RNAO Life Transitions

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  • 1. Facilitating Life Transitions Dr. Dawn-Elise Snipes, PhD, LMHC, CRC, NCC
  • 2. “ Flower (Em)power”
    • Depicts a comprehensive and perennial approach to treatment.
    • At the core of the flower is the clinician-family partnership.
  • 3. The Stem
    • Sustaining a caring environment represents different interrelated components of promoting family health.
    • The stem of the flower symbolizes the advocacy activities and policy changes needed to ensure that the clinical activities that support and strengthen families can grow.
  • 4. The Leaves
    • The leaves of the flower stand for:
      • Vision
      • Values
      • Principles
  • 5. The Roots
    • Symbolize how this best practice model is grounded in the following five axioms:
      • Responsibility
      • Resources
      • Respect
      • Results
      • Recognition
  • 6. Developing a genuine partnership with families
      • Acknowledging and respecting the important role of family in health care situations
      • Determining the desired degree of family involvement
      • Negotiating the roles of both nurse and family within the partnership
  • 7. Discussion Forum
    • Think of a time when, working with a family in transition, you developed a genuine partnership with them. How did the partnership begin? How did it grow? How were you affected professionally, and personally, by this?
    • Please take a moment to share your responses in the discussion forum. Thank you.
  • 8. Family Assessment
    • Address all of the following:
      • Family structure
      • Environmental data
      • Family strengths
      • Family supports
  • 9. Identify resources and supports to assist families
    • Where?
      • Within the nuclear family
      • Between families (in laws, distant relatives)
      • Supports outside the family (i.e. Church, non-related friends)
  • 10. Sustaining a caring workplace conducive to family-centered practice
      • Ensuring that staff are oriented to family-centered care, including family assessment
      • Ensuring that staff have the awareness and ability to effectively access resources
      • Providing ongoing opportunities for professional development
  • 11. Supporting family centered practice in the workplace
      • Ensuring appropriate staffing levels, assignments, and staffing categories
      • Implementing family-centered practices and policies
      • Creating and maintaining physical work environments that are conducive to promoting family involvement
  • 12. Best practice guidelines
    • Can be successfully implemented only if there are:
      • Adequate planning
      • Resources
      • Organizational and administrative support
      • Appropriate facilitation
  • 13. Developing a plan for implementation
    • An assessment of organizational readiness and barriers to education
    • Dedication of a qualified individual to provide the support needed for the education and implementation process
    • Ongoing opportunities for discussion and education to reinforce the importance of best practices
    • Opportunities for reflection on personal and organizational experience in implementing guidelines
  • 14. The family
    • Plays an integral role in promoting and maintaining health of family members, as well as providing physical and emotional support.
  • 15. Vision for Supporting Families
    • “ In a perfect world ”
      • Families would be supported across the care continuum in a caring, consistent, timely and effective manner.
      • Families would have access to timely and comprehensive information.
      • Families would be able to choose from a full range of respite care and support services which would be delivered consistently across Ontario in a flexible, culturally-sensitive, and affordable manner.
  • 16. Vision for Supporting Families Cont…
      • Families would be comprehensively supported by nurses and other care providers because resources would be available to allow this to take place.
      • Families would say their needs were met and they were supported and strengthened through the care experience.
  • 17. Discussion Forum
    • Think of your collective experience from supporting families during life transitions. If you could change one aspect of the care and support they received, what would it be? What would you make different for them?
    • Please share your responses in the discussion forum. Thank you.
  • 18. Values & principles for supporting and strengthening families
      • It is important for staff to recognize their own assumptions and values about families and cultural beliefs, and adjust their care accordingly.
      • Families and family relationships are unique and diverse, and may change over time.
      • Families have expert knowledge and skills that help them determine their own needs and respond to expected and unexpected life events.
  • 19. Values & principles for supporting and strengthening families cont …
      • Partnerships with families are built upon mutual trust, honesty, and collaboration.
      • Families participate in care only as much as they are able, or want to.
      • Partnerships increase the likelihood that clinicians will follow a family-centered approach to care.
      • Support families in their choices.
      • Family members and the client may have different and conflicting needs.
      • Clinicians should support family situations.
  • 20. Family beliefs & values and the clinician-family partnership
    • The differences in family beliefs and values in families will affect the clinician-family partnership.
  • 21. Key components of an assessment and intervention framework
    • Listening to the family
    • Engaging in a participatory dialogue between the nurse/counselor and family members
    • Recognizing patterns
  • 22. Family supports
    • Examine the types of supports the family requires during the expected or unexpected life event.
    • Issues that should be assessed include:
      • The family’s appraisal of the stressor
      • Their concerns and sense of vulnerability
      • Information needs
  • 23. Involving families
    • The most common reason offered by nurses and counselors for not routinely assessing and involving families in their practice is because they don’t have time.
    • The shortest amount of time required is 15-minutes for a family interview to be purposeful, effective, informative, and even therapeutic for family members.
  • 24. Key components of a 15-minute family interview
      • Therapeutic discussions and questions
      • Identifying who makes up the family unit
      • Identifying family and individual strengths
  • 25. Families coping
    • Nurses and counselors can support families in recognizing their strengths
    • In times of stress each family copes in a unique way.
  • 26. Family-Centered Care
    • Emphasis should be placed on all of the following:
      • Creating opportunities for families to become more competent and independent
      • Strengthening families by building on their strengths and natural resources
      • Enhancing the family’s acquisition of a wide variety of competencies and resources
  • 27. Supporting family-centered practice in the workplace
      • Ensuring appropriate staffing levels, assignments, and staffing categories
      • Implementing family-centered practices and policies
      • Developing employee assistance programs promoting family health
  • 28. Key steps in implementing a best-practice
      • Identify a well-developed, evidence-based clinical practice guideline
      • Identification, assessment and engagement of stakeholders
      • Assessment of environmental readiness for guideline implementation
      • Planning and implementing evaluation
      • Identifying and securing required resources for implementation
  • 29. Discussion Forum
    • One of the key steps in implementing a best-practice is identification, assessment and engagement of stakeholders. Take a moment to think about how you identify stakeholders. How do you assess and engage them?
    • Please share your thoughts in the discussion forum. Thank you.
  • 30. Developing an empowering partnership with families
      • Recognizing the family’s assessment of the situation is essential
      • Acknowledging and respecting the important role of family in health care situations
      • Determining the desired degree of family involvement
  • 31. Supporting interdisciplinary family- centered practice in the workplace
      • Ensuring appropriate resources (e.g., time, staffing)
      • Creating and maintaining environments that are conducive to family- centered care
      • Developing programs that promote work life balance for employees
  • 32. Conducting a family assessment
    • The clinician engages in a partnership with the family to assess their perception of and their capacity to address the life event.
    • Areas to be assessed include
      • Family perceptions of the event(s)
      • Family structure, composition, values
      • Home and community
      • Environmental characteristics
      • Family strengths
  • 33. Summary
    • Using a collaborative and consultative approach, both in the workplace and in treatment, helps clinicians empower families to:
      • Learn how to assess and meet their needs
      • Communicate
      • Take responsibility for their care and treatment