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O presente relatório descreve o percurso formativo realizado ao longo do mestrado, evidenciando o
desenvolvimento de competências especializadas que sustentam a prática de enfermagem centrada na família
enquanto unidade de cuidados, em contexto de cuidados de saúde primários, numa unidade de saúde familiar.
A prática clínica desenvolvida assentou numa perspetiva sistémica, sustentada por referenciais teóricos e
modelos de enfermagem que apoiaram a avaliação da família e a construção de intervenções ajustadas às
suas necessidades, recursos e potencialidades. Ao longo dos estágios, foram desenvolvidas competências comuns do enfermeiro especialista e competências específicas do Enfermeiro Especialista em Enfermagem de Saúde Familiar, mobilizadas através do processo de enfermagem aplicado à família, nomeadamente na
avaliação das suas diferentes dimensões, na formulação de juízos clínicos, no planeamento, implementação e monitorização de cuidados em parceria com a família. Paralelamente, foram aprofundadas competências nos domínios da ética, da qualidade, da gestão dos cuidados, da formação e da prática baseada na evidência.
Foi desenvolvido um estudo quantitativo, transversal e descritivo-correlacional sobre as forças familiares na população residente em Portugal, com o objetivo de analisar os níveis de forças familiares percecionadas e a
sua relação com variáveis estruturais, desenvolvimentais e funcionais do sistema familiar, recorrendo-se ao
Questionário de Forças Familiares (QFF), instrumento validado para a população portuguesa, que avalia recursos familiares associados à organização familiar, às crenças partilhadas, ao suporte familiar e à expressão
de emoções positivas no contexto da família. Os resultados evidenciaram níveis globalmente elevados de
forças familiares e diferenças estatisticamente significativas em função da etapa do ciclo vital, da existência
de filhos e da posição geracional, sugerindo que a perceção das forças familiares varia de acordo com o
momento desenvolvimental da família, com a presença de filhos e a posição dos seus membros no sistema
familiar. Em contrapartida, não se observaram diferenças estatisticamente significativas em função da
tipologia familiar. Verificou-se ainda uma associação positiva entre os resultados do QFF e a satisfação com a
funcionalidade familiar, bem como entre os resultados do QFF e a satisfação com a família.
Estes achados reforçam a relevância das forças familiares enquanto recurso clínico e indicador do
funcionamento familiar, evidenciando o seu contributo para a Enfermagem de Saúde Familiar ao sustentar a avaliação da família nas suas dimensões estrutural, desenvolvimental e funcional e o planeamento de
intervenções centradas nas suas potencialidades, recursos e processos adaptativos, favorecendo a obtenção de ganhos em saúde.
This report describes the educational journey undertaken during the master’s degree, highlighting the development of specialized competencies that underpin family-centered nursing practice within a primary care setting at a Family Health Unit. The clinical practice developed was based on a systemic perspective, supported by theoretical frameworks and nursing models that facilitated the family assessment and the design of interventions tailored to their needs, resources, and potential. Throughout the internships, common competencies of the specialist nurse and specific competencies of the Specialist Nurse in Family Health Nursing were developed, mobilized through the nursing process applied to the family, namely in the assessment of its different dimensions, in the formulation of clinical judgments, and in the planning, implementation, and monitoring of care in partnership with the family. Concurrently, competencies were deepened in the domains of ethics, quality, care management, education, and evidence-based practice. A quantitative, cross-sectional, and descriptive-correlational study was conducted on family strengths among the resident population in Portugal, with the aim of analysing the levels of perceived family strengths and their relationship with structural, developmental, and functional variables of the family system, using the Family Strengths Questionnaire (QFF), a validated instrument for the Portuguese population, which assesses family resources related to family organization, shared beliefs, family support, and the expression of positive emotions within the family context. The results showed overall high levels of family strengths and statistically significant differences according to the family life cycle stage, the presence of children, and generational position, suggesting that perceptions of family strengths vary according to the family’s developmental stage, the presence of children, and the position of family members within the family system. In contrast, no statistically significant differences were observed based on family typology. A positive association was also found between QFF scores and satisfaction with family functioning, as well as between QFF scores and satisfaction with the family. These findings underscore the importance of family strengths as a clinical resource and an indicator of family functioning, highlighting their contribution to family health nursing by supporting the assessment of the family in its structural, developmental, and functional dimensions, as well as the planning of interventions focused on its potential, resources, and adaptive processes, fostering the achievement of health gains.
This report describes the educational journey undertaken during the master’s degree, highlighting the development of specialized competencies that underpin family-centered nursing practice within a primary care setting at a Family Health Unit. The clinical practice developed was based on a systemic perspective, supported by theoretical frameworks and nursing models that facilitated the family assessment and the design of interventions tailored to their needs, resources, and potential. Throughout the internships, common competencies of the specialist nurse and specific competencies of the Specialist Nurse in Family Health Nursing were developed, mobilized through the nursing process applied to the family, namely in the assessment of its different dimensions, in the formulation of clinical judgments, and in the planning, implementation, and monitoring of care in partnership with the family. Concurrently, competencies were deepened in the domains of ethics, quality, care management, education, and evidence-based practice. A quantitative, cross-sectional, and descriptive-correlational study was conducted on family strengths among the resident population in Portugal, with the aim of analysing the levels of perceived family strengths and their relationship with structural, developmental, and functional variables of the family system, using the Family Strengths Questionnaire (QFF), a validated instrument for the Portuguese population, which assesses family resources related to family organization, shared beliefs, family support, and the expression of positive emotions within the family context. The results showed overall high levels of family strengths and statistically significant differences according to the family life cycle stage, the presence of children, and generational position, suggesting that perceptions of family strengths vary according to the family’s developmental stage, the presence of children, and the position of family members within the family system. In contrast, no statistically significant differences were observed based on family typology. A positive association was also found between QFF scores and satisfaction with family functioning, as well as between QFF scores and satisfaction with the family. These findings underscore the importance of family strengths as a clinical resource and an indicator of family functioning, highlighting their contribution to family health nursing by supporting the assessment of the family in its structural, developmental, and functional dimensions, as well as the planning of interventions focused on its potential, resources, and adaptive processes, fostering the achievement of health gains.
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Família Relações familiares Enfermagem familiar Competência clínica
Contexto Educativo
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Sem licença CC