Calgary Family Assessment Model Research Articles

Calgary assessment model: study of family units with child malnutrition

To describe the experience of using the Calgary Family Assessment Model in two family units with child malnutrition, as well as to construct their genogram and ecomap, analyzing the profile of the family structure. This is a case study carried out with two families, with a qualitative approach, developed in a reference unit for early childhood care, located in the city of Fortaleza-CE, from March to May 2023. ethical assessment with CAAE 66662422.8.0000.5049. Family 2 presented a higher risk of food insecurity, since only one of its components (F1) is the breadwinner. In addition, it was found that the therapies used in nutritional monitoring achieved greater adherence in Family 1, correlated with greater access to food, as well as the higher level of education of its members. However, through the application of the Calgary Model of Family Assessment, one can recognize the ability of families to solve problems, as well as inhibitions related to the educational nature that make it difficult to adhere to the interventions offered about child malnutrition.

MODELO CALGARY DE AVALIAÇÃO FAMILIAR: MULHERES EM SITUAÇÃO DE VIOLÊNCIA E REVOGAÇÃO DE MEDIDAS PROTETIVAS

ABSTRACT Objective: To understand the strengths and weaknesses of the families of women in situations of violence who have had their emergency protective measures revoked. Method: descriptive research based on the Calgary Family Assessment Model, in the context of a Women’s Police Station in a municipality in the interior of São Paulo, Brazil, carried out between September and November 2021, with four families of women who revoked the protective measure. Family structure, development, and functionality data were collected and analyzed according to the Calgary Model. Results: the families have similarities that include socio-economic aspects, low schooling, alcohol use, conflicting family relationships, and transgenerational relationships that, due to their fragility, perpetuate the cycle of violence. However, the social benefits, religious support, and family members were strengths. Conclusion: The Calgary Family Assessment Model guides nurses in proposing care plans consistent with domestic violence’s complexities.

DEVELOPMENT EVALUATION AMONG FAMILIES OF PEOPLE WITH SUICIDAL BEHAVIOR: AN APPLICATION OF THE CALGARY MODEL

ABSTRACT Objective: to describe the events that marked the development process experienced by families of people with suicidal behavior. Methodology: study based on the Calgary Family Assessment Model. The study had the participation of nine families of individuals who used the Suicide Study and Prevention Center located in the city of Salvador - Bahia, Brazil. Online data collection took place between November 2021 and May 2022. The questions were previously structured in a form based on the CFAM framework. Once transcribed, the interviews went through the transcreation and textualization processes. Results: among the categories that emerged, the following stand out: Experience of intra-family violence as a precipitating factor for suicidal behavior in the life cycle of the families; Self-renunciation in favor of caring for a person with suicidal behavior; and Animal bonding as a protective factor for suicidal behavior in the development process experienced by families of people with suicidal behavior. Conclusion: by elucidating such events, it is possible to connect with and intervene in the conflicts, as well as using them as protective factors against suicide attempts.

P22.01.A PERSON-CENTRED PRACTICE: EXPLORING FAMILY STRENGTH BY USING GENOGRAMS AND ECOMAPS

Abstract BACKGROUND Illness of a family member impacts the entire family. Family relationships, roles and tasks often change, and neuro-oncological caregivers experience a high level of burden and distress when playing a vital role in the informal care of the patient. The theory of Family Systems Nursing advises to approach the family rather than merely the patient. Within Family System Nursing the Family Nursing Conversations is an important intervention that focus on the interactions within a family and between the nurse and the family. The Calgary Family Assessment and Intervention Model (CFAM/CFIM) guide clinical practice to be family focused. According to these models, the drawings of genograms and ecomaps are efficient tools to graphicly portray the specific family constellation and social relationships. This presentation shows how genograms and ecograms can be applied to strength the dialogue with a family when implementing family-focused conversations. MATERIAL AND Methods In the neuro-oncological outpatient clinic at the University Hospital of Copenhagen we offer family and/or caregiver conversations. At the initial conversation, a genogram and an ecogram are drawn. By visualizing the family structure and interrelationships, the family is illustrated as a unit and the family can see their constellation in relation to each other and to the outside world. RESULTS Based upon the genograms and ecograms, a dialogue takes place. They have shown to be important tools to visualize the structure, with strengths and challenges within a family system. Further, they provide a good starting point for a family-focused communication. However, to implement these tools, training is required. Therefore, we have prepared teaching material to healthcare professionals. This material has been tested in family-focused conversations. CONCLUSION The use of genograms and ecomaps have proven to be efficient for a family-focused approach in a neuro-oncological outpatient clinic. They facilitate a good starting point for a family to identify their relationships and resources. During the conversations the family/caregivers often gain new insights and management strategies for coping.

Elderly victims of violence: family assessment through the Calgary model.

To understand the structure, development, and functionality of the family of the elderly victim of violence. Descriptive research with a qualitative approach, based on the Calgary Family Assessment Model. Four elderly people who suffered violence and their family members were assessed at home, from October to November 2019. Data analysis was based on the genogram and ecomap, as proposed in the model. It was found that the members of the four families had low schooling and financial difficulties. As for the social support network, the neighbors, the health unit and the Church stood out. The members of each family nucleus expressed feelings of fear, insecurity, anger, nervousness, sadness and impotence, resulting from the conflict between the couple. In the assessed families, weaknesses and potentialities in the structure, development and functioning are highlighted, which must be considered in the elaboration of the care plan.

Organização familiar no contexto da infância com paralisia cerebral: um estudo de caso

Objetivo: avaliar a organização de uma família cadastrada em uma unidade de Estratégia Saúde da Família (ESF), para o cuidado de uma criança portadora de paralisia cerebral segundo o Modelo Calgary de Avaliação Familiar (MCAF). Método: estudo de caso com abordagem qualitativa realizado em uma ESF localizada em um município do norte de Minas Gerais, durante abril e maio de 2019. O sistema familiar foi descrito de acordo com o MCAF. Para avaliação da funcionalidade utilizou-se a escala Global Assessment of Relational Functioning (GARF). Para a coleta de dados, foi realizada uma entrevista semiestruturada durante uma visita domiciliar e leitura dos prontuários. Utilizou-se o software GenoPro® para confecção do genograma e ecomapa. Resultados: A família da paciente índice encontra-se simultaneamente nos seguintes estágios do ciclo de vida: família com filhos pequenos; família com crianças pré-escolares e família com crianças em idade escolar. De acordo com a escala GARF a família foi classificada como alto risco, com 15 pontos. Conclusão: A família estudada apresentou dificuldades de adaptação frente às demandas impostas pela condição de saúde da paciente índice. A utilização do MCAF viabilizou ao profissional responsável pela assistência familiar o conhecimento da sua dinâmica, além da identificação das necessidades vivenciadas e a formulação de estratégias de cuidado e enfrentamento. Ficou evidente que a desestruturação e a não adaptação às mudanças do sistema familiar interferiram diretamente na qualidade de vida de seus membros.

Avaliação de unidades familiares não tradicionais e suas implicações para o cuidado de enfermagem


 
 
 
 Unidades familiares na?o tradicionais logram conquistas contemporaneamente, tornando relevante a pesquisa acerca de seus aspectos estruturais e funcionais. Objetivou-se conhecer algumas fami?lias de configurac?a?o na?o tradicional, avaliando-as por interme?dio do Modelo Calgary de Avaliac?a?o de Fami?lias. Procedeu-se estudo de caso qualitativo, realizado em Bele?m, PA, Brasil. A coleta de dados ocorreu entre novembro de 2017 ate? marc?o de 2018 preferencialmente na presenc?a da totalidade dos componentes em visitas domiciliares, com aplicac?a?o de entrevista semiestruturada conforme o diagrama ramificado do Modelo Calgary de Avaliac?a?o de Fami?lias e uso do software GenoPro. A classificac?a?o foi: unipessoal, uniparental feminina com filhos, homoafetiva feminina, tradicional com membro agregado e uniparental feminina com filho adotivo, indicando complexas relac?o?es com os componentes da unidade e da fami?lia extensa. O Modelo Calgary de Avaliac?a?o de Fami?lias demonstrou seu impacto para a enfermagem de fami?lia no que concerne a? tipificac?a?o de fami?lias na?o tradicionais, assiste?ncia, expressa?o de sentimentos, soluc?a?o de problemas e evoluc?a?o dos arranjos familiares.
 
 
 

“Body and Soul Pain”

Violence is a problem to be understood in an interdisciplinary way. This qualitative study aimed to understand the conception of women who experienced marital violence and structurally analyze their social support networks. Five women who reported their spouses to the Women’s Police Station (DECCM) and were being monitored by the Technical Team of the Women’s Emergency Support Service (SAPEM) were interviewed using a semi-structured questionnaire. A constructive-interpretive analysis was performed to identify the conceptions of experience of marital violence and through the Calgary Family Assessment Model (CFAM) it was possible to make an analysis and a graphic representation of the social support network for the women participating in this study. In general, it was observed that all women understand physical violence as actions that cause damage to the human anatomical and physiological structure. However, their conceptions are not limited to physical injury; they are also related to affective issues. For the participants, conjugal violence is not fragmented into “types of violence”, on the contrary, it occurs “agglutinated”, affecting the body and soul. Regarding the development of women’s social support network, they all have a family member as support – usually sons/daughters or mothers – and most of them count on the SAPEM technical team. The police station/police is also part of the network. Therefore, these tactics used in the social support network structure have different mechanisms by which the women reorganized their stories, electing some people and/or institutions, excluding others, highlighting this or that person and/or institution to make them agents for minimizing threatening behavior to themselves and their families. These people, when called in, seem to act either to curb violence and to strengthen the couple’s marital bonds or to break these bonds

Donzelot and the government of families: A critical analysis of nursing system theories

This article provides a critical analysis of the Calgary Family Assessment Model using Jacques Donzelot's work. According to Donzelot, the family is exploited by (para)medical power, and becomes a fertile ground for practices of governmentality. Thus, the family is invited (and "trained") to play a health provider role in addition to the role of natural caregiver. The (para)medical apparatus imposes itself on the family's intimacy, alters its functioning, and tenuously governs its conduct. Our analysis shows that Donzelot's theoretical perspective conflicts with nursing theories.

Alcoholic beverage users: structural and functional aspects based on the Calgary Model

Objective: to describe the structural and functional aspects and support networks of families living with users of alcoholic beverages. Methods: a cross-sectional descriptive study, methodological reference of the Calgary Family Assessment Model, based on semi-structured interviews with the genogram and eco-map tools, carried out with relatives of four construction workers hospitalized for injuries related to alcoholic beverage use, and notified to an information and toxicological assistance center. Results: there was a reduction of the children between the generations, but the use of drugs was expanding in the families. Distant and conflicted family relationships were found. The neighborhood support network was strongly linked, but the support of Primary Health Care was a weak link. Conclusion: the structural and functional evaluation of the families propitiated knowledge for health promotion, treatment and recovery processes to restore fragile family relationships.

The aging of families with members with intellectual disabilities.

to understand the structure and dynamics of families in the late stage of the life cycle that have a member with intellectual disability. qualitative research using the Calgary Family Assessment Model as methodological framework. The study had 38 participants, distributed into 10 families that had a member with intellectual disability and whose parents were elderly. The interviews were analyzed with content analysis technique. the following analytical categories were evidenced: "living with intellectual disability", "communication as a strategy for encounter", "family isolation and the need for support" and "concerns about care in the future". families in the late life cycle who had a member with intellectual disability are arranged in a structure that overloads a single caregiver (mother), has little support network, uses communication as an instrument for understanding themselves and the other, besides having difficulties in projecting the future.

Functionality of the support to the family of children with pneumonia.

To know the composition and functioning of the social support used by the family of children with pneumonia. A qualitative study was carried out with fourteen families of children under five years old hospitalized for pneumonia, coming from regions of greater social vulnerability in a city in the state of São Paulo, from November 2015 to May 2016. The theoretical reference used was the Calgary Family Assessment Model, and the Bardin Thematic Content Analysis was used as method. The nuclear family and the extended family constitute the social support used; the support network accessed includes the Primary Health Care, Emergency Care Units and hospitals, observing intersectoral referral and counter-referral failure. The family reorganization proved to be relevant and effective in times of crisis; the families seek the secondary level of health care to solve the illness of their child.

Measuring Change in Nurses' Perceptions About Family Nursing Competency Following a 6-Day Educational Intervention.

This study describes nurses' perspectives about their experience of being involved in a 6-day educational intervention which focused on the development of competency in family nursing practice with a particular emphasis on family nursing conversations. The foundational knowledge of the educational intervention was based on the Calgary Family Assessment Model (CFAM) and the Calgary Family Intervention Model (CFIM). A research design incorporating quantitative and qualitative measurement was used. Before and after the family nursing educational intervention, nurse participants (n = 18) completed the Families' Importance in Nursing Care-Nurses' Attitudes (FINC-NA) instrument. The outcomes were analyzed using paired-samples t tests. FINC-NA scores increased by 6.94 points (SD = 5.66, p < .001). To complement the quantitative findings, in-depth interviews were conducted with all of the participants. Participants reported increased awareness of the importance of families in nursing care. In addition to an increase in positive attitudes about families, participants perceived that their knowledge and skills regarding family nursing conversations were more comprehensive. A 6-day educational intervention with a focus on reflection appears useful in helping nurses to "think family" and encouraging perceptions of increased competence in family nursing conversations.

Aplicação do Modelo Calgary de Avaliação Familiar no contexto hospitalar e na atenção primária à saúde. Revisão integrativa

Objetivo: caracterizar las publicaciones sobre la aplicación del Modelo Calgary de Evaluación Familiar, en el contexto hospitalario y en la atención primaria a la salud, divulgadas en periódicos en línea del área de salud. Material y método: revisión integradora de la literatura. La compilación del material se realizó mediante la búsqueda en el portal Capes, Pubmed, Medline, Lilacs, BDENF, en la CidSaúde e Ibecs. Se adoptaron los siguientes criterios de inclusión: artículos en línea, disponibles en su totalidad, publicados en los idiomas portugués, inglés y español, entre enero de 2008 y diciembre del 2013. La muestra estuvo compuesta por 25 trabajos. Resultados: en los años 2008, 2010 y 2013 se evidenciaron un número mayor de producciones, predominaron artículos originales, 64,0 % de los estudios se realizaron en la atención primaria a la salud. En cuanto a la autoría de los estudios, la investigación mostró que hubo la participación del enfermero en 88,0 % de las publicaciones. Conclusiones: fue posible evidenciar que la aplicación del MCAF, tanto en el contexto hospitalario como en la atención primaria a la salud, posibilita un abordaje más profundizado sobre la estructura, el desarrollo y el funcionamiento familiar, lo que se configura como una herramienta efectiva para identificar diagnósticos familiares.

Calgary Family Intervention Model Approach ( CFIM ) Prevention of Food Borne Disease and Self Care Agency for Children

Food borne disease (FBD) is a disease caused by consumption of contaminated food. The problem is, school aged children are vulnerable Food borne disease because of household food contamination. This indicates the family hygiene as a food handler mainly mother during preparing the food still need to be improved. The study design used pre experiment one group pre and post test design with a sample of 35 respondents namely, 4th grade students with their parents and 5th grade students with their parentsin Jatirejoyoso Kepanjen Primary School. Demographic data, CFAM (Calgary Family Assessment Model), knowledge, attitudes, practices family and children's self-care agency in PHBS at school were used.The results was an increase in knowledge and attitudes of families, family practice and self child care agency did not change after the intervention CFIM for 4 sessions. CFAM on the functional components of the daily activity was lacking mostly, thus affecting the unchanged practice. While children self-care agency was affected by school environment such as affordability of snacks. Health professionals are expected to optimize School Health Unit program to provide education about clean and healthy living behaviors at the school community (students, teachers and school employees) and family assistance through a cadre.

Family Structure Assessment Of Patients In Palliative Home Care

This study aims to examine the family structure of patients in palliative home care in the light of the Calgary Family Assessment Model (CFAM). This is a qualitative research, conducted in the residences of patients enrolled in the Palliative Care Unit and Pain Treatment (PCUP) of a university hospital located in Recife/Pernambuco, Brazil, in the period from May to July 2014. The sample consisted of five patients enrolled in the PCUP and five family caregivers. Data collection was performed through an interviewing technique using two instruments: the genogram and eco-map. The empirical material was analyzed in the light of the Calgary Model of Family Assessment. The application of the Model demonstrated external family structure relationship with the non-existent neighborhood; support network in diverse health, with very strong relationship with the PCUP highlighting the link with nursing professional; weak relationship concerning Basic Health Unit and strong connection to the church. The obtained data suggest that each researched family has demands to be thought of as focus of nursing care and have faith as a resource for coping with the disease. It follows that the application of CFAM has highlighted the intra-family ties and the relations established with the support networks, signaling strategies to optimize patient care without a therapeutic possibility of cure and their family.

Family Evaluation Of Hospitalized Elderly With Encephalic Vascular Accident Under Palliative Care

Objective: evaluate the structure, the development and the functionality in families of hospitalized elderly patients with vascular encephalic accident under palliative care. Method: qualitative field research conducted with five families. Data were collected through the technique of interview, genogram and ecomap. The empirical material was analyzed in light of the Calgary Family Assessment Model. Results: it was verified that the participant families of the study retained the nuclear structure; presented low and education levels and financial difficulties. However, two families showed better economic conditions. As for the social support network, majority mentioned relatives, friends and the church. All referred to have conflictual family relationships. The family caregivers are females, specially daughters-in-law and daughters. Final Considerations : The structural, developmental and functional evaluation of the families in the study provide a space for nursing intervention in the hospital context for the families of hospitalized elderly with cerebral vascular accident. Descritores: Relacoes familiares; Idoso; Cuidados paliativos. Descriptors: Family Relationships; Elderly; Palliative Care.

MODELO CALGARY NA AVALIAÇÃOESTRUTURAL, DESENVOLVIMENTAL E FUNCIONALDA FAMÍLIA DE MULHERES MASTECTOMIZADAS APÓS CÂNCER DE MAMA

Objetivou-se avaliar a estrutura, o desenvolvimento e a funcionalidade da família de mulheres com câncer de mama submetidas à mastectomia. Trata-se de um estudo qualitativo em que foi utilizado como referencial teórico o Modelo Calgary de avaliação familiar e como estratégia metodológica o estudo de caso. Os dados foram coletados junto a duas famílias, no período de maio a setembro de 2014, por meio de instrumento pré-elaborado. Verificou-se que uma família era nuclear, formada pelo casal e suas três filhas, a outra família era estendida, constituída por duas irmãs, ambas mastectomizadas e seus respectivos filhos. A aplicação do modelo de avaliação familiar permitiu conhecer aspectos relacionados à estrutura, ao funcionamento e ao desenvolvimento das duas famílias, que interferem, dificultam ou favorecem o desenvolvimento do cuidado no cotidiano. Conclui-se que este estudo possibilitou a realização da abordagem familiar que pode interferir, dificultar ou favorecer o desenvolvimento do cuidado no dia-a-dia.

Calgary Family Assessment Model (CFAM) Keluarga tentang Penanganan Pertama Food Borne Disease Anak

Food borne disease (FBD) is a disease through consumption of contaminated food. The problem is that, school children are vulnerable to FBD because of household food contamination. This indicates the family as a food handler hygiene mainly the mother who prepare the food needed to be improved. Most common FBD is diarrhea, one of the danger is that the child’s body fluids are expelled out through the stool this can cause dehydration or even death. Family plays very important role in the handling of FBD first before being taken to the health service. This can be known through family studies approach CFAM (Calgary Family assessment model). The design of this study was descriptive eksplorative with a sample of 35 respondents; the 4th graders and their parents (17 persons) and 5th graders and their parents (18) in Jatirejoyoso Kepanjen Elemetary School through purposive sampling technique. The data taken were demographic and CFAM consists of the structural assessment components, development as well as family function. The family in first handling of food borne disease largely was not routine (71.4%). Ways of solving the problems mostly by the head of the family (74.3%). Responsible care for sick children mostly (57.2%) by only one parent (father / mother). Follow up during sick mostly made an effort (curative) as much as 85.7%. Family belief the majority (80%) considered that the first treatment at home was not needed because it could be taken directly to the health service. Health workers are expected to provide guidance for families through health volunteers on first handling practices of FBD. While schools are expected to perform optimization of UKS (School Health Unit) program to provide health education about the prevention and first treatment of FBD toward the school community.

Avaliação de famílias de crianças e adolescentes submetidos à gastrostomia

The study aimed to understand the structure, operation and development families, to identify social support networks for the care of the child and adolescent submitted to gastrostomy, and to describe difficulties and facilities faced in this experience. We used the Calgary Family Assessment Model as theoretical reference, we added it to the semi-structured interview as research instrument; and we used Narrative Analysis as method. The uses of the technological device affect caregivers and their routines, and establish a relationship of renounce and donation with the gastrectomy patient. Difficulty was found to accept that their children are not fed normally. The main setbacks referred to the lack of knowledge and training for specific homecare. Support is limited. This study allowed better comprehension of experiences from families and showed that the use of a technological device brings benefits to the child’s health, thus, it is a difficult process to be accepted at first.