5 Change occurs by "fit"

Question 1

Change Theory - there are 9 concepts. Fuck.
Change is dependent on:
CCP
*
Change:
COIFD

U

Answer 1

• Change is dependent on:
> context
> co-evolving goals for tx
> perception of the problem
*
Change:
• can result from a myriad of causes / reasons
• occurs by “fit” b/w nurse therapeutic interventions and biopsychosocial-spiritual structures of family members
• is determined by structure
• facilitation is the nurse’s responsibility
• does not necessarily occur co-equally in all family members
*
• Understanding does not lead to change

Question 2

Change occurs by “fit” b/w nurse therapeutic interventions and biopsychosocial-spiritual structures of family members.
*
The concept of “fit” arises from the notion of?

Answer 2

structural determinism

Question 3

Change occurs by “fit” b/w nurse therapeutic interventions and biopsychosocial-spiritual structures of family members.
*
The concept of “fit” arises from the notion of structural determinism. Explain.

Answer 3

The family member’s structure, not the nurses therapeutic offering, determines whether the intervention is experienced as a perturbation that triggers, facilitates or stimulates change.

Question 4

Change occurs by “fit” b/w nurse therapeutic interventions and biopsychosocial-spiritual structures of family members.
*
The nurse is not a change agent, but rather…

Answer 4

one who creates a context for change

Question 5

Change occurs by “fit” b/w nurse therapeutic interventions and biopsychosocial-spiritual structures of family members.
*
“Fit” includes…

Answer 5

The nurse's sensitivity to the family's
Race
Ethnicity
Sexual orientation
Social Class

Question 6

Change occurs by “fit” b/w nurse therapeutic interventions and biopsychosocial-spiritual structures of family members.
*
The concept of “fit” allows nurses to…

Answer 6

be non-blaming to patients + their self when nonfit – and consequently nonadherence and non-follow-through – occurs.

Question 7

Change occurs by “fit” b/w nurse therapeutic interventions and biopsychosocial-spiritual structures of family members.
*
Nurses operating from a therapeutic stance who appreciate “fit” can…

Answer 7

be highly curious about ways to increase the suitability of interventions to particular family members at a specific time