6 Change is determined by structure

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 is determined by structure.
*
The concept of structural determinism offers the notion that…

Answer 2

each individual’s biopsychosocial-spiritual structure is a product of that person’s genetic hx and hx of interactions over time.

Question 3

Change is determined by structure.
*
What is the word for a person’s genetic hx?
What is the word for the hx of a person’s interactions over time?

Answer 3

phylogeny

ontogeny

Question 4

Change is determined by structure.
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Structural determinism offers the notion that each individual’s biopsychosocial-spiritual structure is a product of that person’s genetic hx and hx of interactions over time.
What are the implications for nursing practice?

Answer 4

An individual’s present structure determines the interpersonal, interpersonal and environmental influences that are experienced as perturbations (i.e. that trigger structural change)

Question 5

Change is determined by structure.
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An individual's present structure determines the interpersonal, interpersonal and environmental influences that are experienced as perturbations (i.e. that trigger structural change)
*
Therefore, we cannot say beforehand...

Answer 5

which family nursing interventions will be useful in promoting change for this particular family member at this time and which will not

Question 6

Change is determined by structure.
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We cannot say beforehand which family nursing interventions will be useful in promoting change for this particular family member at this time and which will not.
*
This theoretical assumption is why...

Answer 6

We prefer interventions that are tailored to each family rather than standardized interventions for particular kinds of problems.

Question 7

Change is determined by structure.
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What develops in nurses when structural determinism is applied to clinical work w/ families?

Answer 7

A deep respect and awe for and curiosity about family members