Documentation of Family Nurse Assessment and Intervention in the Structural Dimension: A Retrospective Study
Published 2025-07-09
How to Cite
Copyright (c) 2025 Liliana Soares, Virginia Guedes, Maria Henriqueta Figueiredo
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
Introduction
Documenting the Nursing Process contributes to the quality and safety of care, both for individuals and for families as care recipients. The structural assessment of the family is the starting point for understanding its composition and its internal and external resources. Therefore, documenting the structural dimension is essential to ensuring care continuity for the family as a unit of care.
Objective
To develop documentation within the SClínico-CSP® nursing information system encompassing assessment, intervention, and family health gains related to the structural dimension.
Methods
Insert text. This quantitative, descriptive, and retrospective study included two evaluation time points. The study population consisted of 669 families registered with a Functional Unit. The first sample consisted of 24 families; and the second comprised 71 families. Data were presented using charts and tables.
Results
The highest assessment rates were observed for housing type, family type, and residential building condition. The highest prevalence was associated with inadequate water supply. The most significant health gains were found in family income and safety precautions.
Conclusion
The study objective was achieved, as evidenced by increased documentation rates in the SClínico-CSP® nursing information system. Improvements in the quality of nursing care for families within the structural dimension were reflected in higher assessment, prevalence, and outcome indicators. However, these results must continue to improve over time. To support this progress, the contractual inclusion of indicators that acknowledge the family as a unit of nursing care may be essential.