Family And Nursing : Approaches To Family Nursing

Discuss the nursing interventions to be utilized with a family member who is in crisis in the care setting and interfering with the healthcare team’s performance.

As Boyle (2015) pointed out, the presence of family members in the healthcare setting can greatly help to improve the health and clinical outcomes for the patient. The sick individual feels loved when family members are present and this can boost their morale and optimism thus leading to better health outcomes. In addition, family-centered care also increases the peace of mind for and comfort for family members. By involving themselves in the care process for their loved ones, dread of the unknown and fear and anxiety is lessened while family relationships and appreciations are enhanced (Denham, Eggenberger, Krumwiede, & Young, 2016). In addition, the family members also get an opportunity to interact with the patient and probably say their thoughts and final good byes (Denham, Eggenberger, Krumwiede, & Young,

Healthcare professionals tend to shy away from having families present because they believe that the process may be considered offensive, there would be added pressure and stress on employees, there would be distractions and interferences with care, and that family members would not be mentally prepared causing coping issues post-resuscitation (Duran, Oman, Abel, Moziel, & Szymanski, 2007). It is important for healthcare professionals to know their beliefs and learn the benefits of family presence during the resuscitation process to be able to practice client/family centred care. According to Holzhauser, Finucane, and De Vries (2006) presences during resuscitation made coping easier after an unsuccessful event, provided a sense of control as families are included in the decision making process, and fostered the development of meaning full relationships. Holzhauser et

Family is a crucial aspect of my life; I do not remain in close touch with each and every relative. My mother’s family, I am particularly attached to and often in contact more often than not. Therefore, her second younger brother falling ill was a tough time for everyone involved. A comatose state with a visit to the intensive care unit and a series of conditions following, his illness had a profound social effect on his loved ones as well as himself. Understanding the sick role through his eyes is not the objective of this paper. As David Karp stated in his book, “My view is that to really understand a human experience, it must be appreciated from the subjective point of view of the person undergoing it” (Karp 11). I am not my uncle, but I

There are many factors to consider when the nurse interacts with a family managing a chronic illness. The nurse must consider the structure of the family and how they interact while also identifying how the family and individual with the chronic condition, manage their condition. They must identify any risk factors that may impede their ability to manage their chronic condition or protective factors that improve their abilities to self manage. An analysis of the developmental stage the family or individual along with the stage of illness they are experiencing is necessary to successfully build relationships and help guide the family through chronic illness management. Commendation of the family’s efforts and abilities to manage difficult situations revolving around illness may enhance the family’s confidence and improve self management (Wright and Leahey, 2013). These components will be explored and discussed regarding the family structure of two sisters, R.C. and J.A. R.C. has Marfan syndrome and J.A. is an active participant in helping her sister manage her condition. This family structure will be discussed in relationship to their family management style, their individual and family risk factors, and their management of R.C.’s chronic condition. Contextual components will include the lifestyle stage as defined by Wright and Leahey (2013), and the phase of chronic illness and its developmental challenges as outline by Rolland (2005). This information was collected during

The purpose of this article is to examine how nurses interact and communicate with families of patients that are withdrawing life-sustaining treatment. This is a qualitative study and the population is 21 intensive care unit nurses. The research question was: how do critical care nurses navigate communication with families? The results showed that the nurses felt that navigating the complex communication is just as important as the content

Family nursing, developed with the intent of improving children’s healthcare, is a shift from the traditional patriarchal method of delivering care to a partnership among family members (Wells, 2011). In order to implement family-centered care, the nurse must explore the dynamics in which the patient’s family operates. A major concern relating to this method of nursing was that nurses simply did not have time to speak with patients’ family members and still complete the tasks they were responsible for (Wright & Leahey, 1999). In response to this concern, Wright and Leahey developed the 15-minute Family Interview.

The ethical problem of whether to allow the family during medical emergencies occurs because there is not written guidelines in many facilities about how to handle the family members during resuscitation. A written policy can help the health care providers to follow that and allow limited number of immediate family members to stay at the bedside. There should be also a supportive staff member assigned for the family members to explain them about what is being done and what can be the consequences. Health care staff should be educated about the written policies and guidelines on family presence to meet the needs of the patients and families. Education should include possible obstacles to family presence and potential benefits. Presence of combative or emotionally unstable family members should not be allowed during resuscitation. Family members should be able to sense that everything possible was done to revive the patient.

The family is the basic unit of society. When a family member becomes ill, the entire family is affected. Family assessment is important because assessing the family’s structure and style will help formulate an effective teaching plan. It also helps to examine the strengths and barriers in the family. Health promotion and health maintenance for children and their families are foundational for all nursing care. Having specific knowledge about one’s genetic makeup and associated increased risk for disease provides a basis for health screening and may provide motivation for people to maintain a healthy lifestyle. Early diagnosis allows early intervention with health-promoting care specific

Relatives are the principal caregiver to the patients, they provide different crucial cares. These are, helping with toilet, feeding and washing, bringing food and medicine from outside, assisting with administering medicine and with monitoring exercise, negotiating with hospital staff, mediating between the hospital and outside world, they also provide emotional support to the

Admission to an intensive care unit (ICU) can cause a great degree of distress and anxiety to both patient and family, so there was a qualitative study done to discover the self-perceived needs of family members of patients in a general intensive care unit. Data was collected through interviews, where participants described their experiences of visiting a critically ill family member. The conclusions of the study were that the families of the patients need a quiet and calm environment so they can feel more relaxed when they visit their loved ones in the ICU, they need other people to be there for them and to understand what they are going through, and if intensive care nurses try their best to deliver holistic care, then they would be able

With a lump in my throat, I hesitantly entered the room of a patient newly admitted to the hospitalist service. The sunken face of the woman inside was not the same plump and smiling face that was once so familiar. She had been my advanced studies teacher in grade school, and now she was my patient with a devastating diagnosis of stage IV breast cancer. We spent time together each day, talking about past memories and my future plans, and upon her discharge from the hospital she thanked me for my compassionate treatment with a heartfelt card.

For this written assignment, I will discuss a time in my nursing practice when I used an intervention with a family using each of the four types of approaches, such as: family as context, family as client, family as system, and family as component of society. These four approaches are essential in family nursing care (Kaakinen, Coehlo, Steele, Tabacco, & Hansen, 2015). After discussing the interventions used in each of these four types of approaches, I will provide a conclusion.

Citing a lack of research into a family's experiences during a member's stay in an intensive care facility (ICU), the authors sought to contribute to a better understanding of how a family nurse can provide care to the family unit during the hospitalization stay. The philosophical and experimental approaches chosen were family systems theory and phenomenological research, respectively, with the former viewing families as interdependent systems and the latter investigating the lived-experience of family members from the perspective of family members. Of the 11 families participating in the study, only one chose to be interviewed individually rather than as a group. Family members were interviewed about their interactions with other family members and hospital staff during the hospitalization, in addition to collecting demographic information. Individual experiences were also collected, but the emphasis of the study was on the family as a whole. The authors discovered that nursing staff can have a profound impact on the lived experience of family members during a member's stay in the ICU. Making connections, taking the time to convey and explain a patient's status and prognosis, and relating to both family and patients as people, were viewed by family members as making the difference between a bearable and unbearable ordeal. The lack of connection or recognition by nursing staff was interpreted as aggravating the already intense

According to the research analyzed, the opinions of healthcare professionals are diverse concerning family participation in the course of routine care versus the family presence for resuscitation and invasive procedures. Across a wide range of studies, physicians tend to oppose family presence during these emergent situations more often than do nurses or other healthcare professionals like respiratory therapists. The Emergency Nurses Association (ENA) and the American Heart Association (AHA) are both in support of family presence during adult resuscitation (FPDAR).