Family Management Styles Framework Analysis

Nurses often use the aspect of time as an excuse not to conduct a family interview, however, Wright and Leahey (2009) clearly demonstrate how integrating families into patient care does not have to consume a lot of time. Using the Calgary Family Assessment Model (CFAM) and Calgary Family Intervention Model (CFIM), a family interview can be organized and conducted in a less amount of time, and end in a greater understanding of the patient and family. The CFAM contains three major categories including structural, developmental, and functional, which can be used to assess a family or help them address a specific health issue (Wright & Leahey, 2009). The CFIM uses assessments focusing on strengths, meaning that it uses the strengths of each individual family member, and the unit as a whole to provide positive interventions. This allows the interventions to focus on encouraging the family, rather than their deficits or dysfunctions (Wright and Leahey, 2009). During the 15-minute interview, it is suggested to have the entire family present so that the interviewer is able note reactions and collaborate with each family member, thus providing the most acceptable plan of care for the entire family.

According to Stanhope and Lancaster (2008) “Each family is an unexplained mystery, unique in the ways it meets the needs of its members and society” (p. 550). Family nursing is a special field that involves the nurse and family working together to achieve progress for the family and its members in adjusting to transitions and responding to health and illness. The Friedman Family Assessment Model serves as a guide in family nursing to identify the developmental stage of the family, environmental data, family structure, composition, and functions as well as how the family manages stress and their coping mechanisms. From this data, three nursing diagnoses with interventions are developed.

Using the CFAM to conduct a family interview, I identified a nursing diagnoses and interventions for the family I interviewed.

With over three hundred million Americans and over six billion people worldwide parenting skills are essential to maintain a healthy society. Parenting involves many aspects and requires many skills. It is a time to nurture, instruct, and correct to develop fundamental skills children will need to be mature, responsible, and contributing adults to a society. There are four commonly identified parenting styles; authoritarian, authoritative, permissive, and uninvolved parenting. Of the four parenting styles, two remain on opposite ends of the parenting spectrum. These two styles; authoritarian, and permissive both have deleterious results that are often visible throughout different developmental stages, such as rebellious behavior. As well

-A succinct philosophy of family nursing is seen in The Association for the Care of Children’s Health standards stating the expectation for healthcare providers to facilitate family/professional collaboration at all levels of care, and to recognizing family as the constant in the patient’s life whereas the healthcare providers will fluctuate (p.40, 2003).

Think back to when you were a child and you became ill. All you wanted was the protection and guidance of your mother to take care of you. If you had older siblings, maybe they were the ones that helped make you feel better. Even as we grow older, we rely on our family for support when we are not well. When a family member is ill, it is not just that one person that suffers. When an illness strikes a family member, it oftentimes includes the whole family to deal with the illness also. There are different approaches that a nurse can utilize when dealing with family nursing. Approaches include family as context, as a client, system and a component of society. In this paper, I will discuss where and how these approaches are utilized.

Comparing Bowen’s family systems theory and Minuchin’s structural family theory we will outline several fundamental categories for analysis with Goldenberg & Goldenberg (2012) as our guide. We also contrast the history and theoretical orientation of both men to garner a deeper understanding of their theories. Finally we will consider integrating elements of both theories and how this makes us more effective practitioners.

The purpose of this paper is to incorporate one family's experience of living with multiple chronic illnesses into the Calgary Family Assessment Model (CFAM) and Rolland's Chronic Health Challenge Framework. CFAM was developed by Dr. Lorraine M. Wright, a professor Emeritus of nursing and by Dr. Maureen Leahey, a manager of a mental health outpatient program both have over 25 years experience while still managing to supervise, teach, consult, write, and maintain a part-time clinical practice in individual, couple, and family therapy (Moxie, 2007). CFAM allows nurses to assess families during interviews. CFAM is a multidimensional framework consisting of three major categories: structural, dimensional and functional. (Wright & Leahey, 2005)

The family has various functions that include teaching members’ values, morals and beliefs as they relate to health practices. Health can be defined as a complete state of wellbeing and not merely the absence of disease. Gordon’s functional health patterns are a methodology developed by Marjorie Gordon in 1987 to be used as a guide to establish a comprehensive nursing database (Kriegler & Harton, 1992). Gordon’s eleven functional health patterns are; health perception/ health

The purpose of this paper is to display how such assessment is essential not on an individual basis, but rather on a larger scale in relation to family nursing. Family nursing “centers on the family as a unit of care, addressing family needs in response to a member’s illness or threat to health, rather than focusing on the individual. An understanding of families’ needs at particular developmental stages, how they communicate and function, and an ability to undertake a family assessment is foundational knowledge for family nursing” (St John, 2009, p.6). Often, nurses encounter the families of their individual patients on a daily basis, yet family assessments are not performed. This is because nurses often feel there is little time to engage families effectively, and in fact lack of time, has been identified by nurses as the primary barrier to engaging families (Kaakinen, 2015, p.109). Evidence based practice however, has proven that “a 15 minute, or even shorter, family interview can be purposeful, effective, informative, and even healing” (Wright, 2013, p.264). This 15 minute interview has been adopted in many acute care settings in involves five key components; manners, therapeutic conversation, key questions, commendation, and the genogram. These ideas represent the theoretical underpinning and are a condensed version of the Calgary Family Assessment Model (Wright, 2013). This model is large, but can be customized and adapted to the function of each individual

Using Gordon’s functional health patterns to assess a family will guide the nurse in developing a comprehensive nursing assessment that is holistic in nature. Gordon’s functional health patterns are founded on 11 principles that are incorporated within the nursing practice. These 11 principles serve as a framework for a thorough nursing assessment in which to build a holistic and individual family care plan (Grand Canyon University, 2011). The author has developed family-focused questions for each of the 11 principles and utilized these questions as a tool to assess her own family. This paper will summarize the family assessment that was performed by the author and discuss two wellness nursing diagnoses that

I knew college was going to change me in many ways. Yet, after my family and I restructured our collective and individual emotional reactivity over the three years that I was away at school, I believed my work in that department was done. I thought transiting into college was difficult, however, I found myself once again unprepared for the aftershock that rocked my family once I return from school. I left college a strong, independent, mature, and differentiated person, or at least I kind of did.

When I consider family systems, I am reminded of a metaphor I heard while in undergraduate school about a mobile. A mobile is used to soothe an infant, normally placed above a crib or basinet. Each of its parts are in balance, when working correctly, however if one section becomes off balance the objects become out of sync. This is true with families. If each member of the family unit is doing their part, there is complete balance or homeostasis (Henson). This balance is viewed as a healthy family system. However, if one part of the unit becomes off balance, it disrupts the whole unit causing an unhealthy response with possible long term consequences. As families grow, each member plays an equally important role in the family unit. Children learn quickly the importance of relationships and adapt quickly to their environment. No one can deny the family unit is the most complex system in existence.

After a thorough review of the textbook and the course material, the specific family system approach that I choose to explore is the Bowenian Approach for this literature review. This specific family system approach is also known as the Bowen Family System Theory as well (D.V. Papero, 2006). The Bowen Family System Theory was established by Murray Bowen, a theorist and psychiatrist who specialized in treating children who were deranged and had schizophrenia (Rockwell, 2010). In the 1950s, Bowen wanted to explore a new venture so he decided that he wanted all of the family members of each child to be involved in an therapeutic process at the same time (Rockwell, 2010).

O’Byrne, Haddock, Poston, and Mid America Heart Institute (2002) investigated whether parenting style was a risk factor of smoking initiation and experimentation among adolescents and whether there was a relationship between parenting style and readiness to quit, and nicotine dependence among smokers. O’Byrne et al. (2002) defined current smokers as those who smoke regularly, experimenters as individuals who have smoked on one or two occasions, but have not smoked in the past month. Initiated smokers were considered both current smokers and individuals who smoked regularly in the past and then quit. Readiness to quit was categorized into four stages: precontemplation, for those who had no intent on quitting, contemplation, for those who may quit but not within the next 6 months, preparation, for those who will quit within the next 6 months and action, for those who will quit next month. Parenting style was measure by the Family of Origin Scale (FOS) which measured family intimacy and autonomy. This scale