Competências auto percebidas pelos enfermeiros de família: Controlo e prevenção da infeção por Vírus Imunodeficiência Humana / Family nurses' self-perceived competencies: Control and prevention of Human Immunodeficiency Virus infection / Competencias autopercibidas por los enfermeros de familia: Control y prevención de la infección por el virus de la inmunodeficiencia humana

Resumo Enquadramento: A infeção pelo Vírus da Imunodeficiência Humana (VIH) constitui um problema de saúde pública. O Enfermeiro de Família desempenha um papel significativo na Prevenção e Controlo da Infeção (PCI). Objetivo: Analisar a auto perceção dos enfermeiros face às competências que detêm na PCI por VIH e a sua relação com a formação na área. Metodologia: Estudo quantitativo e descritivo-correlacional. Amostra selecionada a partir dos enfermeiros de família da Administração Regional de Saúde do Norte que aceitaram participar no estudo. Utilizou-se um formulário que integrou a ECAPC-VIH_CSP. Recorreu-se à estatística descritiva e inferencial através do IBM SPSS Statistics, versão 25.0. Resultados: Os enfermeiros apresentaram um nível medio (M = 4,44 ± 1,24) de auto perceção de competências na PCI por VIH. Os enfermeiros com formação específica apresentam maior perceção da competência. Conclusão: Os resultados evidenciam um nível medio de competências na PCI por VIH auto percebidas pelos enfermeiros. Conclui-se da necessidade da formação dos enfermeiros para o desenvolvimento das competências para a qualidade e segurança na PCI por VIH.

Abstract Background: Human Immunodeficiency Virus (HIV) infection is a public health issue. Family nurses play a significant role in HIV Infection Prevention and Control (IPC). Objective: To analyze nurses' self-perceived competencies in HIV IPC and determine their association with training in the area. Methodology: Quantitative and descriptive-correlational study. The sample was selected from family nurses from the Northern Regional Health Administration who agreed to participate. A form that included the ECAPC-VIH_CSP scale was applied. Data were analyzed through descriptive and inferential statistics in IBM SPSS Statistics, version 25.0. Results: Nurses had an average level (M = 4.44 ± 1.24) of self-perceived competencies in HIV IPC. Nurses with specific training had higher self-perceived competence. Conclusion: The results show that nurses had an average level of self-perceived competencies in HIV IPC. Nurses require training to develop competencies in HIV IPC, improving the quality and safety of care.

Resumen Marco contextual: La infección por el virus de la inmunodeficiencia humana (VIH) es un problema de salud pública. El enfermero de familia desempeña un papel importante en la prevención y el control de las infecciones (PCI). Objetivo: Analizar la autopercepción de los enfermeros sobre sus competencias en PCI del VIH y su relación con la formación en este ámbito. Metodología: Estudio cuantitativo y descriptivo-correlacional. Muestra seleccionada entre los enfermeros de familia de la Administración Sanitaria Regional del Norte que aceptaron participar en el estudio. Se utilizó un formulario que integró el ECAPC-VIH_CSP. Se utilizó la estadística descriptiva e inferencial a través del IBM SPSS Statistics, versión 25.0. Resultados: Los enfermeros presentaron un nivel medio (M = 4,44 ± 1,24) de autopercepción de competencias en la PCI del VIH. Los enfermeros con formación específica mostraron una mayor percepción de la competencia. Conclusión: Los resultados mostraron un nivel medio de competencias autopercibidas en la PCI del VIH entre el personal de enfermería. Se concluye que es necesario formar al personal de enfermería para que desarrolle competencias de calidad y seguridad en la PCI del VIH.

Implications of the COVID-19 Pandemic on the Family Structural Dimensions: A Correlational Study.

The COVID-19 pandemic caused changes in the families' social support network, employment status, and family income, which are the focus of attention of family health nurses. This study aims to describe the pandemic's repercussions in the areas of attention of the structural dimension of families according to the Dynamic Model of Family Assessment and Intervention, as perceived by Portuguese families, and to relate the changes in their employment status according to the variables of the structural dimension. A quantitative, descriptive, and correlational study was conducted using snowball sampling. A questionnaire of sociodemographic characterization and assessment of the family structural dimension according to the model's operational matrix was applied to 235 family members. Changes were found in their employment status; family income; intensity and frequency of contact with family, friends, and coworkers; frequency of contact with educational/health/religious institutions and community groups; cultural activities; and housing comfort conditions such as the use of heating/air conditioning, gas, and water consumption. Changes in employment status were related to family income, interaction with friends, frequency of cultural activities, and use of air conditioning and heating. Knowing the implications of the pandemic on the family's structural dimension results in a nursing intervention more focused on family needs.

Metodologias pedagógicas em enfermagem de saúde familiar: protocolo de scoping review / Pedagogical Methodologies in Family Health Nursing: Scoping Review Protocol Aim

Objetivo: Mapear as metodologias pedagógicas utilizadas no ensino de enfermagem de saúde familiar. Mais especificamente, pretende-se dar resposta às seguintes questões: 1) Quais as metodologias pedagógicas utilizadas no Ensino de Enfermagem de saúde familiar? 2) Em que nível de ensino são utilizadas referidas metodologias pedagógicas? 3) Em que contexto são utilizadas referidas metodologias pedagógicas? Metodologia: Scoping Review orientada pela metodologia proposta pelo Joanna Briggs Institute para a realização de Scoping Reviews. Na pesquisa e identificação dos estudos, serão usadas as bases de dados eletrónicas MEDLINE (via Pubmed), CINAHL Complete (via EBSCOhost), Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Scielo, Scopus. Adicionalmente, a pesquisa de estudos não publicados incluirá o Repositório Científico de Acesso Aberto de Portugal (RCAAP) e o OpenGrey. A estratégia de pesquisa abrangerá todos os artigos publicados em português, espanhol, francês e inglês, sem limite temporal. Resultados: Os dados serão apresentados em formato narrativo, com recurso a tabelas, alinhadas com o objetivo, foco e questão de revisão. O mapeamento da evidência disponível sobre metodologias pedagógicas em enfermagem de saúde familiar contribuirá para a disseminação da evidência disponível sobre o tema e permitirá identificar lacunas na literatura. Conclusão: Espera-se que a presente scoping review contribua para a análise crítica das metodologias pedagógicas em enfermagem de saúde familiar, dado o potencial impacto destas no desenvolvimento de competências dos estudantes de enfermagem.

Objetivo: Mapear las metodologías pedagógicas utilizadas en la enseñanza de la enfermería de la salud familiar. Más específicamente, se pretende dar respuesta a las siguientes preguntas: 1) ¿Cuáles son las metodologías pedagógicas utilizadas en la enseñanza de la enfermería de la familia? 2) ¿En qué nivel de enseñanza se utilizan estas metodologías pedagógicas? 3) ¿En qué contexto se utilizan estas metodologías pedagógicas? Método: Scoping review, orientada por la metodología propuesta por el Joanna Briggs Institute para la realización de scoping reviews. En la estrategia de investigación e identificación de estudios, se utilizarán las bases de datos electrónicas CINAHL Complete (vía EBSCOhost), MEDLINE (vía Pubmed), Registro Cochrane Central de Ensayos Controlados, Base de Datos Cochrane de Revisiones Sistemáticas, Scielo e Scopus. A su vez, la búsqueda de estudios inéditos incluirá el Repositorio Científico de Acceso Abierto de Portugal (RCAAP) y OpenGrey. La estrategia de búsqueda incluirá todos los artículos publicados en portugués, español, francés e inglés, sin límite de tiempo. Resultados: Los datos se presentarán en formato narrativo, utilizando tablas, alineados con el objetivo, enfoque y pregunta de revisión. El mapeo de la evidencia disponible sobre metodologías pedagógicas en enfermería de la familia contribuirá para la difusión de la evidencia disponible sobre el tema y permitirá identificar lagunas en la literatura. Conclusión: Se espera que la revisión contribuya al análisis crítico de las metodologías pedagógicas en enfermería de salud familiar, dado su potencial impacto en el desarrollo de habilidades del estudiantado de enfermería.

Aim: To map the pedagogical methodologies used in the teaching of family health nursing. More specifically, this study intends to answer the following questions: 1) What are the pedagogical methodologies used in family nursing education? 2) At what level of education are such pedagogical methodologies used? 3) In what context are such pedagogical methodologies used? Method: A scoping review will be conducted using the Joanna Briggs Institute's methodology for conducting Scoping Reviews. For the research strategy and identification of studies, the following electronic databases will be consulted MEDLINE (via Pubmed), CINAHL Complete (via EBSCOhost), Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Scielo, and Scopus. In addition, the search for unpublished studies will include the Scientific Repository for Open Access of Portugal (RCAAP), and OpenGrey. The research strategy will include all articles published in Portuguese, Spanish, French and English with a time limit. Results: Following the objective, focus and research questions, the data will be presented in a narrative format, using tables. The mapping of the available evidence on pedagogical methodologies in family nursing will contribute to the dissemination of the available evidence on this subject matter and will ease the identification of the literature. Conclusion: It is expected that this scoping review will contribute to the critical analysis of pedagogical methodologies in family health nursing given their potential impact on the development of skills of nursing students.

Aprendizagem do cuidar a família na comunidade: Usabilidade do Modelo Dinâmico de Avaliação e Intervenção Familiar / Learning to care for the family in the community: Usability of the Dynamic Model of Family Assessment and Intervention / Aprendizaje del cuidado a la familia en la comunidad: Usabilidad del Modelo Dinámico de Evaluación e Intervención Familiar

Resumo Enquadramento: O Modelo Dinâmico de Avaliação e Intervenção Familiar é mobilizado no processo de ensino aprendizagem dos estudantes da licenciatura em enfermagem, como orientador no processo de cuidados às famílias na comunidade. Objetivo: Analisar as dimensões valorizadas pelos estudantes do curso de licenciatura em enfermagem, no desenvolvimento de competências na avaliação e intervenção familiar. Metodologia: Estudo exploratório-descritivo com 350 estudantes da licenciatura em Enfermagem. Uso de formulário para identificar aspetos valorizados na utilização do modelo referencial teórico e operativo em ensino clínico. Análise de conteúdo com categorização a priori e a posteriori. Cumpridos os pressupostos éticos. Resultados: Identificam-se cinco dimensões: Clareza (mais valorizada); Simplicidade; Generalidade; Consequências deriváveis (frequência de nomeação intermédia) e Precisão empírica (menos valorizada). Emerge interligação entre etapas do processo de cuidados e modelo como instrumento de mudança e referencial na tomada de decisão no contexto clínico. Conclusão: As dimensões confirmam a importância atribuída pelos estudantes à estrutura e sentido na aprendizagem dos cuidados à família sendo preditivas da aprendizagem integrada, entre teoria e prática em enfermagem.

Abstract Background: The Dynamic Model of Family Assessment and Intervention is used in the teaching-learning process of undergraduate nursing students to guide the process of caring for families in the community. Objective: To analyze the dimensions valued by undergraduate nursing students in the development of family assessment and intervention skills. Methodology: An exploratory-descriptive study was conducted with 350 undergraduate nursing students. A form was used to identify aspects valued in using the theoretical and operational model in clinical teaching. Data were subjected to content analysis, with a priori and a posteriori categorization. All ethical assumptions were met. Results: Five dimensions were identified: Clarity (most valued); Simplicity; Generality; Derivable consequences (intermediate frequency), and Empirical precision (least valued). Interconnection emerges between stages of the care process and the model as an instrument of change and reference in decision-making in clinical settings. Conclusion: The dimensions confirm the importance attributed by students to the structure and meaning in learning about family care and are predictors of integrated learning between nursing theory and practice.

Resumen Marco contextual: El Modelo Dinámico de Evaluación e Intervención Familiar se articula en el proceso de enseñanza-aprendizaje de los estudiantes del grado en Enfermería, como guía en el proceso de cuidados a las familias en la comunidad. Objetivo: Analizar las dimensiones valoradas por los estudiantes del grado en Enfermería en el desarrollo de competencias en la evaluación e intervención familiar. Metodología: Estudio exploratorio-descriptivo con 350 estudiantes del grado en Enfermería. Se utilizó un formulario para identificar los aspectos valorados en el uso del modelo referencial teórico y operativo en la enseñanza clínica. Análisis de contenido con categorización a priori y a posteriori. Se cumplieron todos los supuestos éticos. Resultados: Se identifican cinco dimensiones, Clareza (más valorada); Simplicidad; Generalidad; Consecuencias derivables (frecuencia intermedia) y Precisión empírica (menos valorada). Surge interconexión entre etapas del proceso de cuidados y modelo como instrumento de cambio y referencia para la toma de decisiones en el contexto clínico. Conclusión: Las dimensiones confirman la importancia atribuida por los estudiantes a la estructura y el significado en el aprendizaje de los cuidados a la familia, y son predictivas del aprendizaje integrado entre la teoría y la práctica en enfermería.

Intervenções do enfermeiro de família na consulta de vigilância da diabetes / Family health nurse interventions in the diabetes surveillance consultation / Intervenciones de la enfermera de familia en la consulta de vigilancia de la diabetes

Resumo Enquadramento: Os enfermeiros de família desenvolvem intervenções direcionadas à família como unidade, considerando as transições que ocorrem ao longo do seu ciclo vital, como as que decorrem do diagnóstico de uma doença crónica num dos seus membros, como é o caso da diabetes. Objetivo: Identificar as intervenções realizadas pelo enfermeiro de família na consulta de vigilância da diabetes. Metodologia: Estudo transversal, exploratório e descritivo de abordagem quantitativa, utilizando uma amostra aleatória simples de 106 pessoas portadoras de diabetes, que efetuaram consultas de enfermagem, de novembro a dezembro de 2019, em três unidades de saúde familiar. Resultados: Foram realizadas 27 intervenções do tipo avaliar, das 30 integrantes do instrumento de colheita de dados. Nas do tipo monitorizar foram realizadas as oito previstas. Do tipo ensinar foram realizadas 15 das 19 intervenções. Conclusão: O conhecimento sobre as intervenções realizadas, a maioria de avaliação diagnóstica poderá contribuir para a gestão da dotação segura dos enfermeiros de família, considerando os cuidados desenvolvidos em todas as etapas do processo de enfermagem.

Abstract Background: Family health nurses develop interventions aimed at the family as a unit, considering the transitions that occur throughout its life cycle, such as those resulting from the diagnosis of a chronic disease in one of its members, like diabetes. Objective: Identify the interventions performed by the family health nurse in the diabetes surveillance consultation. Methodology: Cross-sectional, exploratory, and descriptive study with a quantitative approach, using a simple randomized sample of 106 people with diabetes, who received nursing consultations from November to December 2019 in three family health units. Results: Twenty-seven assessing interventions were carried out, out of the 30 planned in the data collection tool. The eight planned monitoring interventions were performed. Of the educating type, 15 of the 19 interventions were carried out. Conclusion: Knowledge about the interventions carried out, most of which are diagnostic assessments, can contribute to the management of safe staffing of family health nurses, considering the care provided at all stages of the nursing process.

Resumen Marco contextual: Las enfermeras de família desarrollan intervenciones dirigidas a la familia como unidad, considerando las transiciones que ocurren a lo largo de su ciclo de vida, como las que resultandel diagnóstico de una enfermedad crónica en uno de sus miembros, como la diabetes. Objetivo: Identificar las intervenciones realizadas por la enfermera de família en la consulta de vigilancia de diabetes. Metodología: Estudio transversal, exploratorio y descriptivocon enfoque cuantitativo, utilizando una muestra aleatoria simple de 106 personas con diabetes, que realizaron consultas de enfermería, de noviembre a diciembre de 2019, entres unidades de salud de la familia. Resultados: Se realizaron 27 intervenciones del tipo evaluación, de los 30 integrantes del instrumento de recolección de datos. En el tipo de seguimiento se realizaron los ocho previstos. Del tipo de enseñanza, se realizaron 15 de las 19 intervenciones. Conclusión: El conocimiento sobre las intervenciones realizadas, la mayoría de las cuales son evaluaciones diagnósticas, puede contribuir para la gestión de la dotación segura de personal de enfermería de la familia, considerando el cuidado desarrollado en todas las etapas del proceso de enfermería.

Metodologias pedagógicas em enfermagem de saúde familiar: Scoping review / Pedagogical methodologies in family health nursing: Scoping review / Metodologías pedagógicas en enfermería de salud familiar: Scoping review

Resumo Contexto: As metodologias pedagógicas adotadas são um fator importante na aquisição e desenvolvimento de competências dos estudantes de enfermagem. Não obstante, as metodologias pedagógicas utilizadas no ensino de enfermagem de saúde familiar encontram-se dispersas na literatura. Objetivo: Mapear as metodologias pedagógicas utilizadas no ensino de enfermagem de saúde familiar. Método de revisão sistemática: Scoping review com base nos princípios preconizados pelo Joanna Briggs Institute. Dois revisores independentes realizaram a análise de relevância dos artigos, a extração e síntese dos dados. Apresentação e interpretação dos resultados: Dois estudos foram incluídos na revisão. Foram utilizadas como metodologias pedagógicas o debriefing estruturado e a narração dialógica. Ambos os estudos foram implementados em estudantes da graduação de enfermagem. Um dos estudos foi realizado unicamente em contexto de laboratório e outro, adicionalmente, em contexto real. Conclusão: As metodologias pedagógicas e os contextos de implementação diferem entre os estudos. Mais estudos devem ser realizados no âmbito das metodologias pedagógicas em enfermagem de saúde familiar.

Abstract Background: Pedagogical methodologies are a critical factor in nursing students' acquisition and development of skills. Nevertheless, the pedagogical methodologies used in family health nursing education are scattered in the literature. Objective: To map the pedagogical methodologies used in family health nursing education. Review method: Scoping review based on the principles advocated by the Joanna Briggs Institute. Two independent reviewers appraised the articles and extracted and synthesized data. Presentation and interpretation of results: Two studies were included in this review. Structured debriefing and dialogical narrative were used as pedagogical strategies. Both studies were implemented on undergraduate nursing students. One of the studies was conducted in a laboratory setting and the other in a laboratory setting and a real-life environment. Conclusion: Pedagogical methodologies and implementation contexts differ across studies. Further studies should be conducted on the pedagogical strategies used in family health nursing.

Resumen Contexto: Las metodologías pedagógicas adoptadas son un factor importante en la adquisición y el desarrollo de las competencias de los estudiantes de enfermería. Sin embargo, las metodologías pedagógicas utilizadas en la enseñanza de enfermería de salud familiar están dispersas en la literatura. Objetivo: Mapear las metodologías pedagógicas utilizadas en la enseñanza de enfermería de salud familiar. Método de revisión sistemática: Revisión de alcance (scoping review) basada en los principios recomendados por el Joanna Briggs Institute. Dos revisores independientes realizaron el análisis de la relevancia de los artículos, la extracción de datos y la síntesis. Presentación e interpretación de los resultados: Se incluyeron dos estudios en la revisión. Se utilizaron como metodologías pedagógicas el debriefing estructurado y la narración dialógica. Ambos estudios se llevaron a cabo en estudiantes de enfermería de primer ciclo. Uno de los estudios se realizó únicamente en un entorno de laboratorio y el otro, además, en un contexto real. Conclusión: Las metodologías pedagógicas y los contextos de aplicación difieren entre los estudios. Deberían realizarse más estudios en el ámbito de las metodologías pedagógicas en enfermería de salud familiar.

Self-perception of nurses' competence in family assessment and intervention.

OBJECTIVES: To describe nurses' self-perception of competence in family assessment and intervention. METHODS: A sample of 551 Portuguese primary care nurses was selected. A Likert-type questionnaire with 11 items corresponding to the areas of care proposed by the Dynamic Model of Family Assessment and Intervention (MDAIF) was administered. Each item consists of 7 optional responses; a score equal to or greater than 4 denotes competence. RESULTS: The nurses perceived themselves as competent in areas of care belonging to the development dimension of the MDAIF (parental role, adaptation to pregnancy, and family planning), as well as in the caregiver role (which belongs to the functional dimension). There was a progressive decline in self-perception of competence over the stages of the nursing process. CONCLUSIONS: In this study, crucial aspects related to nurses' self-perception of their competence in family assessment and intervention were observed, and need to be addressed in the training of nurses in all areas of care included in the Model. This should facilitate awareness of the competences needed to provide the best care for families.

Self-perception of nurses' competence in family assessment and intervention / Autopercepción de la competencia del enfermero en la valoración e intervención familiar / Autopercepção da competência do enfermeiro na avaliação e intervenção familiar

Objective. To describe nurses' self-perception of competence in family assessment and intervention. Methods. A sample of 551 Portuguese primary care nurses was selected. A Likert-type questionnaire with 11 items corresponding to the areas of care proposed by the Dynamic Model of Family Assessment and Intervention (MDAIF) was administered. Each item consists of 7 optional responses; a score equal to or greater than 4 denotes competence. Results. The nurses perceived themselves as competent in areas of care belonging to the development dimension of the MDAIF (parental role, adaptation to pregnancy, and family planning), as well as in the caregiver role (which belongs to the functional dimension). There was a progressive decline in self-perception of competence over the stages of the nursing process. Conclusion. In this study, crucial aspects related to nurses' self-perception of their competence in family assessment and intervention were observed, and need to be addressed in the training of nurses in all areas of care included in the Model. This should facilitate awareness of the competences needed to provide the best care for families.

Objetivo. Describir la autopercepción de la competencia del enfermero en la valoración e intervención familiar. Métodos. Estudio exploratorio descriptivo de naturaleza cualitativa. Se seleccionó una muestra de 551 enfermeros portugueses de atención primaria. Se utilizó un cuestionario con opciones de respuesta tipo Likert, con 11 ítems correspondientes a las áreas de atención propuestas por el Modelo Dinámico de Evaluación e Intervención Familiar. Cada ítem tiene 7 opciones de respuesta, y se considera competente un valor igual o superior a 4. Resultados. Los enfermeros se autoperciben como competentes en las áreas de atención de la dimensión de desarrollo del Modelo (rol parental, adaptación al embarazo y planificación familiar), así como en el rol de brindar cuidados, en el que se realza que esta última área está integrada en la dimensión funcional. Se destaca también la disminución progresiva de la autopercepción a lo largo de las etapas del proceso de enfermería. Conclusión. En este estudio se observó que hay aspectos cruciales relativos a la autopercepción de la competencia de los enfermeros en la evaluación e intervención familiar que necesitan ser intervenidos en la formación de estos profesionales en todas las áreas de cuidados del Modelo, lo que facilitará la concienciación de las habilidades necesarias para proporcionar los mejores cuidados a las familias.

Objetivo. Descrever a autopercepção da competência do enfermeiro na avaliação e intervenção familiar. Métodos. Foi selecionada uma amostra de 551 enfermeiros portugueses dos cuidados de saúde primários. Foi utilizado um questionário com opções de resposta tipo Likert, com 11 itens correspondentes às áreas de atenção propostas pelo Modelo Dinâmico de Avaliação e Intervenção Familiar. Cada item integra 7 respostas opcionais, sendo considerado competente um valor igual ou superior a 4. Resultados. Os enfermeiros autopercionaram-se como competentes, em áreas de atenção da dimensão de desenvolvimento do MDAIF (papel parental, adaptação à gravidez e planeamento familiar), assim como no papel de prestador de cuidados, realçando-se que esta última área está integrada na dimensão funcional, destacando também uma progressiva diminuição da autopercepção ao longo das etapas do processo de enfermagem. Conclusão. Neste estudo observou-se que existem aspectos cruciais relacionados à autopercepção da competência do enfermeiro na avaliação e intervenção familiar que precisam ser tratados na formação do enfermeiro em todas as áreas de cuidado do Modelo, facilitando a conscientização de competências necessário para proporcionar o melhor cuidado às famílias.

Descriptive Study of Children's Nutritional Status and Identification of Community-Level Nursing Diagnoses in a School Community in Africa.

Effectively responding to children's nutritional status and eating behaviors in Mozambique requires a community-based care approach grounded in sound nursing research that is evidence-based. The Community Assessment, Intervention, and Empowerment Model (MAIEC) is a nursing theoretical model that is based upon clinical decision-making for community health nurses using communities as a unit of care. We used the MAIEC to identify a community-based nursing diagnosis to address children's nutritional status and eating behaviors in Mozambique. OBJECTIVES: (1) to conduct a descriptive study of children's nutritional status and eating behaviors in a school community in Mavalane, Mozambique, and (2) to identify a community-based nursing diagnosis using the MAIEC clinical decision-making matrix in the same school community. METHOD: a cross-sectional, quantitative study was conducted to assess the nutritional status of children using anthropometric data, including brachial perimeter and the tricipital skinfold, and standard deviation for the relation of weight-height, in a sample of 227 children. To assess community management of the problem and identify a community-based nursing diagnosis, we surveyed 176 parents/guardians and 49 education professionals, using a questionnaire based on the MAIEC clinical decision matrix as a reference. RESULTS: malnutrition was identified in more than half of the children (51.3%). We also identified a community-based nursing diagnosis of impaired community management related to the promotion of child health and healthy eating evidenced by the lack of community leadership, participation, and processing among more than 70% of the community members (parents/guardians and education professionals). CONCLUSION: a nursing diagnosis and diagnostic criteria for nutritional status and community management were identified. The need to intervene using a multidisciplinary public health approach is imperative, with the school community as the unit of care. In addition, reliable anthropometric data were identified as important criteria to complement the nursing diagnosis and guide future public health interventions.

O processo de transiçãoda integração do recém-nascido na família alargada: confrontando diferentes perspetivas / The process of transition of the extended family in the newborn's integration: comparing different perspectives

Understanding the process of transition of the extended family in the newborn's inte-gration was the aim of this study.It is a qualitative study using the Grounded Theory. It is based on 14 families of one of the autonomous regions of Portugal and the semi-structured interview was used for data collection. The Causal Condition - Comparing Different Perspectives emerged from the analysis. It is characterized as the beginning of the newborn's integration in the family process trajectory, where the extended family hasn't integrated the changes yet and shows some difficulties in its operationalization. In the newborn's integration in the extended family process: Comparing Different Perspectives represents the confrontations/conflicts inside the cohabiting family, due to the existence of different perspectives in raising the new member. Thus, the study enabled us to understand not only the transitional process dynamics, as it is a reflection point and a raising of awareness to the change/innovation of the practice and formation contexts, but also how the extended family deals with the beginning of the experience as far as the newborn's integration in the family transition is concerned

No disponible

Práticas educativas em enfermagem de saúde familiar: contributo para o desenvolvimento das competências clínicas dos enfermeiros / Educational practices in family health nursing: contribution to the development of nurses' clinical skills

Introduction: Internationally, research on educational practices in family health nursing has been limited, especially on their impact on clinical practice. This research is part of the project on the Dynamic Model of Family Assessment and Intervention integrated in the Center for Health Technology and Services Research. Objective: to describe the perception of family nurses about the contribution of teaching-learning strategies in the development of skills in family health nursing. Methods: quantitative, exploratory-descriptive study. A questionnaire was designed to evaluate the perception of the contribution of teaching-learning strategies based on a Portuguese classification. Perception was assessed on a Likert scale. The convenience sample consisted of 112 nurses who trained on the Dynamic Model of Family Assessment and Intervention after informed consent. Descriptive statistics was used for data treatment and analysis. Results and discussion: On average, mostly all strategies were perceived as having a moderate to high contribution (3.58, SD: 0.6), with a slight emphasis on the "reality simulation" teaching-learning strategies group. The "Case Study" stood out as the strategy perceived with the highest average contribution. It is suggestive that there is greater importance given to experiential learning as a promoter of knowledge and competence development, based on reflexivity about action. Conclusion: The identification of the contribution of the teaching-learning strategies is relevant for the improvement of the training design on the nursing model, as an intentional action promoting a competent acting knowledge, aiming the articulation of the theory with the clinical practice

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A mudança nas perceções dos enfermeiros de família sobre os pressupostos da intervenção familiar após o processo formativo MDAIF / Change in perceptions of family nurses about the assumptions of family intervention after the MDAIF formative process

The Dynamic Model of Family Assessment and Intervention (MDAIF) aims to constitute itself as a reference that promotes clinical decision processes based on systemic proposition. This study aimed to evaluate the changes in nurses' perceptions about the assumptions of family intervention after the training process centered on this referential. This is an exploratory and quantitative study with a sample of 553 family nurses who participated in the "MDAIF" training, organized by the Northern Regional Health Administration, until 2017. A 10 item Likert scale was used with responses between 1 "totally incompetent and 7" "fully compe-tent", based on MDAIF and applied in the pre and post training periods. T-test was performed for paired samples using SPSS version 23.0. There were very significant statistical changes regarding the perception of competence in all items evaluated, and participants after training perceived with higher competence on the assumptions of family intervention. The results confirm the importance of formative processes based on family health nursing theoretical references. May contribute to the development of family-centered practices as a client, as well as to investigate the health returns resulted from them

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A pessoa portadora de esclerose múltipla, o familiar cuidador e processo familiar / Multiple sclerosis carrier, family career and family process

Objectives: 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

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Estratégias de coping na família da pessoa portadora de esclerose múltipla / Coping strategies in the family of the multiple sclerosis holder

Caring 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

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Etiologia e tratamento de queimaduras provocadas por agente químico: scoping review / Etiology and treatment of chemical burns: scoping review

It is estimated that over 60,000 different chemicals might be used in industry, agriculture and the home environment. Chemical burns account for only 3% of the total, yet account for approximately 30% of burn deaths. The aim of the study was to identify the latest evidence on treatment of skin burns caused by chemical agents.A scope review was chosen, and articles published between 2013 and 2019 were selected. The research was conducted with the following descriptors: chemical burn and skin burn or skin injury or burn care or treatment burn and therap. CINAHL, MEDLINE, MedicLatina and Cochrane Database were searched. The survey was conducted in January and February 2019. Eleven articles were selected, such as case studies, retrospective and prospective studies. The circumstances in which the burns occurred were workplace accidents, home accidents and personal attacks. The chemical agents used were acid and base type. The burned body area was between 30% and 0.5%. The most severe outcome was three deaths. The first-line treatment approach to the lesion was prolonged lavage or H2O. Continuity of treatment integrates systemic, topical pharmacological measures, pain control, surgical and non-pharmacological therapies.The etiology of skin burns by chemist is multiple. The treatment integrates particularities that distinguish it from other burn types, and an appropriate approach has significant results in survival and recovery of the person with chemical burn

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Perspetiva da famíliasobre as implicações do uso de ventilação mecânica não-invasiva em casa / Family perspective about home non-invasive ventilation implications

Several studies have demonstrated that non-invasive home mechanical ventilation is a therapy that brings benefits to people with type 2 respiratory failure and their family. The objective of this study is to explore the implications of non-invasive home ventilation for the user's family. An exploratory desc riptive study with quantitative qualitative nature in 10 families using noninvasive home ventilation. Mainly, they are nuclear families (8) belonging to the middle class (7). The data were collected through a semi-structured interview, with a data collection instrument that integrated sociodemographic issues and two open questions related to the participants' perspective on the implications of non-invasive home ventilation for the family. They were processed with descriptive statistics and content analysis. From the narratives, three categories emerged: maladjustment, benefits and family process. They are divided into eight subcategories that describe the issues related to the use of non-invasive home ventilation: discomfort, sleep impairment, silence, crisis reduction, role interaction, dynamic relationship, coping and communication. The results demonstrate that non-invasive mechanical ventilation has implications for the users ́ families, can be a stress cause, bring benefits and cause changes in the family process

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Significados atribuídos pelas mulheres migrantes aos cuidados de enfermagem durante a vigilância da gravidez ao pós-parto / Meanings attributed by migrant women to nursing care during pregnancy to postpartum

Maternal health care for migrant women poses new challenges to countries in the WHO European Region. Migrant women tend to have worse perinatal health outcomes as a result of migration conditions, socioeconomic needs, health status, language or health literacy. These women may manifest different representations and cultural practices associated with motherhood that need to be understood and respected during nursing care in the host country. The aim was to explore the meanings attributed by migrant women to nursing interventions implemented during prenatal care to postpartum period. Qualitative study using Grounded Theory. Thirty interviews were conducted with pregnant migrant women and mothers from various countries, between February 2015 to December 2016, in Primary Health Care. Emerging coding of data determined the central category BUILDING TRUST, representative of the use of professional skills and competencies to help migrant women gain confidence and expose emotions, insecurities and needs: "Feeling recognized" highlights sensitivity to cultural differences and transition experiences; "Explaining with simplicity" by the clarity, simplicity, practical and grounded meaning, contributing to the acquisition of skills in the exercise of motherhood and a quality of intercultural communication; "Getting answer", nurse acting in accordance with the needs exposed by the Other, promoting autonomy, confidence and satisfaction. The development of a trusting relationship has emerged as an essential component of maternal care. The study results may contribute to knowledge and quality of care indicators by showing the migrant client's perspective on the care received

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A perceção dos enfermeiros face à identificação da necessidade de cuidados de enfermagem nas famílias reconstruídas, com filhos adolescentes / The perception of nurses to identify the need for nursing care in reconstituted families with adolescent children

The 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

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A perceção dos enfermeirosrelativamente ao seu grau de competência para a prestação de cuidados de enfermagem às famílias reconstruídas, com filhos adolescentes, na área de atenção satisfação conjugal / The 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'

The 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 participants 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 incompe-tent 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

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Carga de trabalho de enfermagem na consulta à pessoa com diabetes mellitus: estudo preliminar / Workload in the nursing consultationto the person with diabetes mellitus: preliminary study

Introduction 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 descrip-tive 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(R). Results and discussion: 103 nursing consultations were performed. It was identified that the most accompli-shed 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 76,6 m 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

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