Family Processes Flashcards
Discuss the importance of family communications in times of transition
family members have to communicate effectively, make decisions about atypical situations, and use coping strategies. The success or failure of the adaptation processes will affect individual and family well-being
-when family processes are ineffective or disrupted, families and their members may be at risk for problems pertinent to health outcomes, and family itself could be in danger of disintegrating
Describe family roles, role strain, role conflict and role overload
Family roles
-provider, housekeeper, socialization, sick role, sexual, kinship, recreational
Role strain
- inability to define role
- lack of knowledge
- lack of consensus
- lack of agreement
Role conflict
- expectations are incompatible with the person
- go to child’s base game or doctor with parent?
Role overload
- individual lacks resources, time and energy to meet role demands
- role that do not belong to the individual
Family communication
Small talk – conversation to fill space and time
Control talk – one member dominates the conversation. Negative. May include name calling
search talk – find out what the stressor in the situation may be
Straight talk – assertive communication, best strategy. Person leading uses I statements
Double-blind communication – no congruency between verbal and non-verbal communication.
Complimentary conversation – difference in power relationships
Meta communication – people discussing the meaning attachment to communication, clarifying communications, and discussing way one interpret communication. Serves the enhance member’s relationships
Describe the concepts of family power, problem solving and decision making
FAMILY POWER
Authority
Someone in the family naturally assumes a legitmate source of power, to affect change
Helplessness or powerless
Expert power
One member in the family that perceive due to higher education or special skills that allow that person to make decision during difficul tasks
Affective power
A family member to affect change through emotions
PROBLEM SOLVING and DECISION MAKING
- Influenced by communication and power
- A joint effort on the part of the family
- Provides opportunity for family members to contribute to process, support one another, jointly set and achieve goals.
- “I” messages helpful in talking through differences
- Consensus is the preferred outcome
Identify ways in which family routines and ritual have health implications for families
-when family ritual and routines are disrupted by illness, the family system as a whole is affected; therefore, it can affect the health of each family member and the family as a whole.
Have implications for family health and illness outcomes
Provide organization and give meaning to family life
Affected by family culture, context and function
Families use them to define roles and responsibilities, organize daily life, and identify family characteristics
Mealtimes, bedtime routines, leisure time activities, greetings and goodbyes, treatment of guests.
Assessing rituals and routines related to specific health, illness needs provides a basis for nursing care plans for health promotion and illness management.
Nurses can help families maintain routines and rituals as a way to decrease stress, draw the family together and keep a focus on family strengths.
Discuss key family processes in family resiliency
Belief Systems
-faiths, spiritual
Organization Pattern
-social or economical resources
Family Communication
-When families allow expression of emotions, communicates clearly
Explore the challenges faced by families and children with chronic condition
Caring for a chronically ill child at home is associated with a significant risk of reduced or loss of employment.
Mothers often have greater levels of distress than fathers.
Parents often differ in their perceptions about the impact of the chronically ill child on the family and on marital relationship.
Nurses can assist couples to identify differences in perception between parent’s and facilitate discussions about the effects on roles and the benefits of sharing caregiving tasks
Five attributes of normalization for families of children with chronic conditions
acknowledge the chronic condition and its potential to threaten their lifestyle
view all the management of the chronic illness as just normal daily activities
engage in parenting behaviors and routines that are consistent with a normalcy lens
develop treatment regimens that are consistent with normalcy
interact with other based on a view of the child and family as normal
