04/08/2023 ANCY KURIAN , I MSc.(N) 1

04/08/2023 ANCY KURIAN , I MSc.(N) 2

By ANCY KURIAN I MSc.(N)

FAMILY NURSING

04/08/2023 ANCY KURIAN , I MSc.(N) 3

Overview Need of family focus. Family, Health, Family Health Care NursingNature of interventionsSettingsHistory Objectives & General PrinciplesApproaches & Family Nursing RolesObstacles to Family Health NursingErrors In Family NursingFamily Health Nursing Process

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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.

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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.

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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 roles

FAMILY

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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.

FAMILY HEALTH

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FAMILY HEALTH CARE NURSING

Family Health Care Nursing is defined as “the process of providing for health care needs of families that are within the scope of nursing practice .

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Conceptual Framework

FAMILY NURSING

FAMILY

SOCIETY

INDIVIDUAL

Concepts of individual ,family nursing & society intersect with one another.

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NATURE OF INTERVENTIONS

• 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.

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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.

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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.

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Settings

• Home, clinic, school and workplace• Each setting serves its own purpose and

has its advantages,

disadvantages and limitations

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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.

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• 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

Family Nursing (contd…)

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• 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.

Family Nursing (contd…)

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• 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.

Family Nursing (contd…)

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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.

.

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Family Nursing (contd…)

• 1991–Family leave legislation is passed.• 1995 – Journal of Family Nursing Research is born

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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.

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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.

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OBJECTIVES (contd…..)

• To help family make intelligent use of facilities and services in the community.

• To educate ,counsel and guide family members.

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Principles

1. 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 services

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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.

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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 .

Principles ( contd…)

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10. Periodic and continuous appraisal and evaluation of family health situation and health services are basic to family health situation

Principles ( contd…)

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11. Family health nursing services should be rendered to all families without any discrimination.

Principles ( contd…)

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APPROACHES TO FAMILY NURSING

• Family as the context

Individual as foreground

Family as background

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APPROACHES TO FAMILY NURSING ( contd…)

• Family as the client

Family as foreground

Individual as background

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APPROACHES TO FAMILY NURSING ( contd…)

• Family as System

Interactional Family

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APPROACHES TO FAMILY NURSING ( contd…)

ANCY KURIAN , I MSc.(N)

•Family as Component Of Society

HospitalChurch

Bank

Family /HomeSchools

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Family Nursing Roles

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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.

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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

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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.

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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.

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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.

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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.

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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 Diagnosis

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Family Health Nursing Process (contd…)

PLANNING• Family Health Nursing Care

• Plan Formulation• Analysis of diagnosed health

problems and assessment of family's abilities- 2nd level assessment

• Establishing priorities• Setting goals and Objectives

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Family Health Nursing Process (contd…)

ACTION PHASE

Plan Implementation Review and Revise Mobilisation of resources facilitating work environment Implementing Documentation

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Family Health Nursing Process (contd…)

• EVALUATION

• Concurrent (Quantitaive)• Terminal (Qualitative)

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ASSESSMENT PHASE

PLANNING PHASE

ACTION PHASE

EVALUATION PHASE

Data Review & Update

Review/ Revise goals and objectives and actions

Family Nursing Practice Process

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Research Studies•In this Canadian study - A participatory action research approach - To examine the relationships between families of residents of traditional continuing care facilities and the health care team. - Results indicate that the resource-constrained context of continuing care has directly impacted family and staff relationships.

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CONCLUSION

Working with families helps families live alongside illness and increase their sense of wellness.

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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.

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