Entrevista de 15 minutos: uma ferramenta de abordagem à família no Programa Saúde da Família

Abstract

The idea that the conditions of health-illness of the members of a family influence one another mutually is widely known nowadays. The 15 minute family interview was developed as a condensed form of the Calgary Family Assessment and Intervention Models, aiming to contribute to the establishment of a therapeutic relationship between nurse and family and the implementation of interventions to promote health and the relief of suffering, even in a brief interaction. The Family Health Program (FHP) was implemented to reorganize the National Health System in Brazil, recommending that the family and their social space to be elected as the nucleus of approach in health care. This study investigated the experience of nurses from the Family Health Program in the use of the 15 minutes family interview on home visits in the postpartum. Thus, a qualitative study was conducted and took place in three stages: Stage 1-Participants Training Program, Stage 2-Utilization of the 15-minute family interview by participants and Stage 3-Interviews with participants. The data were collected through semi-structured interviews with the nurses, a total of eight participants, and were analyzed using thematic analysis. Two main themes were highlighted: Living the challenge of a new practice and Evaluating the assignment. Facing the challenge of using the 15-minute family interview in his/her practice, the nurse realizes the positive impact of this new tool in his/her relationship with the families, broadening his/her view of them as a unit and deepening the bond with the families. This expanded view of the family contributes to a more accurate assessment of the family's needs and wishes, facilitating the implementation of new interventions, as the use of commendations and orientations. On the other hand, the professional also experiences difficulties in constructing genograms and ecomaps and when realizes that that moment is not suitable for the 15-minute family interview. This work shows that the 15-minute family interview can serve as a context that facilitates the deepening of relations between nurses and families in the FHP, which approximates the proposal of the family as the focus of attention in health care of its fulfillment. Descriptors: family nursing; family health; professional-family relations LISTA DE QUADROS Quadro-Distribuição das referencias bibliográficas obtidas nas bases de dados Pubmed e Lilacs, segundo as palavras chave selecionadas, Brasil-2010 ..

The Usefulness of Brief Family Health Conversations Offered to Families Following the Diagnosis of Breast Cancer

“…This raises the notion that there has to be certain flexibility and possibility to individualize the length of the conversation according to the needs and wishes of the families. The reason Wright and Leahey (2013) gave for limiting the conversations held with families to 15 min was the recurrent concerns raised by nurses about not having enough time to involve families in nursing care, which is an argument that is still valid (Dieperink et al, 2017;dos Santos Ribeiro Silva et al, 2013). Thus, when implementing BFamHC as routine care, the needs and wishes of the families may have to be balanced against the time the nurses have at their disposal, or there is a risk that the conversation may not be considered feasible.…”