Diagnóstico de enfermagem identificados em famílias em situação de acompanhamento hospitalar utilizando o modelo Calgary

Detalhes bibliográficos
Autor(a) principal: MONTEFUSCO, Selma Rodrigues Alves
Data de Publicação: 2006
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFG
dARK ID: ark:/38995/0013000000pz4
Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tde/758
Resumo: Family is a natural group that, through the times, has developed interaction standards, that they constitute the familiar structure, that, in turn, governs the functioning of its members, delineating its gamma of behaviors and facilitating its interaction. In accordance with Wright; Leahey (2002) the nursing has the commitment to include the families in the cares of health. Many evidences exist that the family assumes one meaning special for well-being and the health of its members, thus the nurses must consider the family of the patients as integrant part of the unit of care. Front to the displayed one, immerges the necessity to evaluate and to intervine together to the family of the people during the process of hospitalization, independent of which is its alteration of health. We know that an evaluation model does not exist that contemplates all the phenomena of the family. However, the Wrights; Leahey (2002) cite the necessity of the adoption of a clear conceptual structure, or map of the family. This encourages the synthesis of data, in order to be identified to the forces and the problems of the family, constituting a plan of useful and systemize treatment. The Calgary model involves evaluation (MCAF) and Intervention (MCIF) in the Family and constitutes the multidimensional one structure that possesss three main categories: structural, of development and functionary. These subcategories allow that the evaluation of each family is differentiated. Nor all the subcategories need to be evaluated in a first meeting with the family and some never will need to be evaluated. This study the June of 2006 through descriptive study has the objective to analyze the disgnostic profile of nursing identified in families of patients interned in the medical clinic of a hospital school during the period of January. They had been enclosed families who were following patient in the period for collection of data that had agreed to participating by means of signature of the term of free and clarified assent. The patient and its familiar ones had been taken as participant unit of the research. The findings had been argued focusing the disgnostic headings, related factors and characteristic defining to the light of the Model Calgary de Evaluation and Intervention 12 disgnostic of nursing,being 75% Reals and 25% of risk had been found. They had not been detected disgnostic of well-being the disgnostic average for family was of four, being that we had a family with 07 (seven) disgnostic ones and one with 02 (two). The ones that had gotten greater frequency had been: Tension Due to the Paper of Cuidador, gift in 100% of the families; in second, Harmed, present Verbal Communication in 75%, and together in third, Interrupted Maintenance of the Harmed Home and Familiar Processes, gifts in 66% of the families. The nurses need to be intent to the families who are on its cares, fitting to them to develop strategies shared with all the team to multidiscipline to protect the families in relation to these occurrences, to prevent that the adoecimento of a familiar one has taken the abalos greaters in the structure and functioning of the families. To make the evaluation of the families allows to identify to the difficulties for which these families passes, allowing a acurada intervention more on the part of the professionals.
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spelling BACHION, Maria Marciahttp://lattes.cnpq.br/8503907944360635http://lattes.cnpq.br/4641815981079162MONTEFUSCO, Selma Rodrigues Alves2014-07-29T15:04:45Z2008-12-102006-12-19MONTEFUSCO, Selma Rodrigues Alves. Identied disgnostic of nursing in families in situation of hospital accompainment using the Calgary model. 2006. 129 f. Dissertação (Mestrado em Cuidado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2006.http://repositorio.bc.ufg.br/tede/handle/tde/758ark:/38995/0013000000pz4Family is a natural group that, through the times, has developed interaction standards, that they constitute the familiar structure, that, in turn, governs the functioning of its members, delineating its gamma of behaviors and facilitating its interaction. In accordance with Wright; Leahey (2002) the nursing has the commitment to include the families in the cares of health. Many evidences exist that the family assumes one meaning special for well-being and the health of its members, thus the nurses must consider the family of the patients as integrant part of the unit of care. Front to the displayed one, immerges the necessity to evaluate and to intervine together to the family of the people during the process of hospitalization, independent of which is its alteration of health. We know that an evaluation model does not exist that contemplates all the phenomena of the family. However, the Wrights; Leahey (2002) cite the necessity of the adoption of a clear conceptual structure, or map of the family. This encourages the synthesis of data, in order to be identified to the forces and the problems of the family, constituting a plan of useful and systemize treatment. The Calgary model involves evaluation (MCAF) and Intervention (MCIF) in the Family and constitutes the multidimensional one structure that possesss three main categories: structural, of development and functionary. These subcategories allow that the evaluation of each family is differentiated. Nor all the subcategories need to be evaluated in a first meeting with the family and some never will need to be evaluated. This study the June of 2006 through descriptive study has the objective to analyze the disgnostic profile of nursing identified in families of patients interned in the medical clinic of a hospital school during the period of January. They had been enclosed families who were following patient in the period for collection of data that had agreed to participating by means of signature of the term of free and clarified assent. The patient and its familiar ones had been taken as participant unit of the research. The findings had been argued focusing the disgnostic headings, related factors and characteristic defining to the light of the Model Calgary de Evaluation and Intervention 12 disgnostic of nursing,being 75% Reals and 25% of risk had been found. They had not been detected disgnostic of well-being the disgnostic average for family was of four, being that we had a family with 07 (seven) disgnostic ones and one with 02 (two). The ones that had gotten greater frequency had been: Tension Due to the Paper of Cuidador, gift in 100% of the families; in second, Harmed, present Verbal Communication in 75%, and together in third, Interrupted Maintenance of the Harmed Home and Familiar Processes, gifts in 66% of the families. The nurses need to be intent to the families who are on its cares, fitting to them to develop strategies shared with all the team to multidiscipline to protect the families in relation to these occurrences, to prevent that the adoecimento of a familiar one has taken the abalos greaters in the structure and functioning of the families. To make the evaluation of the families allows to identify to the difficulties for which these families passes, allowing a acurada intervention more on the part of the professionals.A família assume um significado especial para o bem-estar e a saúde de seus membros, desta forma, os enfermeiros devem considerar a família dos pacientes como parte integrante da unidade de cuidado. No contexto da internação hospitalar de adultos este aspecto tem sido pouco valorizado. Frente ao exposto, emerge a necessidade de avaliar e intervir junto à família das pessoas durante o processo de hospitalização, independente de qual seja sua alteração de saúde. Este estudo tem o objetivo de analisar o perfil de diagnósticos de enfermagem identificados junto a famílias em situação de acompanhamento de pessoas hospitalizadas para tratamento e doenças crônicas não-transmissíveis, utilizando o Modelo Calgary de Avaliação. Este estudo descritivo foi realizado na clínica médica de um hospital escola da região centro-oeste, durante o período de janeiro a junho de 2006. Foram incluídas 12 famílias que estavam acompanhando pacientes no período de coleta de dados, que concordaram em participar mediante assinatura do termo de consentimento livre e esclarecido. A pessoa internada e seus familiares foram tomados como unidade participante da pesquisa. Os mesmos foram entrevistados nas enfermarias, de uma a três vezes, conforme necessário. Os encontros foram gravados e a entrevistas transcritas. O processo diagnóstico foi realizado pelo pesquisador e validado por um perito. A declaração diagnóstica foi realizada com base na Taxonomia II da North American Nursing Diagnosis Association, versão 2005-2006. Os achados foram discutidos focalizando os títulos diagnósticos, fatores relacionados e características definidoras à luz do Modelo Calgary de Avaliação. Foram encontradas 12 categorias diagnósticas, sendo nove reais e três de risco, totalizando 49 diagnósticos de enfermagem. Não foram detectados diagnósticos de bem-estar. O número de diagnósticos variou de dois a sete, sendo a média de diagnósticos por família foi quatro. Foram identificados por ordem de freqüência com os seguintes diagnósticos: tensão devido ao papel de cuidador (100%), comunicação verbal prejudicada (75%), manutenção do lar prejudicada (66%), processos familiares interrompidos (66%), interação social prejudicada (25%), paternidade prejudicada (16,6%) e risco para interação social prejudicada (16,6%). Com ocorrência menor que 10% foram identificados: enfrentamento familiar incapacitado, paternidade e maternidade prejudicada, risco para infecção e processos familiares disfuncionais: alcoolismo. Embora não esteja incluído na Taxonomia da North American Nursing Diagnosis Association, foi identificado risco para infestação em uma família. Este perfil denota problemas de desenvolvimento e funcionamento das famílias participantes do estudo, sendo alguns deles anterior ao processo de hospitalização e outros agravados ou causados pela situação de internação. Os enfermeiros precisam estar atentos às famílias que estão sob os seus cuidados, cabendo-lhes desenvolver estratégias compartilhadas com toda a equipe multidisciplinar para proteger as famílias em relação a estas ocorrências, para evitar que o adoecimento de um familiar leve a maiores abalos na estrutura e funcionamento das famílias. Fazer a avaliação das famílias permite identificar as suas forças e fragilidades, permitindo uma intervenção mais acurada por parte dos profissionais.Made available in DSpace on 2014-07-29T15:04:45Z (GMT). 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dc.title.por.fl_str_mv Diagnóstico de enfermagem identificados em famílias em situação de acompanhamento hospitalar utilizando o modelo Calgary
dc.title.alternative.eng.fl_str_mv Identied disgnostic of nursing in families in situation of hospital accompainment using the Calgary model
title Diagnóstico de enfermagem identificados em famílias em situação de acompanhamento hospitalar utilizando o modelo Calgary
spellingShingle Diagnóstico de enfermagem identificados em famílias em situação de acompanhamento hospitalar utilizando o modelo Calgary
MONTEFUSCO, Selma Rodrigues Alves
enfermagem, família, diagnóstico de enfermagem, enfermagem familiar
Enfermagem; Enfermagem familiar; Diagnóstico de enfermagem; ModeloCalgary
nursing, family, diagnosis of nursing, familiar nursing
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
title_short Diagnóstico de enfermagem identificados em famílias em situação de acompanhamento hospitalar utilizando o modelo Calgary
title_full Diagnóstico de enfermagem identificados em famílias em situação de acompanhamento hospitalar utilizando o modelo Calgary
title_fullStr Diagnóstico de enfermagem identificados em famílias em situação de acompanhamento hospitalar utilizando o modelo Calgary
title_full_unstemmed Diagnóstico de enfermagem identificados em famílias em situação de acompanhamento hospitalar utilizando o modelo Calgary
title_sort Diagnóstico de enfermagem identificados em famílias em situação de acompanhamento hospitalar utilizando o modelo Calgary
author MONTEFUSCO, Selma Rodrigues Alves
author_facet MONTEFUSCO, Selma Rodrigues Alves
author_role author
dc.contributor.advisor1.fl_str_mv BACHION, Maria Marcia
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/8503907944360635
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/4641815981079162
dc.contributor.author.fl_str_mv MONTEFUSCO, Selma Rodrigues Alves
contributor_str_mv BACHION, Maria Marcia
dc.subject.por.fl_str_mv enfermagem, família, diagnóstico de enfermagem, enfermagem familiar
Enfermagem; Enfermagem familiar; Diagnóstico de enfermagem; ModeloCalgary
topic enfermagem, família, diagnóstico de enfermagem, enfermagem familiar
Enfermagem; Enfermagem familiar; Diagnóstico de enfermagem; ModeloCalgary
nursing, family, diagnosis of nursing, familiar nursing
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
dc.subject.eng.fl_str_mv nursing, family, diagnosis of nursing, familiar nursing
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
description Family is a natural group that, through the times, has developed interaction standards, that they constitute the familiar structure, that, in turn, governs the functioning of its members, delineating its gamma of behaviors and facilitating its interaction. In accordance with Wright; Leahey (2002) the nursing has the commitment to include the families in the cares of health. Many evidences exist that the family assumes one meaning special for well-being and the health of its members, thus the nurses must consider the family of the patients as integrant part of the unit of care. Front to the displayed one, immerges the necessity to evaluate and to intervine together to the family of the people during the process of hospitalization, independent of which is its alteration of health. We know that an evaluation model does not exist that contemplates all the phenomena of the family. However, the Wrights; Leahey (2002) cite the necessity of the adoption of a clear conceptual structure, or map of the family. This encourages the synthesis of data, in order to be identified to the forces and the problems of the family, constituting a plan of useful and systemize treatment. The Calgary model involves evaluation (MCAF) and Intervention (MCIF) in the Family and constitutes the multidimensional one structure that possesss three main categories: structural, of development and functionary. These subcategories allow that the evaluation of each family is differentiated. Nor all the subcategories need to be evaluated in a first meeting with the family and some never will need to be evaluated. This study the June of 2006 through descriptive study has the objective to analyze the disgnostic profile of nursing identified in families of patients interned in the medical clinic of a hospital school during the period of January. They had been enclosed families who were following patient in the period for collection of data that had agreed to participating by means of signature of the term of free and clarified assent. The patient and its familiar ones had been taken as participant unit of the research. The findings had been argued focusing the disgnostic headings, related factors and characteristic defining to the light of the Model Calgary de Evaluation and Intervention 12 disgnostic of nursing,being 75% Reals and 25% of risk had been found. They had not been detected disgnostic of well-being the disgnostic average for family was of four, being that we had a family with 07 (seven) disgnostic ones and one with 02 (two). The ones that had gotten greater frequency had been: Tension Due to the Paper of Cuidador, gift in 100% of the families; in second, Harmed, present Verbal Communication in 75%, and together in third, Interrupted Maintenance of the Harmed Home and Familiar Processes, gifts in 66% of the families. The nurses need to be intent to the families who are on its cares, fitting to them to develop strategies shared with all the team to multidiscipline to protect the families in relation to these occurrences, to prevent that the adoecimento of a familiar one has taken the abalos greaters in the structure and functioning of the families. To make the evaluation of the families allows to identify to the difficulties for which these families passes, allowing a acurada intervention more on the part of the professionals.
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