3. Introduction
Family is a fundamental,social institution based upon
biological function of human being.
It includes blood related members,live together,share
common recourses and culture.
Family is a society's most significant unit of social
behaviour has been experiencing considerable changes.
These changes have affected the family's development
in relation to structure, function, and interaction, both
within the family and community.
Definition
According to Burgess and Locke -
"Family is a group of persons united by the ties of
marriage, blood or adoption; consisting of a single
household, interacting and intercommunicating with
each other in their social roles of husband and wife,
mother and father, son and daughter, brother and sister
creating a common culture."
Family
4. Family Health
Art and science of preventing diseases,
prolonging life, and promoting health and
efficiency of family through organized family
efforts for the safe family environment
prevention and control of communicable
diseases, reproductive and child health,
education of members in personal hygiene,
seeking medical and nursing services for early
diagnosis and treatment, development of social
system and coping abilities to ensure normal
development and optimum health status of all
family members.
5. Family Nursing
According to Hanson –
"Family nursing is the process of meeting the
health care needs of families that are within
the scope of nursing practice”.
Family oriented nursing is the process of
providing the nursing care to the individual,
family, and community for the purpose of
promoting, maintaining, and restoring the
health of families.
6. Principles Of Fam ily Health Nursing
Provide services without discrimination.
Collect all relevant information about family and community.
Proper maintenance of record and reports
Provide continuous services
Health education, guidance and supervision as integral part of family health
nursing
Maintain Good IPR
Health education and guidance to family
Provide support to the family based on their
Encourage family to contribute towards community health
Fam ily Health Nursing Process
Family health nursing process is the synthesis of
nursing and health care.
It helps to develop self-care abilities of the family
and promote, protect, and maintain its health
7. Data collection include the following major
categories of data to be explored:
Family structure and characteristics, i.e.
number of family members, age, sex,
education of family members, marital
status, occupational status, role, division
of labour, power and other socio-eco-
nomic information.
Lifestyle and culture.
Health and medical history and health
behaviour includes Activities of Daily
Living (ADL), risk behaviours, habits,
beliefs, dietary patterns, etc.
Assessment phase is primarily concerned with
first level or initial assessment which helps to
know and explore family and its health
needs/health problems, and it refers to family
identification.
This phase includes –
Collection and analysis of data.
Make family diagnosis. i.e. assess its health
status
determine the possible underlying factors
affecting the health of family members.
This information forms the base line data
for formulating family health nursing care
plan
Fam ily Health
Assessment
Data
Collection
Methods and
Techniques
Data collection requires professional skills in:
1.Making judgments.
2.Effective communications.
3. Investigations and measurements
There are various methods and techniques
which are used to collect data.
1.Observation
2.Questioning
3.Conversation/discussion
4.Listening
5.Review of family health record 6.Examination
7.Investigations
8.Anecdotal reports
After data collection, all gathered information
and data are analysed and interpreted for
making nursing diagnosis.
8. Problem Oriented Nursing
Introduction Advantages Disadvantages
Case Methods/Total Patient Care
Case method is the oldest mode of
organizing patient care.
In this method, the nurse assumes
total responsibility for meeting all
the needs of assigned patient during
their duty time.
It involves the as- segment of one or
more clients to a nurse for a specific
period,such as shift.
Complete care including treatment,
medication administration and
nursing care planning are the
responsibilities of assigned nurse
needs
Client may feel more secure.
Monitoring of educational
can be more effective.
Client/nurse interrelation/rapport
can be developed with intensity of
time.
Family becomes better known by
the nurse.
Workload of the unit can be divided
equally among the staff.
Nurses are accountable. Continuity
of care is facilitated.
Nurse may feel overworked.
Need for overall supervision by the
head nurse while developing care
plans.
Difficult for nurses to become
involved in long-term planning and
evaluation of care.
The greatest disadvantage occurs
when the nurse is inadequately
trained.
9. PROGRESSIVEPATIENT CARE
Progressive patient care is defined as the organization of hospital facilities, services,
and staff as per the medical and nursing needs of the patient.
The basic principle of PPC is based on the nursing needs of the patient rather than by
traditional hospital grouping according to economic status, age, sex, or type of
illness.
According to Faye Abdellah-
“PPC is systematic classification of patients based on their medical needs.”
11. PROGRESSIVEPATIENT CARE
Advantages Disadvantages
Patient receives specialized care.
Nursing personnel can make use
of special skills and capabilities.
Quality nursing can be improved.
Continuity of care is maintained.
Efficient use of skilled personnel
and equipment’s
There may be discomfort to the
client.
Continuous care is difficult.
Greater emphasis on written care
plan.
Proper orientation, education of
client when they are shifted from
one unit to another.
All dimensions of nursing practice
are difficult to maintain
12. TEAM NURSING
individualized nursing care to the
clients by a team led by a professional
nurse.
of nursing to the
in an efficient and
Aim
Provide a range
individual patient
effective way.
It’sConstitutes–
1.Professional nurses.
2.Nursing auxiliaries.
3.Nursing aids.
INTRODUCTION
Introduced in 1950s.
Team nursing is the delivery of the
DEFINITION
Simple nursing functions require
little knowledge, skills and can be
performed by nursing aids.
Intermediate nursing functions
technical, routine, and repetitive
type can be carried out by
trained nursing personnel.
Professional functions: complex
nursing functions require expert
knowledge, skills and can be
performed by the nurse with
professional nursing background
FUNCTION
"It is defined as the assignment of a
group of patients to a small group of
workers under the direction of a team
leader. Each team member provides
most of the care to his or her assigned
patients, whereas some tasks may be
assigned separately”.
13. TEAM NURSING
Advantages
It covers all health care professionals in the
group.
Workload can be balanced.
Nurses’ satisfaction increases.
Nurses help one another more readily.
Opportunity to learn and teach.
Nursing care hours are cost-effective.
Opportunity to contribute to the care plan.
Continuity of care is facilitated.
Barriers between professional and non-
professionals can be minimized.
Disadvantages
No direct care may be given by the team
leader.
Individual members may not have
comprehensive knowledge such as lack of
communication.
Nursing care becomes fragmented.
Team members may become dependent on
the leader for decision making.
There is less individual responsibility and
independence regarding nursing functions
14. Conclusion
Family-oriented nursing is a holistic approach that recognizes the importance of
considering not only the individual patient but also their family as an integral part of
the healthcare process. This approach emphasizes collaboration, open communication,
and the involvement of family members in decision-making, care planning, and support.
family-oriented nursing represents a paradigm shift towards a more patient-centred,
collaborative, and holistic approach to healthcare. By recognizing and integrating the
family unit into the care process, healthcare providers can enhance the overall well-
being of patients, strengthen family bonds, and contribute to a more compassionate
and effective healthcare system. This approach aligns with the evolving understanding
of healthcare as a shared responsibility, where both healthcare professionals and
families work together to achieve the best possible outcomes for the patient.