The family myth in nursing care for children in psychological distress.

This is a theoretical study aimed at reflecting on the contribution of the concept of family myth to nursing care for children in psychological distress. It is methodologically structured around three topics: the importance of the family in caring for children; the perspective of family-centered nursing care for children in psychological distress; and the contribution of the understanding of family myth to nursing care for children in psychological distress. The following dialectic is considered: the family, considered by current literature to be a harmonious unit, also triggers family conflicts that can be the cause of psychological suffering. The concept of family myth emerges as a possible theoretical anchor for nursing care for children in psychological distress, as it allows nurses to consider the signifiers that mark the child's psychological structure and construct their symptoms. Uncovering the place that the family assigns to the child enables nurses to help them construct and elaborate their own place as a subject in their subjectivity.

Baby and Family-Centered Care in the Neonatal Intensive Care Unit: Changing Perspective.

The goal of baby and family-centered care in the neonatal intensive care unit (NICU) is to recognize the baby's needs exhibited through the baby's individual behavior and communication and support parent education, engagement, and interaction with the baby to build a nurturing relationship. Health care providers and caregivers must guide rather than control the role of the parents from birth through NICU care, transition to home, and continuing care at home. Parents are health care team members, primary caregivers, and shared decision-makers in caring for their babies.

Translation and Psychometric Validation of the German Version of the Iceland-Family Perceived Support Questionnaire (ICE-FPSQ): A Cross-Sectional Study.

Supporting families experiencing critical illness through family interventions is essential to ease illness burden, enable family management, and reduce their risk for adverse health. Thus far, there is no validated German instrument to measure the perceived support families receive from nurses. We translated the 14-item Iceland-Family Perceived Support Questionnaire (ICE-FPSQ) and tested its psychometric properties with 77 family members of intensive care patients. Compared with the original instrument, the construct validity of the German ICE-FPSQ (FPSQ-G) showed unstable results with a partially divergent structure, most likely caused by the limited sample size. The first two principal components explained 61% of the overall variance and a good internal consistency with a Cronbach's alpha of .92. The FPSQ-G is a promising instrument to measure family members' perceptions of the support they received from nurses in the acute critical care setting but requires further validation.

Building Family Interventions for Scalability and Impact.

Family nursing researchers are charged with addressing the conceptual and methodological underpinnings of family research when developing family-focused interventions. Step-by-step guidance is needed that integrates current science of intervention development with family science and helps researchers progress from foundational work to experimental work with policy integration. The purpose of this manuscript is to provide pragmatic, evidence-based guidance for advancing family intervention research from foundational work through efficacy testing. Guidance regarding the development of family interventions is presented using the first three of Sidani's five-stage method: (a) foundational work to understand the problem targeted for change; (b) intervention development and assessment of acceptability and feasibility; and (c) efficacy testing. Each stage of family intervention development is described in terms of process, design considerations, and policy and practice implications. Examples are included to emphasize the family lens. This manuscript provides guidance to family scientists for intervention development and implementation to advance family nursing science and inform policy.

Equity, inclusion and cultural humility: contemporizing the neonatal intensive care unit family-centered care model.

Existing NICU family centered care models lack the key elements of equity, inclusion and cultural humility. These models were conceived to support families during the stressful life event of an infant's NICU admission. Their development, however, occurred prior to recognition of the medical field's systematic shortcomings in providing equitable care and their impact on outcome disparities for marginalized communities; thus, they do not include cultural or equitable healthcare considerations. Given the significant neonatal care inequities for marginalized groups, incorporating the experience of these patients in a targeted manner into family centered care frameworks is of critical importance to ensure culturally humble and thus more just and equitable treatment. Here, we review past approaches to NICU family centered care and propose a novel, updated framework which integrates culturally humble care into the NICU family centered care framework.

Research on Family-Centered Care in pediatric patients: A Bibliometric Analysis.

OBJECTIVE: This study is conducted as a bibliometric analysis to determine the trends in studies related to family-centered care in children. MATERIALS AND METHODS: The Web of Science database was used to collect study data. A search was conducted on Web of Science using the keywords "family-centered care", "family centered care", "family-centred care", "family centred care", "family-integrated care", "family integrated care", "patient and family centered care", "patient- and family-centered care" and "child" or "pediatric" or "pediatrics" or "child" or "newborn" or "neonatal" or "adolescent" together. The VOSviewer program was used for data analysis and visualization. The analysis included the number of publications by year, distribution by journals, most cited studies, countries with the highest publication output, most frequently used keywords, and co-authorship dimensions, presented with visual maps. RESULTS: A total of 2525 studies conducted from 1980 onwards were analyzed. The analysis revealed that the initial publications related to the subject emerged in 1980, and the United States was identified as the country with the highest number of publications, based on the Web of Science database. The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) was determined as the journal with the highest number of publications, while the journal receiving the most citations was PEDIATRICS. CONCLUSION: The study found an increasing importance given to the Family-Centered Care Approach since the 1980s, with a majority of studies being descriptive in nature. It was determined that the studies were concentrated in the USA indicating a lack of global interest in the Family-Centered. PRACTICAL IMPLICATIONS: Nursing researchers can build upon this study in the field of family-centered care by conducting more specific and in-depth investigations. This contributes to adding new information to the nursing literature and filling gaps in this area.

Family-Oriented Therapeutic Conversations: A Systematic Scoping Review.

There is increasing evidence that highlights the benefits of Family-oriented Therapeutic Conversations (FAM-TC) for the patient and the family; however, studies show variability regarding the content and the way these interventions are offered. This may hamper its further development in clinical practice. This review systematically maps the available literature on nurse-led FAM-TC and offers a solid synthesis of the characteristic, effectiveness, and feasibility of these interventions. A systematic search in PubMed, CINAHL, Cochrane, Web of Science, PsycINFO, Trip (Turning Research Into Practice), BASE (Bielefeld Academic Search Engine), OATD (Open Access Theses and Dissertations), and ProQuest databases identified 37 studies. The interventions varied in interventionist nurses' profile, the intervention content, or the duration of the sessions offered. Most of the interventions showed beneficial effects on perceived family support and family functioning. This review offers suggestions for future studies, such as the inclusion of specific theoretical frameworks for intervention design, targeting both the patient and the family and offered by nurses with family nursing competency.

Psychometric Testing of the Experience of Integrating Chronic Illness into Family Life Questionnaire.

Family members' experience of integrating chronic illnesses or chronic conditions into family life is valuable information for health care professionals, such as nurses, to understand, improve, and adjust the care provided to families of chronically ill patients. Furthermore, the assessment of the experience of integrating chronic illness into family life can support family nursing interventions and reduce suffering. This study aimed to adapt and psychometrically test a new Likert-type questionnaire on the experience of integrating pediatric chronic illness into family life (EICI-FLQ) in two European samples. A sample of 164 primary caregivers of children/adolescents with chronic illnesses/conditions in Iceland and another sample of 237 primary caregivers with children/adolescents with chronic illnesses/conditions in Portugal completed the online questionnaire. Exploratory factor analysis of the Icelandic sample yielded support for a one-factor solution with acceptable internal reliability (Cronbach's α = .866). Confirmatory factor analysis of the one-factor structure in the Portuguese sample indicated good model fit and similar internal reliability (Cronbach's α = .838). This instrument has good psychometric characteristics and is a promising tool for measuring the experience of integrating pediatric chronic illness into family life in clinical and research settings.

A Shifting Paradigm Toward Family-Centered Care in Neuro-Oncology: A Longitudinal Quasi-Experimental Mixed-Methods Feasibility Study.

Family-centered intervention can help families facing illness-related issues. We investigated the feasibility of Family and Network Conversations (FNCs) in high-grade glioma patients and their families. Quasi-experimental feasibility study with longitudinal mixed-methods design. Patients and families were invited to three FNCs over 1 year. They completed questionnaires at four time points and expressed their perspectives on the intervention through telephone interviews. Nurses' perspectives were collected in a focus group. Twenty-one patients and 47 family members were included. On average, patients were 66 years old, mainly male, married, living with caregivers, with unifocal cancer. On average, caregivers were 47 years old, mainly female, being spouses or children of the patient. Quantitative and qualitative data did not always match and expanded each other. Nurse-delivered FNCs holistically addressed families' needs while strengthening family's dialogue and union. Nurses felt empowered, underling that advanced competencies were required. Nurse-delivered FNCs are feasible to provide family-centered care, but they should be tailored to each family's needs.

Conclusiveness of the Cochrane Reviews in Family Nursing: A Meta-research Study.

This study established the clinical conclusiveness of Cochrane reviews (CRs) in family nursing. We extracted relevant characteristics of CRs to determine the methods of obtaining high-level evidence for family nursing. We performed a systematic search of all CRs on family nursing published in the Cochrane Library between January 2014 and April 2023. After screening 1212 titles and abstracts, we identified seven potentially relevant articles. Upon reviewing their full texts, we included six CRs with a total of 34 interventions. Of these, 22 (64.7%) interventions were conclusive and 12 (55%) were inconclusive. Thus, the number and percentage of conclusive CRs is lower in family nursing versus other fields.

Families' situation of caring for a child with a chronic condition: a mixed methods study / Situación de las familias en el cuidado de un hijo con una enfermedad crónica: un estudio de métodos mixtos / Situação de cuidar de uma criança com condição crônica pelas famílias: estudo de métodos mistos

ABSTRACT Objective: To analyze the meanings attributed by family members to the situation of caring for a child with a chronic condition (CCC), in the light of the Family Management Style Framework (FMSF). Method: A mixed-methods, parallel-convergent study, guided by the FMSF theoretical framework, using the conceptual component "Definition of the Situation". Fifty-three CCC families took part. Data was collected using a semi-structured interview, a questionnaire to characterize the participants and a Family Management Measure scale. Descriptive and inferential statistical analysis was carried out on the quantitative data and the qualitative data was subjected to deductive thematic analysis. Results: Family members reported a view of normality in relation to CCC, also verified by the Child's Daily Life scale. However, they indicate the repercussions of the chronic condition on the family, and that they devote more attention and time to meeting the child's care needs, which was also verified in the View of the Impact of the Condition and Management Effort scales. Conclusion: Families have a positive view of the situation of caring for CCC at home, but point out some negative effects, such as the greater time spent caring for the child.

RESUMEN Objetivo: Analizar los significados atribuidos por los familiares a la situación de cuidado de un hijo con una condición crónica (CCC), a la luz del Marco de Estilos de Gestión Familiar (FMSF). Método: Estudio de métodos mixtos, paralelo-convergente, orientado por el marco teórico del FMSF, utilizando el componente conceptual "Definición de la Situación". Participaron 53 familias CCC. Los datos se recogieron mediante una entrevista semiestructurada, un cuestionario para caracterizar a los participantes y una escala de Medida de Gestión Familiar. Se analizaron estadísticas descriptivas e inferenciales para los datos cuantitativos y los datos cualitativos se sometieron a un análisis temático deductivo.. Resultados: Los familiares relataron una visión de normalidad en relación al CCC, verificada también por la escala de Vida Cotidiana del Niño. Sin embargo, señalan las repercusiones de la condición crónica en la familia, y que dedican más atención y tiempo a la atención de las necesidades de cuidado del niño, lo que también fue verificado en las escalas Visión del Impacto de la Condición y Esfuerzo de Gestión. Conclusión: Las familias tienen una visión positiva de la situación de cuidar de CCC en casa, pero señalan algunos efectos negativos, como el mayor tiempo dedicado al cuidado del niño.

RESUMO Objetivo: Analisar os significados atribuídos por familiares a situação de cuidar de uma criança com condição crônica (CCC), à luz do Family Management Style Framework (FMSF). Método: Pesquisa de métodos mistos, do tipo paralelo convergente, orientada pelo referencial teórico FMSF, utilizando o componente conceitual "Definição da Situação". Participaram 53 famílias de CCC. Os dados foram coletados por entrevista semiestruturada, questionário de caracterização dos participantes e escala de Medida de Manejo Familiar. Realizou-se análise estatística descritiva e inferencial dos dados quantitativos e os dados qualitativos foram submetidos à análise temática do tipo dedutiva. Resultados: Familiares referem uma visão de normalidade em relação à CCC, verificada também pela escala Vida Diária da Criança. Contudo, indicam as repercussões da condição crônica na família, e que dedicam maior atenção e tempo para atender às necessidades de cuidado da criança, também verificado nas escalas de Visão do Impacto da Condição e Esforço de Manejo. Conclusão: As famílias possuem uma visão positiva da situação de cuidar das CCC no domicílio, apontando, contudo, alguns efeitos negativos, como é o caso do maior tempo despendido na atenção à criança.

Encontrar un nuevo equilibrio: Estudio cualitativo sobre los efectos del COVID-19 en la vida familiar / Striking a new balance: A qualitative study of how family life has been affected by COVID-19 / Conquistando um novo equilíbrio: Um estudo qualitativo de como a vida familiar foi afetada pela COVID-19

Objetivo: examinar las repercusiones de la pandemia en el sistema familiar enfocándose en la perspectiva de familiares que han contraído y padecido COVID-19. Método: estudio exploratorio de enfoque cualitativo realizado con 27 personas que tuvieron COVID-19. Los datos se recolectaron por medio de entrevistas telefónicas que se grabaron en audio y estuvieron guiadas por un instrumento semiestructurado. El análisis se basó en un proceso inductivo respaldado por Análisis Temático Reflexivo. Resultados: la pandemia y el hecho de que un familiar contrajera la enfermedad fueron fuerzas impulsoras que generaron movilizaciones nuevas e intensas en el sistema familiar. Inicialmente, notaron repercusiones negativas como preocupaciones, temor, angustia, estrés, distanciamiento y aislamiento social. Con el paso del tiempo y empleando tecnologías para facilitar la comunicación, comenzaron a percibir repercusiones positivas como más cercanía, fortalecimiento de vínculos, desarrollo de nuevos roles y cuidado mutuo. Las familias también identificaron que recuperaban una posición de equilibrio, con retorno de cierto reajuste en la dinámica y el funcionamiento familiar. Conclusión: los profesionales de la salud deben admitir que la enfermedad por COVID-19 ha generado repercusiones en los sistemas familiares, además de proponer intervenciones que ayuden a las familias a hacer frente a este momento y a recuperar más fácilmente una posición de equilibrio para su buen funcionamiento.

Objective: to examine the repercussions of the pandemic on the family system by focusing on the perspective of family members who contracted and experienced COVID-19. Method: an exploratory study with a qualitative approach conducted with 27 individuals who had COVID-19. Data collection took place through telephone interviews that were audio-recorded and guided by a semi-structured instrument. Data analysis was based on an inductive process supported by Reflexive Thematic Analysis. Results: the pandemic and illness of a family member acted as driving forces generating new and intense movements in the family system. Initially, they noticed negative repercussions such as concerns, fear, anguish, stress, distancing and social isolation. As time progressed and by using technologies to ease communication, they began to perceive positive repercussions such as increased proximity, strengthening of ties, development of new roles and care. The families also identified recovery of a balanced position, with return of certain readjustment in family dynamics and functioning. Conclusion: health professionals need to recognize that the COVID-19 disease has imposed repercussions on family systems, proposing interventions that help families face this moment and more easily recover a balanced position for their functioning.

Objetivo: examinar as repercussões da pandemia no sistema familiar a partir da perspectiva dos familiares que contraíram e vivenciaram a COVID-19. Método: estudo exploratório com abordagem qualitativa realizado com 27 indivíduos que tiveram COVID-19. A coleta de dados ocorreu por meio de entrevistas telefônicas gravadas em áudio e guiadas por um instrumento semiestruturado. A análise dos dados baseou-se num processo indutivo apoiado na Análise Temática Reflexiva. Resultados: a pandemia e o adoecimento de um familiar atuaram como motores geradores de novos e intensos movimentos no sistema familiar. Inicialmente, perceberam repercussões negativas como preocupações, medo, angústia, estresse, distanciamento e isolamento social. Com o passar do tempo e com o uso das tecnologias para facilitar a comunicação, os familiares começaram a perceber repercussões positivas como maior proximidade, fortalecimento dos laços, desenvolvimento de novos papéis e cuidado. As famílias também identificaram recuperação de uma posição equilibrada, com retorno de certo reajuste na dinâmica e funcionamento familiar. Conclusão: os profissionais de saúde precisam reconhecer que a doença COVID-19 impôs repercussões nos sistemas familiares, propondo intervenções que ajudem as famílias a enfrentar esse momento e recuperar mais facilmente uma posição equilibrada para seu funcionamento.

Necessidades sentidas pela família, constituída por idosos / Needs felt by the family, made up of elderly people

Este relatório reporta-se à prática clínica, desenvolvida numa Unidade de Saúde Familiar (USF) do ACES PIN. Numa abordagem inicial caracterizam-se as famílias do ficheiro da Enfermeira Especialista cooperante, tendo como referenciais teóricos os Modelos de Intervenção Familiar. Constatou-se que 23% dos utentes têm idade igual ou superior a 65 anos. Muitos idosos, vivem sozinhos ou com o seu cônjuge/companheiro e alguns em casa de seus familiares, dependentes de cuidados. Para que o Enfermeiro de Família possa intervir de forma mais eficaz, junto das famílias constituídas por idosos, será necessário identificar as suas necessidades. Assim sendo, estudámos as necessidades sentidas por uma amostra de 27 famílias, constituída por idosos. Realizámos um estudo exploratório e descritivo, tendo como objetivos identificar necessidades em relação às atividades de vida familiar, os tipos de apoio mobilizados pela família, as dificuldades sentidas no dia a dia familiar, e avaliar a funcionalidade da família. Das necessidades sentidas sobressaíram a ajuda das necessidades instrumentais, ajuda nas AVD´s, total ou parcial. Relativamente aos apoios mobilizados identificou-se como o mais significativo o da rede familiar. Quanto às dificuldades sentidas no quotidiano identificaram-se a falta de tempo pessoal e cansaço como papel de cuidador e os condicionantes da idade. O desenvolvimento da aplicação na prática de uma consulta de enfermagem à família surge como um desafio deste trabalho de investigação na área da intervenção familiar em contexto dos CSP. Desenvolver conhecimentos sobre os contextos familiares, ao nível do ambiente, do rendimento familiar, da habitação, da classe social e da capacidade nesta etapa do ciclo de vida onde se encontram. As intervenções de enfermagem foram sugeridas de acordo com as necessidades específicas de cada família. Foram atingidos os objectivos propostos no início do estágio.

A Conjugalidade de famílias em transição para a parentalidade / The conjugality of families in transition to parenthood

Enquadramento: A enfermagem familiar tem sido reconhecida através das políticas de saúde, sendo a família integrada nos cuidados de forma a promover e manter a sua saúde. As respostas humanas às transições são alvo dos cuidados da Enfermagem de Saúde Familiar, devendo promover-se intervenções promotoras de capacitação. A transição para a parentalidade é descrita como a que causa mais impacto no ciclo vital familiar. Objetivos: Descrever criticamente as atividades clínicas desenvolvidas para alcançar as competências comuns do Enfermeiro Especialista e as competências específicas do Enfermeiro Especialista em Enfermagem de Saúde Familiar; e realizar um estudo de investigação intitulado ?A Conjugalidade de famílias em transição para a parentalidade?, com os objetivos de descrever a perceção de casais em transição para a parentalidade sobre a sua conjugalidade, e sobre os recursos que a influenciam. Metodologia: Na componente clínica, realizou-se avaliação e intervenção familiar e estudos de família. Na componente de investigação, realizou-se um estudo qualitativo, descritivo, exploratório e transversal. Participaram 20 cônjuges, que cumpriram os critérios de inclusão, tendo respondido a um guião de entrevista semiestruturada. Resultados: A avaliação e intervenção familiar foi sedimentada pela mobilização do Modelo Dinâmico de Avaliação e Intervenção Familiar, implementando cuidados integrais às famílias. No estudo verificou-se que a conjugalidade é afetada ao nível da relação dinâmica, comunicação, interação sexual e coping familiar. Quanto ao enfermeiro de família, os casais reconhecem que pode apoiá-los na conjugalidade, mas revelam ausência deste foco na sua prática e desconhecimento das suas reais competências. Conclusão: A componente clínica proporcionou o desenvolvimento dos dois tipos de competências referidas acima. A componente de investigação permitiu conhecer o fenómeno da vivência da conjugalidade de casais em transição para a parentalidade, e o contributo do enfermeiro ao longo deste processo. Assim, o estudo poderá contribuir para a melhoria das práticas de enfermagem, prevendo cuidados antecipatórios, bem como evidenciar o papel do enfermeiro especialista desta área.

Effects of family centered nursing model on children with primary nephrotic syndrome: A systematic review and meta-analysis.

BACKGROUND: Family-centered nursing model has been widely used in the care of children patients, but there is still a lack of research on the care of children with primary nephrotic syndrome (PNS). Therefore, the aim of this study was to comprehensively evaluate the effects of family-centered nursing on children with PNS. METHODS: The electronic databases included China National Knowledge Internet, Wanfang Data Knowledge Service Platform, VIP, PubMed, Web of Science, Cochrane Library, and Embase, were searched to collect randomized controlled trials on family-centered nursing model in the treatment of children with PNS. Fixed effect models or fixed effect models were used to analyze the outcomes. The primary outcomes were length of hospital stay and nursing satisfaction, and the second outcomes were quality of life (QoL) and behavioral problems. RESULTS: A total of 12 studies involving 996 pediatric patients were included, of which 500 children received family centered care and 496 children received routine care. The results showed that family centered nursing model could significantly improve the QoL of children with PNS (P < .05), increase the nursing satisfaction of family members (P < .0001, SMD = 7.37, 95%CI = 4.15-13.08), reduce the time of hospitalization (P < .0001, standard mean difference [SMD] = -2.30, 95%CI = -2.57 to -2.03), and decrease the scores of psychosomatic disorders and impulsivity hyperactivity in children with PNS (P < .0001, SMD = -3.13, 95%CI = -4.12 to -2.15; P < .0001, SMD = -3.29, 95%CI = -4.29 to -2.28). However, there was no significant statistical difference in the impact on the scores of conduct problems, learning problems, anxiety, and hyperactivity (P > .05). CONCLUSION: Family-centered nursing model can improve the QoL of children with PNS, increase the nursing satisfaction of family members and reduce the length of hospital stay, but further research need to verify its impact on behavioral problems.

Estágio III - Enfermagem de cuidados de saúde à família em contexto de Unidade de Saúde Familiar / Stage III - Family health care nursing in the context of a Family Health Unit

Enquadramento: O Nascimento de um novo ser é considerado um acontecimento marcante que ocorre no seio de uma família. Esta é uma etapa importante do ciclo vital, caracterizado por sucessivas transformações psicossociais, desequilíbrios biofísicos, consolidação da relação entre membros da família e uma reorganização do relacionamento conjugal e familiar. As orientações emanadas pela Organização Mundial de Saúde (OMS) e pelo Ministério da Saúde (MS), reforçam a necessidade de fortalecer o cuidado pós-natal através da visita domiciliária. Esta após o nascimento é reconhecida como uma estratégia fundamental uma vez que fornece elementos efetivos dos cuidados ao Recém-Nascido (RN). Na visita domiciliária, promove-se a relação de proximidade entre equipa de saúde e família, contribuindo para a vigilância e promoção da saúde. Objetivo: analisar as competências comuns e especificas da enfermagem especializada na área da saúde familiar, adquiridas no âmbito do ensino clínico e mapear o conhecimento sobre intervenções protocoladas do enfermeiro de família para a visita domiciliária (VD) ao RN e Família. Metodologia: realizou uma análise critica-reflexiva sobre as competências adquiridas e desenvolvidas no ensino clínico e desenvolveu uma revisão sistemática de literatura. A pesquisa foi realizada em janeiro e fevereiro de 2022. Através da base de dados eletrónica do site da Ordem dos Enfermeiros, acesso reservado, EBSCOhot, selecionando a base de dados CINAHL e MEDLINE complete e através da base de dados da OE de acesso livre RCAP e Biblioteca Virtual em saúde, foram encontrados 32 resultados. Destes, 27 foram eliminados e 5 foram selecionados. O friso temporal em que incidiu o estudo decorreu de 2011 a 2021. Os resultados foram extraídos e sintetizados na forma de tabela e resumo narrativo. Resultados: O ensino clínico consolidou os conhecimentos científicos adquiridos ao longo da sua formação. Desenvolveu competências do enfermeiro especialista em enfermagem comunitária, na área da saúde familiar. Foram incluídos cinco estudos na RSL. No seguimento da RSL e de forma a recolher contributos para a construção de uma proposta de protocolo realizou um estudo descritivo, exploratório, recorrendo à metodologia descritiva. Neste estudo a amostra foi constituída por 13 enfermeiros de três unidades de saúde. Todos eles contribuíram com sugestões para a construção da proposta de protocolo e evidenciaram a sua importância. Conclusão: com base nos achados da RSL e no estudo realizado é apresentada uma proposta de protocolo para a visita domiciliária ao RN e família.

Background: The birth of a new being is considered a landmark event that occurs within a family. This is an important stage in the life cycle, characterized by successive psychosocial transformations, biophysical imbalances, consolidation of the relationship between family members and a reorganization of marital and family relationships. The guidelines issued by the World Health Organization (WHO) and the Ministry of Health (MS) reinforce the need to strengthen postnatal care through home visits. This after birth is recognized as a fundamental strategy as it provides effective elements of care for the Newborn (NB). During home visits, a close relationship is promoted between the healthcare team and the family, contributing to health surveillance and promotion. Objective: to analyze the common and specific skills of specialized nursing in the area of family health, acquired within the scope of clinical teaching and to map the knowledge about protocolized interventions of the family nurse for the home visit (HV) to the NB and Family. Methodology: carried out a critical-reflexive analysis of the skills acquired and developed in clinical teaching and developed a systematic literature review. The research was carried out in January and February 2022. Through the electronic database of the Order of Nurses website, access reserved, EBSCOhot, selecting the CINAHL and MEDLINE complete database and through the free access OE database RCAP and Virtual Health Library, 32 results were found. Of these, 27 were eliminated and 5 were selected. The period in which the study focused ran from 2011 to 2021. The results were extracted and synthesized in the form of a table and narrative summary. Results: Clinical teaching consolidated the scientific knowledge acquired throughout their training. Developed nursing specialist nurse skills community, in the area of family health. Five studies were included in the RSL. Following the RSL and in order to collect contributions for the construction of a protocol proposal, a descriptive, exploratory study was carried out, using descriptive methodology. In this study, the sample consisted of 13 nurses from three health units. They all contributed with suggestions for the construction of the protocol proposal and highlighted its importance. Conclusion: based on the RSL findings and the study carried out, a proposed protocol for home visits to the newborn and family.