LO2 - Describe Family Theory Flashcards
What is a family?
Refers to 2 or more people who depend on one another for emotional, physical or economic support
Theories
- Inform the practice of nursing
- Practice informs theory and research
- Theory, practice and research are interactive
3 major traditions and disciplines are
Family social science, family therapy, nursing
Family health is…
A dynamic, changing state of well-being, which includes the biological, psychological, spiritual, sociological and cultural factors of individual members and the whole family system
Traits of a healthy family are…
Communicates and listens
Fosters table time and conversation
Affirms and supports each member
Teaches respect for others
Develop a sense of trust
Sense of play and humor
Balance of interaction
Shares leisure time
Exhibits a sense of shared responsibility
Teaches right and wrong
Abounds in rituals and traditions
Shares a religious care
Respects privacy
Values service to others
Admits to problem and seeks help
Family flexability and cohesion promotes…
Family health and contribute to family balance
Flexibility is…
The ability to alter family leadership roles, relationships, and rules, including control, discipline, and role sharing
Rigid and inflexible
One person in charge and highly controlling
Negotiation is limited
Rules do not change
Roles are strictly enforced
Somewhat inflexible
Leadership is democratic
Roles are stable
Rules enforced with few changes
Flexible family
Leadership is equalltarian with a democratic approach to decision making
Negotiation is open
Roles are shared and age appropriate
Very flexible
Frequent changes in leadership roles
Rules are flexible and readily adjusted
Chaotic, overly flexible
Leadership is erratic and limited
Decisions are impulsive
Roles are unclear and shift from person to person
Cohesion disconnected
-extreme emotional separateness
Little family involvement
Does not turn to each other for support
Cohesion somewhat connected
Members have some time apart from family but also spend sometime together
Joint support and decision making
Cohesion connected
Equilibrium with moderate separateness and togetherness
Both independent and dependant
Decision making is shared
Cohesion very connected
Emotional closeness and loyalty
More time spent together than alone
Family have shared and separate friends
Cohesion overly connected
Extreme emotional connection and loyalty is demanded
Little private space
Highly dependant and reactive to each other
Family nursing competencies
- Enhance and promote family health
- Focus on strengths and support family and individual growth
- Demonstrate leadership
- Commit to self-reflection
- Practice using eviclence-based approach
Family as context
Aka -family focused
Focuses on assessments and care of an individual client in which the family is the context
“Traditional” nursing focus
Individual is foreground and family is background
Family as client
Assessment and healthcare for all members
Interest in the way that member are individually affected by health events of one member
All members in foreground
Family as system
Family as whole as client
Family viewed as an interaction system in which the whole is more than the sum of its parts
Interactions between members becomes the target of nursing interventions