RESUMOAs ati tudes que os enfermeiros adotam em relação à família condicionam o processo de cuidar. Nosso propósito com este estudo foi nesse senti do: dispor de um instrumento que nos permiti sse conhecer esta variável. Assim, nossa proposta foi efetuar a adaptação transcultural e avaliar as propriedades psicométri-cas da versão portuguesa do instrumento Families' Importance in Nursing Care -Nurses Atti tudes (FINC-NA), que visa avaliar as ati tudes dos enfermeiros acerca da importância de envolver a família nos cuidados de enfermagem. Foi seguido o método preconizado pela literatura. A amostra foi consti tuída por 136 enfermeiros dos Cuidados de Saúde Primários. Os resultados obti dos nos testes de confi abilidade revelam uma boa consistência interna para o total dos itens (Alpha de Cronbach = 0,87). O estudo psicométrico permite--nos afi rmar que a versão em português da FINC-NA, que denominamos A importância das famílias nos cuidados de enfermagemati tudes dos enfermeiros (IFCE-AE), é um instrumento fi dedigno e válido. DESCRITORES ABSTRACTThe atti tudes of nurses towards families determine the care process. With this study, we aimed to obtain an instrument that would allow us to learn about this variable. Hence, our purpose was to perform the cross-cultural adaptati on and evaluate the psychometric features of the Portuguese version of the instrument Families' Importance in Nursing Care -Nurses Atti tudes (FINC-NA), which aims to evaluate the atti tudes of nurses towards the importance of involving the pati ent's family in the nursing care. The method recommended by the literature was followed. The sample consisted of 136 nurses working in primary health care. The results obtained in the reliability tests showed good internal consistency (Cronbach's Alpha=0.87). The psychometric study permits us to state that the Portuguese version of the FINC-NA, which in Portuguese is referred to as A importância das famílias nos cuidados de enfermagem -ati tudes dos enfermeiros (IFCE-AE), is a reliable and valid tool. DESCRIPTORSFamily nursing Atti tude of health personnel Cross-cultural comparison Psychometrics Validati on studies RESUMENLas acti tudes adoptadas por enfermeros en relación a la familia condicionan el proceso de cuidar. En tal senti do, nos propusimos con este estudio, disponer de un instrumento que nos permita conocer esta variable. Así, nos propusimos efectuar la adaptación transcultural y evaluar las propiedades psicométri-cas de la versión portuguesa del instrumento Families Importance in Nursing Care -Nurses Atti tudes (FINC-NA), que apunta a evaluar acti tudes de enfermeros acerca de involucrar a la familia en los cuidados de enfermería. Se siguió el método sugerido por la literatura. Muestra consti tuida por 136 Enfermeros de Atención Primaria de Salud. Los resultados obtenidos en pruebas de fi abilidad revelan buena consistencia interna para el total de ítems (Alpha de Cronbach=0,87). El estudio psicométrico nos permite afi rmar que la versión en Portugués del FINC-NA, que denominamos La importan...
Affective, cognitive and behavioral components affect nurses´ attitudes to include families in the care processes. The purpose of this study was to investigate the attitudes of nurses about the importance of including families in nursing care. Data collection was performed in pediatric and maternal-child unit of a Brazilian university hospital. A sample of 50 nurses completed the Portuguese version of the instrument Families’Importance in Nursing Care-Nurses’ Attitudes (FINC-NA). The results indicated that nurses have supportive attitudes regarding families participation in nursing care. Attitudes of lower support for involving families in nursing care were found among nurses with older age, more time in the profession and who had no previous contact with contents related to Family Nursing. The application of the instrument in other contexts of assistance may help to illuminate important aspects of the challenges to implementing a family-centered approach in clinical practice.
ABSTRACT:Parenthood is among the developmental transitions that set major challenges for contemporary families. When there is a twin pregnancy, those challenges increase. Our aims in this study are understanding the parental experience in families with twins and identifying the factors which condition parental experience in such families. It is a literature review focusing on studies published between 2000 and 2012 based on reference data. The articles were analyzed considering the aims, participants, phases of data collection, tools used; and results achieved regarding the dimensions involved in parenting experiences faced by parents of twins. In the 19 studies identified, maternity was the main focus of research. Women with twin children showed lower scores on well-being, higher stress risks, exhaustion and depression. The experience of these families was different, more demanding and complex than singletons' parents. Understanding of this matter becomes crucial to contributing to better health for families. LA FAMILIA EN LA PERSPECTIVA GEMELAR -UNA REVISIÓN SISTEMÁTICA RESUMEN: La paternidad es una de las transiciones del desarrollo que plantea más desafíos a la familia contemporánea. En un embarazo gemelar estos retos son engrandecidos. Los objetivos del estudio fueron conocer la experiencia de la paternidad en familias con gemelos y analizar los factores que influyen en sus experiencias de paternidad. Para este propósito se analizaron artículos publicados entre 2000-2012 en bases de datos referencia. Los artículos fueron analizados teniendo en cuenta: objetivos, participantes, tiempo de recolección de datos, instrumentos utilizados y los resultados, atendiendo las variables que integran la experiencia de paternidad gemelar. En los 19 estudios identificados, la maternidad era el foco central de investigación. Las mujeres con gemelos han tenido resultados más bajos de bienestar, aumentando el riesgo de estrés, agotamiento y depresión. La experiencia de las familias fue diferente, más exigente y compleja que para otros padres. Comprender el tema es fundamental para maximizar la salud de la familia. DESCRIPTORS:
Accessible Summary What is known on the subject? Only a small number of adolescents with suicidal behaviour receives any follow‐up treatment. The implementation of recurrent behaviour prevention strategies is crucial in the period following suicide attempts and should take into account adolescents' opinions to be effective and congruent. What does this paper add to existing knowledge? This paper shows that the 33 adolescent participants in the study identified the following protective factors of recurrent suicidal behaviour: family, friends and other trusted persons, as well as the self and newly learned strategies. The adolescents described their family as a constant presence and reported wishing that their parents maintain their current family support. Psychological support, health professionals and occupational activities are what the adolescents value most about hospitalization, and some criticisms are related to the environment, activities and health professionals. The adolescents also emphasize the need to maintain contact with the nurses after hospital discharge and make suggestions for service improvement related to the environment and the interventions implemented. What are the implications for practice? Knowing the protective factors of recurrent suicidal behaviours, perception of the impact of the intervention, the expectation of future support and healthcare follow‐up is crucial for adapting suicide prevention strategies to be put in place by health services for better quality care delivery. The results obtained allow us to define as specific implications the implementation of psychoeducational intervention directed at the adolescent's family with suicidal behaviour during hospitalization and the definition of strategies for maintaining contact and follow‐up with the adolescent after discharge. This study emphasizes the need to reinforce training in suicidology for all health professionals for the improvement of clinical practice. Abstract Introduction The prevention of recurrent suicidal behaviours in adolescents should consider their perceptions, needs and expectations. Aim/question To identify the protective factors of recurrent suicidal behaviours in adolescents; To describe the family and the expectations for future involvement; To know the most important aspects of hospitalization and discuss expectations of nursing care follow‐up after hospital discharge. Method A descriptive, qualitative and exploratory study was carried out in a sample of 33 adolescents with suicidal behaviours. Data were collected through semi‐structured interviews, and the data processing used the content analysis technique. Results Findings arising from data allowed identifying the protective factors: family, friends and other trusted persons. During the hospitalization, the adolescents reinforce the knowledge about themselves and the newly learnt coping strategies. Psychological support and health professionals are what they value most about hospitalization and emphasize the need to maintain contact with the n...
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