MDAIF

MDAIF-CSP

Dynamic model of assessment and family intervention: a transformative action in primary health care

The project Dynamic Model of Assessment and Family Intervention: a transformative action in Primary Health Care (MDAIF_CSP) aims for the promotion of new knowledge and new practices in family health nursing. The theoretical frame of reference of this project is the Dynamic Model of Assessment and Family Intervention (MDAIF), incorporating other references according to the nature of the studies integrated into different research domains.

MDAIF, as a theoretical frame of reference of Family Health Nursing, was created and validated by the research developed in the context of Primary Health Care (PHC).  The MDAIF’s operational matrix reflects the theoretical and operational definitions interconnected to meta-paradigmatic concepts and arising from its assumptions and postulates. It seeks to establish an organisational structure for the operational connections that gives the element of testability. On the other hand, the operational matrix foresees a comprehensive structure of the relationship nature between definitions, through the operational connections that characterise its ordering matrix. This allows for the interconnection between the stages of the nursing process, incorporating the following elements: attention areas, data, diagnoses and interventions, which guide the design of family nursing care practices. Being dynamic, flexible, and interactive in nature, it allows nurses to propose interventions as a response to the needs of families in care, by accurately identifying such needs. The structure, process, and result indicators that, based on the operational definitions of MDAIF, enables the identification of health gains for the families in their structure, development, and functioning domains, sensitive to nursing care.

The MDAIF is integrated into the syllabus of Family Health Course Units in the different study cycles at multiple nursing education institutions. It is used as a theoretical and operational reference in internships integrated in different courses of 1st and 2nd cycle, being equally used as a theoretical reference in research studies in Master’s and Doctorate Degrees.

The implementation of this Model in several Primary Health Care contexts has been perceived as a promoter of a nursing practice based on systemic assumptions, maximising the potential of the family nurse’s professional practice.

The international recognition of the MDAIF as a reference of family nursing practices, specifically by the Internacional Family Nursing Association (IFNA) consolidates it as a reference to the MDAIF_CSP Project, focused on the promotion of new knowledge and new practices in family health nursing.

This is a multicentric and multilevel project, under which several studies are carried out, integrated into subdomains belonging to different domains/subprojects.

Hosting Unit
Aims

A1: TRAINING IMPACT, SUPPORTED BY THE MDAIF, IN THE DEVELOPMENT OF PHC NURSES’ COMPETENCIES IN FAMILY ASSESSMENT AND INTERVENTION

OG-1: To evaluate the impact of training supported by the MDAIF in the development of PHC nurses’ competencies in family assessment and intervention

A2: REPRESENTATIONS AND SELF-PERCEPTION OF NURSES’ COMPETENCIES IN FAMILY ASSESSMENT AND INTERVENTION IN THE PRIMARY HEALTH CARE SECTOR IN PORTUGAL, SPAIN AND BRAZIL

OG-1:. To compare the representations and self-perception of nurses’ competencies in family assessment and intervention in the primary health care sector in Portugal, Spain, and Brazil

A3: THE IMPACT OF TRAINING IN THE DEVELOPMENT OF NURSES’ COMPETENCIES IN FAMILY ASSESSMENT AND INTERVENTION, CONCERNING THE ROLE OF THE CAREGIVER, SUPPORTED BY THE MDAIF IN COLLABORATION WITH THE SUPPORT MODEL FOR INFORMAL CAREGIVER MASTERY (MAMCI) AND THE STRUCTURED INTERVENTION PROGRAMME: PROMOTING THE WELL-BEING OF THE FAMILY CAREGIVER (PIEFC)

OG-1: To evaluate the impact of training in the development of nurses’ competencies in family assessment and intervention, concerning the role of the caregiver, supported by the MDAIF in collaboration with the support model for informal caregiver mastery (MAMCI) and the structured intervention programme: promoting the well-being of the family caregiver (PIEFC)

A4: EFFECTIVENESS OF THE STRATEGIC TRAINING DESIGN ON MDAIF IN TRANSFERRING TRAINING TO PRACTICE IN FAMILY HEALTH NURSING

OG-1: To develop and implement a strategic training design for the MDAIF educational programme

OG-2: To assess the effectiveness of the strategic training design on MDAIF in transferring training to practice in family health nursing

A5: THE IMPACT OF TRAINING, SUPPORTED BY THE MDAIF, ON THE DEVELOPMENT OF COMPETENCIES OF UNDERGRADUATE AND POSTGRADUATE NURSING STUDENTS IN FAMILY ASSESSMENT AND INTERVENTION

OG-1: To assess the impact of training, supported by the MDAIF, on the development of competencies of undergraduate and postgraduate nursing students in family assessment and intervention

A6: CONTRIBUTION OF A COMPUTER APPLICATION TO THE DEVELOPMENT OF FAMILY ASSESSMENT AND INTERVENTION SKILLS

OG-1: The contribution of a computer application to the development of family assessment and intervention skills

A7: POSTGRADUATE TRAINING IN FAMILY HEALTH NURSING: NURSES’ SELF-PERCEPTION ON THE CURRICULAR PLAN, SKILLS DEVELOPMENT AND TRANSFER TO THE CLINIC

OG-1: To assess the perception of nurses, who undertook postgraduate training in family health nursing, on the curricular plan, skills development, and transfer to the clinical practice

A8: NURSING TEACHERS’ PERSPECTIVE ON THE APPROPRIATE SUPERVISION MODELS IN CLINICAL TEACHING UNITS, WITHIN THE SCOPE OF THE PHC

OG-1: To analyse the nursing teachers’ perspective on the appropriate supervision models in clinical teaching units, within the scope of PHC.

A9: HOPE-PROMOTING CARE DEVELOPED BY STUDENTS ON THE NURSING DEGREE COURSE

OG-1: To identify the hope-promoting care developed by students of the nursing degree course

A10: PHC NURSES’ SKILLS IN HIV/AIDS INFECTION

OG-1: To develop and validate an instrument to assess the perception of nurses’ skills, in the PHC context, in the control of HIV/AIDS infection.

OG-2: To identify the relationship between having or not having training on HIV infection and the perception of nurses’ skills in HIV infection control.

OG-3: To assess the perception of nurses’ skills, in the PHC context, in the HIV/AIDS infection control, through the ECAPC-VIH_CSP

B.1. FAMILIES WITHIN PHC IN PORTUGAL, SPAIN, AND BRAZIL

OG-1: To identify the assessment data and attention area of the MDAIF evaluated by nurses in the provision of
family

OG-2: To identify the families’ needs in nursing care, considering the diagnoses proposed in the operational
matrix of the MDAIF

OG-3: To identify the health gains resulting from the interventions developed by nurses

B.2. FAMILIES WITH A CHRONICALLY ILL MEMBER

B.2.1. Family with a member submitted to non-invasive mechanical ventilation

OG-1To assess the needs of families with a member submitted to non-invasive mechanical ventilation (NIV)

B.2.2. Family with a member suffering from Multiple Sclerosis

OG-1To assess the needs of families with a member suffering from Multiple Sclerosis (MS)

B.2.3. Family with a member suffering from neuromuscular pathology

OG-1: To assess the needs of families with a member suffering from neuromuscular pathology

B.2.4. Family with a member suffering from chronic pain

OG-1: To assess the effects of a programme to promote hope in family health

B.2.5. Family with an alccohol-addicted member

OG-1: To assess the effects of a cognitive-behavioural programme in family health

B.2.6 Families with opiate-dependent member(s) in substitution programmes

OG-1: To assess the effects of an intervention programme in families with opiate-dependent member(s) in substitution
programmes
 

B.3. FAMILIES WITH A MEMBER WITH A DISABILITY

OG-1To assess the functioning of families with a child with a disability

OG-2: To assess the nursing care needs of families with a deaf or hearing-impaired member

B.4. FAMILIES WITH DEPENDENT MEMBERS IN SELF-CARE

OG-1: To assess the needs of families with a dependent adult member in self-care

OG-2: To assess the needs of families with a dependent child resulting from accidental transitions

OG-3: To assess the patterns of family interaction and hope resources in families experiencing accidental transitions resulting from health/illness processes

B.5. FAMILIES WITH AMEMBER IN END-OF-LIFE

OG-1: To assess the needs of families with amember in end-of-life

B.6. RECONSTRUCTED FAMILIES

B.6.1. Rebuilt families with teenage children

OG-1: To assess the PHC nurses’ representations and practices in family assessment and intervention to rebuilt families with teenage children.

OG-2: To assess the self-perception of PHC nurses’ skills in family assessment and intervention with rebuilt families with teenage children

OG-3: To assess the needs of rebuilt families with teenage children

OG4: To assess the needs of teenage children that live with the rebuilt family;

OG-5: To assess the needs of stepmothers/stepfathers regarding the need to assume parental responsibility even before an emotional bond is created.

OG-6: To understand the experiences/meanings/attributions of meaning of the spouses in assuming parental responsibility for their partners’ children

OG-5: To compare the needs of rebuilt families with teenage children with the needs of nuclear families with teenage children

B.7. SINGLE-PARENT FAMILIES

OG-1: To describe the epidemiological profile of single-parent families

B.8. EXTENDED FAMILIES

OG-1: To understand the transition process of the extended family in the integration of the new-born in the family system

B.9. MIGRANT FAMILIES

B.9.1. THE PERSPECTIVE OF THE MIGRANT WOMAN ON THE INTERACTION PROCESS WITH THE NURSES DURING PREGNANCY TO THE POSTNATAL PERIOD

OG-1: To understand the perspective of the migrant woman on the interaction process with the nurses during pregnancy to the postnatal period

B.9.2. NURSES’ CULTURAL SKILLS IN INTERACTING WITH MIGRANT FAMILIES

OG-1. To build a matrix of guidelines promoting nurses’ cultural skills in the interaction with migrant families

B.9.3. Families in the gravidic-puerperal cycle

B.10: IMPACT OF COVID ON THE FAMILY: STRATEGIES FOR MAINTAINING FAMILY FUNCTIONING

B.11: MDAIF OPERATIONAL MATRIX: MONITORING AND EVOLUTION OF ATTENTION/DIAGNOSES AREAS AND INTERVENTIONS
IN FAMILY HEALTH NURSING

C.1- FAMILY SATISFACTION

OG1: To assess the families’ perception of the care produced by family nurses

OG2: To develop an instrument to measure families’ satisfaction regarding the care provided by family nurses

OG3: To assess the families’ satisfaction regarding the care produced by family nurses, targeting the family as a unit, using the validated measurement instrument.

OG4: To define the conceptual matrix of predictive factors of families’ satisfaction

OG5: To compare the satisfaction of families receiving nursing care by family nurses in Portugal, nurses in Primary Health Care (PHC) in Spain, and nurses of the Unified Health System (SUS) in Brazil.

C.2- NURSES SATISFACTION

OG1: To assess the family nurses’ representation on the factors associated with the recognition of the value of their care

OG2: To develop an instrument to measure nurses’ satisfaction regarding the care produced with the families

OG3: To assess the family nurses’ satisfaction in the care process to the families using a validated measurement instrument.

OG4: To define the conceptual matrix of predictive factors of families’ satisfaction

OG5: To compare the family nurses’ satisfaction in Portugal, nurses in Primary Health Care (PHC) in Spain, and nurses of the Unified Health Systems (SUS) in Brazil.

C.3- IMPACT OF THE MDAIF IMPLEMENTATION ON THE INTERNAL AND EXTERNAL ENVIRONMENT

OG-1: To assess the family nurses’ perception of the impact of the MDAIF implementation on the internal and external environment

OG-2: To assess the managing nurses’ perception on the impact of the MDAIF implementation on the internal and external environment

OG-3: To assess the effects of MDAIF implementation on the clinical governance of functional units in ACeS

OG-4: To analyse the success and failure factors of MDAIF implementation

C.4- CONTRACTING IN PRIMARY HEALTH CARE

OG-1: To develop an operative reference point in family health for the contract of primary health care in the functional units’ context dedicated to assisting families.

C.5- QUALITY AND EFFECTIVENESS IN HEALTH IN PHC

OG1- To analyse the family nurses’ representations of the concepts of quality and effectiveness in health

OG2- To define conceptual framework explaining the concepts of quality and effectiveness in health

C.6- PHC PRACTICE ENVIRONMENT AND SAFETY CARE

OG1- To analyse the family nurses’ representations on the practice environment and safety care.

OG2- To define conceptual framework explaining the concepts of quality and effectiveness in health

OG3- To analyse the family nurses’ perception of the factors that affect the practice environment.

OG4- To identify instruments to assess the practice environment in PHC

C.7- STAFFING OF FAMILY NURSES

OG-1: To analyse the concept of safe staffing

OG-2:  To identify the ratio of families/family nurse in the PHC in USF (Family Health Unit) and UCSP (Personalised Health Care Units)

OG-3: To develop an instrument/tool to measure the workload of family nurses in appointments, within the scope of NHP, taking as clients the family as a whole and its members individually

3.2: To identify the activities that the family nurses carry out in the appointments, within the scope of NHP, taking as clients the family as a whole and its members individually:

3.3: To analyse which characteristics of nursing clients that affect the workload of family nurses

3.4: To analyse the socio-professional characteristics of nurses that influence the appointment time.

3.5: To identify the activities that the family nurses carry out in the appointment that are predictors of workload

OG-4: To develop a guiding staffing matrix safe for family nurses within the scope of the competencies of the specialist nurse in family health nursing.

D.1– IMPACT OF FAMILY INTERVENTION IN THE PROMOTION OF COMMUNITY EMPOWERMENT

OG-1: To assess the impact of family intervention in the promotion of community empowerment

E.1– DOCUMENTATION SHARED BETWEEN PHC/HOSPITALISATION SETTINGS, WITHIN THE SCOPE OF FAMILY HEALTH

E.1.  Matrix for sharing documentation PHC/ inpatient settings, within the scope of family health

OG1- To propose a matrix of shared documentation PHC / hospitalisation settings, within the scope of family health

F.1. NURSING CARE PROMOTERS OF FAMILY AND EMERGING LITERACY

OG-1: Develop a programme to promote practices of family literacy to equip parents/parent figures with the knowledge that promotes emergent literacy competencies for children between six months and five years of age             

OG-2: To assess the effect of the programme promoting practices of family literacy on the implementation of emergent literacy skills by parents/parent figures of children between the ages of six months and five years of age         

F.2- FAMILY LITERACY AND SLEEP PATTERNS OF TEENAGERS

OG-1: To assess the impact of the intervention programme in family literacy in sleep patterns of teenagers

F.3- FAMILY LITERACY: RELATIONSHIP BETWEEN FEARS, SLEEP PATTERN OF CHILDREN AND SLEEP PATTERN OF PARENTS/PARENT FIGURES

OG-1: To analyse the relationship between the assessment that parents/parent figures do about the sleep quality of children and the self-perception of children about the quality of their sleep

OG-1: To identify the differences in fears and self-perception of sleep quality according to the gender of the children.

OG-1: To analyse the relationship between self-perception of sleep quality and self-perception of fear existence.

F.4- HEALTH LITERACY IN ONE-PERSON FAMILIES

OG-1: To characterise one-person families in the socioeconomic context

OG-2: To assess health literacy of the one-person household member

OG-3: To identify the predictive factors of the health literacy level in one-person families

F.5- HEALTH LITERACY IN INSTITUTIONAL FAMILIES

OG-1 – To assess health literacy in institutionalised elderly people

OG-2: To identify the predictive factors of the health literacy level in one-person families

F.6- HEALTH LITERACY IN SINGLE-PARENT FAMILIES

OG-1: To identify the sociodemographic characteristics of single-parent families.

OG-2: To assess the health literacy level in single-parent families.

OG-3:  To assess the relationship between the health literacy level and health self-perception of single-parent families

OG-3: To identify the predictive factors of the health literacy level in single-parent families

F.7- HEALTH LITERACY IN REBUILT FAMILIES

OG-1: To identify the sociodemographic characteristics of rebuilt families.

OG-2: To assess the health literacy level in rebuilt families.

OG-3: To identify the predictive factors of the health literacy level in rebuilt families.

F.7- HEALTH LITERACY IN NUCLEAR FAMILIES

OG-1: To characterise nuclear families in the socioeconomic context

OG-2: To assess health literacy for nuclear families

OG-3: To identify the predictive factors of the health literacy level in nuclear families

F.7- HEALTH LITERACY IN EXTENDED FAMILIES

OG-1: To characterise extended families in the socioeconomic context

OG-2: To assess health literacy for extended families

OG-3: To identify the predictive factors of the health literacy level in extended families

F.9- HEALTH LITERACY IN COUPLE FAMILIES

OG-1: To identify the sociodemographic characteristics of couple families.

OG-2: To assess the health literacy level in couple families.

OG-3: To identify the predictive factors of the health literacy level in couple families.

 F.10- HEALTH LITERACY IN COHABITING FAMILIES

OG-1: To identify the sociodemographic characteristics of cohabiting families.

OG-2: To assess the health literacy level in cohabiting families.

OG-3: To identify the predictive factors of the health literacy level in cohabiting families.

 F.11 FAMILY LITERACY ASSESSMENT

OG1: To develop a family literacy assessment measurement tool

OG3: To assess family literacy in a representative group of Portuguese families

OG4: To define the conceptual matrix of predictive factors of family literacy

G.Q- SPIRITUALITY AND MEANING OF LIFE: NURSES’ CONCEPTIONS AND PRACTICES

OB1-To analyse the nurses’ representations on spirituality as a strength/ resource in care provision

OB2- To analyse the nurses’ conceptions of the meaning of life

H.1- KNOWLEDGE, ATTITUDES AND CULTURAL COMPETENCY ON GENDER IDENTITY

OB1- To analyse the knowledge, attitudes, and cultural competency of 1st cycle nursing students in Portugal, Spain, and Brazil, regarding the LGBTI community.

OB2- To analyse the knowledge, attitudes, and cultural competency of health professionals in Portugal, Spain, and Brazil, regarding the LGBTI community

OB3- To analyse the knowledge, attitudes, and cultural competency of family members in Portugal, Spain, and Brazil, regarding the LGBTI community.

I.1: DYNAMIC MODEL OF FAMILY INTERVENTION ASSESSMENT: LOYALTY TO THE BRAND

OG1- To analyse the nurses’ perception on MDAIF, identify the previous loyalty to MDAIF, and asses nurses’ satisfaction

References

Ano: 2009 Autoria: Figueiredo, M.. In Tese de Doutoramento em Ciências de Enfermagem. Porto: Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto.

Ano: 2010 Autoria: Figueiredo M., & Martins M. In Ciência, Cuidado e Saúde, Jul/Set; 9 (3), 552-559.

Ano: 2009 Autoria: Figueiredo, M. In Rev. esc. enferm. USP , 43 (3), pp. 612-618.

Ano: 2009 Autoria: Figueiredo, M. & Moreira, S.  In Revista Mineira de Enfermagem, 13(1), pp.56-64.

Useful documents

Autoria: Figueiredo, M.

Autoria: Figueiredo, M.

Autoria: Figueiredo M.

Research team

Maria Henriqueta Figueiredo

Principal Investigator

Ana Isabel Vilar

ESEP

Clemente de Sousa

ESEP

Diogo Monteiro

ESEP

Maria José Peixoto

ESEP

Palmira Oliveira

ESEP

Rosa Freire

ESEP

Agostinha Melo Corte

ESS-IPGuarda

Alcinda Costa dos Reis

ESS-IPSantarém

Alexandra Freitas

Universidade da Madeira

Ana Cristina Madeira

ESS-IPSantarém

Ana Isabel Querido

IPLeiria

Ana Margarida Murteiro

ARSCentro

Ana Maria Melo

ARSNorte

Ana Maria Resende

UCP

Ana Paula de Oliveira

ESS-IPPortalegre

Ana Rita Choupina

ARSNorte

António Alberto Dias

ARSNorte

António Joaquim Festa

ARSNorte

Cândida Santos Amaral

ARSNorte

Carlos Magalhães Vitor

ARSNorte

Carmen Maria Andrade

ESS-UAçores

Cláudia Isabel Pires de Lima

ARSNorte

Diliana Costa Ribeiro

ARSNorte

Dora Maria Honorato Carteiro

ARSLVTejo

Elda Raquel Saraiva da Costa

ARSNorte

Ermelinda Maria Marques

ESS-IPGuarda

Ezequiel Carrondo

ARSNorte

Fernanda Andrade

ARSNorte

Filipe Ferreira Moreia

CRI ARSNorte

Helena Maria do Arco

IPPPortalegre

Helena Maria Loureiro

UAveiro

Hélia Maria da Silva Dias

ESS-IPSantarém

Hortense Maria Cotrim

Universidade Atlêntica

Inês Alexandra Dias Fonseca

ESS-IPGuarda

Inês Maria Lima

ARSNorte

Isilda Maria Ferreira Couto

ARSNorte

Joana Sofia Gomes Baía

IPGuarda

João Luís Alves Apóstolo

ESENFC

João Manuel Rodrigues

ARSNorte

João Edmundo de Sousa

ESEL

José Luís Castro Cardoso

Krankenhaus Barmherzige Brüder – München

José Manuel Janeiro

ESS-Lisboa-CVP

Lídia Moutinho

ESS-Ribeiro Sanches

Liliana Ferreira Borges

ARSLVTejo

Manuel Alberto Morais Brás

ESS- IPBragança

Margarida Moreira da Silva

ESENFC

Maria da Conceição Santiago

ESS-IPSantarém

Maria Irene Santos

ESS-IPSantarém

Maria Isabel Costa

ESS- IPViseu

Maria Isabel Moreira

USISM

Maria Jacinta Pereira Dantas

ULSM

Maria João Monteiro

ESS- UTAD

Maria João Fernandes

ESS-Ribeiro Sanches

Maria Manuela Ferreira

ESSNorteCVP

Marlene Lebreiro da Silva

ARSNorte

Michele de Fátima Pinto

ARSNorte

Mónica Cláudia Silva Barbosa

ULSM

Olívia Lourenço Matos

ARSLVTejo

Pedro Henrique Gonçalves da Silva

ULSM

Pedro Miguel de Almeida Melo

UCP

Renata Vila Nova da Silva

USISM

Rute Leonor Rego

ARSLVTejo

Sara Teles de Vasconcelos

ESS-IPGuarda

Sílvia Ferreira Dias

ARSCentro

Telma Marisa Santos Silva

ARSNorte

Teresa Huttel Barros

ESS-IPLeiria

Tiago Gonçalves Marques

Centro Hospitalar VNG

Virgínia Sousa Guedes

ARSNorte

Zaida Borges Charepe

UCP