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community health nursing > objective 4: Specialty Area of Family Nursing > Flashcards

objective 4: Specialty Area of Family Nursing Flashcards

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1
Q
  • A specialty area that has a strong theory base
  • Working as partners with families, CHNs focus on capacity
    building
  • CHNs recognize family strengths and use these strengths to
    deal with health concerns.
A

family nursing

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2
Q

what are CHNs responsible for in family nursing?

A
  • Helping families promote their health
  • Partnering with families to help identify family strengths and health
    concerns
  • Assisting families to cope with health concerns within the context of
    the existing family structure and community resources
  • Identifying, enhancing, and promoting family resiliency
  • Collaborating with families to develop useful
    interventions
  • Referring to community resources as agreed upon
    by the family
  • Facilitating family evaluation of strengths and
    progress made in reference to health concerns
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3
Q

two or more individuals
who depend on one another for emotional, physical, and/or financial
support

A

family

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4
Q

a study of the structure of families and
households and the family-related events, such as marriage and
divorce, that alter structure through their number, timing and
sequencing

A

family demography

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5
Q

family has changed over time from traditionally defined families to include what?

A
  • blended families
  • cohabitating heterosexual or homosexual/same-sex partners
  • sibling-led households
  • foster families
  • couples living apart or commuter families
  • “skipped-generation” families (grandparents caring for
    grandchildren)
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6
Q

Defined as the characteristics and demographics (gender,
age, number) of individual members who make up family
units.
* defines the family members
(who is in the family), what the relationships are between
those members, and family context.

A

family structure

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7
Q

are families that demonstrate effective
coping within their family units, provide autonomy and are
responsive to the particular interests and needs of individual
family members

A

functional families

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8
Q

has been used to refer to family units that
demonstrate ineffective coping, inhibit clear communication within
family relationships and do not provide psychological support for individual members

A

dysfunctional family

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9
Q

what are the 4 major family social theories?

A
  • Structure-Function
  • Systems Theory
  • Developmental theory
  • Interactional Theory
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10
Q
  • Defines families as social systems
  • Looks at the arrangement of members within the family, relationships
    between members, and roles and relationships of the members to the
    whole family
  • A useful framework for assessing families and health
  • Sees illness of a family member as resulting in alteration of the family
    structure and function
A

structure-function theory

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11
Q
  • This approach views patients as participating members of
    a family.
  • Nurses use this perspective to determine the effects of
    illness or injury on the entire family system.
  • Emphasis is on the whole, rather than the individual.
  • Interventions need to assist individual, subsystem, and
    whole-family functioning.
A

systems theory

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12
Q
  • Looks at the family system over time, through different phases that can
    be predicted with known family transitions based on norms.
  • At each family life-cycle stage, developmental needs of the family and
    tasks must be performed.
A

developmental theory

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13
Q
  • Focuses on the family as a unit of interacting personalities
  • Examines their symbolic communication processes.
  • The process of role-taking is central.
A

interactional theory

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14
Q

Approaches the family from a structural–
functional perspective
Views the family as an open social system
Focuses on the family’s functions and structure,
and relationships to other social systems

A

the friedman family assessment model

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15
Q

what are the 6 broad categories of interview questions?

A

1.Identifying Data
2.Developmental Family stage and history
3.Environmental Data
4.Family Structure
5.Family Functions
6.Family Coping

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16
Q
  • This family systems nursing model focuses on the family
    unit as patient.
  • This approach consists of the following types of
    assessment of a family:
  • Structural assessment
  • Developmental assessment
  • Functional assessment
A

the Calgary family assessment model

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17
Q

The first nursing family intervention model
developed.
Was designed to help CHNs facilitate family
functioning in the cognitive, affective, and
behavioural domains
Family strengths are identified and reinforced
through the use of commendations.
Both the CFAM and the CFIM use circular
communication to change family behaviour.

A

the Calgary family intervention model

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18
Q
  • Developmental model of nursing
  • Explores contextual factors of the following:
  • Health work
  • Health potential
  • Style of nursing
  • Competence in health behaviour
  • Health status
A

the McGill model of nursing

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19
Q
  • Holds the basic premise that the family’s role is to provide
    support for one another so individuals can develop and
    maintain functioning in three areas:
  • social
  • psychological
  • biological
A

McMaster model of family functioning

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20
Q
  • An approach to inquiry with families
  • Guided by collaboration
  • Incorporating a number of skills:
  • Listening and questioning
  • Empathy
  • Mutuality and reciprocity
  • Self observation and reflection
  • Sensitivity to emotional and social contexts as well as
    power relations
A

relational practice

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21
Q

what are the 4 approaches to conceptualizing families

A

family as the context or structure
family as the pt
family as a system
family as a component of society

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22
Q

Places the individual family member first and the family second

A

family as the context or structure

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23
Q
  • The family is first and individuals are second.
  • The family is seen as the sum of individual family members.
  • The focus is on the ways that the individual members affect the
    whole family.
A

family as the pt

24
Q

The family is seen as the interactions and relationships
between the family members

A

family as a system

25
Q

The family is viewed as a primary unit of society and as part of a larger system

A

family as a component of society

26
Q

what are the safety tools?

A
  • Safety Checklists
  • Safety Plans
  • Safety Line
  • Planning!!
27
Q

what are the stages of a home visit?

A

engagement
family nursing assessment
contracting with families
family interventions
termination and evaluation
post-visit documentation

28
Q
  • The beginning of the interview process with a
    family.
  • Focuses on the establishment of the nurse– patient relationship
A

engagement

29
Q
  • The cornerstone for family nursing interventions
  • A systematic assessment process by which the CHN
    identifies family health concerns and strengths as building blocks for interventions.
A

family nursing assessment

30
Q
  • Contracting is making an agreement between two or more parties.
  • It involves a shift in responsibility and control toward a shared effort by the patient and professional (as opposed to an effort by the professional alone).
A

contracting with families

31
Q

States a specific reward for the patient after
completion of the patient’s portion of the contract

A

contingency contract

32
Q

Does not specify rewards, but implied
rewards are the positive consequences of reaching the goals
specified in the contract

A

noncontingency contract

33
Q

what are the 3 phases of contracting families?

A

beginning
working
termination

34
Q
  1. Mutual data collection and exploration of needs
    and problems
  2. Mutual establishment of goals
  3. Mutual development of a plan
A

beginning phase

35
Q

. Mutual division of responsibilities
2. Mutual setting of time limits
3. Mutual implementation of plan
4. Mutual evaluation and renegotiation

A

working phase

36
Q

Mutual termination of contract

A

termination phase

37
Q
  • After assessment, if any interventions are needed, the CHN
    implements the intervention using a family intervention model such
    as the CFIM.
  • As much as possible, this should be done in partnership with the
    family.
A

family interventions

38
Q
  • When the purpose of the visit has been accomplished,
    the CHN reviews with the family what has occurred
    and what has been accomplished.
  • This phase provides a basis for evaluating whether
    further home visits are needed or referrals to
    community resources are required
A

termination and evaluation

39
Q
  • After the nurse has left the patient’s home, the visit
    must be recorded for legal and clinical purposes.
  • The record must be current, dated, and signed.
A

post-visit documentation

40
Q

what does recording of the CHNs interaction with the family consist of?

A

narratives
flow sheets
problem-oriented medical records
subjective and objective assessment plans
a combo of any of these

41
Q
  • Factors that determine or influence whether disease or unhealthy
    results occur
  • May be biological (including age-related), physical, environmental,
    social or behavioural
  • Although risk factors can singly influence outcomes, the combined
    effect of several risks has greater influence
A

health risks

42
Q

The process of assessing and analyzing for the presence of specific
factors in each of the categories associated with an increased
likelihood of an illness developing or the occurrence of an unhealthy
event

A

health risk appraisal

43
Q

Is based on the assumption that decreasing the number or magnitude of risks will result in a lower probability of the undesired event.

A

health risk reduction

44
Q
A
45
Q

Risks to a family’s health generally fall into one of three major
categories…

A

biological and age-related risks
env risks
behavioural risks

46
Q
  • A number of illnesses have a familial component that can be
    accounted for either from a genetic basis or from established lifestyle
    patterns.
  • CHNs need to recognize that family history data can provide the
    genetic information required by families to make relevant decisions.
A

biological and age-related risks

47
Q

A drawing that depicts basic information about the family, relationships in the family, and patterns of health and illness

A

genogram

48
Q

A family’s health risk increases if they are exposed to any of the
following:
* High-crime neighbourhoods
* Communities without adequate recreation or health resources
* Communities that have major noise or chemical pollution
* Other high-stress environments

A

environmental risks

49
Q

A diagram depicting the family’s interactions with other groups
and organizations

A

ecomap

50
Q
  • The pattern of personal health habits (e.g., physical activity,
    substance use or abuse, or violent and abusive behaviour) of an
    individual or family.
  • The family is the basic unit within which health behaviour is
    developed, organized, and performed.
A

behavioural risks

51
Q
  • Although assessment of individual lifestyle contributes to
    determining the lifestyle risk of a family, it is important to look at risks
    for the family as a unit.
  • One approach is to identify family patterns for relevant lifestyle
    components
A

behavioural health risk assessment

52
Q

Occurs when the family is not able to cope with an event and becomes
disorganized
* The demands of the situation exceed the resources of the family.
* Examples of family resources are money and extended family who are available to them.

A

family crisis

53
Q
  • Positive behaviours or qualities that help maintain family health
  • can be used to help families deal with health concerns and to promote their health.
A

family strenghts

54
Q

Defined as the successful coping of
family members under adversity that
enables them to flourish with warmth,
support, and cohesion
* The ability to cope with expected and
unexpected stressors.

A

family resilence

55
Q

requires a viewpoint that often conflicts with the
perspective of the nursing profession.
* It assumes a partnership between the professional and the patient,
instead of a relationship in which the professional is dominant.
* The nurse’s approach to the family should be positive and focused on
competencies rather than on problems or deficits.

A

empowerment

community health nursing (11 decks)

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