Family and community guidance in adolescence: assessment in the family health strategy.
Rosimara Oliveira Queiroz, Márcia Moroskoski, Bianca Machado Cruz Shibukawa and 3 others
PMID 34495186WHAT IT FOUND
Adolescents reported weak family and community guidance from primary care nurses, while nurses reported delivering it well.
Ask adolescents directly, spend time alone, and check their experience rather than trusting staff reports.
Key findings
01Professional nurses scored family guidance 7.89 and community guidance 6.99, while adolescents scored family guidance 3.28 and community guidance 3.64.
02The researchers reported significant differences between nurses and adolescents, with p-values <2.2 e-16 and <0.0081.
0382.86% of adolescents said they were not asked about their ideas or opinions about treatment, while 71.43% of nurses said they usually asked.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in one municipality in Brazil, so it may not reflect other health services. Results came from self-reported questionnaire answers by adolescents and nurses, not direct observation of care. Seven Family Health Strategy teams without a nurse were excluded, so the study did not cover all teams. Many adolescent health programs are not designed to be evaluated, and little exact information was available about expected program points. Only nurses were interviewed among FHS professionals, so views of other team members were not captured.
The easy way to misread this
Do not read the nurses' high scores as proof that adolescents receive effective family and community guidance. The adolescents' scores were low, and the researchers reported a statistically significant difference between the groups.