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-1: To 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-1: To 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-1: To 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
Partners
This is a networking project involving the following partners:
- Secretaria Regional de Saúde dos Açores
- Unidade Local de Saúde de Matosinhos
- Universidade dos Açores: Escola Superior de Enfermagem de Ponta Delgada
- Universidade Católica Portuguesa
- Universitat Rovira I Virgili
- Universidade de São Paulo
- Universidade de Trás-os-Montes e Alto Douro: Escola Superior de Enfermagem de Vila Real