Class 9

Unique goals of Family Nursing

Individual Health

Supportive Relationships

Effective Family Unit

Higher Functioning Families

Family units that provide autonomy and are responsive to the particular interests and needs of individual family members

Family Assessment

An exploration between the nurse and family to gain insight into the family’s perspective of the event, their strengths, and their need for support

Family Crisis

Occurs when the family is not able to cope with an event and becomes disoorganized. The demands of the situation exceed the resources of the family

Vulnerabilities

Sometimes the wellbeing of families and children may be threatened by individual, parental or family circumstances

Family Assessment Models

Friedman Assessment Model

McGill Model of Nurising

The Calgary Family Assessment and Intervention Models

Relataional Practice

Friedman Assessent Model

Approaches the family from a structural-functional perspective

Views the family as an open social system

Focuses on the family’s structure and function and relationships to other social systems

The Friedman Assessment Model

Identifying data

▪ Developmental family stage and history

▪ Environmental data

▪ Family structure - communication, power structures, role structures & family values

▪ Family functions – affective, socialization & health care

▪ Family coping

McGill Model of Nursing

Goal is to help families use their strengths to cope and achieve goals

 Optimism, capabilities, skills, problem-solving abilities, motivation.

Explores contextual factors of the following:

 Health work

 Health potential

 Competence in health behavior

 Health status

Calgary Family Assessment Model

This family systems nursing model focuses on the family unit as “client”

This approach consists of a structural,developmental, and functional assessment of the family

Relational Practice

Approach guided by conscious participation with clients using relational skills

including:

 Listening, questioning, empathy, mutuality, reciprocity, self-observation, reflection, and sensitivity

Aims to:

 Build on family strengths

 Recognize differences among family members without taking sides or reinforcing power relationships

 Inquire and listen for what is meaningful and important to the family

 Following the lead of families and learning to let be

Health RIsk Appraisal

Process of assessing and analyzing for the presence of specific factors that may pose a health risk to the family

The general approaach is to determine whether a risk factor is present and to what degree

Categories of Risk to Family’s Health

Biological and Age-Related Risks

Environmental Risks

Behavioural Risks

Calgary Family Intervention Model

A companion to the CFAM. It is a strengths and resiliency based model

Designed to help CHNS facilitate family functioning in the cognitive, affective, and behavioural domains

Types of Interventive questions

Linear

Circular

Circular Questions

Meant to affect change

Has 4 types

DIfference

Behavioral Effect

Hypothetical/ Future oriented

Triadic Question

Circular Questions: Difference

Explores differences between people, relationships, time, ideas or

beliefs

Circular Questions: Behavioural Effect

Explores communications between how one family members behavior affect other members

Circular Questions: Hypothetical/ Future Oriented

Explores family option and alternative actions or meanings in the future

Circular Questions: Triadic Questions

Question posed to a 3rd person about the relationship between two other people

Cognitive Intervention

Involves commending family members and Individual strenghts as well as offering information and opinions

Affective Intervention

Involves

Validating, acknowledging, or normalizing emotional responses

Encouring the telling of illness narratives

Drawing forth family support

Behavioural Intervention

Encouraging Family members to be caregivers and offering caregiver support, encourage respite

Devising rituals

Characteristics of an Empowered Family

Access to and control over needed resources

Decision-making and problem-solving abilities

The ability to communicate and obtain needed resources