Lecture Seven: Family Theory & Assessment Flashcards
What is the Vanier Institute of Family definition of family
any combination of two or more persons who are bound together over time by ties of mutual consent, birth and/or adoption or placement and who, together, assume responsibilities for variant combinations
What are the Vanier Institute’s assumptions about families
active agents of social, personal and cultural change
approach to families must be inclusive and accepting of diversity
families change and evolve through key transitions in their lives
make connections between the family and larger context matter
what are some different family forms in canada
nuclear
common law
lone parent
same sex
blended/step family
extended
what are family functions according to the Vanier Institute of family
physical maintenance and care of group members
addition of new members through procreation or adoption
socialization of children and social control of members
production, consumption and distribution of goods and services
affective nurturance/love
what are functional families
provide autonomy and are responsive to the particular interests and needs of the individual family members
what are family with health challenges
those that have not achieved the above level of functioning
what are some features of higher functioning families
family is stable and copes with physical, psychosocial, spiritual needs and growth and development needs
family works together, members support and are sensitive to each others needs
families with children practice positive parenting
boundary is flexible to family and external; systems can exchange information
open and resilient
what in expected in family nursing?
nurses and families working together to ensure the success of the family and its members in adapting to health and illness
what is the basis for theories ; EVERY FAMILY…
has a social system
has cultural values and roles
has structure
has basic functions
moves thru stages
What are the theoretical frameworks for families
structure-function theory
systems theory
developmental theory
interactional theory
what does the structure-function theory define families as?
social systems with members who have specific roles and functions
what does the structure-function theory say?
family is open to outside influences yet maintains its boundaries
passive to adapting rather than a change agent
what is the main focus of structure-function theory?
how well family structure performs its functions
what is the systems theory of families
emphasis is on whole family rather than individuals, influenced from physics and biology
what do systems depend on?
both positive and negative feedback to maintain homeostasis
what is a strength and weakness of the systems theory?
family is a subsystem STRENGTH
focused on interaction with outside WEAKNESS
what is the developmental theory
family overtime through different phases that can be predicted with known family transitions based on norms
what must happen at each family life-cycle stage?
developmental needs of the family and tasks must be performed
what is a strength and weakness of the developmental theory?
STRENGTH sees ahead
WEAKNESS based on nuclear family
what are family developmental tasks
ongoing
goals to work toward rather than specific jobs to be completed at once
tasks may shift from parents
what is the interactional theory?
unit of interacting personalities and examines their symbolic communication processes by which family members relate to one another
what is central in interactional theory?
the process of role taking
what is a strength and weakness of interactional theory
STRENGTH communicate, respond to stress
WEAKNESS exes, common-law, step-siblings, step-parents
what are the 3 family assessment models
calgary
friedman
mcgill
what does the calgary family assessment model focus on?
family unit as client
what types of assessment does the CFAM focus on
structural, developmental, functional
what is a structural assessment CFAM
think ECOMAP
what is a developmental assessment CFAM
includes stages, tasks and attachments
what is a functional assessment CFAM
instrumental, expressive
what is the friedman assessment model
draws on structure-function and on systems and developmental theories
NOT USED OFTEN
what is a strength of the FAM
assesses family as a whole, as a part of the whole of society, as an interaction system
what is the mcgill model of nursing
explores concepts of:
-family as an active participant (subsystem) -health as dynamic and multidimensional
-learning how health behaviours are acquired
-collaboration