7 Facilitation is the nurse's responsibility

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: facilitation is the nurse’s responsibility.
*
Facilitating change does not mean…

Answer 2

that a nurse can predict the outcome

Question 3

Change: facilitation is the nurse’s responsibility.
*
A nurse can’t predict the outcome, in fact…

Answer 3

she should not be invested in a particular outcome

Question 4

Change: facilitation is the nurse’s responsibility.
*
Families possess…

Answer 4

expertise about their experiences of health, illness and disabilities

Question 5

Change: facilitation is the nurse’s responsibility.
*
Nurses possess…

Answer 5

expertise in ideas about health promotion and management of serious illness and disability

Question 6

Change: facilitation is the nurse’s responsibility.
*
It is crucial for nurses to avoid…

Answer 6

making value judgments about how families should function

Question 7

Change: facilitation is the nurse’s responsibility.
*
It is crucial for nurses to avoid making value judgments about how families should function.
Otherwise…

Answer 7

The changes or outcomes in a family system may not be satisfying to the nurse if they are incongruent with how the nurse perceives a family should function.

Question 8

Change: facilitation is the nurse’s responsibility.
*
More important that the nurse’s satisfaction is..

Answer 8

the family is happy with their new level of functioning

Question 9

Change: facilitation is the nurse’s responsibility.
*
Nurses must continually evaluate?

Answer 9

the degree of responsibility they feel for tx

Question 10

Change: facilitation is the nurse’s responsibility.
*
Nurses must continually evaluate the degree of responsibility they feel for tx.
When should she seek clinical supervision?

Answer 10

Feeling more concerned, worried or responsible for family problems than the family.
Detachment or a lack of concern.

Question 11

Change: facilitation is the nurse’s responsibility.
*
How much changes nurses should expect to facilitate in family work depnds on? (4)

Answer 11

• their own competence
• their capacity for compassion
• the context of family tx
• the family’s response

Question 12

Change: facilitation is the nurse’s responsibility.
*
Nurses’ should be cognizant that?

Answer 12

They are not change agents – they cannot and do not change anyone

Question 13

Change: facilitation is the nurse’s responsibility.
*
We must let go of the notion of being a change agent and see ourselves as?

Answer 13

facilitators of change

Question 14

Change: facilitation is the nurse’s responsibility.
*
When nurses can let go of the notion of being a change agents and see their selves as facilitators of change, what happens?

Answer 14

they can move into a truly relational and collaborative r’ship with those in their care

Question 15

Change: facilitation is the nurse’s responsibility.
*
Ultimate and sustained changes in family members are determined by what and not what?

Answer 15

each member’s biopsychosocial-spiritual structures
NOT
by the nurse

Question 16

Change: facilitation is the nurse’s responsibility.
*
Ultimate and sustained changes in family members are determined by each member’s biopsychosocial-spiritual structures and not the nurse.
*
Therefore, it is the nurse’s responsibility to?

Answer 16

facilitate a context for change