The theoretical perspective of which will guide the nursing process with assessment of the family that i found to be most hopeful and effective is the feminist theory where gender plays the most central role by knowing who makes the final decisions in the family and addressing the person first in health needs of the whole family will help the nurse prevent conflict during this stage of the healing process
Kaakinen et a. (2015) states every family has a story about how the potential or actual health event influences its individual members, family functioning, and management of the health event. Nurses are charged with gathering, sifting, organizing, and analyzing the data to craft a clear view of the family’s story. Family assessment begins from the first moment that the family is referred to the nurse. It is important for nurses to filter data gathered in the story through different views or approaches, which affects how we think about the family as a whole and each individual family member.
Family centered care is a belief that the health care staff and the family should work together in order to meet the needs of the patient. By working together, the patient receives the best care while respecting the choices of the family. Nurses must provide dignity and respect by listening to values, beliefs, and cultural backgrounds to provide the best care plan (St Jude Children’s Research Hosptial, 2016). Nurses must communicate unbiased, accurate information to the patient and their family in order to facilitate decision making. Nurses must encourage and support the family’s decisions. We must recognize that each family is unique. We must acknowledge that emotional, developmental, and social support are important components of a
A therapeutic relationship between the family and the nurse is an important aspect of nursing. It allows nurses to assess the family within the eyes of health, including the biological, psychological, spiritual, sociological, and culture factors of individual members within the family. The 15-minute interview is an essential tool used within family-centered care as it provides the nurse with a realistic and relevant ideal opportunity to facilitate learning in a real world context of the family by establishing therapeutic relationships between the nurse and the family involved. As Mariana proves, “The 15-minute family interview is a condensed form of the Calgary Family Assessment and Intervention Models (CFAM and CFIM) that aims to contribute to the establishment of a therapeutic relationship between nurses and family and to implement interventions to promote health and suffering relief, even during brief interactions,” (Mariana et al, 2017). The Calgary Family Assessment Model, also known as CFAM, helps nurses organize data, and is used as a template to guide the family assessment within the clinical environment. The CFAM model consists of three major categories, which include: structural, developmental and functional assessments. Throughout this paper, I will discuss the many ways in which I used these three categories to guide the interview with my client. I will also develop nursing diagnoses and interventions in which have to do with the three domains: cognitive,
During class this week we focused our study on the many roles of a family healthcare nurse. Now we shift our focus to different approaches for family intervention. Hence, the purpose of this paper is to discuss our experience with patients and their families as well as the effects of not only the illness but our interventions while providing care. As we differentiate the roles of individuals within families we focus on the four types of approaches including theories relevant to family health care nursing as well as pertinent social issues that impact the patient’s and family’s health.
Family centered care is a belief that the health care staff and the family should work together in order to meet the needs of the patient. By working together, the patient receives the best care while respecting the choices of the family. Nurses must provide dignity and respect by listening to values, beliefs, and cultural backgrounds to provide the best care plan (St Jude Children’s Research Hospital, n.d.). Nurses must communicate unbiased, accurate information to the patient and their family in order to facilitate decision making. Nurses need to encourage and support the family’s decisions. We must recognize that each family is unique. We must acknowledge that emotional, developmental, and social support are important components of a patient’s health care. There are several approaches to family nursing to take into consideration. These are: Family as Context, Family as Client, Family as System, and Family as Component of Society (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2015). In this paper, I will explain each of these approaches and give a personal example of patients and families I have experienced these approaches with.
A part of developing a relationship with patients and their families, nurses build up a more noteworthy regard for their self-sufficiency and decision over their own care.
Over the course of my nursing career, the two concepts of nursing that relevant to my own practice are patient/ family-centered care (PFCC) and collaborative concepts. The concept of PFCC lies on my personal belief is that patients and/or families should be the ones who make decisions regarding their health. PFCC is an approach that patients and their families are considered as parts of the components of healthcare decision making and delivery processes (Hughes, 2011). It is important that patients are provided necessary information when making their health care decisions.
We have taken the time to interview a family and really get to know their lives. In this paper we explain their functioning as a whole and as individuals. We used the M family to further our understanding of a family assessment.
Nursing is more than treating a disease or acute problem. Nursing is looking at the patient holistically and that also means the family dynamics. Having the social support from the families affects the outcome the overall outcome for the patient, (Rosland, 2012). It is vital that the nurse, regardless of the field they pursue practice effective family nursing. Health, illness and acute injuries do not just effect the person, it also effects the family unit, (Kaakinen & et al, 2015).
Healing and health promotion of an individual is decidedly different according to the relationships and attributes of that person’s family and friends. Family attributes and traits have a distinguishing role in how well members emerge when an illness or health crisis occurs. This discussion will differentiate the varying roles present in the family structure as well as the role we play as nurses in understanding and utilizing the strength of family and available resources for healing and health promotion. An example will follow that discusses the role of family in promoting and affected the health outcome of one of their members that I have recently encountered.
A nursing assessment of a family is the basis of nursing interventions. Stanhope and Lancaster (2008) state, “By using a systematic process, family problem areas are identified and family strengths are emphasized as the building blocks for interventions and to facilitate family resiliency (p. 567). The following paragraphs will describe a family that has become more typical in this day and age. The family consists of a mother, a father, a five year old daughter, and a three year old son. The family that was chosen was interviewed as a family, but also individually.
7) acknowledge that both a Paediatric and child health nurse share the philosophy of family-centred care (Competencies for the Specialist Paediatric and Child Health Nurse 2006, p. 7). Arango (201, p. 97) describes family-centred care as collaboration between a registered nurse and the family to provide appropriate care for their client. It is the role of both a Paediatric and child health nurse to provide family- centred care. Kuo et al. (2011, p. 298) describe the key elements of family-centred care, including listening and respecting the individuals and family’s point of view, including cultural and spiritual beliefs, sharing information and promoting effective decision making and participation by the family. Outlined in a study conducted by Morey & Gregory (2012, p 182-911) into the impact of maternal stress is the importance of education in family centred care. The study found in the neonatal intensive care unit there were high levels of stress among the parents. The study found that education interventions provided by a registered nurse produced s a reduction in stress (Morey & Gregory 2012,
The journal by Kuo, D. Z (2012) describes the idea behind family-centered care and the importance of including the family in the decision making process between the healthcare team and the patient. They found that when nurses are present, the rounds are more productive if the family is involved in decisions, and when nurses use accessible language. It is essential to include both the child and family in care
Several nursing theory models are available to assist the nurse in assessing and evaluating a family, creating a care plan for a family, and determining which interventions are most applicable to the family’s needs, strengths, and weaknesses. The Neuman’s Systems Model, created in 1983 by nursing theorist/educator Betty Neuman, is a theory that encompasses the family as a whole rather than focusing on the individual patient, and offers ways in which the family can react to outside stressors and return to a whole state after the stressor is gone. Newman believes that each person is a layered, multi-dimensional being and identifies methods of coping with outside stressors that include three types of interventions that help the patient and family cope with these stressors.