira1
1Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Revista Brasileira De Enfermagem
|July 16, 2025
Summary
Primary Health Care nurses recognize and perform mental health interventions but often lack confidence in their qualifications for specific advanced practices and continuing education. This highlights a gap between perceived roles and self-assessed competence in mental healthcare.
Area of Science:
- Nursing
- Mental Health
- Primary Health Care
Background:
- Mental health interventions are integral to Primary Health Care (PHC).
- Nurses' perceptions of their roles and qualifications in mental healthcare are crucial for effective service delivery.
- Understanding these perceptions informs targeted training and support.
Purpose of the Study:
- To assess Primary Health Care nurses' perceptions of mental health interventions in their daily practice.
- To identify specific areas where nurses feel most and least qualified to perform mental health activities.
Main Methods:
- A quantitative, descriptive-exploratory study was conducted across 66 PHC Units.
- The study included a sample of 239 nurses.
- Interventions were categorized into universal practices, specific mental health activities, and educational/universal practices.
Main Results:
- Nurses generally viewed universal practices as within their scope, except for Integrative and Complementary Practices.
- Nurses reported lower confidence in performing therapeutic interpersonal relationships, advanced rehabilitation, therapeutic groups, and scale applications.
- Only 40% of nurses felt qualified for continuing education in mental health.
Conclusions:
- Nurses acknowledge and perform mental health practices within their daily roles.
- A notable perception exists among nurses of not feeling adequately qualified for certain advanced mental health interventions and educational aspects.
- Addressing these qualification gaps is essential for enhancing mental healthcare delivery in PHC settings.
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