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Introduction: In health professionals, skills that allow them to deal with their own emotions and those of others guarantee the quality of care provided and an effective therapeutic relationship. Hence, they are fundamental for nurses, namely for those who work in family health units. Objective: To analyze the relationship between the emotional competence of nurses working in family health units in a group of health centers in the north of Portugal and their sociodemographic and professional characteristics. Method: Quantitative methodology, of the transversal descriptive-correlational type. Data collected through an electronic questionnaire that consisted of two parts: sociodemographic and professional characteristics of the participants and emotional competence questionnaire. 66 nurses composed the sample. Results: The nurses in the study showed high levels of emotional competence (mean = 205.1, standard deviation = 20.9). There were no statistically significant differences between sociodemographic and professional characteristics and emotional competence. Conclusions: Although the relationship between emotional competence and sociodemographic and professional characteristics is unclear, the importance of emotional intelligence in care practice is certain. [ABSTRACT FROM AUTHOR]

Introduction: The Social Determinants of Health are defined by the living conditions of the population, how they are born, grow, live, work and age, and are considered as the main responsible for the health of populations. Objective: To evaluate the influence of social determinants of health on effectiveness of family functioning. Materials and Methods: A quantitative study was carried out with 200 participants between 2017 and 2018. To assess the correlation between proximal, intermediate and distal social determinants of health and the level of effectiveness of family functioning, home visits were made to 100 families who responded the Assessment of strategies in Family Effectiveness instrument and a sociodemographic questionnaire. Data were analyzed by simple frequency, Spearman's correlation coefficient (?) (p <0.05), and subjected to descriptive analysis from the perspective of systemic organization. Results: The social determinants that showed a positive correlation coefficient with the level of effectiveness of family functioning were the years of study and the fixed family income. There was a negative correlation with the main source of income (number of occupations) or source of income and the presence of other members or relatives in the family. Discussion: Investments in education can improve the family's ability to organize, solve or prevent adverse events, increase income and provide more time for family relationships and the achievement of congruence, as evidenced by other authors. Conclusions: The proximal and intermediate social determinants of health influenced the level of effectiveness of family functioning. [ABSTRACT FROM AUTHOR]

Objective: to identify the impact of work characteristics on supportive attitudes of nurses in family care in the context of primary health care. Method: cross-sectional study with 71 primary health care nurses. A form was used to characterize the participants and the Families' Importance in Nursing Care - Nurses' Attitudes scale was applied. Descriptive and analytical statistics were applied, stratifying the scale scores according to the characteristics of the nurses. Results: there was an attitude of support from nurses 80.9±7.8, with significant difference between nurses of the Family Health Strategy when compared to those of traditional units in the mean score in subscale 2, which evaluates the family as a resource for nursing care. Conclusion: the work characteristics of nurses affect the supportive attitude of professionals towards families, influenced by the work unit model, location, offer of professional training, and length of experience in Primary Health Care. [ABSTRACT FROM AUTHOR]

Objective: to understand how health professionals working in the pre-hospital experience the communication of bad news to the family in the pediatric emergency, as well as to propose a communication protocol based on these experiences. Method: qualitative research with theoretical-methodological support based on Symbolic Interactionism and Inductive Thematic Analysis, through semi-structured interviews, in the 2nd semester of 2019. Results: the professionals experienced the difficult communication process under the influence of the hostile environment. They set out actions to try to care for and receive the family. Family care generated reflections and a desire to provide adequate care. After the analysis of these experiences, the Protocolo Acolher was proposed. Final considerations: health professionals working in the pre-hospital feel unprepared and extremely uncomfortable before communicating bad news. The protocol developed can collaborate in directing pre-hospital care professionals and help them in the process of communicating bad news. [ABSTRACT FROM AUTHOR]

Background: Caring for the family in the emergency department is challenging for nursing due to the specificities and challenges of the context. Although the evidence reveals the family's experiences and needs, little is known about nurses' experiences. Objective: To understand nurses' lived experiences of caring for the family in the emergency department. Methodology: Qualitative study with Van Kaam's phenomenological approach. In-depth interviews were conducted with 11 nurses. The Moustakas' modified method guided data analysis. Results: Nurses' lived experiences revealed eight dimensions: 1) "Feeling responsible"; 2) "Initially welcome the family"; 3) "Host the family in the emergency department"; 4) "To be fully present"; 5) "To cuddle in suffering"; 6) "Dance, with the family, in a borderline situation"; 7) "Comfort guided on the information"; and 8) "Let yourself be carefully touched by the family's experience". Conclusion: Nurses' experiences reveal dimensions of the phenomenon in clinical practice, highlighting the importance of therapeutic communication with the families, their presence in resuscitation situations, and the need for family conferences. [ABSTRACT FROM AUTHOR]

Background: Integrating families into nursing care allows promoting, maintaining, and restoring their health. Objectives: To identify and describe nurses' and nursing students' perspectives of the integration of families into nursing care. Methodology: Inferential, cross-sectional study in a population of nurses and nursing students. The Families' Importance in Nursing Care - Nurses' Attitudes (FINC-NA) scale was applied. Results: Sample consisting of 164 individuals, of whom 71 were nurses and 93 nursing students. On average, the importance attached to the family was higher among nursing students than among nurses, with a significant difference between both groups. In the univariate linear regression analysis, the variables Age, Years of professional experience, and Training in the family nursing seem to be associated with the importance attached to the family. Conclusion: Students attach more importance to family integration than nurses. The variables Age, Years of professional experience, and Training in the family nursing are associated with greater importance attached by nurses to the integration of families into nursing care. [ABSTRACT FROM AUTHOR]

Stroke is a major public health problem in Portugal, being one of the main causes of mortality and morbidity, with a high level of disability and functional dependence. This study aims to evaluate the quality of life of people after stroke in the home context. This is a quantitative, descriptive-correlational and cross-sectional study in a non-probabilistic sample consisting of 24 people. Data were collected through a questionnaire, applying the Barthel Index and the Stroke-Specific Quality of Life Scale (SS-QoL). The results of the study suggest that QoL was influenced by gender, living variable, educational attainment, stroke type, neurological impairment and Barthel Index. The results point to the need for intervention of the Family Nurse, using care strategies centred on the functional capacity of the person, promoting self-care and family and social reintegration, in order to improve QOL. [ABSTRACT FROM AUTHOR]

Background: The impact of simulation with structured debriefing as a pedagogical strategy in nursing education is unquestionable today. However, no references were found regarding the use of this strategy in family health nursing education. Objective: To evaluate structured debriefing associated with simulation as a pedagogical strategy in family nursing consultations. Methodology: A quantitative cross-sectional descriptive study was conducted with a sample of 169 students attending the 2nd year of the Bachelor's Degree in Nursing. The Simulation Debriefing Assessment Scale (Escala de Avaliação do Debriefing Associado à Simulação - EADaS) was applied in laboratory classes. Results: The scale had an overall mean score of 4.25 (SD = 0.400), with a minimum of 3.03 and a maximum of 5.00. The highest mean scores (M = 4.58; SD = 0.462) were found in the Affective Value Dimension and the lowest mean scores (M = 3.87; SD = 0.621) were found in the Psychosocial Value Dimension. The Cognitive Value Dimension had M = 4.35 points and SD = 0.435. Conclusion: Structured debriefing associated with simulation proved to be a suitable pedagogical strategy for the acquisition and development of students' competencies in family health nursing, facilitating critical and reflexive learning that is essential to intervene within the family and should, therefore, be implemented in this area. [ABSTRACT FROM AUTHOR]

Background: The impact of simulation with structured debriefing as a pedagogical strategy in nursing education is unquestionable today. However, no references were found regarding the use of this strategy in family health nursing education. Objective: To evaluate structured debriefing associated with simulation as a pedagogical strategy in family nursing consultations. Methodology: A quantitative cross-sectional descriptive study was conducted with a sample of 169 students attending the 2nd year of the Bachelor's Degree in Nursing. The Simulation Debriefing Assessment Scale (Escala de Avaliação do Debriefing Associado à Simulação - EADaS) was applied in laboratory classes. Results: The scale had an overall mean score of 4.25 (SD = 0.400), with a minimum of 3.03 and a maximum of 5.00. The highest mean scores (M = 4.58; SD = 0.462) were found in the Affective Value Dimension and the lowest mean scores (M = 3.87; SD = 0.621) were found in the Psychosocial Value Dimension. The Cognitive Value Dimension had M = 4.35 points and SD = 0.435. Conclusion: Structured debriefing associated with simulation proved to be a suitable pedagogical strategy for the acquisition and development of students' competencies in family health nursing, facilitating critical and reflexive learning that is essential to intervene within the family and should, therefore, be implemented in this area. [ABSTRACT FROM AUTHOR]

Background: In the family approach, it is essential for nurses to have tools to intervene. The Calgary Family Assessment Model (MCAF) is an important instrument in family nursing practice. Objectives: To know the importance attributed to the family by nurses who are part of a family health unit (FHU) in the Central Region of Portugal; Identify nurses' knowledge of family assessment by applying the MCAF; To evaluate the impact of the application of an intervention program involving knowledge and skills on family assessment by the MCAF in nursing professionals. Methodology: Longitudinal, quasi-experimental study, performed in two moments of data collection, pre and post test design, without control group, with 8 nurses, selected by the non-probabilistic/accidental /convenience method. Results: Nurses have family supportive attitudes. There are significant statistical differences in knowledge and skills in family assessment by the MCAF before and after intervention. Conclusion: The implementation of intervention programs in family assessment by the MCAF, allows knowledge transfer and skills development. [ABSTRACT FROM AUTHOR]

Objective: Identify the perceptions of parents about the activities of the extension project realized by the health professional in the school context. Methodology: This is a descriptive study with a qualitative approach realized with 15 parents and / or tutors in a municipal school in Belém, Pará, Brazil. This research originated from the extension project "Ludicity as a tool for the health promotion children and adolescents in school space", which occurred from January 2014 until February 2017 with the support of the Pro-Rectory of Extension/ UFPA. Results: The categories found were: the need and importance of extension project in the community; listing the themes for health education activities; recognizing the social vulnerability in which they live. Conclusions: It was possible to affirm that the project of university extension in health within the school environment is an effective practice to teach and to divulge good practices for health promotion. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the structure, development and family functionality living with sickle cell disease. Method: This is qualitative study that used as the theoretical framework Calgary Model of family assessment and as methodological strategy the case study. Data were collected from six families of children with sickle cell disease, attended by a Hemonúcleo of Hematology Center Foundation and Hemotherapy Minas Gerais (Hemominas), located in Minas Gerais, Brazil, from September/2014 to February/2015, through pre-designed instrument, beyond semistructured interviews and participant observation, with register in daily of field. Examined by means of thematic analysis e, the categories theoretical framework adopted agreed. Results: It was verified that four families composed a nuclear model; the others two families were of the extended type. Conflicting subsystems been present in only family and all had presented in its net of support deriving elements of neighbors and members of the extensive family. In the assistance process, it was evidenced that the six families presented insufficient support of the health services and, for the solution of problems, the families evaluated showed empowerment in the face of the time of discovery due to their previous experiences. Conclusion: This study the child with sickle cell disease and its family can be used for the nurses in accordance with to subsidize the planning of the work in the care, making possible the elaboration of personalized interventions the functioning of the familiar dynamics. [ABSTRACT FROM AUTHOR]

Objective: Evaluating family members in treatment of Tuberculosis through the Calgary Model of Family Evaluation (CMFE). Methodology: Descriptive-exploratory type study, in which two family units having a member in treatment of tuberculosis participated, both registered in a Family Health Strategy, Belém, Pará. For the application of the Model, the technique of semi-structured interview was perfomed and utilization of genogram and eco-map. Results: After the evaluation of the family was performed according to Calgary Model of Family Evaluation resulted in two families, one being a mono-parental headed by the woman and the other expended, in both cases the sick member is the provider of economic matters and the families researched have ties and relationships some health institutions, religious, school and even social support groups. Conclusions: The Calgary Model of Family Evaluation shows to be effective as a new evaluation strategy, contributing to the family planning care at any level of health care. [ABSTRACT FROM AUTHOR]

Theoretical framework: Nurses’ attitudes towards families are essential to the quality of nursing care, facilitating the health/ disease transition processes experienced by the family in the hospital. Objectives: The aim of this study is to identify the attitudes of nurses in different hospital settings about the importance of including the family in nursing care. Methodology: A quantitative, exploratory and descriptive study was conducted with a convenience sample of 160 nurses from different units in a hospital. This study used a questionnaire, which included a sociodemographic evaluation and the scale Families’ Importance in Nursing Care - Nurses Attitudes (FINC-NA). Results: The results obtained by applying the FINC-NA scale revealed high mean scores. However, the results showed no significant correlations to justify the influence of the analysed variables. Conclusion: Nurses show a high level of agreement about the importance of families in nursing care within the various contexts of care. [ABSTRACT FROM AUTHOR]

National and international guidelines on show that nursing practices are focused on families. We have conducted a quantitative study, with the objective of characterizing the attitudes of nurses working in primary health care in regional health centers, on the importance of involving the family in nursing care. We studied a sample of 871 nurses at health centers in the central region of Portugal, using the Portuguese version of the Families Importance in Nursing Care – Nurses’ Attitudes scale (FINC-NA)( Benzei et al., 2008), validated by Oliveira et al. (2009; 2011). The results showed high average scores on the following dimensions: Family: use of nursing care (76.48) and Family: partner in the dialogue and coping resources (73.33), and low scores on Family: burden (21.60). These results highlight that nurses have supportive attitudes towards families, and these are related to training, length of professional experience, the unit where they work, and the method of organization of care. We conclude that nurses in regional health centers have supportive attitudes towards families, which is an important criterion for the quality of care they provide in the context of primary health care. [ABSTRACT FROM AUTHOR]

Since its inception, intensive care units are designed as restricted spaces because of the risk posed by the critical condition of the patients and the complexity of their health status, but with the elapse of time, the experiences of health professionals and the incorporation of different theories of nursing in the care of patients, the needs of family and patients have become increasingly apparent , and this has prompted the study of family involvement in meeting those needs and in the patient recovery. For this reason, it is necessary that family involvement becomes a priority and reality in intensive care units. This article shows the importance of family involvement and offers the possibility to operationalize it in critical patient care through the application of a theory such as Rosemarie Parse´s, whose theoretical foundation is correlated with the process of family involvement and can articulate the disciplinary elements in professional practice. For this, this article, which is the result of a literature review, is derived from international guidelines for family involvement and integrates with the models of a macro theory called man living-health. [ABSTRACT FROM AUTHOR]

Gastrostomy is frequently used to treat children with growth and nutritional problems in chronic illness or incapacity. Even though the health team considers that it is a simple procedure, a stoma performed for the child can have emotional and social consequences for family life. The aim of this study was to identify scientific evidence about the experience of a family with a child with gastrostomy. An integrative literature review was performed for the period from 2005 to 2011 and a search for articles in certain databases was conducted, 10 articles about the topic being selected. The findings were organized into four themes: the meaning of the diet for the parents carrying out the parental role; the family experience in interaction with health team; life after gastrostomy. The findings indicate that the family with a child with gastrostomy experiences emotional burden, mainly in the period preceding the procedure, due to the socio-cultural meaning of food for the family. The family needs information and support from the health team during each phase of the experience. [ABSTRACT FROM AUTHOR]

Family-centered care is a new concept in paediatric care in which family and child needs are central in the process. However, when it comes to reality, its application in hospital units still falls short, the effort to implement this care philosophy in nurses' daily practice being at the early stages. A quasi-experimental pre-test and post-test kind with no control group study was undertaken, based on a quantitative methodology. The main goal of this approach was to evaluate the impact of training and a Best Practice Guide on nurses' knowledge and their perceptions of the application of family-centred care in paediatrics. The sample consisted of 24 nurses in a pediatric unit, and they answered three questionnaires. Positive differences were confirmed between nurses' knowledge about family-centred care and their perceptions in relation to the application of this philosophy in their daily practice before and after the training and implementation of the Best Practice Guide. [ABSTRACT FROM AUTHOR]

From the experience lived by one of the authors as a community nurse in Peru, this reflection had as aim to describe and to understand the meaning and sense found in the relationship between nurse and families in rural communities. The Interpretative Interacionism permitted us the analysis of the experience, where "Discovering roads" was the main component of the experience. The valorization of nurse-family relationship, in a comprehensive and humanized way, allowed to carry out the basic actions with the families. The steps followed were: Inserting in their world; Knowing their reality, Perceiving their vulnerability; Understanding their concerns; Perceiving their ways of acting; Sharing the activities. In the description of the meanings attributed to the experience, contextual aspects, actions and intentions of the nurse and the feelings emerged during the implementation of the activities with the families, were explored. This work enabled us to understand the meaning of the experience, rescuing the importance of nurse-family relationship, making appropriate use of communication, observation and interaction, as well as, the use of strategies to achieve walking toward cultural maturity and humanized care, together and, in order to solve some crucial problems and needs that emerge in this context. [ABSTRACT FROM AUTHOR]

This study develops a theoretical model concerning the experience of families of children with Down syndrome in preschool and school age. The frameworks used were Symbolic Interactionism and Grounded Theory. Semi-structured interviews were used as the instrument of investigation and ten families participated in the study. The Theoretical Model "Seeking the child's independence and autonomy through constant stimulation" was identified, which shows the family's efforts to enable the child to develop the best s/he can through stimulation in order to become less dependent in the future. This model can be used to facilitate interaction with the family and can be further expanded. Nurses should use spaces dedicated to care delivery to establish bonds with the family, and seek other spaces families frequent, to better meet their needs, since there are significant gaps in care and research addressing this population. Instead, they should be welcomed and seen as a partner in care delivery. [ABSTRACT FROM AUTHOR]

Descriptive study aiming to understand the family dynamics of elderly people aged 80 years or older, receiving family care at home. Caregivers and elderly, registered at the family health unit of Greater Porto, comprised a sample of 107 pairs. Data were collected between 09/2009 and 03/2010. The following instruments were applied: family APGAR, quality of life and lifestyle scale. The results that stand out are: increase in male partners serving as caregivers for dependent partners; substantial inclusion in the list of family caregivers: grandchildren, nieces, nephews, siblings. The caregiver lifestyle was considered regular, as well as the caregiver and elderly's quality of life, although the family dynamics showed to work well. Limitations prevent further generalizations, but offer relevant support for the development of the family health and family nursing program. [ABSTRACT FROM AUTHOR]

Objectives. To evaluate the effectiveness of involving primary care nurses in comprehensive care of patients with hypertension and diabetes mellitus type II (DM2). Methods. A quasi-experimental, before-and-after study was conducted, without a control group, in eight family-practice clinics. Trained nurses offered comprehensive care in conjunction with a team made up of a family doctor, a nutritionist, a social worker, and a dentist. The intervention lasted seven months and its outcome variables were changes in body mass index, fasting blood glucose, blood pressure, selfperceived health status, treatment compliance, and emergency services requests. Any change was determined by comparing the baseline to the final measurement through interviews and recording the variables of interest in a spreadsheet. Results. In all, 1 131 patients completed the follow-up, of which 44.9% were diagnosed with hypertension, 27% with DM2, and 28.1% with both conditions. The proportion of patients seen by the coordinated health teams increased; there was a rise in cases of normal weight and overweight; a decrease in the proportion of obese (P < 0.05); and an increase in hypertensives with high blood pressure (< 130/ 80mmHg) (P < 0.05). There was no change in the proportion of diabetics with high blood glucose (< 140 mg/dl); 18.2% reported improved self-perceived health status (P < 0.05); there was improved treatment compliance (P < 0.05); and a decrease in requests for emergency services at the clinics (-4.5%) and at the hospitals (-6.8%) (P < 0.05). Conclusions. Comprehensive care for chronically ill patients through the involvement of nurses contributes to improved health outcomes in primary care. [ABSTRACT FROM AUTHOR]