A Family Belief Systems Theory for Transcultural Family Health Care Nursing

2019 ◽  
Vol 30 (5) ◽  
pp. 434-443
Author(s):  
Naohiro Hohashi

To enable culturally congruent family health care nursing, the family belief systems theory proposed by Hohashi can be utilized. The family belief systems theory, developed through family ethnographic studies and questionnaire surveys conducted in the United States, Japan, China, Indonesia, and the Philippines, explains (a) structurization of a system, based on the family member’s beliefs as cognition criteria, in which family member’s emotions, decisions/acts, and physical responses (including health problems) occur; and (b) the process in which family beliefs are formed from family members’ beliefs, by which intentional decisions/acts by the family (family decision making, family self-management, etc.) are performed. By identifying the mechanism of family belief systems, the nursing professional, through support for family/family members’ beliefs, can completely change the intentional decisions/acts by the family.

2020 ◽  
Vol 34 (1) ◽  
pp. 59-66
Author(s):  
Susan M. Hunter Revell ◽  
Mary K. McCurry

Mental illness is an epidemic in the United States, and there is a gap in care due to minimal integrated programs and transitional community resources. This paper reports the development of a conceptual framework to identify challenges facing families living with mental illness and the integral role nursing plays to positively impact health. An inductive, bottom-up approach was used to develop the Nursing Science, Mental Illness and Family model. Concepts clustered around family health, cycle of suffering, improving outcomes, healthcare policy, and nursing science. Successful, goal-directed interprofessional collaborations are essential for individual-, family-, and system-level interventions to be effective.


2014 ◽  
Vol 62 (1) ◽  
pp. 37-45
Author(s):  
Patrícia Maria Costa de OLIVEIRA ◽  
Léa Maria Bezerra de MENEZES ◽  
Maria Vieira de Lima SAINTRAIN ◽  
Paulo César de ALMEIDA ◽  
Maria Eneide Leitão de ALMEIDA

OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.


2013 ◽  
Vol 47 (2) ◽  
pp. 403-413 ◽  
Author(s):  
Lilian G Perez ◽  
Juliet D Sheridan ◽  
Andrea Y Nicholls ◽  
Katherine E Mues ◽  
Priscila S Saleme ◽  
...  

OBJECTIVE: To analyze the strengths and limitations of the Family Health Strategy from the perspective of health care professionals and the community. METHODS: Between June-August 2009, in the city of Vespasiano, Minas Gerais State, Southeastern Brazil, a questionnaire was used to evaluate the Family Health Strategy (ESF) with 77 healthcare professionals and 293 caregivers of children under five. Health care professional training, community access to health care, communication with patients and delivery of health education and pediatric care were the main points of interest in the evaluation. Logistic regression analysis was used to obtain odds ratios and 95% confidence intervals as well as to assess the statistical significance of the variables studied. RESULTS: The majority of health care professionals reported their program training was insufficient in quantity, content and method of delivery. Caregivers and professionals identified similar weaknesses (services not accessible to the community, lack of healthcare professionals, poor training for professionals) and strengths (community health worker-patient communications, provision of educational information, and pediatric care). Recommendations for improvement included: more doctors and specialists, more and better training, and scheduling improvements. Caregiver satisfaction with the ESF was found to be related to perceived benefits such as community health agent household visits (OR 5.8, 95%CI 2.8;12.1), good professional-patient relationships (OR 4.8, 95%CI 2.5;9.3), and family-focused health (OR 4.1, 95%CI 1.6;10.2); and perceived problems such as lack of personnel (OR 0.3, 95%CI 0.2;0.6), difficulty with access (OR 0.2, 95%CI 0.1;0.4), and poor quality of care (OR 0.3, 95%CI 0.1;0.6). Overall, 62% of caregivers reported being generally satisfied with the ESF services. CONCLUSIONS: Identifying the limitations and strengths of the Family Health Strategy from the healthcare professional and caregiver perspective may serve to advance primary community healthcare in Brazil.


Author(s):  
Míriam De França Chagas ◽  
Magda Fernanda Lopes de Oliveira Andrade

Em 2008, foi criado, pelo Ministério da Saúde, o Núcleo de Apoio à Saúde da Família (NASF), com o intuito de apoiar as equipes da Estratégia de Saúde da Família (ESF) nas redes de saúde e ampliar a ação da Atenção Básica da Saúde. O NASF é composto por uma equipe multidisciplinar e o terapeuta ocupacional é um dos integrantes desta equipe. O objetivo deste trabalho é o de conhecer a atuação dos terapeutas ocupacionais nos NASFs do município de Maceió, Alagoas, e suas reflexões sobre o trabalho desempenhado. Trata-se de uma pesquisa qualitativa, sendo a coleta de dados realizada por meio de entrevista semiestruturada. Como resultados, foram elencadas três categorias temáticas: A atuação do terapeuta ocupacional no NASF: ações e atividades efetuadas; Os principais obstáculos encontrados pelo terapeuta ocupacional no NASF e As ferramentas tecnológicas utilizadas para a realização do trabalho no NASF. A Terapia Ocupacional ainda é uma profissão que busca seu reconhecimento no NASF. Visitas domiciliares, salas de espera e atividades em grupo foram identificadas como ações desempenhadas pelos profissionais, apesar das dificuldades como falta de recursos materiais e de uma estrutura física melhor. Este estudo serviu para enfatizar a importância do trabalho do terapeuta ocupacional no serviço, bem como as dificuldades encontradas por eles, citando assim a falta de reconhecimento/conhecimento da profissão, recursos e espaço. Apesar das dificuldades mencionadas, os mesmos sempre buscam realizar um atendimento humanizado, preocupando-se com os usuários, minimizando os riscos e promovendo a saúde. AbstractIn 2008, the Family Health Support Center (NASF) was created by the Ministry of Health to support the Family Health Strategy (ESF) teams in health networks and expand the action of Primary Care of health. The NASF is composed of a multidisciplinary team and the occupational therapist is one of the members of this team. The objective of this work is to know the performance of occupational therapists in the NASFs of the city of Maceió-AL, and their reflections on the work performed. This is qualitative research, and the data collection is done through a semi-structured interview with occupational therapists of the NASFs in the municipality of Maceió-AL. As a result, three thematic categories were listed: The work of the occupational therapist in the NASF: actions and activities carried out; the main obstacles encountered by the occupational therapist in NASF; at technological tools used to perform work in the NASF. Occupational Therapy is still a profession that seeks recognition in the NASF. Home visits, waiting rooms and group activities were identified as actions performed by professionals, despite difficulties such as lack of material resources and a better physical structure. This study contributed to emphasize the practice of the work of the occupational therapist in the service, as well as the difficulties encountered to know: citing the lack of recognition/knowledge of the profession, resources and space. Despite the mentioned difficulties, they seek to perform a humanized care, reaffirming principles and guidelines of the Unified Health System - SUS, to minimize risks and promote health care. Keywords: Occupational Therapy, Primary Health Care, Family Health. Resumen En 2008, fue creado por el Ministerio de Salud, el Núcleo de Apoyo a la Salud de la Familia (NASF), con el propósito de apoyar a los equipos de la Estrategia de Salud de la Familia (ESF) en las redes de salud y ampliar la acción de la Atención Básica de la Salud. El NASF está compuesto por un equipo multidisciplinario y el terapeuta ocupacional es uno de los integrantes de este equipo. El objetivo de este trabajo es el de conocer la actuación de los terapeutas ocupacionales en los NASF del municipio de Maceió-AL, y sus reflexiones sobre el trabajo desempeñado. Se trata de una investigación cualitativa, siendo la recolección de datos realizada por medio de una entrevista semiestructurada con terapeutas ocupacionales de NASF en el municipio de Maceió-AL. Como resultados, se enumeraron tres categorías temáticas: La actuación del terapeuta ocupacional en el NASF: acciones y actividades efectuadas; los principales obstáculos encontrados por el terapeuta ocupacional en el NASF; las herramientas tecnológicas utilizadas para la realización del trabajo en el NASF. La Terapia Ocupacional sigue siendo una profesión que busca su reconocimiento en el NASF. Las visitas domiciliarias, salas de espera y actividades en grupo fueron identificadas como acciones realizadas por los profesionales, a pesar de las dificultades como falta de recursos materiales y de una estructura física mejor. Este estudio contribuido para enfatizar la práctica del terapeuta ocupacional en el servicio, así como las dificultades a saber:la falta de reconocimiento / conocimiento de la profesión, recursos y espacio. A pesar de las dificultades mencionadas, buscan realizar una atención humanizada, reafirmando los principios y lineamientos del Sistema Único de Salud - SUS, para minimizar los riesgos y promover la atención médica.Palabras clave: Terapia Ocupacional, Atención Primaria de Salud, Salud Familiar. 


Genealogy ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. 67 ◽  
Author(s):  
Ethan Tinh Trinh

This paper, in the form of walking meditation, sitting, drinking, eating, and traveling among spaces and times, witnesses how the author as a Vietnamese immigrant child living in the United States (U.S.) traces untold stories of their family through family photos. Further, this paper attempts to find, understand and connect the relation between personal and political, between individual and collective, for a Vietnamese re-education camp detainee and his family, situated in political, historical, and cultural context. The use of photo elicitation comes from the desire that the reader can engage with the voices of the family members as they describe events in their past history. In addition, this paper refuses the forms of “category” and “fixed results” in writing up academic research. Rather, it will appear in the form of daily conversation, collected from multiple settings. Simply speaking, this paper is a form of storytelling that invites the readers to oscillate, communicate and think with the author’s family members on this historical journey.


1989 ◽  
Vol 65 (3) ◽  
pp. 1001-1002
Author(s):  
Alan Rowe ◽  
John H. Lindquist ◽  
O Z White

Analysis of data from a national interview indicates that persons are more concerned about losing respect of family members if arrested for a crime than they are about being arrested. This note explores the possibility of using this information as a means of using family bonds to rehabilitate offenders.


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