Presentation at the 11th International Family Nursing Congress (IFNC) 2013 in Minneapolis about teaching & applying CFAM/CFIM (based on Wright & Leahey, 2005) & Illness Belief Model (Wright & Bell, 2009) in an ambulant home care organization in Switzerland in a practice-oriented way.

1. SPITEX AareGürbetal Muensingen, Switzerland
Applied Education of the CFAM & Illness Beliefs Model in an Ambulatory Home Care Setting
Sabina Jaggi, MScN 11th International Family Nursing Conference Minneapolis, June 21, 2013

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•Organizational setting
–~500 ambulant patients
–110 employees total working at 3 centers/units
–1/3 RN ; 2/3 nurse assistants
–2 APNs (110% FTE)
•Growing Importance of Family Nursing in ambulant Home Care
•Prejudice of nurses against too much theory
•Monthly patient case discussion meetings with 6 mixed teams
Background

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Objectives
1.RN & RN+ conduct initial and on-going patient assessments using the knowledge of family nursing
2.RN & RN+ apply Family Intervention techniques in complex situations independently
3.Nurse assistants recognize the value of family nursing and learn to think and act more systematically
Implement family nursing in a practice-oriented way, so…

4. (1)-(4) Advanced Level (Repetition & Strengthening)
Family Intervention (RN/RN+ led)
CFIM (all)
Illness-Beliefs-Model
(RN & RN+)
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6
4
Step-by-step implementation of CFAM and IBM
Family intervention (APN led)
Know ledge
t
Genogram / Ecomap
CFAM: Structure
CFAM: Development
CFAM: Function
Patient Case Discussions
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2
3
4
Test
Sources: CFAM/CFIM based on Wright & Leahey (2005) / IBM based on Wright & Bell (2009)

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Results
•Higher level of acceptance
–Theory based on real patient situations is easier to learn and apply
–Nurses better realize the benefit of family nursing
•Improved skill development
–Continuously assess family nursing competences
–Identify and address individual knowledge gaps
•Higher level of professionalism
–More structured preparation and discussion
–«Same» language: use of nursing terminology
Image Source: http://labspace.open.ac.uk/mod/resource/view.php?id=433244

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Learnings & Challenges
Learnings
•Small theoretical inputs and repetition were key to success
•Nurse assistants were as interested as RN
•Application of models requires adaptation to cultural settings
Challenges
•Training of new staff and management of different skill levels
•Lack of «live» practice examples to train family intervention techniques
•Time intensive implementation approach

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Outlook
•Formalization and Implementation of Family Nursing Intervention Guidelines
–Assessment (G/E)
–Roles & Responsabilities
–Documentation process
•Staff retention and recruiting
–Assess benefit for employee retention
–Leverage for hiring new staff (employer branding)

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Thank you for your attention!
SPITEX AareGürbetal Muensingen, Switzerland
Sabina Jaggi, MScN SPITEX AareGürbetal
Email: sabina.jaggi@spitex-aareguerbetal.ch
Questions & Discussion