Relational Skills for Family Assessment Flashcards
What are the context that shape each individual and family
Is literally embodied within people
Embodied in actions and responses in particular circumstances
Competent, safe and ethical family nursing involves taking into account the context of each unique family.
Nurses need to consider how their own contexts shape their understanding and response to different situations
Historical Geographical -different access to food, housing, health resources, employment available. Economic Political Social
What is reflexivity and self-knowing and relate how personal beliefs, assumptions and positional power can influence nursing care of families
Reflexivity:
Reflexive consideration of your own contextual location.
Reflection on your own beliefs about the norms and assumptions of :
Family
Health
Nursing
Risk of stereotyping or making unwarranted assumptions about families unless consideration is given to specific circumstances of people’s lives.
Reflexivity on your own contextual circumstances is the beginning of relational inquiry
What is Relational family nursing practice
Enhances the capacity and power of people/families to live a meaningful life( meaningful from their perspective
Health is a socio-relational experience shaped by contextual factors.
Describe Foundational skills of relational nursing
- Listening carefully
- Inquire into family’s health/illness situation
- Pay attention to ways in which contextual elements are embodied in people/families
- Critically consider the ways in which these contexts shape their experience
- Reflect on how current contextual aspects might be addressed to promote health
Skill of listening
The most basic and powerful way to connect to another person is to listen. Just listen. Perhaps the most important thing we ever give each other is our attention. A loving silence often has far more power to heal and to connect than the most well-intentioned Not limited to verbal interaction- listen for who this person or family is.
Listen for what is particularly significant in people’s lives; listen for living experience
Listen for meaning.
Listen for specific concerns
Listen for what is not said.
Skill of “letting be”
Recognize that we do not have the power or ability to effect change in any “cause or effect way”
Power and potential for change is by joining into the relational flow of health that families are living.
Involves joining others as they are.
Can be the most powerful way in which change is promoted.
Self-observation
Ability to know and respond to a family is enhanced by paying attention to:
who you are being at a particular time
how and what you are thinking and doing.
what thoughts, emotions and bodily responses are you having at any one moment.
This awareness helps us to intentionally choose how to act and respond.
Skill of questioning to look beyond the surface
Examples:
“how have things been going”?
What has been ok?
What has been challenging?
What is everyday life like?
What has changed?
What is it like for you
What is particularly challenging/difficult important about what is happening? What would you really like to address/change?
Skill of Intentionality
Being aware of the values, beliefs, and theories that direct your knowing/being/doing
Exercising choice in regard to following, expanding, and/or transforming your values, knowledge, and practices
Skill of Reimagining
Reimagining enhances nurses’ abilities to create opportunities for clients to tap into their capacity and transform their health and healing experiences and to ever evolve and enhance the capacity they have to live meaningful lives.
This skill allows for the thought of what might be
What guides Relational Practice
- gain an understanding of their health and healing experiences in context
- clarify the meaning those experiences have for them
- realize their choice and power within their experiences
- act on their chopices
