The document outlines the phases of the family health nursing process: assessment, planning, implementation, and evaluation. The assessment phase involves collecting data on the family's structure, health history, lifestyle, and environment to determine health needs. The planning phase uses this data to prioritize problems and set goals and nursing care plans. The implementation phase carries out the planned nursing care. Finally, the evaluation phase assesses the outcomes and effectiveness of the nursing interventions.

1. FAMILY HEALTH
NURSING PROCESS

2. DEFINITION
 It is a systematic approach to help the family to
develop and strengthen its capabilities to meet
there health needs and solve the health problems

3. PHASES OF FAMILY HEALTH
NURSING PROCESS
ASSESMENT PHASE
PLANNING PHASE
IMPLEMENTATION
PHASE
EVALUATION PHASE

5. ASSESMENT PHASE

6. ASSESMENT PHASE
• It is the initial assessment which helps to explore the
family and its health needs, health problems, this phase
also includes collection and analysis of data to determine
the family profile and make family diagnosis.
• These data are the baseline data for formulating the family
health nursing care plan

7. CONTD…
A .Plan for
data
collection
B . Data
collection
methods
and
techniques
C .
Analysis
of data
D . Family
profile
and
diagnosis
The assessment phase has four systematic and scientific
steps:

8. A. Plan for data collection
The major categories of data to be explored:
• Family structure and characteristics
• Life style and culture, socio economic factors
• Health and medical history and health behaviour
• Environmental factors

9. • The data can be collected from number of sources
1. Primary source: is family and its members, the data is
collected directly from the family as a client.
2. Secondary source: are the extended members of the
family (friends , neighbours, colleagues who know the
family.

10. B. Data collection methods and
techniques
Observation Questioning
Conservation/Dis
cussion
Listening
Review of family
health record
Examination
Investigation

11. C. Analysis of the data
• Analysis include inferring of health status of
family members.
• It should be categorized as
o Health deficit
o Health threat
o Foreseeable crisis

12. • Health deficit refers to the failure in health maintenance
and development. It include
o Diagnosed or suspected illness
o Deviation in growth and development
o Personality disorder

13. • Health threats refers to condition which predispose to
disease, accident, poor or retarded growth and development
and personality disorder.
• The possible health threat are
Large family size
Inadequate
education
Immature parents
Strained family
relations,
conflicts
Broken family
size or single
parent family
Family history of
congenital or
hereditary
problem
Incomplete or
lack of
immunization
Poor
environmental
condition

14. • Foreseeable crisis are unusual demands on the
individual or the family in terms of adjustment or
family resources.
• The possible foreseeable crisis are
Marriage
Pregnanc
y, labour,
post
natal
period,
abortion,
miscarri
age
Addition
al
members
in the
family
New job,
loss of
job,
retireme
nt
Death
Menopau
se
Change
of
residence

15. d. Family profile and diagnosis
• The family profile implies the brief description of
family structure and characteristics, family life
style and culture, socio-economic condition,
environmental factors, health and medical history.

16. • Family health diagnosis is the written statement
of the family health problem, health needs,
which are assessed from analysis of data
collected

19. PLANNING PHASE

20. PLANNING PHASE
• It is concerned with the formulation of family health and
nursing care plan. It involves series of systematic and
logical steps.
• These steps are:
a. Analysis of health problem and assessment of
family’s abilities
b. Establishing priorities
c. Setting goals and objectives
d. Formulating the family health and nursing care
plan

21. a. Analysis of health problem and
assessment of family’s ability
• Family’s ability to resolve the health problem can be
assessed on the basis of performance of five health tasks.
These are as under
• Ability to recognize the presence of health problem
• Ability to make decision for taking appropriate health
actions

22. • Ability to provide desired care of the sick, disabled
• Ability to maintain the environment conductive to health
promotion, maintenance, and personal development
• Ability to utilize the community for the health care

26. b. Establishing the priorities
• It means ranking order of health problem.
• Criteria for setting priorities
• Types of health problems
• Severity of consequences of problem
• Modifiability of the problem
• Salience
• Preventive potential

27. • Types of health problems: health deficit, health threats,
and forcible crisis situation or stress points
• Severity of consequences of problem: nature and
magnitude of the resultant problem concerned
• Modifiability of the problem: possibilities of resolving
the problem through nursing interventions within
available resources

28. • Salience: Family’s perception of the problem in terms of
its seriousness and urgency of attention needed
• Preventive potential; whether the problem can be
prevented, eradicated, controlled.

29. Criteria Rating scale
TYPE OF PROBLEM
Health defecit
Health threat
Foreseeable crisis
3
2
1
EXTENT OF PROBLEM/ SEVERITY
High prevalence
Moderate prevalence
Low prevalence
3
2
1
SALIENCE
A serious problem
A problem but immediate attention not needed
Not much problematic
3
2
1

30. Criteria Rating scale
PREVENTIVE POTENTIAL
High
Moderate
Low
3
2
1
MODIFIABILITY OF THE PROBLEM
Fully modifiable
Partially modifiable
Very little modifiable
3
2
1

32. c. Setting the goals and objectives
• Goals and objectives are formulated after setting
priorities of identified family health and nursing
problems.
• The following statements of the goals and
objectives

33. Formulating the nursing care plan

34. 3. IMPLEMENTAION PHASE
• The overall purpose is to help family to mobilize and
develop its competences and resources to be able to solve its
health problem.
The two major steps of action phase is
• Review of plan and mobilization of resources
• Implementation and documentation

35. EVALUATION PHASE
• It is the last step of nursing process.
• The nursing process is incomplete if its intended
goals and objectives are not judged and
appraised.
• Evaluation is both Quantitative and Qualitative

36. • Quantitative Evaluation: it determines extent of
services rendered to the family.
• It accounts for the number of family visits, clinic visit,
number of immunization completed, reduction in
morbidity and mortality.

37. • Qualitative Evaluation: it determines the
appropriateness, adequacy, efficiency, efficacy of nursing
interventions.
• It is related to three dimensions

38. • Structure evaluation: it refers to existence of adequacy
of resources in terms of manpower, time, efforts etc.
• Process evaluation: It measures appropriateness and
adequacy of nurses action and activities implementing
the nursing process.

39. • Outcome evaluation: it refers to end result of the care
given to the client

40. • Tools of data collection:
• Direct observation
• Questioning
• Record review

41. Summary
• Family health nursing process is deliberate, systematic,
ongoing, dynamic problem solving, process.
• There are four distinct phases assessment phase, planning
phase, implementation phase, and evaluation phase.

42. Assignment
Prioritize the problem of the family with following problems
• Large family size
• Poor hygiene and health practices
• Poor sanitation
• Unsafe water supply
• Guest
• Loss of job
• Personality disorder