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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.
- 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.
- Promotion of adjustment to the exercise of parental role in adolescencePublication . Esteves, Inês Martins; Carvalho, Maria Isabel; Cruz, Sara Filipa; Figueiredo, MariaINTRODUCTION. Parental exercise itself constitutes a very demanding challenge – however, when pregnancy occurs in adolescence, often unplanned, it converges tasks of di'erent stages of development, irreversibly modifying an identity, roles and functions, not only of the young woman, but also of her family. OBJECTIVES. Applying the Dynamic Model of Family Assessment and Intervention (MDAIF), by Figueiredo (2012), and assessing the impact of nursing care in the promotion of skills for a transition to the parental role’s exercise in the teenager and her family. METHODS. Qualitative study, conducted based on MDAIF, as a theoretical and operational reference, in clinical and community context in Primary Health Care, based on the process of family intervention who experienced an adolescent pregnancy. Seven nursing consultations to family were carried out, as a unit, from April to May 2016. RESULTS AND DISCUSSION. Extended family, with several subsystems and strict limits. Middle-class family. Although unplanned, and the antagonistic relationship with her parents, the instrumental and emotional support provided by them became critical in adapting to motherhood and the newborn’s development. CONCLUSIONS. With MDAIF’s use, nurses have developed their skills for a personalized approach to the family, centered on the adaptation and holistic transition to the parental process. It also made it possible to respond to the identi+ed family needs, not only through the restructuring of a parental and personal identity, based on values, personal and professional goals and priorities (the teenager pursued her academic training), but also promoting a family environment based on trust and harmony
- Promotion of adjustment to the exercise of parental role in adolescencePublication . Bica, Isabel; Esteves, Inês; Figueiredo, Maria; Cruz, Sara