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Autoperceção do idadismo em famílias idosas : Contributo do enfermeiro especialista em saúde familiar
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As desigualdades comprometem o bem-estar das famílias ao longo do ciclo vital. O enfermeiro especialista em saúde familiar, atua de forma sensível e orientada para a equidade. Este relatório descreve a experiência de estágio no âmbito do Mestrado em Enfermagem Comunitária na área de Enfermagem de Saúde Familiar e decorreu em dois contextos, com a finalidade de adquirir e desenvolver competências clínicas especializadas que sustentem uma prática centrada na família. Numa Unidade de Cuidados de Saúde Personalizados foi conduzido um estudo de caso com uma família nuclear imigrante, obtendo ganhos em saúde como facilitador de transições saudáveis, através de intervenções culturalmente congruentes. Numa Unidade de Saúde Familiar desenvolvi um projeto de intervenção de enfermagem de saúde familiar numa perspetiva antecipatória (prevenção primária), centrado na autoperceção do idadismo e na capacitação de famílias idosas. Objetivo: Contribuir para a capacitação das famílias idosas na sensibilização e prevenção do idadismo Metodologia: Realizada uma revisão de scoping. O estudo, de natureza descritiva, transversal e quantitativa, envolveu 16 famílias (23 membros), com dados recolhidos através do Ageism Survey, Graffar adaptado e APGAR Familiar, analisados estatisticamente no Microsoft Excel©. As intervenções sistémicas basearam-se na Teoria das Transições de Meleis, no Processo de Enfermagem de Família e no Modelo Dinâmico de Avaliação e Intervenção Familiar de Figueiredo. Discussão: Os resultados sugerem que o idadismo é frequentemente percebido como recorrente, com variações entre classes sociais e níveis de funcionalidade familiar. Após as intervenções sistémicas que incluíram conversação terapêutica, observou-se um aumento da autoperceção sugerindo aumento da consciência sobre o fenómeno. Os participantes manifestaram interesse em abordar o tema com a família extensa e comunidade. Conclusão: A prática especializada é eficaz na promoção da equidade em saúde e reforço da literacia em situações de vulnerabilidade, obtendo ganhos em saúde para as famílias cuidadas.
Inequities compromise the well-being of families throughout the life cycle. The Family Health Nurse Specialist intervenes with sensitivity and a strong orientation toward equity. This report outlines the internship experience undertaken as part of the Master's Degree in Community Nursing, with a specialization in Family Health Nursing. The internship was conducted in two distinct healthcare settings, with the aim of acquiring and developing advanced clinical competencies to support a family-centered practice. In a Personalized Healthcare Unit, a case study was conducted with an immigrant nuclear family, resulting in measurable health gains by facilitating healthy transitions through culturally congruent interventions. In a Family Health Unit, a family health nursing intervention project was developed from an anticipatory perspective (primary prevention), focusing on the self-perception of ageism and the empowerment of elderly families. Objective: To contribute to the empowerment of elderly families in raising awareness of and preventing ageism. Methodology: A scoping review was carried out. The study followed a descriptive, cross-sectional, and quantitative design and involved 16 families (23 members). Data were collected using the Ageism Survey, the adapted Graffar Scale, and the Family APGAR, and were statistically analysed using Microsoft Excel©. The systemic interventions were grounded in Meleis’ Transitions Theory, the Family Nursing Process, and Figueiredo’s Dynamic Model of Family Assessment and Intervention. Discussion: The results suggest that ageism is frequently perceived as a recurrent phenomenon, with variations across social classes and levels of family functionality. Following the systemic interventions - which included therapeutic conversations - there was an observed increase in participants’ self-perception, indicating heightened awareness of the phenomenon. Participants expressed interest in discussing the topic with their extended families and within their communities. Conclusion: Specialized nursing practice proves effective in promoting health equity and strengthening health literacy in contexts of vulnerability, leading to improved health outcomes for the families under care.
Inequities compromise the well-being of families throughout the life cycle. The Family Health Nurse Specialist intervenes with sensitivity and a strong orientation toward equity. This report outlines the internship experience undertaken as part of the Master's Degree in Community Nursing, with a specialization in Family Health Nursing. The internship was conducted in two distinct healthcare settings, with the aim of acquiring and developing advanced clinical competencies to support a family-centered practice. In a Personalized Healthcare Unit, a case study was conducted with an immigrant nuclear family, resulting in measurable health gains by facilitating healthy transitions through culturally congruent interventions. In a Family Health Unit, a family health nursing intervention project was developed from an anticipatory perspective (primary prevention), focusing on the self-perception of ageism and the empowerment of elderly families. Objective: To contribute to the empowerment of elderly families in raising awareness of and preventing ageism. Methodology: A scoping review was carried out. The study followed a descriptive, cross-sectional, and quantitative design and involved 16 families (23 members). Data were collected using the Ageism Survey, the adapted Graffar Scale, and the Family APGAR, and were statistically analysed using Microsoft Excel©. The systemic interventions were grounded in Meleis’ Transitions Theory, the Family Nursing Process, and Figueiredo’s Dynamic Model of Family Assessment and Intervention. Discussion: The results suggest that ageism is frequently perceived as a recurrent phenomenon, with variations across social classes and levels of family functionality. Following the systemic interventions - which included therapeutic conversations - there was an observed increase in participants’ self-perception, indicating heightened awareness of the phenomenon. Participants expressed interest in discussing the topic with their extended families and within their communities. Conclusion: Specialized nursing practice proves effective in promoting health equity and strengthening health literacy in contexts of vulnerability, leading to improved health outcomes for the families under care.
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Palavras-chave
Enfermagem em saúde comunitária Atenção primária à saúde Enfermagem familiar Ageísmo Idoso