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- 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
- Estratégias de coping na família da pessoa portadora de esclerose múltiplaPublication . Figueiredo, Maria; Gonçalves, Eliana; Marques, Ermelinda; Vitor, Carlos; Murteiro, Ana; Lebreiro, Marlene; Rego, RuteCaring for someone is a naturally demanding task, especially when the person is physically and mentally impaired, such as a person with Multiple Sclerosis. Thus, this study aims to identify coping strategies of people identified as caregivers by the person with Multiple Sclerosis, thus understanding the way families view and adapt to this very specific chronic disease. This study is of quantitative, descriptive and cross-sectional nature, with a sample of 25 Portuguese families. The F-COPES questionnaire was applied to assess the coping strategies, using the operational matrix of the Dynamic Model of Family Evaluation and Intervention, organized through a semi-structured interview. The study highlights that the person with Multiple Sclerosis is the one mostly expressing feelings (56%) and shows more initiative to solve them (52%). However, this study also shows that about 80% of families reach out to external resources. According to the strategies coping assessment using the F-COPES, 44% of the families involved in this study, agree with Social Support. However, the most adopted strategies are the reframing and passive evaluation (64%), and the least adopted is the search for spiritual support (20%). The knowledge of the adopted coping strategies by the families will enable the family nurse a more tailored intervention to the family needs.
- A pessoa portadora de esclerose múltipla, o familiar cuidador e processo familiarPublication . Marques, Ermelinda; Gonçalves, Eliana; Murteiro, Ana; Vitor, Carlos; Figueiredo, Maria; Lebreiro, Marlene; Rego, RuteObjectives: To characterize the person with Multiple Sclerosis and the family member caregiver; to evaluate the needs of families with a member with Multiple Sclerosis within the family process. Methods: The study is quantitative, descriptive, exploratory and cross-sectional, with a sample of 25 families. In the evaluation of the family process was followed the operative matrix of the Dynamic Model of Family Assessment and Intervention. Data collection was organized through semi-structured interviews. Results: The person with Multiple Sclerosis is mostly female (76%), with the most referenced limitations being extreme fatigue (80%), spasticity and weakness (44%). The person identified as a caregiver is mostly female (56%), spouse / partner (48%). Within the family process, families are mostly functional. Conclusion: Having knowledge of the characteristics and needs of each family will allow the family nurse a more targeted and specific intervention.
- Carga de trabalho de enfermagem na consulta à pessoa com diabetes mellitus: estudo preliminarPublication . Dantas, Maria Jacinta; Figueiredo, Maria; Cruz, Mariana; Barbosa, Mónica; Lebreiro, MarleneIntroduction and objectives: Evaluating the activities developed in the consultation and determining the associated workload becomes relevant insofar as it influences safety and the quality of care. The purpose of this study was to identify the assistance and non-assistance activities carried out within the scope of the consultation; determine the execution time of the performed activities and set the average time of the consultation. Methodology: An exploratory descriptive study of quantitative nature was carried out. 16 primary health care nurses of 3 health units participated in the study. The instrument evaluates three dimensions: sociodemographic characterization of the clients, nursing and non-care nursing activity that integrates the previously defined categories and actions and socio-professional characterization of the nurse. The study was carried out between February and May 2018. Data was processed using SPSS25®. Results and discussion: 103 nursing consultations were performed. It was identified that the most accomplished assistance activities belonged to the evaluation and health education categories. The documented non-care activities were the reception of the patient; infection control procedures and documentation of the provided care. The mean time of consultation was 24 minutes, the maximum time was 76,6m and the minimum time was 7, 91 m. Conclusion: Identifying what activities were carried out and determining the associated workload allows us to know what work is being done and its implications in the provided care.
- Impacte da implementação do MDAIF e ambiente externo organizacional: perceção dos enfermeiros de famíliaPublication . Oliveira, Palmira; Figueiredo, Maria; Lebreiro, Marlene; Sousa, Edmundo; Charepe, Zaida; Querido, Ana; Dantas, Jacinta
- Um olhar sobre o conceito de literacia em saúdePublication . Guedes, Virgínia; Figueiredo, Maria; Ferreira, Maria Manuela; Lebreiro, Marlene; Dantas, Jacinta; Oliveira, Palmira
- Rede social primária como recurso ao processo de enfermagem: estudo de casoPublication . Guedes, Virgínia; Figueiredo, Maria; Ferreira, Maria Manuela; Lebreiro, Marlene; Dantas, Jacinta
- A integração de novo membro na família alargada: estudo de casoPublication . Lebreiro, Marlene; Figueiredo, Maria; Guedes, Virgínia; Dantas, Maria Jacinta; Ferreira, Manuela
- Enfermeiro de Família e reconhecimento social: perspetiva dos enfermeiros de CSPPublication . Marques, Ana; Figueiredo, Maria; Dias, Sílvia; Ferreira, Manuela; Guedes, Virgínia; Dantas, Maria Jacinta; Lebreiro, Marlene; Castro, José Luís
- Nursing workload: Context and measurement instruments - an integrative reviewPublication . Dantas, Maria Jacinta; Figueiredo, Maria; Ferreira, Ana Paula; Ferreira, Manuela; Lebreiro, Marlene; Guedes, Virgínia