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Objective: To identify and describe the instruments used to assess patients' expectations toward spine surgery., Method: An integrative review was carried out in the databases PubMed, CINAHL, LILACS and PsycINFO., Results: A total of 4,402 publications were identified, of which 25 met the selection criteria. Of the studies selected, only three used tools that had confirmed validity and reliability to be applied; in five studies, clinical scores were used, and were modified for the assessment of patients' expectations, and in 17 studies the researchers developed scales without an adequate description of the method used for their development and validation., Conclusion: The assessment of patients' expectations has been methodologically conducted in different ways. Until the completion of this integrative review, only two valid and reliable instruments had been used in three of the selected studies., Objetivo: Identificar e descrever os instrumentos usados para avaliar a expectativa dos pacientes diante do tratamento cirúrgico da coluna vertebral., Método: Revisão Integrativa realizada nas bases de dados PubMed, CINAHL, LILACS e PsycINFO., Resultados: Identificamos 4.402 publicações, das quais 25 atenderam aos critérios de seleção. Dos estudos selecionados, apenas em três os autores utilizaram instrumentos que possuíam validade e confiabilidade confirmadas para serem aplicados; em cinco estudos foram utilizados escores clínicos, modificados para a avaliação das expectativas dos pacientes, e em dezessete os pesquisadores elaboraram escalas sem adequada descrição do método usado para o seu desenvolvimento e validação., Conclusão: A avaliação das expectativas dos pacientes tem sido metodologicamente conduzida de diferentes maneiras. Até a finalização desta revisão integrativa, apenas dois instrumentos, válidos e confiáveis, haviam sido utilizados em três dos estudos selecionados.

The scarcity of publications about personnel dimensioning in psychiatric nursing motivated the development of an Instrument to Classify the Level of Dependence in Psychiatric Nursing, the initial stage for the establishment of the ideal number of professionals in the nursing crew of the specialty. The purpose of this study was to look for the clinical validation through reliability and construct validity tests, as well as to verify its applicability in the management practice of nurses. Two samples were used, of which n = 40 pairs of instruments filled in Stage 1 of data collection and n = 100 instruments filled in Stage 3 of the study, with different statistical criteria being applied, among them the Kappa coefficient and the Spearman correlation. The Instrument to Classify the Level of Dependence in Psychiatric Nursing was considered reliable, with good indicators of agreement, and the construct was validated, determining the degree of dependence of mental disorder patients.

After almost 30 years since the creation of the Psychiatric Nursing Concentration Area in the Graduate Program of the University of São Paulo Nursing School, it is important to take a look at its scientific production in order to substantiate reflection about teaching. This is a descriptive-exploratory study. It used as sources the registers of the Graduate Service, abstracts from theses and dissertations, and memoranda and official correspondence. The data collected were analyzed in the light of the transformations occurred in this structure that has graduated 60 students, of which 50 obtained a Master's Degree and 10 a PhD, and that has been restructuring its disciplines, research lines and projects with the objective of responding to internal and external evaluations and adjusting to the guidelines of the country's fostering agencies. Current scientific production points out to an alignment with the guidelines of the Psychiatric Reform, and a tendency to produce knowledge through the concrete practice of the workers in the assistance field, the mana-gement and the teaching of Mental Health.

The authors present a brief literature review about the phenomenological approach in nursing research. This issue is an attempt in phenomenological analysis of the concept of nursing. The answers to the question "what is nursing?", made by 251 nurses, were grouped in categories and compared with HENDERSON'S and HORTA's nursing concepts.

The authors make some theoretical considerations about support. They consider it one of the most efficient measures the nurse can use in her relationships with patient. They report the application of such measure in a process of student-patient therapeutic relationships.

The authors discuss how nursing personnel should deal with patients who suffer from personality disorders when they show signs of antisocial behavior.

The authors consider senescence and senility and discuss nursing care to senile patients.

Nursing care to patients under psychotropic drugs treatment is reported on by authors. The importance of the nurse's role in this specific treatment is emphasized.

The authors present a bibliographical review about concept and modalities of manipulative behavior and consider the importance of such manipulation in the therapeutic nurse-patient relationship. They emphasize the importance of the nurse being aware of about the occurence of this behavior, list some patient's manifestations and comment them, giving especial attention to the therapeutic measures to be taken.

The authors describe types of drug addiction, behavior of the drug addict patient and the role of nursing personnel in dealing with them. They also mention some prophylactic measures in the fight off drug addiction.

The authors discuss the importance and the necessity of stablishing limits as therapeutic tool in the nurse-patient relationship. They review the literature on the subject and outline the steps and techniques recommended in the application of such tools.

The authors describe the nursing care of patients with agitation and aggressiveness manifestations, in order to preserve their physical and psychic integrity, to protect the integrity of those around them and to help the patient control his own behavior.

In their practice the authors observed a lack of research results in psychiatric nursing, brought to the nurses assistence activities. This fact stimulated them to survey the existent studies done in Brazil, in order to verify what has been investigated in the area. Data collection covered Brazilian nursing periodicals, theses and dissertations. Bringing to focus the themes already researched, the objective of this article is twofold: to stimulate nurses to incorporate the provided research knowledge to their practice, and to undertake new studies to meliorate psychiatric nursing care quality.

In dealing with the patient, the nurse has always to have in mind that she is dealing with a human being. There are basic aspects in this personal relationship needed to the knowledge of the nurse to make this process therapeutic. Among these aspects we have acceptance, empaty and emotional involvement. These aspects we studied following bibliographical review, theorical conception and importance to the nurse-patient relationship. Situations that show accourance of those given aspects and the benefits brought to nurse-patient relationship are described.

A brief review of the medical literature, on neuropsychosurgery and the specific aspects of nursing care are presented. Emphasis is given to the importance of an objective attitude towards the results of this type of surgery.

This paper is based on a study on the functions of the nurse, as a member of the multiprofessional team, in one Psychiatric Hospital. The populations interviewed was composed of 16 nurses, 17 phisicians, 7 social workers, 3 occupational therapists and 3 psychologists. The results showed that not even the nurses had a clear idea of their functions. The author's conclusions emphasize the need of a good undergraduate program on Psychiatric Nursing and on continuing education.

Because education is one of the means to bring about the process of change, a process extremely necessary in psychiatric nursing, the authors decided to find out the opinion of nurses in psychiatric hospitals about the recommended contents of a program of specialization on the subject, to be based on the difficulties found in their work.

Eletric convulsive shock therapy has become a controversial topic in psychiatric services. Patients continue to have electroconvulsive therapy. The team nursing has seen the treatment as just another task. In this paper the authors present how the nurse can help the patient who is submitted to electroconvulsive therapy.

It's not uncommon to hear complaints about the lack of speciafication of nursing interventions in Mental Health. Now a-days, with the emphasis given to multiprofessional work systems in that area, those complaints have increasead due to the belief that the system's efficiency also depends on the knowledge that each professional has about his share. Literature and this belief support us in offering a proposal of nurse's specific activities covering mental health approaches. We hope our contribution will help nurses to improve their participation when assisting clients.

The authors discuss the teaching of therapeutic relationship to undergraduated nursing students, including its praticai application. They exemplify it with the account of a case of student-patient relationship.