family nursing Flashcards
what are nursing interventions
what we do with our clients, not to or for them
enhance quality of life
interventions for families
working in context of the family
can also include family that isn’t with you
consider how the family is impacted
consider developmental stages
family systems theory
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
how we know we need to intervene
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
when don’t we intervene
when someone refuses it
when your work is done
nursing interventions for families
home visits therapeutic conversations questions need trust and rapport to have relationships psychosocial/psychoeducational interventions web-based family health promotion COLLABORATION
how are questions interventions
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
linear questions
give us information about the family
inform the nurse
assessment questions
circular questions
inform the client
influence the client to reflect
interventive questions
types of circular questions
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
types of interactions
between family members
between the nurse and the family members
between the illness and the family
planning interventions
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
who will change
who are we directing this intervention at
what will change
is it their knowledge/behaviour/beliefs etc
the outcome needs to relate to what you’re doing, your interventions need to target the outcome
by how much
it needs to be realistic based on the illness, the wellness, access to stuff, knowledge, commitment
by when
also needs to be realistic
need to have a timeframe with every intervention
will depend on the priority of the intervention
how will the change be measured
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
illness narrative
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
CFIM
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
domains
cognitive = think affective = feel behavioural = act
what to consider when developing interventions for families
assessment data gathered stages of family life cycle stages of family development practices or beliefs of the family values and culture of the family
what we do with the cognitive domain
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
what we do with the affective domain
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
what we do with the behavioural domain
changing the way people behave encouraging family members to be caregivers and offer support encouraging respite devising rituals behaviour management
