family nursing

Question 1

what are nursing interventions

Answer 1

what we do with our clients, not to or for them

enhance quality of life

Question 2

interventions for families

Answer 2

working in context of the family
can also include family that isn’t with you
consider how the family is impacted
consider developmental stages

Question 3

family systems theory

Answer 3

when one part changes or moves it affects the whole system
consider family unit and who they consider to be family
things impact each member differently
family as a system is how family members interact with each other

Question 4

how we know we need to intervene

Answer 4

illness
transition within family
death
family life cycle isn’t happening the way they thought it would
developmental milestones are missed
when things are getting better so they can be maintained
caregiver burnout

Question 5

when don’t we intervene

Answer 5

when someone refuses it

when your work is done

Question 6

nursing interventions for families

Answer 6

home visits 
therapeutic conversations
questions 
need trust and rapport to have relationships 
psychosocial/psychoeducational interventions 
web-based 
family health promotion 
COLLABORATION

Question 7

how are questions interventions

Answer 7

cause result and reflection
can bring up things you didn’t realize needed to be brought up
allow them to open up
bring forth information
provide an opportunity to educate
allow individuals to rediscover their coping strategies

Question 8

linear questions

Answer 8

give us information about the family
inform the nurse
assessment questions

Question 9

circular questions

Answer 9

inform the client
influence the client to reflect
interventive questions

Question 10

types of circular questions

Answer 10

difference = difference between things
behavioural effect = explore the affect of that person and their behaviours on others
hypothetical/future orientated = get you thinking about things you hadn’t thought to think about

Question 11

types of interactions

Answer 11

between family members
between the nurse and the family members
between the illness and the family

Question 12

planning interventions

Answer 12

who will change
what will change 
by how much 
by when 
how will the change be measured 
what is the goal
what is the intervention 
what are the expected outcomes

Question 13

who will change

Answer 13

who are we directing this intervention at

Question 14

what will change

Answer 14

is it their knowledge/behaviour/beliefs etc

the outcome needs to relate to what you’re doing, your interventions need to target the outcome

Question 15

by how much

Answer 15

it needs to be realistic based on the illness, the wellness, access to stuff, knowledge, commitment

Question 16

by when

Answer 16

also needs to be realistic
need to have a timeframe with every intervention
will depend on the priority of the intervention

Question 17

how will the change be measured

Answer 17

assessments, lab diagnostic tests, interviews etc
often measured by more questions to see if things have been working the way they should be
quantitative vs qualitative

Question 18

illness narrative

Answer 18

what is their experience with that illness like
or what is their experience like with their family member’s illness like
how does it make them feel
what impact does it have on them
doesn’t involve the biomedical narrative

Question 19

CFIM

Answer 19

calgary family intervention model
companion to the CFAM
guide to help you and frame your thinking as a nurse
strengths based and resiliency based
not a checklist
way to think about and conceptualize our interventions
elements = interventions, domains of family functions, effectiveness

Question 20

domains

Answer 20

cognitive = think 
affective = feel 
behavioural = act

Question 21

what to consider when developing interventions for families

Answer 21

assessment data gathered 
stages of family life cycle 
stages of family development 
practices or beliefs of the family 
values and culture of the family

Question 22

what we do with the cognitive domain

Answer 22

changing the way people think about things
offer information and opinions
health teaching and education
commendations
help them to know and understand
work with them where they are at
consider family strengths and how they can help the intervention

Question 23

what we do with the affective domain

Answer 23

changing the way people feel about things
validate, acknowledge, or normalize their emotional response
encourage them to tell their illness narrative
draw forth family support

Question 24

what we do with the behavioural domain

Answer 24

changing the way people behave 
encouraging family members to be caregivers and offer support 
encouraging respite 
devising rituals
behaviour management

Question 25

15 minute or less family interview

Answer 25

therapeutic conversation = listening, body language, paraphrasing, repetition, questions
using manners = introduce yourself, ask them their name and what they like to go by, ask them how they are doing today, help establish a therapeutic relationship and some trust and rapport
completing a genogram and ecomap
therapeutic questions
offering commendations

Question 26

mcgill model: roles of nurse

Answer 26

negotiator
collaborator
coordinator
stimulator
awareness raiser 
role model 
nurse and client review the progress towards established goals