Dos contextos da prática à (co)construção do modelo de cuidados de enfermagem de família

Abstract

As nurses face challenges in the development of care focused on the family as a context and unit of intervention, this research aimed to identify family intervention processes in the context of Primary Healthcare. This qualitative-based study adopted the investigation-action approach on a study plan's five-step path. By means of the comparative analysis of family care practices and conceptual models, the diagnosis results brought forth the need for change triggered by training processes. Having the Systemic Model, the Calgary Family Assessment Model, and the Calgary Family Intervention Model as references, the family nursing care model was (re)constructed and operationalized through the definition of attention and intervention areas. The (re) construction of the model from the needs identified by nurses and legitimated by their decision-making processes is the basis for family nursing focused discussions.

Aspectos Psicossociais Do Trabalho De Agentes Comunitários De Saúde

“…Somam-se aos aspectos positivos quanto à escolaridade e ao tempo de exercício na função dos ACS, a constatação de formação permanente em saúde entre os investigados, pela identificação de treinamentos antes e durante o exercício de sua função. A qualificação/capacitação do profissional de saúde, sem dúvida, é um dos dispositivos e desafios a enfrentar para que se potencialize a qualidade dos serviços de atenção à saúde 15 . Neste estudo, verificou-se alta prevalência de TMC (39,4%), cujo percentual está entre os valores identificados em pesquisas realizadas no Nordeste, Sul e Sudeste com os seguintes percentuais 16,8%, 15,6% e 50,7%, respectivamente 1,14 .…”

Scientific production about calgary model for evaluation of the family: a bibliometric study

“…2 In this context, it is important the Model Calgary of Family Assessment (MCAF), in the area of nursing, being possible to know, study and evaluate the family in a broader view, including its internal and external relationships, strengths and weaknesses. 8 The MCAF is a multidimensional structure, consisting of three main categories:…”

“…There is a great diversity of types and family structures that are integrated not only changes in gender roles, but also the diversity of marital interactions and family recovery processes. 2 A study highlighted that among the new forms of family organizations commonly observed, there are the single parents and the reconstituted families, with adults and children with no blood ties. 1 In this sense, when understanding this new family, it can be conceptualized in a context of diversity that exceeds the family unit point of view and monitor the evolution of the family concept transformed and recovered with the evolution of the contexts and social structures.…”

“…4 Therefore, the family is an important link for people living in a situation of crisis, specifically in accidental crisis that causes hospitalization of a member, since the support that it provides is an incentive to conserve the treatment and welfare of its members. 2,5 However, it is emphasized that the impact that the disease causes in the family environment and the ways of coping are particular to each family, with their own beliefs, history and routines. 6 Thus, the family can be understood as the primary unit of care, since through the experiences lived in it, values and beliefs that work together for the formation of its members are created and grown, which interact with each other, protecting them and exchanging experiences, and together seek to overcome limits and solve problems.…”

Família: significado para os profissionais da estratégia de saúde da família

“…No passado, o conceito de família era associado ao núcleo familiar: casal que vivia com os seus filhos biológicos e, eventualmente, com um dos pais dos cônjuges. Atualmente, existe uma grande diversidade de tipos e estruturas familiares (2) . Há famílias formadas por uma única pessoa, por casais que já tiveram outros casamentos, por pais com filhos adotivos, por casais que não têm filhos, por mães solteiras, por casais homossexuais (casados ou não, que adotaram filhos ou não), por casais que têm filhos através de inseminação artificial, doação de espermatozoides ou barriga de aluguel, entre outros (3) .…”