Ontology-driven nursing practice: a case report in family nursing
DOI:
https://doi.org/10.29352/mill0216e.38463Keywords:
case study; family; nursing ontology; transitionAbstract
Introduction: This ontology-driven nursing practice focuses on the family as a unit while also considering individual needs and promoting personalized and inclusive care.
Objective: To characterize the care plan for a family transitioning to parenthood, including integrating the new family member.
Methods: Case report supported by the CARE guidelines for clinical case reporting.
Results: The care plan demonstrates the autonomy of nursing practice by emphasizing individual health and the importance of family processes during the transition to parenthood while also empowering parental roles and promoting self-regulation, resilience, and inclusive care.
Conclusion: The report highlights the role of community family nurse specialists in supporting individuals and families during the transition to parenthood, emphasizing the interconnection between personal health and family dynamics. It advocates for a holistic, flexible approach, supported by a health information system, fostering communication among healthcare professionals and improving family well-being.
Downloads
References
Angelhoff, C., Askenteg, H., Wikner, U., & Edéll-Gustafsson, U. (2018). “To Cope with Everyday Life, I Need to Sleep” – A Phenomenographic Study Exploring Sleep Loss in Parents of Children with Atopic Dermatitis. Journal of Pediatric Nursing, 43, e59–e65. https://doi.org/10.1016/j.pedn.2018.07.005
Araújo, C. (2019). Transition to parenthood: Consequences on health and well-being. A qualitative study. Enfermería Clínica, 29(4), 225–233. https://doi.org/10.1016/j.enfcli.2018.04.005
Bastos, F., Cruz, I., Campos, J., Brito, A., Parente, P. & Morais, E. (2022). Representação do conhecimento em enfermagem – a família como cliente. Revista de Investigação & Inovação em Saúde, 5(1), 81-95. https://doi.org/10.37914/riis.v5i1.213
Campos, M. (2008). Integração na família de uma pessoa dependente no autocuidado: Impacte da ação do enfermeiro no processo de transição. (Dissertação de mestrado, Universidade Católica Portuguesa). Escola Superior de Enfermagem do Porto. https://biblioteca.esenf.pt/cgi-bin/koha/opac-detail.pl?biblionumber=8852
Campos, M. J., Bastos, F. S., Machado, N., Fernandes, C., Cardoso, A., Sousa, P, & Sousa, I.C.. (2024). Empoderar a educação de enfermagem - e4Nursing. 6th International Meeting of RACS. https://doity.com.br/anais/6rracs/trabalho/363675
Campos, M. J., Santos, M. L., Galinha-de-Sá, F., Gouveia, M. do C. L. V., Augusto, C., Rua, M. S., Fernandes, C. S., Pestana, C. B., Lemos, S. R., Leal, R. M. F., & Barbieri-Figueiredo, M. do C. (2022, July 22). Family Nursing Education in Undergraduate Nursing Curricula. Sigma’s 33rd International Nursing Research Congress. https://stti.confex.com/stti/congrs22/meetingapp.cgi/Paper/114282
Cruz, I., Campos, M. J., Brito, A., Bastos, F., Machado, N., & Oliveira, F. (2022, July 22). E4nursing: A Digital Platform for Development of Decision-Making Skills in Nursing Students In Clinical Settings. Sigma’s 33rd International Nursing Research Congress. https://stti.confex.com/stti/congrs22/meetingapp.cgi/Paper/115104
Castillo Ramírez, M., & Vargas Durán, K. (2017). Efectividad del masaje en el área abdominal para la reducción de los cólicos del lactante. Enfermería Actual de Costa Rica, 32, 79-89. https://www.scielo.sa.cr/scielo.php?pid=S1409-45682017000100079&script=sci_abstract&tlng=es
César Santos, B. (2024). Cuidar a família em transição para a parentalidade: Projeto de desenvolvimento de competências clínicas especializadas na área de Enfermagem de Saúde Familiar [Relatório de estágio, Escola Superior de Enfermagem do Porto] Repositório Comum. https://comum.rcaap.pt/handle/10400.26/52491
César-Santos, B., Bastos, F., Dias, A. & Campos, M.J. (2024). Family Nursing Care during the Transition to Parenthood: A Scoping Review. Healthcare, 12(5), 515. https://doi.org/10.3390/healthcare12050515
Cheffer, M. H., Nenevê, D. A. & Oliveira, B. P. (2021). Nursing Assistance in Front Of Women's Biopsychosocial Changes In The Puerperio: A Literature Review. Varia Scientia-Ciências Da Saúde, 6(2), 157–164. https://doi.org/10.48075/vscs.v6i2.26526
De Beritto, T. V. (2020). Newborn Sleep: Patterns, Interventions, and Outcomes. Pediatric Annals, 49(2), e82–e87. https://doi.org/10.3928/19382359-20200122-01
Del Boca, D., Piazzalunga, D. & Pronzato, C. (2018). The role of grandparenting in early childcare and child outcomes. Review of Economics of the Household, 16, 477–512. https://doi.org/10.1007/s11150-017-9379-8
Dlamini, L. P., Hsu, Y. Y., Shongwe, M. C., Wang, S. T., & Gau, M. L. (2023). Maternal Self-Efficacy as a Mediator in the Relationship Between Postpartum Depression and Maternal Role Competence: A Cross-Sectional Survey. Journal of Midwifery & Women’s Health, 68(4), 499-506. https://doi.org/10.1111/jmwh.13478
Feinberg, M., Hotez, E., Roy, K., Ledford, C.J.W., Lewin, A.B., Perez-Brena, N., Childress, S., & Berge, J.M. (2022). Family Health Development: A Theoretical Framework. Pediatrics, 149(5). https://doi.org/10.1542/peds.2021-053509I
Ferreira, T. M., Piccioni, L. D., Queiroz, P. H. B., Silva, E. M., & Vale, I. N. (2018). Influence of grandmothers on exclusive breastfeeding: cross-sectional study. Einstein (São Paulo), 16(4). https://doi.org/10.31744/einstein_journal/2018AO4293
Floyd, S. (2020). Postpartum Contraception Options. Obstetrics & Gynecology Clinics, 47(3),463-475. https://doi.org/10.1016/j.ogc.2020.04.007
Franco, S., Cordeiro, C., Espanhol, S., & Frias, A. (2021). Vinculação paterna no pré-natal. In A. M. A. Frias (Ed.), A obra prima: A arte de cuidar no início da vida (pp. 46–58). https://doi.org/10.37885/210805701
Freeman-Spratt, G. J., Botfield, J. R., Lee, G. S., et al. (2023). Understanding women’s views of and preferences for accessing postpartum contraception: a qualitative evidence synthesis. BMJ Sexual & Reproductive Health, 49(2), 129-141. https://doi.org/10.1136/bmjsrh-2022-201718
Freire, L. (2019). Terapia familiar: múltiplas abordagens com casais e famílias. Appris.
Gagnier, J. J., Kienle, G., Altman, D. G., Moher, D., Sox, H., Riley, D., & CARE Group (2013). The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development. Global advances in health and medicine, 2(5), 38–43. https://doi.org/10.7453/gahmj.2013.008
Góes, F. G., Pereira, F. M., Silva, L. J., & Silva, L. F. (2021). Transition of preterm newborns from the neonatal unit to home. In M. A. M. Gaiva, E. da C. Rodrigues, B. R. G. de Oliveira Toso, & M. A. Mandetta (Eds.), Comprehensive care for preterm newborns and their families (pp. 314-330). SOBEP.
Gottlieb, L. & Gotlieb, B. (2017). Strengths-Based Nursing: A Process for Implementing a Philosophy Into Practice. Journal of Family Nursing, 23(3), 319-340. http://doi.org/10.1177/1074840717717731
Gottlieb, L. (2013). Strengths-based nursing care: Health and healing for person and family. New York: Springer Publishing. Nursing Forum, 48(1), 2-2 https://doi.org/10.1111/nuf.12011
Gottlieb, L. (2014). Strengths-based nursing. The American Journal of Nursing, 114(8), 24–32. https://doi.org/10.1097/01.NAJ.0000453039.70629.e2
Hajipour, M., Soltani, M., Safari-Faramani, R., Khazaei, S., Etemad, K., Rahmani, S., Valadbeigi, T., Yaghoobi, H., & Rezaeian, S. (2021). Maternal Sleep and Related Pregnancy Outcomes: A Multicenter Cross-Sectional Study in 11 Provinces of Iran. Journal of Family & Reproductive Health, 15(1), 53–60. https://doi.org/10.18502/jfrh.v15i1.6078
Hantmann, S. de B., Reis, A. K. de C. dos, Santos, B. de O. dos, Sassi, C. V., Batista, G. J., Cardoso, G. V. V., Selski, S. B., Oliveira, L. B. C. de, Bettega, S. G., Júnior, A. A. A., & Veronez, D. A. da L. (2022). Newborn and child growth and development – a systematic review. Brazilian Journal of Development, 8(11), 70725–70743. https://doi.org/10.34117/bjdv8n11-003m
Hardy, N. R., Sabey, A. K., & Anderson, S. R. (2020). The Process of Change in Systemic Family Therapy. In K. S. Wampler, R. B. Miller, & R. B. Seedall (Eds.), The Handbook of Systemic Family Therapy: The Profession of Systemic Family Therapy (pp. 171–204). Wiley Blackwell. https://doi.org/10.1002/9781119790181.ch8
Høifødt, R. S., Nordahl, D., Landsem, I. P., et al. (2020). Newborn Behavioral Observation, maternal stress, depressive symptoms and the mother-infant relationship: results from the Northern Babies Longitudinal Study (NorBaby). BMC Psychiatry, 20, 300. https://doi.org/10.1186/s12888-020-02669-y
Hopwood, N., Clerke, T., & Nguyen, A. (2018). A pedagogical framework for facilitating parents’ learning in nurse–parent partnership. Nursing Inquiry, 25(2), e12220. https://doi.org/10.1111/nin.12220
International Family Nursing Association. (2017). IFNA Position Statement on Advanced Practice Competencies for Family Nurses. https://internationalfamilynursing.org/2017/05/19/advanced-practice-competencies/.
Jude, J. (2018). The practice of systemic reflexivity. Journal of Social Work Practice, 32(1), 45-57. https://doi.org/10.1080/02650533.2017.1291499
Kaakinen, J. R. (2018). Family Health Care Nursing (Chapter 1). In J. R. Kaakinen, D. P. Coehlo, R. Steele, & M. Robinson (Eds.), Family Health Care Nursing: Theory, Practice, and Research (6th ed.). F.A. Davis Company.
Kalantari, N., Borisch, B. & Lomazzi, M. (2022). Vaccination – A step closer to Universal Health Coverage. Journal of Public Health: From Theory to Practice, 30, 649-653. https://doi.org/10.1007/s10389-020-01322-y
Kuersten-Hogan, R., & McHale, J. P. (2021). The Transition to Parenthood: A Theoretical and Empirical Overview. In Kuersten-Hogan, R.; McHale, J.P. (Eds.), Prenatal Family Dynamics. Springer. https://doi.org/10.1007/978-3-030-51988-9
Linhares, M. B. M., & Martins, C. B. S. (2015). The self-regulation process on child development. Estudos de Psicologia, 32(2). https://doi.org/10.1590/0103-166X2015000200012
Lo, S. K. & Lindsay, L. (2022). “My children,” “my grandchildren”: Navigating intergenerational ambivalence in grandparent childcare arrangements in Hong Kong. Family Relations Interdisciplinary Journal of Applied Family Science, 71(4), 1834-1851. https://doi.org/10.1111/fare.12678
Makins, A., & Cameron, S. (2020). Post-pregnancy contraception. Best Practice & Research Clinical Obstetrics & Gynaecology, 66,
-54. https://doi.org/10.1016/j.bpobgyn.2020.01.004
Mangat, A. K., Oei, J.-L., Chen, K., Quah-Smith, I., & Schmölzer, G. M. (2018). A Review of Non-Pharmacological Treatments for Pain Management in Newborn Infants. Children, 5(10), 130. https://doi.org/10.3390/children5100130
Martinhago Borges Fernandes, V., Kotzias Atherino dos Santos, E., Stein Backes, M. T., Ferreira Rea, M., Guedes Araújo, R., & dos Santos Pais Iglesias, J. (2020). The practice of breastfeeding among female formal workers: integrative literature review. Saúde Coletiva (Barueri), 10(58), 4141–4052. https://doi.org/10.36489/saudecoletiva.2020v10i58p4141-4052
McDonald, E. M., Davani, A., Price, A., Mahoney, P., Shields, W., Musci, R. J., et al. (2019). Health education intervention promoting infant safe sleep in pediatric primary care: Randomized controlled trial. Injury Prevention,25(3), 146–151. https://doi.org/10.1136/injuryprev-2017-042421
Meaklim, H., Jackson, M. L., Bartlett, D., Saini, B., Falloon, K., Junge, M., et al. (2020). Sleep education for healthcare providers: Addressing deficient sleep in Australia and New Zealand. Sleep Health, 6(5), 636–650. https://doi.org/10.1016/j.sleh.2020.01.012
Meleis, A. I., Sawyer, L. M., Im, E. O., Messias, D. K. H., & Schumacher, K. L. (2010). Experiencing Transitions: An Emerging Middle-Range Theory. In A. I. Meleis, Transitions Theory Middle-Range and Situation-Specific Theories in Nursing Research and Practice (pp. 52–64). Springer Publishing Company. https://doi.org/10.1097/00012272-200009000-00006
Mello e Silva, A., Aguiar, C., Sequeira Duarte, J., Couto, L., Teixeira Veríssimo, M., & Marques da Silva, P. (2019). CODAP: A multidisciplinary consensus among Portuguese experts on the definition, detection, and management of atherogenic dyslipidemia. Revista Portuguesa de Cardiologia, 38(8), 531-542. https://doi.org/10.1016/j.repc.2019.03.005
Moon, R. Y., Carlin, R. F., Hand, I., AAP Task Force on Sudden Infant Death Syndrome, & AAP Committee on Fetus and Newborn. (2022). Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment. Pediatrics, 150(1), e2022057990. https://doi.org/10.1542/peds.2022-057990
Mrljak, R., Arnsteg Danielsson, A., Hedov, G., & Garmy, P. (2022). Effects of Infant Massage: A Systematic Review. International Journal of Environmental Research and Public Health, 19(11), 6378. https://doi.org/10.3390/ijerph19116378
Newberry, J.A. (2019). Creating a safe sleep environment for the infant: what the pediatric nurse needs to know. Journal of Pediatric Nursing, 44, 119-122. https://doi.org/10.1016/j.pedn.2018.12.001
Ngene, N. C., & Rees, M. (2024). Writing case reports: Sharing clinical experience to inform practice. Case Reports in Women’s Health, 42, e00621. https://doi.org/10.1016/j.crwh.2024.e00621
Nguélé, S. S., Béléti, H. D., Youssouf, D. H., Gongnet, K., Kadallah, I. O., Ngaringuem, A., Nguefack, S., & Atchénémou, A. D. (2022). Explanatory factors of the psychomotor development of infants aged 1-24 months in N'Djamena (Chad). World Journal of Advanced Research and Reviews, 13(01), 019–026. https://doi.org/10.30574/wjarr.2022.13.1.0750
Oliveira, G. C. P., Freire, M. H. S., Kerniski, S. C., Roda, J. C., & Khalaf, D. K. (2020). Newborn home visit. Revista de Enfermagem UFPE, 14, e243631. https://doi.org/10.5205/1981-8963.2020.243631
Olson, D. H. (2000). Circumplex model of marital and family systems. Journal of Family Therapy, 22(2), 144-167. https://doi.org/10.1111/1467-6427.00144
Parsons, A. H., Jones, C. A., & Surtees, A. D. (2023). Changes in parental sleep from pregnancy to postpartum: A meta-analytic review of actigraphy studies. Sleep Medicine Reviews, 68. https://doi.org/10.1016/j.smrv.2022.101719
Pereira, C., Fonseca-Moutinho, J, & Morais, S. (2020). Paternal Perinatal Depression: risk factors. Revista do Serviço de Psiquiatria do Hospital Prof. Doutor Fernando Fonseca, EPE, 18(1,2). https://doi.org/10.25752/psi.19812
Piro, S. S., & Ahmed, H. M. (2020). Impacts of antenatal nursing interventions on mothers’ breastfeeding self-efficacy: An experimental study. BMC Pregnancy and Childbirth, 20, 19. https://doi.org/10.1186/s12884-019-2701-0
Regulation No. 428/2018 of Ordem dos Enfermeiros (OE). (2018). Diário da República No.135, Series II of 07-16-2018 https://www.ordemenfermeiros.pt/media/8418/11:698:36.pdf
Riley, D. S., Barber, M. S., Kienle, G. S., Aronson, J. K., von Schoen-Angerer, T., Tugwell, P., Kiene, H., Helfand, M., Altman, D. G., Sox, H., Werthmann, P. G., Moher, D., Rison, R. A., Shamseer, L., Koch, C. A., Sun, G. H., Hanaway, P., Sudak, N. L., Kaszkin-Bettag, M., Carpenter, J. E., & Gagnier, J. J. (2017). CARE guidelines for case reports: Explanation and elaboration document. Journal of Clinical Epidemiology, 89, 218–235. https://doi.org/10.1016/j.jclinepi.2017.04.026
Sadruddin, A. F. A., Ponguta, L. A., Zonderman, A. L., Wiley, K. S., Grimshaw, A., Panter-Brick, C. (2019). How do grandparents influence child health and development? A systematic review. Social Science & Medicine, 239, 112476 https://doi.org/10.1016/j.socscimed.2019.112476
Santos, A., Passos, L., Cassoli, L., Sandenberg, N. & Lopes, T. (2018). Paternal Postpartum Depression Physiological And Psychological Aspects. Cadernos Camilliani, 15(3,4), 523-541. https://www.saocamilo-es.br/revista/index.php/cadernoscamilliani/article/view/461
Savci Bakan, A. B., Aktas, B., Yalcinoz Baysal, H., & Aykut, N. (2023). An Investigation of Pregnant Women’s Attitudes Towards Childhood Vaccination and Trust in Health Services. Maternal and Child Health Journal, (27), 1051–1059. https://doi.org/10.1007/s10995-023-03630-7
Shajani, Z. & Snell, D. (2023). Wright & Leahey's nurses and families: a guide to family assessment & intervention. F. A. Davis Company.
Silva, C., Pinto, C., & Martins, C. (2021). Transition to Fatherhood in the Prenatal Period: A Qualitative Study. Ciência e Saúde Coletiva, 26. https://doi.org/10.1590/1413-81232021262.41072020
Silva, L., & Ponciano, E. (2022). Stress, coping, and well-being in marriage and parenting: A narrative review. Pensando Família, 2(16), 121–136. http://pepsic.bvsalud.org/pdf/penf/v26n1/v26n1a09.pdf
Silva, M., Amendoeira, J., Santos, I., Rosa, M., Lourenço, J., Paz, A., & Marques, G. (2022). Chapter 4: Adults in Active Life. In J. Amendoeira (Ed.), Individual and Community Health – Health at the Center of Transdisciplinarity for the Promotion of Quality of Life (pp. 95-116). Research Center for Quality of Life, Polytechnic Institute of Santarém, Polytechnic Institute of Leiria. CIEQV Editions. https://www.cieqv.pt/wp-content/uploads/2022/07/saude-individual-e-comunitaria.pdf
Torres, A. C., Pereira, A. R., Oliveira, C., Oliveira, L., & Marques, J. (2021 The impact of sleep deprivation on children of preschool and school age. Salutis Scientia, 13, 28-33 https://bdigital.ipg.pt/dspace/handle/10314/5433
United Nations Children's Fund (UNICEF). (2018). Every child alive: The urgent need to end newborn deaths. https://www.unicef.org/eca/media/2781/file/every%20child%20alive.pdf
United Nations Children's Fund (UNICEF). (2024). Neonatal mortality. https://data.unicef.org/topic/child-survival/neonatal-mortality/
Vidaurreta, M., Lopez-Dicastillo, O., Serrano-Monzó, I., Belintxon, M., Bermejo-Martins, E., & Mujika, A. (2022). Placing myself in a new normalized life: The process of becoming a first-time father. A grounded theory study. Nursing & Health Sciences, 24(1), 152–162. https://doi.org/10.1111/nhs.12906
Wright, B., Hargate, R., Garside, M., et al. (2021). A systematic scoping review of early interventions for parents of deaf infants. BMC Pediatrics, 21. https://doi.org/10.1186/s12887-021-02893-9
Wright, L. M., & Leahey, M. (2013). Nurses and families: A guide to family assessment and intervention. F.A. Davis. https://www.fadavis.com/product/nursing-community-public-health-nurses-families-assessment-intervention-wright-leahey-6
Zelalem, D., Worku, A., Alemayehu, T., & Dessie, Y. (2021). Association of Effective Spousal. Family Planning Communication with Couples’ Modern Contraceptive Use in Harar, Eastern Ethiopia. Open Access Journal of Contraception, 26(12),45-62. https://doi.org/10.2147/OAJC.S285358
Zhang, Y., Jin, Y., Vereijken, C., Stahl, B., & Jiang, H. (2018). Breastfeeding experience, challenges, and service demands among Chinese mothers: A qualitative study in two cities. Appetite, 128, 263–270. https://doi.org/10.1016/j.appet.2018.06.027
Zhao, H., Shi, H., Chen, C., Ren, Z., Li, X., Pu, Y., Cui, L., Wang, S., Zhao, J., Liu, H., et al. (2024). Association between pregnant specific stress and depressive symptoms in the late pregnancy of Chinese women: the moderate role of family relationship and leisure hobbies. Journal of Public Health (Berl.), 32, 145–156. https://doi.org/10.1007/s10389-022-01806-z
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Millenium - Journal of Education, Technologies, and Health
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who submit proposals for this journal agree to the following terms:
a) Articles are published under the Licença Creative Commons (CC BY 4.0), in full open-access, without any cost or fees of any kind to the author or the reader;
b) The authors retain copyright and grant the journal right of first publication, allowing the free sharing of work, provided it is correctly attributed the authorship and initial publication in this journal;
c) The authors are permitted to take on additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, post it to an institutional repository or as a book), with an acknowledgment of its initial publication in this journal;
d) Authors are permitted and encouraged to publish and distribute their work online (eg, in institutional repositories or on their website) as it can lead to productive exchanges, as well as increase the impact and citation of published work
Documents required for submission
Article template (Editable format)
