Percorrer por autor "Lebreiro, Marlene"
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- Famílias unipessoais e literacia: caraterização sócio económica e necessidades de cuidados de enfermagemPublication . Guedes, Virgínia; Figueiredo, Maria Henriqueta; Lebreiro, Marlene; Brás, Manuel Alberto; Dantas, JacintaA manutenção de bons níveis de saúde está fortemente relacionada com competências pessoais, cognitivas e sociais que se traduzem no conceito de literacia em saúde (LS) (Soellner, Lenartz & Rudinger, 2017). Sendo que baixos níveis LS estão associados a grupos vulneráveis (Pedro, Amaral & Escoval, 2016). pretendeu-se analisar as características sociais, económicas e rede social de um grupo de famílias unipessoais com pessoa idosa e identificar as respetivas necessidades em cuidados de enfermagem. Estudo exploratório e descritivo, cuja população corresponde às famílias unipessoais, com membro com mais de 65 anos, clientes dos cuidados de saúde primários. A amostra é acidental, constituída pelos clientes com as características da população que recorreram a uma unidade funcional de um ACeS da zona norte de Portugal, para uma consulta de enfermagem, entre os meses de março e abril de 2017. Foi feita análise da documentação produzida pela enfermeira tendo sido utilizado um suporte de registo correspondente à matriz operativa do MDAIF. A colheita de dados foi efetuada relativamente à família extensa, sistemas mais amplos, classe social, edifício residencial e sistema de abastecimento (Figueiredo, 2012). Recorreu-se ao SPSS para o tratamento de dados, utilizando-se estatística descritiva. De um total de 15 famílias, 80% são de classe média baixa. Todos os indivíduos são portadores de uma ou mais doenças crónicas. As intervenções de enfermagem mais comuns direcionaram-se ao edifício residencial, precaução de segurança e abastecimento de água. Estes resultados demonstram que a amostra é susceptível de ter baixos níveis de LS, aumentando a sua vulnerabilidade para os problemas de saúde, tal como é conhecido noutros estudos que referem que idosos, com doenças crónicas são os mais afetados pelos baixos níveis de literacia (Pedro, Amaral & Escoval, 2016).
- 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
- 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.
- Unipersonal families and literacy economic partner characterization and nursing care needsPublication . Guedes, Virgínia; Figueiredo, Maria Henriqueta; Lebreiro, Marlene; Brás, Manuel Alberto Morais Brás; Dantas, JacintaThe maintenance of good health levels is strongly related to personal, cognitive and social skills that compose the concept of health literacy (HL) (Soellner, Lenartz & Rudinger, 2017). Since low HL levels are associated with vulnerable groups (Pedro, Amaral & Escoval, 2016), we intend to analyze the social, economic and social characteristics of a group of unipersonal families with an elder person as well as to identify needs in nursing care. An exploratory and descriptive study was conducted in unipersonal families with members over 65 years of age, users of primary care. The sample consisted of clients that had the characteristics of the population who used a health unit in the northern part of Portugal requesting a nursing consultation, between March and April 2017. The data collection was performed based on the structural dimension of the MDAIF (Figueiredo, 2012). Data analysis was done through descriptive statistics. In the sample composed of 15 families, 80% pertained to the lower middle class. All individuals suffer of one or more chronic diseases. The most common nursing interventions were directed to the residential building, safety precaution and water supply. The assessment of the structural dimension of unipersonal households is an essential resource in identifying potentialities or vulnerabilities, in order to guide nursing interventions to improve patients’ levels of HL, or proactively preventing complications arising from their limitations.
- Unipersonal families and literacy: economic partner characterization and nursing care needsPublication . Guedes, Virgínia; Figueiredo, Maria Henriqueta; Lebreiro, Marlene; Brás, Manuel Alberto; Dantas, JacintaThe maintenance of good health levels is strongly related to personal, cognitive and social skills that compose the concept of health literacy (HL) (Soellner, Lenartz & Rudinger, 2017). Since low HL levels are associated with vulnerable groups (Pedro, Amaral & Escoval, 2016), we intend to analyze the social, economic and social characteristics of a group of unipersonal families with an elder person as well as to identify needs in nursing care. An exploratory and descriptive study was conducted in unipersonal families with members over 65 years of age, users of primary care. The sample consisted of clients that had the characteristics of the population who used a health unit in the northern part of Portugal requesting a nursing consultation, between March and April 2017. The data collection was performed based on the structural dimension of the MDAIF (Figueiredo, 2012). Data analysis was done through descriptive statistics. In the sample composed of 15 families, 80% pertained to the lower middle class. All individuals suffer of one or more chronic diseases. The most common nursing interventions were directed to the residential building, safety precaution and water supply. The assessment of the structural dimension of unipersonal households is an essential resource in identifying potentialities or vulnerabilities, in order to guide nursing interventions to improve patients’ levels of HL, or proactively preventing complications arising from their limitations.