Family nursing '
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Family nursing ' Family nursing ' Presentation Transcript

  • 3/4/2013 ANCY KURIAN , I MSc.(N) 1
  • By ANCY KURIAN I MSc.(N)3/4/2013 ANCY KURIAN , I MSc.(N) 2
  • Overview Need of family focus.Family, Health, Family Health Care NursingNature of interventionsSettingsHistoryObjectives & General PrinciplesApproaches & Family Nursing RolesObstacles to Family Health NursingErrors In Family NursingFamily Health Nursing Process3/4/2013 ANCY KURIAN , I MSc.(N) 3
  • Need of Family Focus• Health and illness behaviors are learned within the context of family.• Family units are affected when one or more healthy members experience health problems.3/4/2013 ANCY KURIAN , I MSc.(N) 4
  • Need of Family Focus (contd…)• Families affect the health of individual members and viceversa .• Health care effectiveness is improved when emphasis is placed on the family.• Promotion , maintenance and restoration of the health of families is important to the survival of society.3/4/2013 ANCY KURIAN , I MSc.(N) 5
  • Meaning The family is a group of persons united by ties of marriage ,blood or adoption , constituting a single household , interacting and communicating with each other in their respective social roles3/4/2013 ANCY KURIAN , I MSc.(N) 6
  • Meaning Family health is a dynamic, changing, relative state of well-being which includes the biological, psychological ,spiritual , sociological, and culture factors of the family system.3/4/2013 ANCY KURIAN , I MSc.(N) 7
  • Family Health Care Nursing is defined as “theprocess of providing for health care needs offamilies that are within the scope of nursingpractice .3/4/2013 ANCY KURIAN , I MSc.(N) 8
  • Conceptual Framework FAMILY Concepts of NURSING individual , INDIVIDUAL family nursing & society intersect with one FAMILY another. SOCIETY3/4/2013 ANCY KURIAN , I MSc.(N) 9
  • • Family care is concerned with experience of the family over time.• Family nursing is considerate of the community and cultural context of the group.• Family nursing is directed at families whose members are both healthy and ill.3/4/2013 ANCY KURIAN , I MSc.(N) 10
  • NATURE OF INTERVENTIONS (contd..)• Offered in settings in which individuals present with physiologic or psychological problems.• Considerate of the relationships between and among family members.• Influenced by any change in its members.3/4/2013 ANCY KURIAN , I MSc.(N) 11
  • NATURE OF INTERVENTIONS (contd..)• Nurse manipulate the environment to increase the likelihood of family interaction.• Recognizes that which person in a family is the most symptomatic may change over time.• Focuses on strengths of individual family members• Define with the family which persons constitute the family and where they will place their therapeutic energies.3/4/2013 ANCY KURIAN , I MSc.(N) 12
  • Settings• Home, clinic, school and workplace• Each setting serves its own purpose and has its advantages, disadvantages and limitations3/4/2013 ANCY KURIAN , I MSc.(N) 13
  • Family Nursing• Nightingale Era Florence nightingale - Establishment of district nursing of the sick & poor and the work of ‘health missionaries’ through health-at-home teaching.3/4/2013 ANCY KURIAN , I MSc.(N) 14
  • Family Nursing (contd…)• In Early 1900’s and 1960’s• women continued the centuries old traditions• 1930• Nurses are assigned to families.• Psychiatry and mental health disciplines -family therapy focus.• occurs 3/4/2013 ANCY KURIAN , I MSc.(N) 15
  • Family Nursing (contd…)• 1960 - Concepts of maternal,child and family care - incorporated into basic curriculums of nursing schools. - Family studies & research produce family theories. - Shift from public health to community health nursing occurs. 3/4/2013 ANCY KURIAN , I MSc.(N) 16
  • Family Nursing (contd…)• 1970 –• Development of nursing models that consider family as a unit of analysis.• Many specialities focus on the family• Masters and doctoral programs focus on family. 3/4/2013 ANCY KURIAN , I MSc.(N) 17
  • Family Nursing (contd…)• 1980–White House Conference on families. - Greater emphasis is put on health from very young to very old. - Family science develops as a discipline. - Family nursing research increases.. 3/4/2013 ANCY KURIAN , I MSc.(N) 18
  • Family Nursing (contd…)• 1991–Family leave legislation is passed.• 1995 – Journal of Family Nursing Research is born 3/4/2013 ANCY KURIAN , I MSc.(N) 19
  • OBJECTIVES• To identify health and nursing needs and problems of each family.• To ensure family’s understanding and acceptance of those needs and problems.• To plan and provide health and nursing services with active participation of family members.3/4/2013 ANCY KURIAN , I MSc.(N) 20
  • OBJECTIVES (contd…..)• To help families develop abilities to deal with their health needs and health problems independently.• To contribute to family’s performance of developmental functions and tasks. 3/4/2013 ANCY KURIAN , I MSc.(N) 21
  • OBJECTIVES (contd…..)• To help family make intelligent use of facilities and services in the community.• To educate ,counsel and guide family members. 3/4/2013 ANCY KURIAN , I MSc.(N) 22
  • Principles1. Family health nursing is family focused.2. Must establish good working relationship with the family.3. Family health nursing is part of family health care services3/4/2013 ANCY KURIAN , I MSc.(N) 23
  • Principles ( contd…)4. Family health nursing services should be realistic in terms of resources available.5. Family as a unit is responsible for their members’ health .6. Family relates to community where it lives and depends on community in various way.3/4/2013 ANCY KURIAN , I MSc.(N) 24
  • Principles ( contd…)7. Health education ,guidance and supervision are integral part of family health nursing.8. Continuous services are effective services.9. Effective system of record and report of family health nursing service is essential .3/4/2013 ANCY KURIAN , I MSc.(N) 25
  • Principles ( contd…)10. Periodic and continuous appraisal and evaluation of family health situation and health services are basic to family health situation3/4/2013 ANCY KURIAN , I MSc.(N) 26
  • Principles ( contd…)11. Family health nursing services should be rendered to all families without any discrimination. 3/4/2013 ANCY KURIAN , I MSc.(N) 27
  • APPROACHES TO FAMILY NURSING• Family as the context Individual as foreground Family as background3/4/2013 ANCY KURIAN , I MSc.(N) 28
  • APPROACHES TO FAMILY NURSING ( contd…)• Family as the client Family as foreground Individual as background3/4/2013 ANCY KURIAN , I MSc.(N) 29
  • APPROACHES TO FAMILY NURSING ( contd…)• Family as System Interactional Family3/4/2013 ANCY KURIAN , I MSc.(N) 30
  • APPROACHES TO FAMILY NURSING ( contd…)•Family as Component Of Society Bank Church Hospital Family /Home Schools 3/4/2013 ANCY KURIAN , I MSc.(N) 31
  • Family Nursing Roles3/4/2013 ANCY KURIAN , I MSc.(N) 32
  • Obstacles to Family Nursing Practice• The majority of practicing nurses have not had exposure to family concepts• Lack of good comphrensive family assessment models ,instruments and strategies.• Students believe that study of family and family nursing does not belong to curricula.3/4/2013 ANCY KURIAN , I MSc.(N) 33
  • Obstacles to Family Nursing Practice (contd…) • Medical model has traditionally focused on the individual as client , not the family. • Nursing diagnostic systems used in health care are disease-centered /focused on individuals. • Traditional charting system in health care has been oriented to individual 3/4/2013 ANCY KURIAN , I MSc.(N) 34
  • Obstacles to Family Nursing Practice (contd…)• Insurance carriers - One identified patient with diagnostic code drawn from an individual disease perspective• Increased family care has been the established hours.3/4/2013 ANCY KURIAN , I MSc.(N) 35
  • Errors In Family Nursing  Failure to create a contest for change • Show interest ,concern and respect for each family member. • Obtain a clear understanding of the most pressing concern or greatest suffering. • Validate each member’s experience. • Acknowledge suffering and sufferer. • Health provider’s acknowledgement of client’s suffering.3/4/2013 ANCY KURIAN , I MSc.(N) 36
  • Errors In Family Nursing  Taking Sides • Maintain curiosity. • Remember that the glass can be half full and half empty simultaneously. • Ask questions that invite an exploration of both sides of a circular interactional pattern. • Remember that all family members experience some suffering when there is a family problem or illness.3/4/2013 ANCY KURIAN , I MSc.(N) 37
  • Errors In Family Nursing  Advicing prematurely • Offer advice without believing that the suggestions are the “best” or “better” ideas or opinions. • Offer advice, opinions or recommendations only after a thorough assessment. • Ask more questions than offering advice during initial conversations with families. • Obtain the family’s response and reaction to the advice.3/4/2013 ANCY KURIAN , I MSc.(N) 38
  • Family Health Nursing Process ASSESSMENT • FAMILY IDENTIFICATION - 1st level Assessment - Planning of Data Collection - Data Collection Methods and Techniques - Analysis of Data - Family Profile and Diagnosis3/4/2013 ANCY KURIAN , I MSc.(N) 39
  • Family Health Nursing Process (contd…) PLANNING • Family Health Nursing Care • Plan Formulation • Analysis of diagnosed health problems and assessment of familys abilities- 2nd level assessment • Establishing priorities • Setting goals and Objectives 3/4/2013 ANCY KURIAN , I MSc.(N) 40
  • Family Health Nursing Process (contd…) ACTION PHASE  Plan Implementation  Review and Revise  Mobilisation of resources facilitating work environment  Implementing  Documentation 3/4/2013 ANCY KURIAN , I MSc.(N) 41
  • Family Health Nursing Process (contd…) • EVALUATION • Concurrent (Quantitaive) • Terminal (Qualitative) 3/4/2013 ANCY KURIAN , I MSc.(N) 42
  • Data Review & Update ASSESSMENT PHASE Review/ Revise goals and objectives and actions PLANNING PHASE ACTION PHASE EVALUATION PHASE3/4/2013 ANCY KURIAN , I MSc.(N) 43
  • •In this Canadian study - A participatory action research approach - To examine the relationships between families ofresidents of traditional continuing care facilities andthe health care team. - Results indicate that the resource-constrainedcontext of continuing care has directly impacted familyand staff relationships.3/4/2013 ANCY KURIAN , I MSc.(N) 44
  • CONCLUSION Working with families helps families live alongside illness and increase their sense of wellness.3/4/2013 ANCY KURIAN , I MSc.(N) 45
  • REFERENCES• Shirley May Harmon Hanson. Family Health Care Nursing, 2nd ed. Philadelphia: F.A Davia Publishers; 2001.p. 4-19.• Basvanthappa B T.Community Health Nursing. 2nd ed. New Delhi. Jaypee Publishers; 2008. p. 129.• Lorraine M Wright, Maureen Leahley. Nurses and Families. 4th ed. Philadelphia: F.A Davis Company; 2005. p. 277-84.• Gulani K K. Community Health Nursing, 4th ed. New Delhi; Kumar Publishing House; 2011. p. 145-74.• The Growing Speciality of Family Health Nursing; Available from: http://www.oppapers.com/essays/Family- Health-Nursing/106495: Accessed on June 19,2012.3/4/2013 ANCY KURIAN , I MSc.(N) 46
  • 3/4/2013 ANCY KURIAN , I MSc.(N) 47