Unit 1: What is family nursing? Flashcards

1
Q

4 Definitions of Family

A
  1. Functional
  2. Legal
  3. Political
  4. Economic
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2
Q

Functional Definition of Family

A

A family is a group of individuals who are bound by strong emotional ties, a sense of belonging, and a passion for being involved in one another’s lives.

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3
Q

5 critical attributes to the concept of family

A
  1. The family is a system or unit
  2. Its members may or may not be related and may or may not live together
  3. The unit may or may not contain children
  4. There is commitment and attachment among unit members that include future obligation
  5. The unit caregiving functions consist of protection, nourishment, and socialization of its members
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4
Q

6 Roles and Responsibilities of Family Members

A
  • physical maintenance and a care of group members
  • addition of new members (e.g., procreation, adoption)
  • socialization of children
  • social control of members
  • production, consumption, or distribution of goods and services, and
  • affective nurturance-love
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5
Q

_______ couples are getting legally married.

A

fewer

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6
Q

More couples are ______

A

breaking up

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7
Q

Families are getting _____

A

smaller

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8
Q

Canadians are generally ________ with life

A

satisfied

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9
Q

_____ of legally married Canadian couples can expect to divorce before their 30th wedding anniversary

A

41

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10
Q

The average age of a mother having a first baby in Canada is now ______ years (younger in Saskatchewan due to high prevalence of adolescent pregnancy)

A

29.6

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11
Q

About ____ of 20-34 year olds still live with at least one parent

A

35%

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12
Q

The infant mortality rate is highest in

A

YT, NWT, NU, and SK

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13
Q

The fastest growing household type is

A

multigenerational

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14
Q

About __% of Canadians report Indigenous Identify (even though we know over __% have that identity)

A

3

4.9

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15
Q

19% of canadians are over

A

65

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16
Q

Family Health Definition

A

Family health is a dynamic changing state of well-being, which includes the biological, psychological, spiritual, sociological, and culture factors of individual members and the whole family system.

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17
Q

Traits of healthy families

A
  • Communicates and listens
  • Fosters table time and conversation
  • Affirms and supports one another
  • Fosters and teaches respect for others
  • Develops a sense of trust
  • Has a sense of play and humor
  • Has a balance of interaction among members
  • Share leisure time
  • Exhibits a sense of shared responsibility
  • Teaches a sense of right and wrong
  • Abounds in rituals and traditions
  • Shares a spiritual core
  • Respects the privacy of one another
  • Values service to others
  • Admits to and seeks help with problems
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18
Q

How do nurses contribute to family health? (5)

A
  • Assess and appraise family meanings of health
  • Determine family strengths and capabilities
  • Educate families about health and healthy living
  • Facilitate use of health resources
  • Foster active involvement of families in healthy communities
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19
Q

The family is the transmitter of

A

cultural practices and traditions

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20
Q

How is family a SDOH?

A
  1. establishes health promoting behaviours
  2. defines illness
  3. confirms validity of sick roll
  4. decides when treatment is initiated, influencing outcomes
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21
Q

Reciprocity in effect in nursing families

A

Identification of actual or potential needs for one member will lead to detection of needs in other members

In nursing families, the nurse examines individual health and how family health influences the individual and vise versa

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22
Q

4 Approaches to Family Nursing Practice

A
  1. Family as context
  2. Family as Client
  3. Family as System
  4. Family as Group in Society
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23
Q

Family is an ______ way to deliver care to people

A

Efficient

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24
Q

Challenges Early Nurses identified when trying to focus on family:

A
  1. a discordant family
  2. family absence/distant/uninvolved
  3. uniqueness of family
  4. incongruences
  5. time demands
  6. nurse vulnerability
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25
Q

Benefits Early Nurses identified when trying to focus on family:

A
  1. being informed/communication
  2. being included/sharing the experience
  3. trust in nursing care
  4. appreciation of the nurse
  5. unity of purpose
  6. meaningful connection
  7. ease stress
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26
Q

Define family as context

A

nursing care focuses on the individual as client, family as context of the individual, family may be a stressor or a resource, also called family-centered care

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27
Q

How is family viewed in family as context

A

stressor or support

involvement level varies

social environment for an individual or a resource for the individual client

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28
Q

In what way do most nursing specialties view families

A

family as context

29
Q

Define family as client/patient

A

an approach in which the whole family is seen as the client. Here we focus on family first before any specific person in the family. This approach sees the family as the sum of the parts.

30
Q

How are family members assessed in family as client?

A

Seperately

31
Q

Focus of family as client

A

strengthening the unit

32
Q

Who utilizes the family as client approach

A

NP practice, community care, advanced practitioners

33
Q

Define family as system

A

also views the family as the client but it recognizes the system is more that the sum of its parts. It is more than the sum of its parts because the interactions happen in and to, from external forces.

more dynamic because of the impact and reciprocal nature of these interactions.

34
Q

How do family as system and family as client vary

A

client: family as sum of its parts

system: more than sum of parts because recognizes interaction with external forces

35
Q

Key ideas of family as system

A

interaction and reciprocity

36
Q

What is the target for nursing interventions in family as system

A

Interactions between family members

37
Q

Define family as component of society

A
  • Family is seen as a basic component of society
  • Family interfaces with other parts of society
38
Q

Focus of interventions for family as component of society

A

families are a subsystem of larger systems in the community, society, common issues, trends

  • RN focuses on linking family with community supports and agencies
  • e.g., community health
39
Q

In the area of generalist vs specialist, the nurse who views the family in context could be a _______ in family nursing and a ________ in another field of nursing.

A

generalist

specialist

40
Q

A nurse who practices family nursing are _________ in family care and _________ in other areas of nursing

A

specialist

generalist

41
Q

At the baccalaureate level, students should receive preparation for working with family as _______ and the family as a ________

A

context

component of society

42
Q

Master’s level preparation is required for specialty practice in family nursing such as working with the family as a_______ or the family as a ________

A

client

system

43
Q

The mission of International Family Nursing Association

A
  1. serving as unifying force and voice for family nursing globally
  2. sharing knowledge, practices, and skills to enhance and nurture family nursing practice
  3. Provide family nursing leadership through education, research, scholarship, socialization and collegial exchange on all aspects of family nursing
44
Q

5 goals of IFNA

A
  1. increase visibility of family nursing
  2. ensure IFNA sustainability
  3. increase membership diversity, reach, and impact
  4. Sustain member connections and encourage increased engagement
  5. increase international collaboration
45
Q

IFNA Essential Background Knowledge for Generalist Family Nursing Competencies (8)

A
  1. Family nursing theories
  2. Family Development theory
  3. Family Systems theory
  4. Reciprocal nature (mutual influence) of the individual family health experience
  5. Nurse-family relationship development
  6. Family interventive questioning skills
  7. How to have a therapeutic conversation
  8. Clinical assessment, decision-making, and intervention
46
Q

5 Generalist Family Nursing Competencies

A
  1. enhance and promote family health
  2. focus practice on
    - strengths
    - growth
    - self management abilities
    - facilitation of successful transitions
    - improvement/management of health
    - mobilization of resources
  3. leadership and systems thinking
  4. self-reflective practice
  5. evidence based approach
47
Q

when we speak about diversity…we often limit ourselves to ______ diversity

A

cultural

48
Q

ACE

A

Adverse Childhood Experiences (ACEs)
* Potentially traumatizing experiences, such as emotional, physical or sexual abuse experienced in the first 18 years of life

49
Q

What ACE score indicates a child is likely to suffer adversity later in life

A

> 4

50
Q

Trauma

A

An experience someone has and encodes in fear

51
Q

3 Categories of ACE scoring

A
  1. abuse: emotional, physical, sexual
  2. neglect: emotional, physical
  3. housefold dysfunction: substance use, IPV, seperation/divorce, incarceration

(1 point for each thing)

52
Q

What gender reports more aces?

A

women

53
Q

What are the 10 corrective experiences to mitigate the ACEs

A
  • 1 caregiver who is perceived to be safe
  • 1 good friend
  • Beliefs that comfort
  • Find enjoyment at school
  • Teachers who care
  • Good neighbors
  • An adult from who you could get advice
  • Opportunities for fun
  • Like yourself
  • Predictable home routine
54
Q

Systems thinking regarding ACEs

A

Public health has a role in the prevention and mitigation of ACEs as an essential service to support communities and improve population health

55
Q

What is the Patient First Review?

A

Commissioners Report Oct 2009

§ 4000+ patients, families and care providers
§ Calls for changes to how patients experience the health system, including service delivery and administration in SK
§ 12 recommendations made - overarching recommendation to change from a system-centred approach to one that was more patient and family-centred

56
Q

Define Patient and Family Centred Care

A

Working with patients and families, rather than doing to or for them.

grounded in mutually beneficial partnerships among health care providers, patients, and families

57
Q

4 Pillars of Patient and Family Centred Care

A
  1. Respect and Dignity
  2. Information Sharing
  3. Participation
  4. Collaboration
58
Q

Describe respect and dignity as a pillar of patient centred care

A

staff, physicians and volunteers actively listen to and honour the patient and family perspective, beliefs, choices and incorporate them into the planning and delivery of healthcare services.

59
Q

Describe information sharing as a pillar of patient centred care

A

timely, complete, unbiased, evidence-based information is provided to patients and families, in ways that they can understand so they can effectively participate in their own care and decision making.

60
Q

Describe participation as a pillar of patient centred care

A

patients and families are supported and encouraged to participate in their own care and decision making at the level they choose

61
Q

Describe collaboration as a pillar of patient centred care

A

patients and families work collaboratively with care providers in numerous ways such as: policy and program development implementation and evaluation, healthcare facility design, professional education, hiring committees, delivery of health services.

62
Q

Describe respect and dignity as a pillar of PCC

A

staff, physicians and volunteers actively listen to and honour the patient and family perspective, beliefs, choices and incorporate them into the planning and delivery of healthcare services.

63
Q

Describe information sharing as a pillar of PCC

A

timely, complete, unbiased, evidence-based information is provided to patients and families, in ways that they can understand so they can effectively participate in their own care and decision making.

64
Q

Describe participation as a pillar of PCC

A

patients and families are supported and encouraged to participate in their own care and decision making at the level they choose

65
Q

Describe collaboration as a pillar of PCC

A

patients and families work collaboratively with care providers in numerous ways such as: policy and program development implementation and evaluation, healthcare facility design, professional education, hiring committees, delivery of health services.

66
Q

Legal family definition

A

a group of 2+ persons residing in the same household who are related by blood, marriage, or adoption

legal relationships and structures recognized by the state (blood, marriage, and adoption)

67
Q

Economic family definition

A

individuals related by blood, marriage (including common law) or adoption sharing a common private dwelling

considers how family members work together to manage resources, share expenses, and achieve economic goals

68
Q

Census family definition

A

a married or common-law couple (w/ or w/o children) or a lone parent of any marital status, with at least one child
A couple may be of opposite sex or same sex