{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:32:32Z","timestamp":1765888352666,"version":"build-2065373602"},"reference-count":16,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T00:00:00Z","timestamp":1592179200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Community empowerment can be a process, but also the result of nursing care. To analyze it as a result there is an instrument that allows to quantify its level in nine domains. According to Melo (2020), health centers can be considered communities, becoming the potential target of community and public health nurses care, especially in the public health unit. One of the main functions of a public health unit is the epidemiological surveillance of the population\u2019s health state. However, traditional epidemiological surveillance is focused on diseases and Melo (2020) proposes a new approach for epidemiology focused on people in what concerns nursing diagnosis. The aim of this research is to identify the level of empowerment of four Portuguese primary healthcare structures, named as ACeS, so as to improve the epidemiological surveillance of nursing diagnoses. As methodology, we developed four focus group with all nursing leaders from all primary care units of the four ACeS, using the Portuguese version of the empowerment assessment rating scale. The results present the level of community empowerment of each ACeS according to the nine domains of the scale. The needs of intervention to improve the ACeS empowerment were also identified in order to develop the epidemiological surveillance of nursing diagnoses.<\/jats:p>","DOI":"10.3390\/healthcare8020173","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T12:16:57Z","timestamp":1592223417000},"page":"173","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Assessing Community Empowerment for an Innovative Epidemiologic Approach"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0005-6384","authenticated-orcid":false,"given":"Pedro","family":"Melo","sequence":"first","affiliation":[{"name":"Institute of Health Sciences\/Centre for Interdisciplinary Research in Health and Portugal, Universidade Cat\u00f3lica Portuguesa, 4169-005 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5330-779X","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Neves-Amado","sequence":"additional","affiliation":[{"name":"Institute of Health Sciences\/Centre for Interdisciplinary Research in Health and Portugal, Universidade Cat\u00f3lica Portuguesa, 4169-005 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-0503","authenticated-orcid":false,"given":"Alexandra","family":"Pereira","sequence":"additional","affiliation":[{"name":"Administra\u00e7\u00e3o Regional de Sa\u00fade do Norte, 4000-477 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9837-6708","authenticated-orcid":false,"given":"C\u00e2ndida","family":"Maciel","sequence":"additional","affiliation":[{"name":"Administra\u00e7\u00e3o Regional de Sa\u00fade do Norte, 4000-477 Porto, Portugal"}]},{"given":"Tiago","family":"Vieira Pinto","sequence":"additional","affiliation":[{"name":"Administra\u00e7\u00e3o Regional de Sa\u00fade do Norte, 4000-477 Porto, Portugal"}]},{"given":"Teresa","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de Matosinhos, Public Health Unit, 4464-513 Matosinhos, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2020,6,15]]},"reference":[{"key":"ref_1","unstructured":"Rep\u00fablica Portuguesa (2020, February 14). Cria\u00e7\u00e3o, Estrutura\u00e7\u00e3o e Funcionamento dos Agrupamentos de Centros de Sa\u00fade (ACeS) do Servi\u00e7o Nacional de Sa\u00fade. Decreto-Lei n.\u00b028\/2008. Di\u00e1rio da Rep\u00fablica n.\u00b038\/2008, S\u00e9rie I de 22 de Fevereiro. Available online: https:\/\/dre.pt\/pesquisa\/-\/search\/247675\/details\/maximized."},{"key":"ref_2","unstructured":"Rep\u00fablica Portuguesa (2020, February 14). Organiza\u00e7\u00e3o dos Servi\u00e7os Operativos de Sa\u00fade P\u00fablica a N\u00edvel Regional e Local. Decreto-Lei n.\u00b081\/2009. Di\u00e1rio da Rep\u00fablica n.\u00b065\/2009, S\u00e9rie I de 02 de Abril. Available online: https:\/\/dre.pt\/web\/guest\/pesquisa\/-\/search\/603228\/details\/maximized."},{"key":"ref_3","unstructured":"Rep\u00fablica Portuguesa (2020, February 14). Compet\u00eancias do Enfermeiro Especialista em Enfermagem Comunit\u00e1ria. Regulamento N\u00b0428\/2018. Di\u00e1rio da Rep\u00fablica n\u00b0135 S\u00e9rie II de 16 de Julho. 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Health Promotion Practice: Power and Empowerment, Sage. [1st ed.].","DOI":"10.4135\/9781446215258"},{"key":"ref_16","first-page":"441","article-title":"Translation to Portuguese and cultural validation of the Empowerment Assessment Rating Scale. Suplemento digital","volume":"43","author":"Melo","year":"2020","journal-title":"Rev. ROL Enferm."}],"container-title":["Healthcare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9032\/8\/2\/173\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:39:11Z","timestamp":1760175551000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9032\/8\/2\/173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,15]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,6]]}},"alternative-id":["healthcare8020173"],"URL":"https:\/\/doi.org\/10.3390\/healthcare8020173","relation":{},"ISSN":["2227-9032"],"issn-type":[{"type":"electronic","value":"2227-9032"}],"subject":[],"published":{"date-parts":[[2020,6,15]]}}}