Identied disgnostic of nursing in families in situation of hospital accompainment using the Calgary model

by Alves Montefusco, Selma Rodrigues

Abstract (Summary)
Family is a natural group that, through the times, has developed interaction standards, thatthey 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 thehealth of its members, thus the nurses must consider the family of the patients as integrantpart of the unit of care. Front to the displayed one, immerges the necessity to evaluate and tointervine 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 notexist 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 problemsof the family, constituting a plan of useful and systemize treatment. The Calgary modelinvolves evaluation (MCAF) and Intervention (MCIF) in the Family and constitutes themultidimensional one structure that possesss three main categories: structural, of developmentand functionary. These subcategories allow that the evaluation of each family isdifferentiated. Nor all the subcategories need to be evaluated in a first meeting with the familyand some never will need to be evaluated. This study the June of 2006 through descriptivestudy has the objective to analyze the disgnostic profile of nursing identified in families ofpatients interned in the medical clinic of a hospital school during the period of January. Theyhad been enclosed families who were following patient in the period for collection of data thathad agreed to participating by means of signature of the term of free and clarified assent. Thepatient and its familiar ones had been taken as participant unit of the research. The findingshad been argued focusing the disgnostic headings, related factors and characteristic definingto 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 ofwell-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 hadbeen: 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 theHarmed Home and Familiar Processes, gifts in 66% of the families. The nurses need to beintent to the families who are on its cares, fitting to them to develop strategies shared with allthe team to multidiscipline to protect the families in relation to these occurrences, to preventthat the adoecimento of a familiar one has taken the abalos greaters in the structure andfunctioning of the families. To make the evaluation of the families allows to identify to thedifficulties for which these families passes, allowing a acurada intervention more on the partof the professionals.
This document abstract is also available in Portuguese.
Bibliographical Information:

Advisor:Maria Marcia Bachion

School:Universidade Federal de Goiás

School Location:Brazil

Source Type:Master's Thesis

Keywords:nursing, family, diagnosis of familiar nursing


Date of Publication:12/19/2006

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