Browsing by Author "Charepe, Zaida"
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- Family process and systemic questions: new ways of family intervention in primary health carePublication . Figueiredo, Maria Henriqueta; Oliveira, Palmira; Ferré-Grau, Carme; Lebreiro, Marlene; Charepe, Zaida; Andrade, Carmen; Brás, Manuel AlbertoIn the context of practices supported by the Dynamic Model for Family Assessment and Intervention (MDAIF) the assessment of this model impact suggested the deepening of “Family Process”. Systemic issues (circular and reflexive), will allow the expansion of the reflection capacity of each familymember about themselves, about others, about family history. This study a im is to identify systemic issues of intervention used by Primary Health Care nurses regarding dysfunctional family process. Methods: Qualitative study, using Focus Group as a methodological approach with nurses from health centers in the province of Tarragona–Spain, developed in 2014. For the focus group was placed the starting issue: W hat kind of systemic questions the nurses mobilize when exist one family process alteration? After obtaining informed consent, the data were submitted to content analysis, co-existing deductive and inductive procedures, supported by the matrix of analysis propose in the MDAIF. Results: No differences were identified in the intervention strategies used by nurses in the context of family communication and coping. Regarding interactions in family roles it is highlighted the mobilization of family system resources “...explain them who can help... to whom can they ask for help, right?..” E3: “How do you think you’d be better (...) will pass the decision to them...” E8. Intervention proposals emerged related to systemic issues particularly in the area of interaction of roles and dynamic relationship, which reflect a systemic view of family unit. Conclusions: Reflections on interactional practices with family, while nursing care customer, based in MDAIF allowed the development of new conceptions of family health nursing. Concerning general interventions proposed associated to “dysfunctional family process” diagnosis, the integration of new action typologies, supported by systemic issues, will maximize the health potential of fami lies by the opportunity to co-construct new stories and interactions
- From meanings of spirituality to the challenges of nurses in family interventionPublication . Figueiredo, Maria Henriqueta; Charepe, Zaida; Brás, Manuel Alberto; Oliveira, Palmira; Melo, PedroSpirituality incorporates key principles of family rituals that determine to be in family and being with others, involving the search for a sense of family continuity. As a field of family assessment and intervention requires nurses to promote their own spiritual health and acknowledge their spiritual needs.
- Teaching and learning in family nursing: from theoretical framework to experiential reflectionPublication . Figueiredo, Maria Henriqueta; Charepe, Zaida; Brás, Manuel Alberto; Oliveira, PalmiraThe complexity of the family system, as the target of nursing care, requires specific skills to act in a situation. The Dynamic Model of Family Assessment and Intervention - MDAIF (Figueiredo, 2009), based in the systemic paradigm can contribute to the experiential reflection on nursing care with families in nursing education
- The family nursing health care and the indicators of health: new challenges for the practicePublication . Figueiredo, Maria Henriqueta; Oliveira, Palmira; Lebreiro, Marlene; Andrade, Carmen; Charepe, Zaida; Brás, Manuel AlbertoThe assessment of the implementation focuses in aspects which are considered fundamental for an effective measurement of the Dynamic Model of Family Assessment and Intervention (MDAIF) implementation as a theoretical and operative referential in the nurses' clinical decision-making: satisfaction of families, satisfaction of nurses, assessment of health gains which are sensitive to nursing care, and the identification of the main needs of families.This study aim is to define the indicators of structure, process and outcome, based in MDAIF. Methods: Exploratory study procedure: 1) define the Minimum Data Set (MDS), based in MDAIF, describe the nurses diagnosis, interventions and outcomes; 2) define the indicators according the Order of Nurses orientations; 3) The finalpropose reviewed and validated by experts. The summary data includes the diagnosis and sub diagnosis by MDAIF matrix. For formulation of diagnosis judgment were used the International Classification of Nurses Practice (ICNP®). Results: If define structure indicators related to the nurses satisfaction, process indicators produc e rates of family assessment incident and diagnosis incident, outcome indicators defining rates of diagnosis efficacy and heath gains, epidemiological indicators that propose diagnostic prevalence rates. Conclusions: The definition of MDS and the health gains indicators will allow nurses to be informed on the data resulting from the care provided to the families that must be mandatorily registered. It will also enable to monitoring of the implementation process through the identification of critical points that lead to the introduction of strategies and which will optimize the outcomes inherent to the following tasks.