Family Flashcards
1
Q
Health care systems have been organized predominantly around the needs of
A
- Health professionals
- Individual patients
2
Q
Involving family members in health care
A
- Shortened length of hospital stay requires more direct care (both technical and emotional care) to be provided by family members during early recovery at home
- Treatment decisions often have an impact on other family members
- Family members can be a valuable resource to the health care team
3
Q
Family members expect and want
A
- Recognition that they are a part of what is happening to the patient
- To be able to communicate with health care professionals about the patient’s condition
- Information & training to prepare them to feel confident about care that family members will provide
- To be able to trust that the patient will be given good care & treated compassionately
4
Q
Family nursing
A
Those supportive and interventive relational practices which
- Involve family members in health care encounters
- Respond to the concerns of family members
- Provide family members with information
- Offer emotional support
5
Q
Relational stance
A
- Refers to the assumptions, beliefs, and practices which situate the nurse in relationship with others - Is based on choosing a preferred way of engaging others
6
Q
The relationship itself is an intervention
A
- Curious listener
- Compassionate stranger
- Non-judgmental collaborator
- Mirror for family strengths
7
Q
Relational stance in collaborative partnership
A
- Person actively shares responsibility for managing health/illness, and brings knowledge and capabilities.
- Nurse brings expertise that helps people more fully use their strengths and resources.
- Relationship is reciprocal & mutual, with goals jointly determined, implemented, and evaluated
8
Q
Essential ingredients of a collaborative partnership
A
- Power sharing
- Being open and respectful
- Being nonjudgmental and accepting
- Living with ambiguity
- Being self-aware and reflective
9
Q
At the beginning (engagement)
A
- Set the stage for mutual trust and cooperation with the family;
- Address all family members who are present;
- Demonstrate interest & curiosity about family opinions & perspectives;
- Seek understanding of relationships influencing the family’s health situation
10
Q
CFAM & CFIM
A
- A conceptual framework or theory that helps us to organize our thinking about nursing of families
- An example of “borrowed theory”, nursing application of family concepts that evolved in other disciplines: psychology, sociology, family science, family therapy
11
Q
CFAM - family structure
A
- Who is in the family?
- What are the connections among family members?
- What elements of the family’s context are relevant?
- Genograms and ecomaps
12
Q
CFAM - family development
A
- Family developmental life cycles reflect fluid and iterative transitions through stages and tasks that are distinct from individual developmental markers
- Variations in family structure (eg. divorced, blended, LGBQT) will pose unique developmental features
13
Q
CFAM - family functioning
A
- Instrumental routine activities of daily living are especially important in relation to health maintenance and illness management
- Expressive functioning includes patterns of communication, problem solving, roles, and beliefs
14
Q
CFAM - family structure cont’d
A
- Internal (family composition; gender; sexual orientation; rank order; subsystems; boundaries)
- External (extended family; larger systems)
- Context (ethnicity; race; social class; religion; environment)
15
Q
CFAM - family development cont’d
A
- Stages
- Tasks
- Attachments
16
Q
CFAM - family functioning cont’d
A
- Instrumental (activities of daily living)
- Expressive (emotional, verbal, nonverbal & circular communication; problem solving; roles; influence and power’ beliefs; alliances/coalitions)
17
Q
CFAM is NOT
A
- A data checklist
- An interview instrument
18
Q
CFAM does:
A
- Orient the nurse to pay attention to various aspects of the family
- Require judgement and discretion to explore and highlight those aspects which are relevant: family situation, practice setting, your purpose in meeting with the family
19
Q
Interventions offered by the nurse impact domains of family functioning
A
Cognitive, affective and behavioral
↓ ↓ ↓
“Fit” or effectiveness
