Escola Anna Nery Revista de Enfermagem
https://app.periodikos.com.br/journal/ean/article/doi/10.1590/2177-9465-EAN-2018-0205
Escola Anna Nery Revista de Enfermagem
Research

Importance of families in care of individuals with mental disorders: nurses' attitudes

Importancia de las familias en el cuidado de la persona con trastorno mental: actitudes de enfermeros

Importância das famílias nos cuidados à pessoa com transtorno mental: atitudes de enfermeiros

Carla Sílvia Neves da Nova Fernandes; Maria do Perpétuo Socorro de Sousa Nóbrega; Margareth Angelo; Maria Isolete Torre; Suellen Cristina da Silva Chaves

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Abstract

Objectives: To characterize the attitudes of nurses working in primary health care on the importance of involving families in nursing care to the person with mental disorder.

Method: A cross - sectional descriptive study with a quantitative approach performed with 328 nurses who work in primary health care in Porto, Portugal. Families Importance in Nursing Care - Nurses Attitudes (FINC-NA) scale was applied.

Results: Scale scores were elevated, mean value was 85.9 (Maximum possible 104). The significant correlations were with the variables: academic qualifications (p = 0.001), specialization (p = 0.002) and professional activity context (p = 0.001).

Conclusion and implications for practice: Nurses demonstrate a high degree of agreement about the importance of families in nursing care to the person with mental disorder. Positive attitudes of nurses regarding the importance of involving families in care are fundamental to enhance the quality of care in the presence of mental disorder.

Keywords

Family Nursing; Attitude of Health Personnel; Primary Health Care; Mental Health; Psychiatric Nursing

Resumen

Objetivos: Caracterizar las actitudes de los enfermeros que trabajan en atención primaria de salud sobre la importancia de envolver las familias en los cuidados de enfermería a la persona con trastorno mental.

Método: Transversal, descriptivo, con un enfoque cuantitativo, llevado a cabo con 328 enfermeras de la atención primaria de salud en Porto, Portugal. Se aplicó la escala Families Importance in Nursing Care - Nurses Attitudes (FINC-NA).

Resultados: Los puntajes de la escala fueron elevados, el valor medio fue de 85,9 (Máximo posible 104). Las correlaciones significativas fueron con las variables: habilitación académica (p = 0,001), especialización (p = 0,002) y contexto de actividad profesional (p = 0,001).

Conclusión e implicaciones para la práctica: Enfermeros demuestran alto grado de concordancia en cuanto a la importancia de las familias en los cuidados de enfermería a la persona con trastorno mental. Las actitudes positivas de los enfermeros sobre la importancia de involucrar a las familias en los cuidados son fundamentales para potenciar la calidad de los cuidados en la presencia de trastorno mental.

Palabras clave

Enfermería Familiar; Actitud del Personal de Salud; Atención Primaria de Salud; Salud Mental; Enfermería Psiquiátrica

Resumo

Objetivos: Caracterizar as atitudes dos enfermeiros que trabalham em cuidados de saúde primários sobre a importância de envolver as famílias nos cuidados de enfermagem à pessoa com transtorno mental.

Método: Estudo transversal, descritivo com abordagem quantitativa, realizado com 328 enfermeiros que exercem funções em cuidados de saúde primários em Porto, Portugal. Foi aplicada escala Families Importance in Nursing Care - Nurses Attitudes (FINC-NA).

Resultados: Os escores da escala foram elevados, o valor médio foi de 85,9 (Máximo possível 104). As correlações significativas foram com as variáveis: habilitações acadêmicas (p = 0,001), especialização (p = 0,002) e contexto de atividade profissional (p = 0,001).

Conclusão e implicações para a prática: Os enfermeiros demonstram alto grau de concordância quanto à importância das famílias nos cuidados de enfermagem à pessoa com transtorno mental. Atitudes positivas dos enfermeiros em relação à importância de envolver as famílias nos cuidados são fundamentais para potencializar a qualidade dos cuidados na presença de transtorno mental.

Palavras-chave

Enfermagem Familiar; Atitude do Pessoal de Saúde; Atenção Primária à Saúde; Saúde Mental; Enfermagem Psiquiátrica

References

1 Cree L, Brooks HL, Berzins K, Fraser C, Lovell K, Bee P. Carers' experiences of involvement in care planning: a qualitative exploration of the facilitators and barriers to engagement with mental health services. BMC Psychiatry [Internet]. 2015; [cited 2018 May 31]; 15:208. Available from: https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-015-0590-y

2 Borba LO, Paes MR, Guimarães AN, Labronici LM, Maftum MA. A família e o portador de transtorno mental: dinâmica e sua relação familiar. Rev Esc Enferm USP [Internet]. 2011 Apr; [cited 2018 May 31]; 45(2):442-9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342011000200020&lng=en. DOI: http://dx.doi.org/10.1590/S0080-62342011000200020

3 Brusamarello T, Guimarães AN, Labronici LM, Mazza VA, Maftum MA. Redes sociais de apoio de pessoas com transtornos mentais e familiares. Texto Contexto Enferm [Internet]. 2011 Mar; [cited 2018 May 31]; 20(1):33-40. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072011000100004&lng=en. DOI: http://dx.doi.org/10.1590/S0104-07072011000100004

4 Lavall E, Olschowsky A, Kantorski LP. Avaliação de família: rede de apoio social na atenção em saúde mental. Rev Gaúcha Enferm (Porto Alegre) [Internet]. 2009 Jun;30(2):198-205. Available from: http://seer.ufrgs.br/RevistaGauchadeEnfermagem/article/view/4200

5 Keogh B, Skärsäter I, Doyle L, Ellilä H, Jormfeldt H, Lahti M, et al. Working with Families Affected by Mental Distress: Stakeholders' Perceptions of Mental Health Nurses Educational Needs. Issues Ment Health Nurs [Internet]. 2017 Oct; [cited 2018 May 31]; 38(10):822-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28745973

6 Cairns VA, Reid GS, Murray C. Family members' experience of seeking help for first-episode psychosis on behalf of a loved one: a meta-synthesis of qualitative research. Early Interv Psychiatry [Internet]. 2015 Jun; [cited 2018 May 31]; 9(3):185-99. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24958353

7 Mackie BR, Marshall A, Mitchell M, Ireland MJ. Psychometric testing of the revised "Families' Importance in Nursing Care-Nurses' Attitudes instrument". J Adv Nurs [Internet]. 2018 Feb; [cited 2018 May 31]; 74(2):482-90. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28833443

8 Doyle L, Ellilä H, Jormfeldt H, Lahti M, Higgins A, Keogh B, et al. Preparing master-level mental health nurses to work within a wellness paradigm: Findings from the eMenthe project. Int J Ment Health Nurs [Internet]. 2018 Apr; [cited 2018 May 31]; 27(2):823-32. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28786212

9 Martín Padilla E, Obando Posada D, Sarmiento Medina P. Family adherence in serious mental disorder. Atenc Primaria [Internet]. 2017 Oct; [cited 2018 May 31]; pii:S0212-6567(17)30345-1. Available from: https://www.ncbi.nlm.nih.gov/pubmed/?term=Mart%C3%ADn+Padilla+E%2C+Obando+Posada+D%2C+Sarmiento+Medina+P.+Family+adherence+in+serious+mental+disorder.+Atencion+Primaria

10 Mahato PK, van Teijlingen E, Simkhada P, Angell C, Ireland J; THET team. Qualitative evaluation of mental health training of auxiliary nurse midwives in rural Nepal. Nurse Educ Today [Internet]. 2018 Jul; [cited 2018 May 31]; 66:44-50. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29665504

11 Biscaia AR, Heleno LCV. A Reforma dos Cuidados de Saúde Primários em Portugal: portuguesa, moderna e inovadora. Ciênc Saúde Coletiva [Internet]. 2017 Mar; [cited 2018 Jun 1]; 22(3):701-12. Available from: http://www.scielo.br/scielo.php?pid=S1413-81232017002300701&script=sci_abstract&tlng=pt

12 McCann TV, Lubman DI. Stigma experience of families supporting an adult member with substance misuse. Int J Ment Health Nurs [Internet]. 2018 Apr; [cited 2018 May 31]; 27(2):693-701. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28593690

13 Smithburger PL, Korenoski AS, Kane-Gill SL, Alexander SA. Perceptions of Family Members, Nurses, and Physicians on Involving Patients' Families in Delirium Prevention. Crit Care Nurse [Internet]. 2017 Dec; [cited 2018 May 31]; 37(6):48-57. Available from: http://dx.doi.org/10.4037/ccn2017901

14 Allerby K, Sameby B, Brain C, Joas E, Quinlan P, Sjöström N, et al. Stigma and Burden Among Relatives of Persons With Schizophrenia: Results From the Swedish COAST Study. Psychiatric Serv [Internet]. 2015 Jun; [cited 2018 May 31]; 66(10):1020-6. Available from: https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201400405

15 Angelo M, Cascaes AC, Mekitarian FFP, Santos CCS, Martinho MJCM, Martins MMFPS. Nurses' attitudes regarding the importance of families in pediatric nursing care. Rev Esc Enferm USP [Internet]. 2014 Aug; [cited 2018 May 31]; 48(no.spe):74-9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342014000700074&lng=en

16 Benzein E, Johansson P, Årestedt KF, Saveman BI. Nurses' Attitudes About the Importance of Families in Nursing Care. J Fam Nurs [Internet]. 2008 May;14(2):162-80. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18480033

17 Sveinbjarnardottir EK, Svavarsdottir EK, Saveman BI. Nurses attitudes towards the importance of families in psychiatric care following an educational and training intervention program. J Psychiatr Ment Health Nurs [Internet]. 2011 Dec; [cited 2018 May 31]; 18(10):895-903. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22074060

18 Oliveira PCM, Fernandes HIV, Vilar AISP, Figueiredo MHJS, Ferreira MMSRS, Martinho MJCM, et al. Attitudes of nurses towards families: validation of the scale Families' Importance in Nursing Care - Nurses Attitudes. Rev Esc Enferm USP [Internet]. 2011 Dec; [cited 2018 May 31]; 45(6):1331-7. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342011000600008&lng=en. DOI: http://dx.doi.org/10.1590/S0080-62342011000600008

19 Chaves RGR, Sousa FGM, Silva ACO, Santos GFL, Fernandes HIVM, Cutrim CMS. Importance of the family in the care process: attitudes of nurses in the context of intensive therapy. J Nurs UFPE On Line (Recife) [Internet]. 2017 Dec; 11(12):4989-98. Available from: http://dx.doi.org/10.5205/1981-8963-v11i12a22285p4989-4998-2017

20 Luttik M, Goossens E, Ågren S, Jaarsma T, Mårtensson J, Thompson DR, et al.; Undertaking Nursing Interventions Throughout Europe (UNITE) research group. Attitudes of nurses towards family involvement in the care for patients with cardiovascular diseases. Eur J Cardiovasc Nurs [Internet]. 2017 Apr; [cited 2018 May 31]; 16(4):299-308. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27470053

21 Gusdal AK, Josefsson K, Thors Adolfsson E, Martin L. Nurses' attitudes toward family importance in heart failure care. Eur J Cardiovasc Nurs [Internet]. 2017 Mar; [cited 2018 May 31]; 16(3):256-66. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28051331

22 Abdar ME, Rafiei H, Amiri M, Tajadini M, Tavan A, Rayani F, et al. Iranian nurse attitudes towards the presence of family members during CPR. Br J Card Nurs [Internet]. 2016 Mar; [cited 2018 May 31]; 11(9):438-43. Available from: https://www.magonlinelibrary.com/doi/abs/10.12968/bjca.2016.11.9.438

23 Laidsaar-Powell R, Butow P, Bu S, Fisher A, Juraskova I. Oncologists' and oncology nurses' attitudes and practices towards family involvement in cancer consultations. Eur J Cancer Care (Engl) [Internet]. 2017 Jan; [cited 2018 May 31]; 26(1). Available from: https://www.ncbi.nlm.nih.gov/pubmed/26931469

24 Fernandes CS, Pereira JAP, Martins MM, Gomes BP, Hisako Gonçalves LHT. The Importance of Families in Nursing Care: Nurses' Attitudes in the Hospital Environment. Rev Enferm Ref [Internet]. 2015 Oct/Nov;4(7):21-30. Available from: http://dx.doi.org/10.12707/RIV15007

25 Silva MANCG, Costa MASM, Silva MMFP. A família em cuidados de saúde primários: caracterização das atitudes dos enfermeiros. Rev Enferm Ref [Internet]. 2013 Dec; [cited 2018 May 31]; 3(11):19-28 Available from: http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0874-02832013000300003&lng=pt

26 Blöndal K, Zoëga S, Hafsteinsdottir JE, Olafsdottir OA, Thorvardardottir AB, Hafsteinsdottir SA, et al. Attitudes of Registered and Licensed Practical Nurses About the Importance of Families in Surgical Hospital Units: Findings From the Landspitali University Hospital Family Nursing Implementation Project. J Fam Nurs [Internet]. 2014 Aug; [cited 2018 May 31]; 20(3):355-75. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25026965

27 Park M. Nursing staff stress from caregiving and attitudes toward family members of nursing home residents with dementia in Korea. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2010 Sep; [cited 2018 May 31]; 4(3):130-41. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25031094
 


Submitted date:
07/05/2018

Accepted date:
09/22/2018

6824db36a953953c695189b3 ean Articles

Esc. Anna Nery

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