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Family process and systemic questions: new ways of family intervention in primary health care

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In 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

Descrição

Palavras-chave

Family process Family intervention

Contexto Educativo

Citação

Figueiredo, Maria Henriqueta; Oliveira, Palmira; Ferré, Carme; Lebreiro, Marlene; Charepe, Zaida; Andrade, Carmen; Brás, Manuel (2017). Family process and systemic questions: new ways of family intervention in primary health care. In 14ª Conferência Internacional de Investigação em Enfermagem. A translação do conhecimento em enfermagem: Uma força para a mudança na prática clínica!. Lisboa. ISBN 978 – 989 – 99867 – 0 – 1. p. 92-93

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Editora

APE – Associação Portuguesa de Enfermeiros

Licença CC