Background/Objectives: Vulnerability is a multifaceted concept frequently addressed in healthcare, reflecting individuals’ and families’ conditions that may affect health outcomes. The availability of validated instruments to assess vulnerability is essential for supporting healthcare professionals in delivering tailored care. This scoping review aimed to map the available scientific evidence regarding vulnerability assessment instruments in individuals and/or families in the context of healthcare. Methods: We conducted a scoping review following the Joanna Briggs Institute methodology. A comprehensive search was carried out in the databases PubMed, SciELO, CINAHL, Scopus, and Web of Science, as well as in sources of gray literature, using relevant keywords. Results: A total of 38 studies were included, identifying 13 distinct instruments used to assess vulnerability at the individual and/or family level. These instruments varied widely in terms of dimensions, number of items, target populations, and modes of completion. Some instruments focused on specific aspects such as socioeconomic status, health behaviors, or access to services. Conclusions: The results demonstrate the complexity of the concept of vulnerability and the need to create instruments adapted to specific determinants/factors, such as environmental, biological, and social factors, as well as the specificities of target populations and contexts of assessment and intervention.

Objetivo: A resenha da obra “Modelo Dinâmico de Avaliação e Intervenção Familiar: Abordagem Colaborativa em Enfermagem”, pretende apresentar o seu conteúdo na perspetiva das práticas colaborativas de avaliação e intervenção familiar. Método: Na descrição dos referenciais teóricos apresentados, enalteceram-se os conceitos centrais que sustentam o planeamento e a operacionalização dos cuidados de enfermagem à família. Resultados: A matriz operativa do modelo co-construído com os diferentes atores do cenário cuidativo, apresentado nesta obra de grande relevo para a enfermagem portuguesa, permite uma leitura acessível das áreas de atenção para a avaliação familiar, assim como da identificação de diagnósticos, intervenções e avaliação de resultados. O recurso a instrumentos de avaliação e intervenção familiar disponíveis na obra em análise, tem particular interesse para os enfermeiros. Conclusão: Foi possível realizar a análise e consequente interpretação do papel dos enfermeiros na relação profissional com as famílias, sensível às circunstâncias desenvolvimentais e processos assistenciais de saúde-doença.

The situation/risk of family homelessness presents multiple interrelated issues. It has considerable negative consequences, namely the deterioration of the family members’ health and well-being, and alterations in the family’s dynamics, with parents sometimes being separated from their children. The aim of this research was to understand how parenting takes place in families experiencing, or at risk of, homelessness. The conducted study falls within the qualitative paradigm, using Strauss and Corbin’s version of the Grounded Theory methodology. Three main categories emerged, supported by all the participating families: “Meaning of Parenthood”, “Key Events”, and “Transition Circumstances”. These categories were translated into facilitating/inhibiting factors, within the following dimensions: “Individual”, “Family”, and “Society”. We were able to conclude that, in the population under study, parenting is restricted, being mostly exerted in a remote manner. Furthermore, it takes on different forms, depending on the specific homelessness situation/risk. In families at risk of homelessness, we identified “Remote Parenting with Maintained Parental Authority”, as well as “Restricted Parenting”, when the children still lived with their parents. On the other hand, in families experiencing homelessness, we identified “Remote Parenting with Maintained Parental Authority”, “Unilateral Remote Parenting”, “Interrupted Parenting”, and the “Total Disruption of Parenting”.

RESUMEN Objetivo: Mapear la evidencia científica existente sobre la esperanza en adultos en edad laboral ante la pérdida irreversible de la visión, identificando conceptos, enfoques y lagunas en la literatura. Método: Se llevó a cabo una revisión de alcance (scoping review), de acuerdo con la metodología del JBI y las directrices de PRISMA-ScR, en bases de datos internacionales y literatura gris, abarcando estudios publicados entre 2000 y 2025. Los estudios identificados fueron sometidos a un proceso de recopilación, selección, extracción y síntesis temática de los datos por parte de dos revisores independientes, con el apoyo del software NVivo®. Resultados: De los 261 estudios identificados en la búsqueda bibliográfica, seis cumplieron con los criterios de inclusión. A partir del análisis de los estudios, se pudieron identificar cuatro temas principales: 1 – Concepto y fuentes de esperanza; 2 – La esperanza como mecanismo de coping; 3 – Adaptación psicosocial; 4 – Implicaciones para la práctica clínica. La esperanza se presenta como un fenómeno multidimensional y dinámico, con un impacto directo en la adaptación, la calidad de vida y el significado que se le atribuye a la experiencia de la pérdida de la visión. Conclusión: La esperanza desempeña un papel fundamental en el proceso de adaptación a la pérdida de la visión en personas en edad activa, con implicaciones relevantes para el desarrollo de prácticas de enfermería centradas en la persona. La profundización de la investigación en esta área contribuirá a consolidar el conocimiento teórico de la ciencia de la enfermería y a orientar las intervenciones clínicas que promuevan la esperanza.

Objective To map existing scientific evidence on hope in working-age adults facing irreversible vision loss by identifying concepts, approaches, and gaps in the literature. Method: A scoping review was conducted in accordance with the JBI methodology and the PRISMA-ScR guidelines using international databases and grey literature, covering studies published between 2000 and 2025. The identified studies underwent a process of identification, selection, data extraction, and thematic synthesis by two independent reviewers, with the support of NVivo® software. Results: Of the 261 studies identified through the literature search, six met the inclusion criteria. Analysis of the included studies allowed the identification of four main topics: (1) Concept and sources of hope; (2) Hope as a coping mechanism; (3) Psychosocial adjustment; and (4) Implications for clinical practice. Hope emerged as a multidimensional and dynamic phenomenon, with a direct impact on adaptation, quality of life, and the meaning attributed to the experience of vision loss. Conclusion: Hope plays a fundamental role in the adaptation process to vision loss among working-age adults, with important implications for the development of person-centered nursing practices. Further research in this field will contribute to strengthening the theoretical knowledge of nursing science and guiding clinical interventions aimed at promoting hope.