scholarly journals Uso do modelo Teórico da Organização Sistêmica na avaliação familiar

2019 ◽  
Vol 13 ◽  
Author(s):  
Fernanda Lise ◽  
Eda Schwartz ◽  
Kathryn Hoehn Anderson ◽  
Marie Luise Friedemann

Objetivo: produzir um levantamento de estudos sobre a aplicação do modelo teórico da organização sistêmica na avaliação da eficácia do funcionamento familiar e construir o estado da arte. Método: trata-se de estudo bibliográfico, descritivo, do tipo revisão integrativa, entre 2001 a 2017, nas bases de dados MEDLINE, LILACS, Google Scholar e na Biblioteca Virtuais SciELO, com consulta a especialistas via ResearchGate. Resultados: apresentaram-se 21 estudos desenvolvidos por enfermeiros em seis países, nos quais se evidenciaram a validade e a confiabilidade do instrumento ASF-E, avaliando a eficácia do funcionamento familiar, principalmente, em condições crônicas ou de vulnerabilidade. Utilizaram-se metodologia adequada e nível de evidência IV. Conclusão: conclui-se que o modelo teórico da organização sistêmica tem sido utilizado por ser considerado uma ferramenta válida para avaliar a saúde da família na em diferentes contextos de atuação da Enfermagem de famílias. Descritores: Enfermagem Familiar; Família; Enfermagem; Autoeficácia; Teoria de Enfermagem; Revisão.ABSTRACTObjective: to produce a survey of studies on the application of the Framework of Systemic Organization to evaluate the effectiveness of family functioning and build the state of the art. Method: this is a descriptive bibliographic study, integrative review, from 2001 to 2017, in the databases MEDLINE, LILACS, Google Scholar and the Virtual Library SciELO, with consultation with experts via ResearchGate. Results: 21 studies developed by nurses in six countries were presented, showing the validity and reliability of the ASF-E instrument, assessing the effectiveness of family functioning, especially in chronic or vulnerable conditions. Appropriate methodology and level of evidence IV were used. Conclusion: it is concluded that the Framework of Systemic Organization has been used as it is considered a valid tool to evaluate family health in different contexts of family nursing. Descriptors: Family Nursing; Family; Nursing; Self-Efficacy; Nursing Theory; Review.RESUMENObjetivo: producir una encuesta de estudios sobre la aplicación del modelo teórico de la organización sistémica para evaluar la efectividad del funcionamiento familiar y construir el estado del arte. Método: este es un estudio bibliográfico descriptivo, tipo revisión integradora, de 2001 a 2017, en las bases de datos MEDLINE, LILACS, Google Scholar y SciELO Virtual Library, con consulta con expertos a través de ResearchGate. Resultados: se presentaron 21 estudios desarrollados por enfermeros en seis países, que muestran la validez y confiabilidad del instrumento ASF-E, evaluando la efectividad del funcionamiento familiar, especialmente en condiciones crónicas o vulnerables. Se utilizó la metodología apropiada y el nivel de evidencia IV. Conclusión: se concluye que el modelo teórico de la organización sistémica se ha utilizado porque se considera una herramienta válida para evaluar la salud familiar en diferentes contextos de Enfermería familiar. Descriptores: Enfermería de Familia; Enfermería; Familia; Autoeficacia; Teoria de Enfermería; Revisión.

2021 ◽  
Vol 12 ◽  
pp. 215265672110265
Author(s):  
Abdul K. Saltagi ◽  
Mohamad Z. Saltagi ◽  
Amit K. Nag ◽  
Arthur W. Wu ◽  
Thomas S. Higgins ◽  
...  

Background Anosmia and hyposmia have many etiologies, including trauma, chronic sinusitis, neoplasms, and respiratory viral infections such as rhinovirus and SARS-CoV-2. We aimed to systematically review the literature on the diagnostic evaluation of anosmia/hyposmia. Methods PubMed, EMBASE, and Cochrane databases were searched for articles published since January 1990 using terms combined with Medical Subject Headings (MeSH). We included articles evaluating diagnostic modalities for anosmia, written in the English language, used original data, and had two or more patients. Results A total of 2065 unique titles were returned upon the initial search. Of these, 226 abstracts were examined, yielding 27 full-text articles meeting inclusion criteria (Level of evidence ranging from 1 to 4; most level 2). The studies included a total of 13,577 patients. The most utilized diagnostic tools were orthonasal smell tests (such as the Sniffin’ Sticks and the UPSIT, along with validated abridged smell tests). Though various imaging modalities (including MRI and CT) were frequently mentioned in the workup of olfactory dysfunction, routine imaging was not used to primarily diagnose smell loss. Conclusion The literature includes several studies on validity and reliability for various smell tests in diagnosing anosmia. Along with a thorough history and physical, validated orthonasal smell tests should be part of the workup of the patient with suspected olfactory dysfunction. The most widely studied modality was MRI, but criteria for the timing and sequence of imaging modalities was heterogenous.


2014 ◽  
Vol 48 (3) ◽  
pp. 469-476 ◽  
Author(s):  
Rosely Almeida Souza ◽  
Gislaine Desani da Costa ◽  
Cintia Hitomi Yamashita ◽  
Fernanda Amendola ◽  
Jaqueline Correa Gaspar ◽  
...  

Objective: To classify families of elderly with depressive symptoms regarding their functioning and to ascertain the presence of an association between these symptoms, family functioning and the characteristics of the elderly. Method: This was an observational, analytical, cross-sectional study performed with 33 teams of the Family Health Strategy in Dourados, MS. The sample consisted of 374 elderly divided into two groups (with and without depressive symptoms). The instruments for data collection were a sociodemographic instrument, the GeriatricDepression Scale (15 items) and the Family Apgar. Results: An association was observed between depressive symptoms and family dysfunction, female gender, four or more people living together, and physical inactivity. Conclusion: The functional family may represent effective support for the elderly with depressive symptoms, because it offers a comfortable environment that ensures the well-being of its members. The dysfunctional family can barely provide necessary care for the elderly, which can exacerbate depressive symptoms.



Comunicar ◽  
2017 ◽  
Vol 25 (50) ◽  
pp. 99-108 ◽  
Author(s):  
María-Ángeles Valdemoros-San-Emeterio ◽  
Eva Sanz-Arazuri ◽  
Ana Ponce-de-León-Elizondo

The «Network Society» is identified by accelerated changes that occur between real and virtual worlds. The progress of digital devices has generated a new model of leisure that it has conditioned family interactions. The aim of this research was to identify the relationship between digital leisure experiences and perceived family functioning in post-compulsory secondary education Spanish students. The sample was composed of 1,764 Spanish young people 15-18 years old; all of them were post-compulsory secondary education students. Students’ digital leisure activities were measured by an opening question by which they indicated the three most important leisure activities for them, and family functioning was measured by the answers from the Spanish adaptation for FACES IV questionnaire (Family Adaptability and Cohesion Scale). A descriptive analysis about digital leisure activities of young people was used. The family functioning coefficient of each subject was determined and, finally, the relationship between students’ family functioning perceived and students’ digital leisure practices assessed by a factorial analysis of variance (ANOVA). Young people give importance to digital leisure activities, highlighting social network participation, playing videogames and browsing the Internet. Cohesion, flexibility and family functioning are healthier when children don´t point to any digital activity into their preferred leisure practices. The results suggest that new research should be conducted to confirm whether this negative association between family functioning and digital leisure is causal or due to other factors. La «Sociedad Red» se identifica con acelerados cambios que se suceden entre el mundo real y el virtual. El progreso de dispositivos digitales ha generado un nuevo modelo de ocio que ha condicionado las interacciones familiares. El objetivo de esta investigación fue valorar la relación entre el funcionamiento familiar percibido por estudiantes españoles de educación secundaria postobligatoria y su práctica de ocio digital. La muestra ascendió a 1.764 estudiantes. El ocio digital se midió a partir de una pregunta abierta en la que debían señalar las tres actividades de ocio más importantes, y el funcionamiento familiar se valoró mediante la versión española del FACES IV (Escala de cohesión y adaptación familiar). Se realizó un análisis descriptivo sobre las actividades de ocio digital de los jóvenes, se determinó el coeficiente del funcionamiento familiar de cada sujeto y mediante análisis de varianza (ANOVA) de un factor se valoró la relación entre el funcionamiento familiar percibido por los estudiantes y las actividades de ocio digital practicadas por los mismos. Los jóvenes otorgan importancia a las actividades digitales de ocio, destacando la participación en redes sociales, jugar a videojuegos y navegar por Internet. La cohesión, la flexibilidad y el funcionamiento familiar gozan de mejor salud cuando los hijos no apuntan actividades digitales entre sus prácticas preferentes de ocio. Los resultados sugieren nuevas investigaciones que comprueben si esta asociación negativa entre funcionamiento familiar y ocio digital es causal o se debe a otros factores.


2018 ◽  
Vol 12 (5) ◽  
pp. 1397
Author(s):  
Jessica Cardoso Vaz ◽  
Viviane Marten Milbrath ◽  
Ruth Irmgard Bärtschi Gabatz ◽  
Fábio Reis Krug ◽  
Bárbara Hirschmann ◽  
...  

RESUMOObjetivo: conhecer o que vem sendo produzido sobre o cuidado à família da criança com doença crônica. Método: revisão integrativa que buscou conhecer as publicações dos últimos 10 anos nas bases de dados MEDLINE, LILACS, BDENF, INDEX PSICOL e na biblioteca virtual SciELO. Após a leitura dos artigos selecionados, foram analisados os dados dos estudos referentes à autoria, objetivos, ano de publicação, método e nível de evidência. Resultados: com base nos achados, foram definidas duas categorias temáticas << Enfrentando o diagnóstico da doença crônica, mudança de hábitos e reorganização familiar >> e << Rotinas de cuidado das famílias com crianças com condição crônica >>. Conclusão: as famílias das crianças com doença crônica são afastadas de suas rotinas, muitas vezes, perdendo o controle sobre suas vidas. Acredita-se que se a família for bem informada sobre a patologia e empoderada para os cuidados à criança, esta poderá desenvolver autonomia sobre a organização da sua vida. Descritores: Família; Criança; Doença Crônica; Empatia; Enfermagem Pediátrica; Revisão.ABSTRACT Objective: to know what has been produced about the care provided for families of children with chronic disease. Method: integrative review that sought to survey the publications of the last 10 years in the MEDLINE, LILACS, BDENF, INDEX PSICOL databases and in the virtual library SciELO. After reading the selected articles, we analyzed data of the studies regarding authorship, objectives, year of publication, method and level of evidence. Results: the findings led to two thematic categories << Facing the diagnosis of a chronic disease, change of habits and family reorganization >> and << Care routines of families with children with chronic conditions >>. Conclusion: Families of children with chronic diseases have their routines modified, often losing control over their lives. We believe that if families are well informed about the pathology and if they are empowered to care for the child, they will be able to develop autonomy over the organization of their lives. Descriptors: Family; Child; Chronic disease; Empathy; Pediatric Nursing; Review.RESUMEN Objetivo: conocer lo que viene siendo producido sobre el cuidado a la familia del niño con enfermedad crónica. Método: revisión integradora que buscó conocer las publicaciones de los últimos 10 años en las bases de datos MEDLINE, LILACS, BDENF, INDEX PSICOL y en la biblioteca virtual SciELO. Después de la lectura de los artículos seleccionados, fueron analizados los datos de los estudios referentes a la autoría, objetivos, año de publicación, método y nivel de evidencia. Resultados: con base en los hallados, fueron definidas dos categorías temáticas << Enfrentando el diagnóstico de la enfermedad crónica, cambio de hábitos y reorganización familiar >> y << Rutinas de cuidado de las familias con niños con condición crónica >>. Conclusión: las familias de los niños con enfermedades crónica son alejados de sus rutinas, muchas veces, perdiendo el control sobre sus vidas. Se cree que si la familia fuera bien informada sobre la patología y empoderada para los cuidados al niño, esta podrá desarrollar autonomía sobre la organización de su vida. Descriptores: Familia; Niño; Enfermedad Crónica; Empatía; Enfermería Pediátrica; Revisión.


2019 ◽  
Vol 11 (5) ◽  
pp. 409-415 ◽  
Author(s):  
Fábio Carlos Lucas de Oliveira ◽  
Anny Fredette ◽  
Sherezada Ochoa Echeverría ◽  
Charles Sebiyo Batcho ◽  
Jean-Sébastien Roy

Context: Two-dimensional (2D) video-based analysis is often used by clinicians to examine the foot strike pattern (FSP) and step rate in runners. Reliability and validity of 2D video-based analysis have been questioned. Objective: To synthesize the psychometric properties of 2D video-based analysis for assessing runners’ FSP and step rate while running. Data Sources: Medline/PubMed, Science Direct, Embase, EBSCOHost/CINAHL, and Scielo were searched from their inception to August 2018. Study Selection: Studies were included if (1) they were published in English, French, Portuguese or Spanish; (2) they reported at least 1 psychometric property (validity and/or reliability) of 2D video-based analysis to assess running kinematics; and (3) they assessed FSP or step rate during running. Study Design: Systematic review. Level of Evidence: Level 2. Data Extraction: Studies were screened for methodological (MacDermid checklist) and psychometric quality (COSMIN checklist) by 2 independent raters. Results: Eight studies, with a total of 702 participants, were included. Seven studies evaluated the reliability of 2D video to assess FSP and found very good to excellent reliability (0.41 ≤ κ ≤ 1.00). Two studies reported excellent reliability for the calculation of step rate (0.75 ≤ intraclass correlation coefficient [ICC] ≤ 1.00). One study demonstrated excellent concurrent validity between 2D and 3D (gold standard) motion capture systems to determine FSP (Gwet agreement coefficient [AC] > 0.90; ICC > 0.90), and another study found excellent concurrent validity between 2D video and another device to calculate step rate (0.84 ≤ ICC ≤ 0.95). Conclusion: Strong evidence suggests that 2D video-based analysis is a reliable method for assessing FSP and quantifying step rate, regardless of the experience of the assessor. Limited evidence exists on the validity of 2D video-based analysis in determining FSP and calculating step rate during running.


2020 ◽  
pp. 136749352096583
Author(s):  
Philip Darbyshire ◽  
Sarah Oerther

Parenthood and parenting are concepts central for child and family health nurses and professionals. They are foundational to numerous nursing philosophies such as ‘family-centred care’ and ‘parent participation’. Yet our understanding of the meaning of being a parent remains difficult to articulate and is often operationalised as collections of assessable techniques and skills. We propose an alternative understanding of parenthood, based on the work of Martin Heidegger and his turn to poetry, that is more ontologically focused on the meaning of being a parent and valuable to nurses seeking to understand or research the existential core of this complex relationship. Alternative ways of understanding parenthood will help nurses grasp the complexities of family relationships they will encounter in practice. Researchers may also frame their investigations and explorations of parenting and parent–child–professional relationships in ways that do not rely exclusively on ‘technologies’ of parenting skills and techniques. Heidegger’s thinking opens up valuable ways of exploring, understanding and researching parenthood that can benefit nurses in clinical practice, education and research. In its ability to challenge the most fundamental of assumptions and to propose challenging alternatives, Heideggerian approaches to understanding the meaning of parenthood can help advance child and family nursing research and practice.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Erol ◽  
O Erdem ◽  
H Koç ◽  
F Çetin ◽  
N Erkek

Abstract Objective The aim of this study was develop the Turkish version of the exercise benefits and barriers scale for elderly people. Methods The study was carried out with the methodological research design with a total of N = 300 individuals living in a nursing home (n = 134) and applying to the Family Health Center (n = 131) between October 2017 and May 2018. The study included subjects aged 65 years and older who had no dementia, communication or physical disability. The item pool of the scale consisted of 36 items. Items were structured in five-likert form. Expert opinions of eleven individuals were received for Content Validity Index (CVI). The data of the study were collected with 26-question socio-demographic characteristics form, the Mini Mental Test and the Exercise Benefits/Barriers Scale for the Elderly (EBBSE). Approval and consents were obtained from the relevant Ethics Committee, from the healthcare facility and participants. For the validity and reliability; CVI, exploratory factor analysis (EFA), confirmatory factor analysis (CFA) Hotelling’s T2, paired sample t test have been carried out. Results The mean age of the subjects was 72.44±5.94 years. Scale’s CVI was 90. The factor analysis demonstrated that the scale included three sub-dimensions of 18 items in Physical and Psychological Benefits of Exercise, 2 items in Social Benefits of Exercise and 8 items inExercise Barriers accounting for 55.36 % of the total variance of the scale. Cronbach Alpha internal consistency coefficients of the scale was .84. All of the four fit indices obtained in the CFA had desirable magnitudes (RMR=.05;RMSEA=,07;NFI=.81;CFI=.87), indicating a good fit between the model and the data. The item total score correlations ranged from .40 to .69. The scale’s test-retest correlation was .99. Conclusions EBBSE is a valid and reliable scale that can be used to evaluate benefits and barriers perceptions in physical activity practices. Key messages Developed EBBSE can be used to determine the perceptions of exercise for elderly. Developed EBBSE can be used to change barrier perceptions of exercise.


2016 ◽  
Vol 9 (2) ◽  
pp. 174-180 ◽  
Author(s):  
Amy M. Yorke ◽  
Laura Smith ◽  
Mitch Babcock ◽  
Bara Alsalaheen

Background: Sustaining a concussion commonly results in vestibular impairments that may be associated with balance deficits. To screen for vestibular impairments after a concussion, the Vestibular/Ocular Motor Screening (VOMS) tool was developed. The relationship between the VOMS and other concussion screening tools, such as the Balance Error Scoring System (BESS) and King-Devick (K-D), have not been explored. Hypotheses: (1) VOMS would provide reliable results and not provoke symptoms in healthy adolescents and (2) VOMS test items would measure related aspects of vestibular function that are not measured through the BESS or K-D. Study Design: Cross-sectional, descriptive. Level of Evidence: Level 4. Methods: A total of 105 healthy adolescents (53 male, 52 female; mean age, 15.4 years) completed the VOMS, BESS, and K-D tests. A subsample of 21 adolescents (16 male, 5 female; mean age, 15.5 years) completed the VOMS twice. Results: The median total symptom score for all 7 VOMS items was 0 (0-5). The majority of the individual VOMS test items total symptom scores demonstrated a significant correlation with each other ( rs = 0.25-0.66, P < 0.02). The individual VOMS items did not demonstrate a significant relationship to the BESS or K-D. VOMS items demonstrated high agreement in total symptom scores between testing trials, with near point convergence (NPC) distance demonstrating an intraclass correlation coefficient (ICC) of 0.95 (95% CI, 0.89-0.98; P < 0.001). The MDC95 (minimal detectable change with 95 confidence) for NPC distance was 4 cm. Conclusion: The VOMS did not provoke vestibular symptoms in healthy adolescents. The VOMS items measured unique aspects of vestibular function other than those measured by the BESS or K-D with good reliability. Clinical Relevance: Clinicians should consider implementing the VOMS as part of a comprehensive concussion assessment if vestibular impairment is suspected. If NPC distance is measured twice, a difference of >4 cm would be considered real change outside of measurement error.


2010 ◽  
Vol 4 (4) ◽  
pp. 1868
Author(s):  
Rosineide Santana de Brito ◽  
Danyelle Leonette Araújo dos Santos ◽  
Patrícia Suerda de Oliveira Maciel

ABSTRACTObjective: to identify the frequency with which men use services offered in primary health basic care and their knowledge about the FHS. Method: this is about an exploratory and descriptive study, from qualitative approach, performed eleven men, randomly selected, assigned in areas covered by a team from the FHS, in Parnamirim town -RN. Data collection occurred during June and July of 2009 through semi-structured interview consisting by social-demographic questions and specific to the object of study. It is emphasized that this step occurred after approval of the Ethics Committee of the Federal University of Rio Grande do Norte, with protocol number 057/2009. The statements were recorded and analyzed according to Content Analysis, according to Bardin. Results: data analysis revealed that participants few use the services of primary care and have limited information about the FHS. Conclusion: the study points to the need to inform men about the purpose of the FHS to will be alerted about the importance of adopting measures aimed at promoting health. Descriptors: family nursing; family health program; men´s health.RESUMOObjetivo: identificar a frequência com que os homens utilizam os serviços oferecidos na atenção básica à saúde e o conhecimento deles sobre a ESF. Método: estudo exploratório e descritivo, de abordagem qualitativa, desenvolvido junto a onze homens, selecionados de forma aleatória, adscritos em área de abrangência de uma equipe da ESF, no município de Parnamirim-RN. A coleta de dados ocorreu durante os meses de junho e julho de 2009, por meio de entrevista semiestruturada, constituída por questões sócio-demográficas e específicas ao objeto de estudo. Ressalta-se que antecedeu esta etapa a aprovação do Comitê de Ética em Pesquisa da Universidade Federal do Rio Grande do Norte, com protocolo número 057/2009. Os depoimentos foram gravados e analisados de acordo com a Análise de Conteúdo, segundo Bardin. Resultados: a análise dos dados revelou que os participantes pouco utilizam os serviços de atenção básica e apresentam escassez de conhecimento acerca da ESF. Conclusão: o estudo aponta para a necessidade de informar aos homens sobre o propósito da ESF para que sejam alertados quanto à importância de adotarem medidas que visam à promoção à saúde. Descritores: enfermagem familiar; programa saúde da família; saúde do homem.RESUMENObjetivo: identificar la frecuencia con que los hombres utilizan los servicios ofrecidos en la atención primaria de salud y sus conocimientos sobre la ESF. Método: estudio exploratorio y descriptivo con abordaje cualitativo, realizado con once hombres, elegidos al azar, que trabajan en el área asistida por un equipo de la ESF, en el municipio de Parnamirim-RN. La recopilación de datos se llevó a cabo durante los meses de junio y julio de 2009 a través de entrevista semi-estructurada con preguntas socio-demográficas y específicas para el objeto de estudio. Se hace hincapié en que este paso se produjo después de la aprobación del Comité de Ética de la Universidad Federal de Rio Grande do Norte, con número de protocolo 057/2009. Los testimonios fueron registrados y analizados de acuerdo con el Análisis de contenido, según Bardin.Resultados: el análisis de los datos reveló que algunos de los participantes utilizan poco los servicios de atención primaria y muestran conocimientos limitados sobre la ESF. Conclusión: el estudio apunta la necesidad de informar a los hombres acerca de la finalidad de la ESF para alertar acerca de la importancia de adoptar medidas destinadas a promover la salud. Descriptores: enfermería familiar; programa de salud familiar; salud del hombre. 


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