General Systems Theory On Family Centered Care

The family system is founded on the notions that for change to occur in the life of an individual, the therapist must understand and work with the family as a whole. In working with the family, the therapist can understand how the individual in counseling functions within his family system and how the client’s behaviors connect to other people in the family. This theory also holds the perception that symptoms are a set of family habits and patterns passed down by generation and not a result of a psychological problem or an inability to change (Corey, 2017). Furthermore, the family system theory holds the idea that when a change occurs everyone in the unit is affected by the change.

Many people have many different definitions of a family. Some include family as the people they live with, some include their entire extended family, and some include friends, neighbors, coaches, and teachers. According to the Vanier Institute (2013), a family is “a combination of two or more persons who are bound together over time by ties of mutual consent, birth, and/or adoption” (para. 2). Whichever way you look at it, families often play a major role in life. It only makes sense that when a person begins to go through a drastic change in life such as illness, the family will be involved. This is why it is important that nurses learn how to provide suitable client and family centered care. They can do this by following the four

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.

In The Family Crucible, Augustus Napier and Carl Whitaker’s form of therapy was strongly influenced by family systems theory, a burgeoning theory of the time. General systems theory examines relationships between elements that constitute a whole (Andreae, 2011, p. 243). When applied to families, this theory views the family as an emotional unit and uses systems thinking to describe the complex interactions in the unit (The

Although I enjoy all facets of nursing, I truly believe that it is in the field of family practice that the foundation of the nursing process begins. I have seen many patients over the course of my career without a stable, primary care healthcare provider. Health and wellness begins with day-to-day habits, and a nurse in family care is uniquely poised to give wellness advice and guidance. Family nurse practitioners often perform similar functions to physicians: making diagnoses; prescribing tests and medications; and helping patients over the course of their life trajectories lead more fulfilling lives. Primary caregiving is truly wellness promotion. It involves not simply healing the sick, but also reducing the likelihood that patients will become ill. I have seen so many patients with preventable illnesses that could have

All health care providers are familiar or have some idea of what family focused care entails. Family focused care can be practiced in any settings in healthcare, and nurses are familiar with this concept as this strong theory based teaching is emphasized throughout the nursing curriculum. With the trend of health care delivery shifting towards home based or community setting, it is now more than ever important for nurses and advance practice nurses (APN) to incorporate family nursing practice for improved outcomes for the patient and their families. This paper will discuss one of the many family nursing theory and its impact on the family nursing practice now and in the future.

The systems Perspective sees human behavior as the outcome of interactions within and among systems with interrelated and interdependent parts; as defined by its boundaries. Changing one part of the system affects other parts and the whole system, with predictable patterns of behavior (Hutchinson, 2015). The family system has been a widely used theory of family interventions and assessment. The family systems theory is focused on the family dynamic, involving structures, roles, communication patterns, boundaries, and power relation (Rothbaum, 2004). Many theorist such as Bowen, developed the systems theory that focuses on how a

-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.

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

Dr. Murray Bowen, a psychiatrist, offered us the family systems theory. This theory views the family as an emotional unit, further providing a thinking systems approach to describe the complex interactions in the unit. Bowen offered, “A change in one person’s functioning is predictably followed by a reciprocal change in the functioning of others” (Kerr, 2000). If one person within the family unit is having a difficult time, it effects everyone within the family unit. An example of this would be a father who is the primary breadwinner for his family suddenly loosing his job. Prior

Approaches to Family Therapy: Minuchin, Haley, Bowen, & Whitaker Treating families in therapy can be a complex undertaking for a therapist, as they are dealing not only with a group of individuals but also with an overall system. Throughout history several key theorists have attempted to demystify the challenges families face and construct approaches to treatment. However, there have been key similarities and differences among the theoretical orientations along the way. While some have simply broadened or expanded from existing theories, others have stood in stark

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.

The role and definition of family can vary from one culture to another. Generally speaking, the culture in the United States places a lot of emphasis on individuality and personal freedom. In many cultures, the family unit has a very strict and defined hierarchy. Often the Father is seen as the head of the household and is responsible for much of the decision making. This can include decisions concerning the health care of a family member. It could also result in reluctance for the head of the family to place himself in a position of relying on others for care, a perceived position of weakness. In many cultures, the family goes beyond the nuclear family, and extends to the community, friends and neighbors. These are strongly held beliefs, and we must refrain from judging them as right or wrong based on our own culture. Rather, weneed to find ways to work within the framework of the family structure of the patient. ( Falvo, pp.186-187)