Abordagem familiar em visita domiciliária em enfermagem de saúde mental e psiquiatria

Considerando a família como foco de atenção em enfermagem de saúde mental e psiquiatria, foi realizada a análise da prática clínica de enfermagem no âmbito da prestação de cuidados em visita domiciliária, através dos registos de enfermagem existentes nesse contexto. Partindo dos conceitos de enfermagem de saúde mental e psiquiatria, família, modelos teóricos de avaliação e intervenção familiar e visita domiciliária; procurou-se compreender que modelos de abordagem familiar emergem dos registos de enfermagem das visitas domiciliárias, assim como identificar intervenções dirigidas a utentes e familiares numa perspectiva sistémica. Embora sem identificação completa com modelos teóricos existentes, concluímos que existe, sem dúvida, atenção dada aos familiares, sendo realizada frequentemente avaliação de relacionamentos, padrões de interacção, apoios e recursos, necessitando de melhorias que permitam que seja realizada de uma forma sistematizada, criteriosa, fundamentada e claramente documentada; ABSTRACT: Considering family care central, in psychiatric mental health nursing, an analyses of nursing clinical practice in home care context, was accomplished; using the nursing notes existents in that context. Based on concepts of psychiatric mental health nursing, family, conceptual models of family assessment and intervention and home care; we tried to understand what kind of family approach emerges from the nursing notes, as well as identify what interventions are directed to patients and families in a systemic perspective. Although without clear identification of the conceptual models existents, we realise that attention giving to families, exists, without doubted, with frequent relationships assessments, interaction patterns, supports and resources, however with the need to improve in a more grounded, systematic and discerning way and clearly documented.

Generalities of vertebrate responses to landscape composition and configuration gradients in a highly heterogeneous Mediterranean region

Aim To examine the distributional patterns of vertebrates (including birds, bats, carnivores and lagomorphs) along landscape composition and configuration gradients to better understand the effects of landscape modification on occurrence patterns at both species and community level. Location The region of Alentejo, a forest-dominated area of southern Portugal. Methods The study area was framed using 1647 hexagonal plots, each of 259 ha in size. Composition and configuration gradients were obtained for each plot by integrating the proportions of the main land cover types and their configuration patterns using multivariate analyses. Species-specific vertebrate responses were investigated using data from 75 plots in which carnivores, bats and lagomorphs were sampled, and from 135 plots in the case of birds. Community- level responses were investigated through changes in species richness and beta-diversity in 57 plots where all vertebrate groups were simultaneously sampled. At the species-level, an information-theoretic approach was used to determine the effects of landscape gradients on species’ responses. At the community level, Mantel tests were used to determine between-plot differences in species composition using the Sørensen dissimilarity index. Results We found that the occurrence patterns of most vertebrate species were best predicted by composition-related gradients, although configuration gradients were also frequently included in species-specific occurrence models. We also found a weak correlation between species richness and most landscape gradients suggesting a turnover in the identity of species, something that was corroborated by the stronger correlation between environmental gradients and beta-diversity measures. The amount of forest cover and landscape complexity (estimated as the heterogeneity in the size and number of land cover types) were the main composition and configuration gradients determining vertebrate responses at both species and community level. Main conclusions Our work contributes to a more refined understanding of the mechanisms underlying species distributional patterns in real-world human-modified landscapes. By uncovering generalities of species with multiple ecological requirements and by describing the entire landscape mosaic through landscape gradients, we also suggest that our work greatly helps to fill the gap between existing conceptual landscape models aimed to understand species distributional patterns in human-modified landscapes.