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- A perceção dos enfermeiros face à identificação da necessidade de cuidados de enfermagem nas famílias reconstruídas, com filhos adolescentesPublication . Cotrim, Hortense; Figueiredo, Maria; Guedes, Virgínia; Ferreira, ManuelaThe Perception of Nurses to Identify the Need for Nursing Care in Reconstituted Families with Adolescent Children. Abstract: Family health nursing aims to promote the empowerment of families in the development of competencies, fostering a healthy living of their processes of change, throughout the life cycle. With respect to these families, dysfunctions can occur due to family coexistence and overlapping of parental roles over the adolescent. In this context the MDAIF arises, aiming to guide the action of nurses, proposing diagnoses and interventions, from the needs identified. The aim was to analyze nurses’ perception of the need for nursing care in reconstituted families with adolescent children. Descriptive and exploratory study, of a qualitative nature, whose participants were nurses who perform functions in primary health care. A questionnaire was used, applied in 2018, with an open question in which the participants were asked to describe strategies for identifying nursing care needs in rebuilt families with adolescent children. For data analysis, content analysis was used, and three categories emerged: “Family Assessment”, focused essentially on observation, interviewing and data collection; the “Context of the evaluation”, predominating the functional unit, within the scope of the nursing consultation; and “Referential”, the MDAIF being the theoretical and operative support for clinical decision making. In the identification of nursing care needs, the family assessment stands out as a methodology valued by nurses. These results may contribute to the development of formative processes, within the framework of family assessment, leading to the improvement of the quality of care.
- Competências do enfermeiro de cuidados gerais em Cuidados de Saúde PrimáriosPublication . Guedes, Virgínia; Apóstolo, João; Figueiredo, MariaEnquadramento: A ideologia dos cuidados de saúde primários está claramente presente nos princípios norteadores da enfermagem, representando desta forma um contexto favorável ao desenvolvimento das competências da profissão. Este estudo pretende verificar de que forma as competências do enfermeiro de cuidados gerais são compreendidas e concretizadas ao nível dos cuidados de saúde primários. Metodologia: É um estudo exploratório-descritivo de natureza quantitativa numa amostra de 46 enfermeiros de cuidados gerais a trabalhar em cuidados de saúde primários, cujos dados foram recolhidos através de um questionário. Resultados: Verificamos que existe uma relação significativa entre a compreensão teórica do significado da competência e a sua concretização. As competências mais concretizadas relacionam-se com o domínio da prática profissional, ética e legal, operacionalizadas através de intervenções ligadas à protecção do direito do cliente, à gestão do processo clínico, à informação adequada ao cliente sobre as intervenções realizadas e actuação de acordo com linhas de orientação preestabelecidas. As competências menos concretizadas relacionam-se com a participação em programas de melhoria contínua da qualidade e actuação em situações de catástrofe. Conclusão: A compreensão dos conteúdos ligados a cada uma das competências é um factor preditivo à concretização das mesmas. No entanto, deverão estar também outros factores associados às variações dos resultados, uma vez que a competência é um processo dinâmico que resulta da biografia do sujeito, formação e situação profissional.
- Unipersonal families and literacy: Economic partner characterization and nursing care needsPublication . Guedes, Virgínia; Figueiredo, Maria; Lebreiro, Marlene; Brás, Manuel; Dantas, JacintaThe maintenance of good health levels is strongly related to personal, cognitive and social skills that compose the concept of health literacy (HL) (Soellner, Lenartz & Rudinger, 2017). Since low HL levels are associated with vulnerable groups (Pedro, Amaral & Escoval, 2016), we intend to analyze the social, economic and social characteristics of a group of unipersonal families with an elder person as well as to identify needs in nursing care. An exploratory and descriptive study was conducted in unipersonal families with members over 65 years of age, users of primary care. The sample consisted of clients that had the characteristics of the population who used a health unit in the northern part of Portugal requesting a nursing consultation, between March and April 2017. The data collection was performed based on the structural dimension of the MDAIF (Figueiredo, 2012). Data analysis was done through descriptive statistics. In the sample composed of 15 families, 80% pertained to the lower middle class. All individuals suffer of one or more chronic diseases. The most common nursing interventions were directed to the residential building, safety precaution and water supply. The assessment of the structural dimension of unipersonal households is an essential resource in identifying potentialities or vulnerabilities, in order to guide nursing interventions to improve patients’ levels of HL, or proactively preventing complications arising from their limitations
- Perspetiva da família sobre as implicações do uso de ventilação mecânica não-invasiva em casaPublication . Guedes, Virgínia; Figueiredo, Maria; Novais, Rui; Cotrim, HortenseSeveral studies have demonstrated that non-invasive home mechanical ventilation is a therapy that brings benefits to people with type 2 respiratory failure and their family. The objective of this study is to explore the implications of non-invasive home ventilation for the user’s family. An exploratory desc riptive study with quantitative qualitative nature in 10 families using noninvasive home ventilation. Mainly, they are nuclear families (8) belonging to the middle class (7). The data were collected through a semi-structured interview, with a data collection instrument that integrated sociodemographic issues and two open questions related to the participants’ perspective on the implications of non-invasive home ventilation for the family. They were processed with descriptive statistics and content analysis. From the narratives, three categories emerged: maladjustment, benefits and family process. They are divided into eight subcategories that describe the issues related to the use of non-invasive home ventilation: discomfort, sleep impairment, silence, crisis reduction, role interaction, dynamic relationship, coping and communication. The results demonstrate that non-invasive mechanical ventilation has implications for the users´ families, can be a stress cause, bring benefits and cause changes in the family process.
- Etiologia e tratamento de queimaduras provocadas por agente químico: scoping reviewPublication . Guedes, Virgínia; Dantas, Maria Jacinta; Chiriac, George; Figueiredo, MariaIt is estimated that over 60,000 different chemicals might be used in industry, agriculture and the home environment. Chemical burns account for only 3% of the total, yet account for approximately 30% of burn deaths. The aim of the study was to identify the latest evidence on treatment of skin burns caused by chemical agents. A scope review was chosen, and articles published between 2013 and 2019 were selected. The research was conducted with the following descriptors: chemical burn* and skin burn* or skin injury or burn* care or treatment burn* and therap*. CINAHL, MEDLINE, MedicLatina and Cochrane Database were searched. The survey was conducted in January and February 2019. Eleven articles were selected, such as case studies, retrospective and prospective studies. The circumstances in which the burns occurred were workplace accidents, home accidents and personal attacks. The chemical agents used were acid and base type. The burned body area was between 30% and 0.5%. The most severe outcome was three deaths. The first-line treatment approach to the lesion was prolonged lavage or H2O. Continuity of treatment integrates systemic, topical pharmacological measures, pain control, surgical and non-pharmacological therapies. The etiology of skin burns by chemist is multiple. The treatment integrates particularities that distinguish it from other burn types, and an appropriate approach has significant results in survival and recovery of the person with chemical burn.
- Enfermagem familiar em cuidados de saúde primários:Publication . Ferreira, Maria; Figueiredo, Maria; Guedes, Virgínia; Marques, Ana Filipa Pinho; Lopes, Ana Rita Rodrigues; Moreira, Ana Rita de Sá; Santos, Melany Campos dos; Lopes, Maribel Vioque; Gomes, Tatiana Vanessa; Peixoto, Maria JoséO enfermeiro de família, pelos seus saberes e sua ação apresenta-se como um recurso importante para as famílias portuguesas. Constituiu objetivo do presente estudo descrever a perceção dos cidadãos sobre os cuidados de enfermagem prestados pelo enfermeiro de família no âmbito da enfermagem familiar. Métodos: Estudo de natureza qualitativa, junto de doze participantes, utentes de uma unidade de saúde familiar do norte de Portugal, recorrendo-se à entrevista semiestruturada, no último trimestre de 2018. Utilizou-se a técnica de análise de conteúdo com procedimentos indutivos, considerando as competências específicas do Enfermeiro Especialista em Enfermagem Comunitária na área de Enfermagem de Saúde Familiar (EEECAESF) e procedimentos dedutivos, definindo-se categorias à posteriori. Resultados: Na perspetiva do cidadão o enfermeiro de família conhece o sistema familiar, alicerçando os seus cuidados numa abordagem colaborativa, embora não tenham como foco a família como um todo. Destacam-se como pontos fortes o profissionalismo, os comportamentos afetivos, de respeito, empatia e as interações focadas na pessoa e na compreensão dos seus problemas e como constrangimentos o respeito pelas dotações seguras e organizacionais. Considerações Finais: as perceções integram alguns dos aspetos relativos às competências requeridas para o enfermeiro de família. Evidencia-se a necessidade de um maior investimento por parte dos enfermeiros na melhoria da perceção sobre os enfermeiros de família junto dos cidadãos.
- Ganhos na qualidade alimentar dos lanches escolares das crianças do ensino primárioPublication . Ferreira, Maria; Oliveira, Ana Maria; Coelho, Lotário; Cotrim, Hortense; Guedes, Virgínia; Figueiredo, MariaA idade escolar representa uma janela de oportunidade para se adquirirem hábitos alimentares saudáveis. A escola é uma instituição fundamental na formação destes hábitos, nomeadamente os lanches escolares, na medida em que proporciona uma aprendizagem formal colaborativa com a família. Pretendeu-se caracterizar a qualidade alimentar dos lanches escolares das crianças do 1º Ciclo do Ensino Básico e os seus determinantes individuais e sociais de saúde; avaliar os ganhos na qualidade alimentar dos lanches escolares das crianças do 1º Ciclo do Ensino Básico, sensíveis ao projeto “Lanches saudáveis”. Estudo quantitativo, quase-experimental sem grupo de controlo. Participaram no estudo 753 crianças do 1º CEB de um Concelho da Região Centro de Portugal no ano letivo 2018/2019 (amostra de base populacional). A intervenção consistiu na realização de sessões de educação para a saúde e ensinos adaptados a cada criança, no início do projeto e aquando da avaliação cega dos lanches escolares. Os registos da qualidade alimentar dos lanches foram feitos, através de grelha criada para o efeito, pelos professores após treinamento dos critérios de classificação dos lanches. A avaliação foi cega realizada durante 5 semanas do 2º e 3º período. Ao longo do desenvolvimento do projeto verificou-se uma melhoria continua e gradual da qualidade alimentar dos lanches escolares por parte dos participantes. As meninas apresentaram melhor qualidade alimentar dos lanches escolares que os meninos. A intervenção realizada foi eficaz na melhoria da qualidade alimentar dos lanches escolares das crianças com resultados estatísticos 42Pensar Enfermagem | Vol. 25 | N.º 1 | 1º Semestre de 2021 ABSTRACT: School age represents a window of opportunity to acquire healthy eating habits. The school is a fundamental institution in the formation of these habits, namely school snacks, insofar as it provides formal collaborative learning with the family. It was intended to characterize the food quality of school meals for children in the 1st Cycle Basic Education and their individual and social health determinants; to evaluate the gains in food quality of school meals for children in the 1st Cycle Basic Education, sensitive to the “Healthy snacks” project. Quantitative study, quasi-experimental study without a control group. 753 children from the 1st CEB of a municipality in the Central Region of Portugal participated in the study year 2018/2019 (population-based sample). The intervention consisted of health education sessions and lessons adapted to each child, at the beginning of the project and when blindly evaluating school snacks. The records of the food quality of the snacks were made, through a grid created for the purpose, by the teachers after training the classification criteria of the snacks. The evaluation was performed blindly during 5 weeks of the 2nd and 3rd periods. During the development of the project, there was a continuous and gradual improvement in the food quality of school snacks by the participants. Girls showed better food quality in school snacks than boys. The intervention performed was effective in improving the food quality of children's school snacks with highly significant statistical results. The project to promote healthy eating resulted in improving the food quality of children's school snacks. The results suggest the need to expand the project's implementation to other children from a health perspective in all policies and collaborative work to promote the exercise of parenting and children's health.altamente significativos. O projeto de promoção da alimentação saudável traduziu-se na melhoria da qualidade alimentar dos lanches escolares das crianças. Os resultados sugerem a necessidade ampliar a implementação do projeto a outras crianças numa perspetiva de saúde em todas as políticas e de um trabalho colaborativo para promover o exercício da parentalidade e a saúde das crianças.
- A perceção dos enfermeiros relativamente ao seu grau de competência para a prestação de cuidados de enfermagem às famílias reconstruídas, com filhos adolescentes, na área de atenção satisfação conjugalPublication . Cotrim, Hortense; Figueiredo, Maria; Guedes, VirgíniaThe Perception of Nurses Regarding their Degree of Competence to Provide Nursing Care to Reconstituted Families, with Adolescent Children, in the Area of Attention “Conjugal Satisfaction”. Abstract: The family has undergone numerous modifications and adaptations, with the formation of new family identities, which require nurses to identify possible problems. The aim of this study was to analyse nurses’ perceptions regarding the degree of competence to provide nursing care to reconstituted families, with adolescent children, in the area of attention marital satisfaction. Descriptive and exploratory study, of a quantitative nature. 25 primary care nurses participated. An online questionnaire was used, Lickert type, where the participan-ts were asked to indicate their perception about the level of competence to provide nursing care in these families, in the domain of conjugal satisfaction. Of the 25 nurses, 15 considered themselves competent to carry out the identification of needs, formulate diagnoses and plan nursing interventions, 8 are between incompetent and poorly qualified; in the implementation of interventions, 14 considered competent and 9 incompetent or have little competence; regarding to the evaluation of the interventions, 13 consider themselves competent and 10, incompetent or not competent. Thus, 35% of the sample considered not to have the necessary skills to provide care in the context of marital satisfaction, which indicates the need for greater investment in the development of formative processes in the context of marital satisfaction, leading to the improvement of the quality of care and the development of research to identify health gains arising from nurses’ interventions.
- A mudança nas perceções dos enfermeiros de família sobre os pressupostos da intervenção familiar após o processo formativo MDAIFPublication . Figueiredo, Maria; Ferreira, Manuela; Guedes, Virgínia; Oliveira, Palmira; Amaral, Mireille; Ferré Grau, CarmeThe Dynamic Model of Family Assessment and Intervention (MDAIF) aims to constitute itself as a reference that promotes clinical decision processes based on systemic proposition. This study aimed to evaluate the changes in nurses’ perceptions about the assumptions of family intervention after the training process centered on this referential. This is an exploratory and quantitative study with a sample of 553 family nurses who participated in the “MDAIF” training, organized by the Northern Regional Health Administration, until 2017. A 10 item Likert scale was used with responses between 1 “totally incompetent and 7” “fully competent”, based on MDAIF and applied in the pre and post training periods. T-test was performed for paired samples using SPSS version 23.0. There were very significant statistical changes regarding the perception of competence in all items evaluated, and participants after training perceived with higher competence on the assumptions of family intervention. The results confirm the importance of formative processes based on family health nursing theoretical references. May contribute to the development of family-centered practices as a client, as well as to investigate the health returns resulted from them.
- Um olhar sobre o conceito de literacia em saúdePublication . Guedes, Virgínia; Figueiredo, Maria; Ferreira, Maria Manuela; Lebreiro, Marlene; Dantas, Jacinta; Oliveira, Palmira