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Avaliação e intervenção em famílias nucleares com filhos adultos - Desenvolvimento de competências clínicas especializadas em Enfermagem Comunitária na área de Enfermagem de Saúde Familiar
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A família, enquanto sistema dinâmico, adapta-se continuamente às transições do ciclo vital. A fase da família com filhos adultos envolve tarefas como a aceitação da autonomia dos filhos e, frequentemente, a sua saída de casa, exigindo reajustes nas dinâmicas conjugais e parentais.
O presente relatório foi elaborado no âmbito das Unidades Curriculares Estágio de Natureza Profissional com Relatório – Módulo I e II, do Mestrado em Enfermagem Comunitária na área de Enfermagem de Saúde Familiar da Escola Superior de Enfermagem do Porto. Foram definidos objetivos orientados para a prestação de cuidados a famílias nucleares com filhos adultos, considerando-as como unidade de cuidados e atuando nos diversos níveis de prevenção. Simultaneamente, promoveu-se a liderança e colaboração nos processos de intervenção em Enfermagem de Saúde Familiar, conforme o Regulamento n.º 428/2018 da Ordem dos Enfermeiros.
A intervenção nestas famílias foi guiada pelo Modelo Dinâmico de Avaliação e Intervenção Familiar, sustentado pelos Modelos Calgary de Avaliação e Intervenção na Família. Para abordagem ao indivíduo foi utilizada a Teoria das Transições de Meleis. Foram acompanhadas seis famílias, centrando-se a avaliação e intervenção na preparação para o ninho vazio. As áreas de atenção mais frequentemente identificadas incidiram sobre a Satisfação Conjugal, o Papel Parental e o Processo Familiar, tendo sido nomeados diagnósticos e implementadas intervenções dirigidas a cada uma destas dimensões. Com a equipa de enfermagem da Unidade de Saúde Familiar, foram desenvolvidas estratégias formativas para otimizar a documentação em Enfermagem de Saúde Familiar, destacando-se uma sessão formativa e a implementação de coaching individualizado. O processo de aprendizagem permitiu consolidar competências comuns e específicas, evidenciando-se a importância da reflexão crítica para a prestação de cuidados centrados na família.
The family, as a dynamic system, continuously adapts to the transitions of the life cycle. The stage of the family with adult children involves tasks such as accepting the autonomy of the children and, frequently, their departure from the household, requiring adjustments in both conjugal and parental dynamics. This report was prepared within the scope of the Curricular Units Professional Internship with Report – Module I and II of the Master's Degree in Community Nursing, with a focus on Family Health Nursing, at the Escola Superior de Enfermagem do Porto. Objectives were defined with the aim of providing care to nuclear families with adult children, considering them as units of care and intervening across various levels of prevention. At the same time, leadership and collaboration in Family Health Nursing intervention processes were promoted, in accordance with Regulation no. 428/2018 of the Portuguese Nursing Council. The intervention in these families was guided by the Dynamic Model of Family Assessment and Intervention, supported by the Calgary Models of Family Assessment and Intervention. To approach the individual Meleis’ Transition Theory was applied. Six families were followed, with the assessment and intervention focusing on the preparation for the empty nest phase. The most frequently identified areas of concern were Marital Satisfaction, Parental Role, and the Family Process. Diagnoses were established, and specific interventions were implemented for each of these dimensions. Together with the nursing team of the Family Health Unit, training strategies were developed to optimise documentation in Family Health Nursing, including a training session and the implementation of individualised coaching. The learning process allowed for the consolidation of both common and specific competencies, highlighting the importance of critical reflection in the provision of family-centred care.
The family, as a dynamic system, continuously adapts to the transitions of the life cycle. The stage of the family with adult children involves tasks such as accepting the autonomy of the children and, frequently, their departure from the household, requiring adjustments in both conjugal and parental dynamics. This report was prepared within the scope of the Curricular Units Professional Internship with Report – Module I and II of the Master's Degree in Community Nursing, with a focus on Family Health Nursing, at the Escola Superior de Enfermagem do Porto. Objectives were defined with the aim of providing care to nuclear families with adult children, considering them as units of care and intervening across various levels of prevention. At the same time, leadership and collaboration in Family Health Nursing intervention processes were promoted, in accordance with Regulation no. 428/2018 of the Portuguese Nursing Council. The intervention in these families was guided by the Dynamic Model of Family Assessment and Intervention, supported by the Calgary Models of Family Assessment and Intervention. To approach the individual Meleis’ Transition Theory was applied. Six families were followed, with the assessment and intervention focusing on the preparation for the empty nest phase. The most frequently identified areas of concern were Marital Satisfaction, Parental Role, and the Family Process. Diagnoses were established, and specific interventions were implemented for each of these dimensions. Together with the nursing team of the Family Health Unit, training strategies were developed to optimise documentation in Family Health Nursing, including a training session and the implementation of individualised coaching. The learning process allowed for the consolidation of both common and specific competencies, highlighting the importance of critical reflection in the provision of family-centred care.
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Enfermagem de Saúde Familiar Filhos Adultos Ninho vazio Modelo Dinâmico de Avaliação e Intervenção Familiar