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Modelo Dinâmico de Avaliação e Intervenção Familiar: uma ação transformativa em Cuidados de Saúde Primários
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Advisor(s)
Abstract(s)
O Modelo Dinâmico de Avaliação e Intervenção Familiar (MDAIF), enquanto referencial sustentador das práticas
de cuidados com as famílias foi co-construído e validado pela investigação desenvolvida no contexto dos
Cuidados de Saúde Primários (CSP).
É neste enquadramento que os parceiros deste projeto pretendem, através de experiências inovadoras em cuidados
de enfermagem, fazer emergir práticas sistematizadas conducentes à capacitação das famílias, tendo como
objetivos: avaliar o impacto da formação, sustentada pelo MDAIF, nas competências dos enfermeiros de CSP na
avaliação e intervenção familiar; avaliar o impacto da aplicação do MDAIF no potencial de saúde das famílias;
Aprofundar as categorias das dimensões do MDAIF, nas suas vertentes de diagnóstico e de especificação de intervenções.
O plano de investigação integra uma triangulação de métodos, considerando as distintas características dos contextos,
desenvolve-se em três etapas. A população alvo deste projeto abrange, no âmbito geográfico da região
norte do continente de Portugal e Ilha de São Miguel da Região Autónoma dos Açores, 1.218.007 famílias e 3053
enfermeiros de CSP.
A avaliação do impacto da formação possibilitou identificar diferenças significativas na competência percebida
dos enfermeiros relativamente à avaliação e intervenção familiar. Para avaliar o impacto da implementação do
MDAIF foi definido o painel de indicadores, de estrutura, processo e resultado, resultantes do Resumo Mínimo de
Dados. No que se refere ao aprofundamento do referencial foram elaboradas propostas de estratégias operativas
das intervenções propostas, no âmbito do Papel de Prestador de Cuidados e Processo Familiar.
A implementação do MDAIF como referencial sustentador da tomada de decisão dos enfermeiros de família,
possibilitará a produção de novos conhecimentos que se converterão em novas práticas pela integração de processos
inovadores nas interações com as famílias.
The Dynamic Model of Family Assessment and Intervention (MDAIF), as a sustainer reference of family care practices, was co-built and validated by the research developed in Primary Health Care (PHC) context. In this framework the partners of the project intend to bring out systematic practices, leading to the empowerment of families, with the following objectives: to assess the impact of training, sustained by MDAIF, in the PHC nurses skills and in family intervention; to assess the impact of MDAIF implementation in the health of families; to deepen the dimensions of MDAIF categories in their areas of diagnostic and interventions specification. The research plan integrates a methods’ triangulation, considering the distinct characteristics of the contexts and it is developed in three stages. The target population for this project covers the geographical scope of the north region of the mainland of Portugal and São Miguel Island from the Autonomous Region of Azores, Portugal: 1.218.007 families and 3.053 PHC nurses. The evaluation of MDAIF’s training impact as allow identifying significant differences in perceived nurses’ competences regarding assessment and family intervention. To evaluate the impact of MDAIF implementation, it was defined structure, process and outcome panel indicators, resulting from the Minimum Data Sets. Regarding the referential deepening of the Model, proposals were developed for the operational strategies of the interventions proposed, under the Caregiver Role and Family Process. The MDAIF implementation as a reference for supporting family nurses decision-making, will produce new knowledge that will allow new practices that will introduce innovation processes in interactions with families.
The Dynamic Model of Family Assessment and Intervention (MDAIF), as a sustainer reference of family care practices, was co-built and validated by the research developed in Primary Health Care (PHC) context. In this framework the partners of the project intend to bring out systematic practices, leading to the empowerment of families, with the following objectives: to assess the impact of training, sustained by MDAIF, in the PHC nurses skills and in family intervention; to assess the impact of MDAIF implementation in the health of families; to deepen the dimensions of MDAIF categories in their areas of diagnostic and interventions specification. The research plan integrates a methods’ triangulation, considering the distinct characteristics of the contexts and it is developed in three stages. The target population for this project covers the geographical scope of the north region of the mainland of Portugal and São Miguel Island from the Autonomous Region of Azores, Portugal: 1.218.007 families and 3.053 PHC nurses. The evaluation of MDAIF’s training impact as allow identifying significant differences in perceived nurses’ competences regarding assessment and family intervention. To evaluate the impact of MDAIF implementation, it was defined structure, process and outcome panel indicators, resulting from the Minimum Data Sets. Regarding the referential deepening of the Model, proposals were developed for the operational strategies of the interventions proposed, under the Caregiver Role and Family Process. The MDAIF implementation as a reference for supporting family nurses decision-making, will produce new knowledge that will allow new practices that will introduce innovation processes in interactions with families.
Description
Keywords
Modelo Dinâmico de Avaliação e Intervenção Familiar Enfermagem de Saúde Familiar
Citation
Publisher
Escola Superior de Enfermagem do Porto