Mental health nursing management models

a scoping review

Abstract

Objective: the objective of this study was to map the scientific evidence available about Mental
Health Nursing management models. Method: a Scoping Review conducted in the MEDLINE and
CINHAL databases via PubMed and EBSCO, respectively, in the Theses and Dissertations Catalog of
the Coordination for the Improvement of Higher Level Personnel (Coordenação de Aperfeiçoamento
de Pessoal de Nível Superior, CAPES), in the Brazilian Digital Library of Theses and Dissertations
(Biblioteca Digital Brasileira de Teses e Dissertações, BDTD) and in the Virtual Library in
Health (Biblioteca Virtual em Saúde, BVS). Results: the final sample consisted of eight studies
and, based on the analysis, a qualitative synthesis was prepared, giving rise to two categories:
management models approaching traditional, normative and prescriptive administrative
theories; and management models approaching innovative, participatory and people-centered
management styles. Conclusion: the models identified were approached from a management
aimed at traditional and autocratic administrative theories, which privilege administrative and
bureaucratic activities, as well as an authoritarian leadership. However, it was found that the
transformations driven by the Psychiatric Reform in Brazil and in the world and the retargeting of
mental health care, with humanization and user appreciation policies, accelerated the transition
of these models to a more participatory management, with a focus on care.