title: [The model of clinical assistance and possibilities of doing it in a different way].
abstract: Nursing, in a clinical assistential model, and the daily practices in an in-patient psychiatric unit, are approached. It seems to have a discordance between the health system and clients problems. The nurses seem to plan actions that accomplish institutional goals instead of reaching out for clients' individual needs. In mental health, to include the client on planning his care is fundamental to reach therapeutical goals. Even in the actual model, there are initiatives incorporating these approaches, rescuing concepts that bring clients and workers closer. By recognizing the subjectivity of professionals and clients, we can understand that they are both singular, bringing up interdisciplinarity, and also a process of hierarchy happens, giving autonomy to the working teams and enlarging the space of work.
authors.affiliation: Departamento de Assistência e Orientação Profissional da Escola de Enfermagem da Universidade Federal do Rio Grande do Sul. egle@enf.ufrgs.br
authors.forename: E
authors.initials: E
authors.lastname: Kohlrausch
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D004059:Diffusion of Innovation; D006040:Goals; D019983:Guideline Adherence; D006379:Helping Behavior; D006801:Humans; D016294:Models, Nursing; D020380:Needs Assessment / Q000458:organization & administration*; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research; D010347:Patient Care Planning / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D010358:Patient Participation; D018802:Patient-Centered Care / Q000379:methods*; D017009:Professional Autonomy; D011568:Psychiatric Nursing / Q000379:methods*