Family Centered Nursing Care Flashcards
Family Centered Care– Components of Care
- Agreed upon partnership between families of children , nurses, and providers, in which the families and children benefit.
- respecting cultural diversity, and incorporating cultural views in the plan of care.
- understanding growth and development needs of children and their families
- treating children and their families as clients
- working with all kinds of families
- collaborating with families regarding hospitalization, home, and community resources
- allowing families to serve as experts regarding their children’s health conditions, usual behaviors in different situations, and routine needs.
Promoting Family Centered Care
RNs should preform comprehensive family assessments to identify strengths and weaknesses
Characteristics of healthy families
- members communicate well and listen to each other
- there is affirmation and support for all members
- there is a clear set of family rules, beliefs, and values,
- members teach respect for others
- there is a sense of trust
- members play and share humor together
- members interact with one another
- there is a shared sense of responsibility
- there are traditions and rituals
- there is adaptability and flexibility in roles
- members seek help for their problems
Considerations with promoting family centered care
Nurses should pay close attention when family members state that a child “isn’t acting right” or has other concerns.
Children’s options should be considered when providing care.
Family Systems
Family is viewed as a whole system instead of individual members
A change in one members affects the entire system.
The system can both initiate and react to change.
Too much and too little change can lead to dysfunction.
Family Stress
Describes stress as inevitable.
Stressors can be unexpected or expected.
Explains the reaction of the family to stressful events.
Offers guidance for adapting to stress.
Developmental
Views family as small groups that interact with the larger social system.
Emphasizes similarities and consistencies in how families develop and change
Uses Duvall’s family life cycle stages to describe the changes a family goes through over time.
How the family functions in one stage has a direct effect on how the family will function in the next stage.
Traditional Nuclear Family
married couple and their biological children (only full brothers and sisters)
Nuclear Family
two parents and their children (biological, adoptive, step, foster)
Single-Parent Family
one parent and one or more children
Blended Family
aka: reconstituted
At least one stepparent, step sibling, or half-sibling
Extended Family
at least one parent, one or more children, and other individuals (might not be related)
Gay/lesbian Family
two members of the same sex who have children and a legal or common-law tie
Foster Family
a child or children who have been place in an approved living environment away from the family of origin, usually with one or two parents
Binuclear Family
parents who have terminated spousal role but continue their parenting roles
Communal Family
individuals who share common ownership of property and goods, and exchange services without monetary consideration
Changes that occur with the birth (or adoption) of the first child.
- Parents sense of self as they transition to new parental role
- division of labor and roles within the relationships of couples
- relationships with grandparents
- work relationships
- increased financial responsibility and possible loss of income
- necessary sleep habit change
Dictatorial or Authoritarian Patenting
Parents try to control the child’s behaviors and attitudes through unquestioned rules and expectations
Ex: the child is never allowed to watch television on school nights
Permissive Parenting
Parents exert little or no control over they child’s behaviors, and consult the child when making decisions
EX: the child assists with deciding whether he will watch television
Democratic or Authoritative Parenting
Patents direct the child’s behavior by setting rules and explaining the reason for each rule setting.
EX: the child can watch TV for 1 hour on school nights after completing all of his homework and chores.
Patents negatively reinforce deviations from the rules.
EX: the privilege is taken away but later reinstated based on new guidance.
Passive Parenting
Parents are uninvolved, indifferent, and emotionally removed
EX: the child may watch TV whenever he wants to.
Guideline for promoting acceptable behavior in children
- set clear and realistic limits and expectations based on the developmental level of the child.
- validate the child’s feelings and offer sympathetic explanations
- provide role modeling and reinforcement for appropriate behaviors
- focus on the child’s behavior when disciplining the child
History
Medical history for parents, siblings, and grandparents
Structure
family members (mother, father, son)
Developmental Tasks
tasks a family works on as the child grows (parents with school aged kids helping her develop peer reltionships)
Family Characteristics
cultural, religious, and economic influences on behavior, attitudes, and actions
Family Stressors
Expected (birth of a child) and unexpected (illness, divorce, disability, or death of a family member) events that cause stress
Environment
availability of and family interactions with community resources
Family Support System
availability of extended family, work and peer relationships, as well as social systems and community resources to assist the family in meeting needs or adapting to a stressor.
