Unit 1: What is family nursing? Flashcards
4 Definitions of Family
- Functional
- Legal
- Political
- Economic
Functional Definition of Family
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.
5 critical attributes to the concept of family
- The family is a system or unit
- Its members may or may not be related and may or may not live together
- The unit may or may not contain children
- There is commitment and attachment among unit members that include future obligation
- The unit caregiving functions consist of protection, nourishment, and socialization of its members
6 Roles and Responsibilities of Family Members
- 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
_______ couples are getting legally married.
fewer
More couples are ______
breaking up
Families are getting _____
smaller
Canadians are generally ________ with life
satisfied
_____ of legally married Canadian couples can expect to divorce before their 30th wedding anniversary
41
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)
29.6
About ____ of 20-34 year olds still live with at least one parent
35%
The infant mortality rate is highest in
YT, NWT, NU, and SK
The fastest growing household type is
multigenerational
About __% of Canadians report Indigenous Identify (even though we know over __% have that identity)
3
4.9
19% of canadians are over
65
Family Health Definition
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.
Traits of healthy families
- 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
How do nurses contribute to family health? (5)
- 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
The family is the transmitter of
cultural practices and traditions
How is family a SDOH?
- establishes health promoting behaviours
- defines illness
- confirms validity of sick roll
- decides when treatment is initiated, influencing outcomes
Reciprocity in effect in nursing families
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
4 Approaches to Family Nursing Practice
- Family as context
- Family as Client
- Family as System
- Family as Group in Society
Family is an ______ way to deliver care to people
Efficient
Challenges Early Nurses identified when trying to focus on family:
- a discordant family
- family absence/distant/uninvolved
- uniqueness of family
- incongruences
- time demands
- nurse vulnerability
Benefits Early Nurses identified when trying to focus on family:
- being informed/communication
- being included/sharing the experience
- trust in nursing care
- appreciation of the nurse
- unity of purpose
- meaningful connection
- ease stress
Define family as context
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
How is family viewed in family as context
stressor or support
involvement level varies
social environment for an individual or a resource for the individual client
In what way do most nursing specialties view families
family as context
Define family as client/patient
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.
How are family members assessed in family as client?
Seperately
Focus of family as client
strengthening the unit
Who utilizes the family as client approach
NP practice, community care, advanced practitioners
Define family as system
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.
How do family as system and family as client vary
client: family as sum of its parts
system: more than sum of parts because recognizes interaction with external forces
Key ideas of family as system
interaction and reciprocity
What is the target for nursing interventions in family as system
Interactions between family members
Define family as component of society
- Family is seen as a basic component of society
- Family interfaces with other parts of society
Focus of interventions for family as component of society
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
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.
generalist
specialist
A nurse who practices family nursing are _________ in family care and _________ in other areas of nursing
specialist
generalist
At the baccalaureate level, students should receive preparation for working with family as _______ and the family as a ________
context
component of society
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 ________
client
system
The mission of International Family Nursing Association
- serving as unifying force and voice for family nursing globally
- sharing knowledge, practices, and skills to enhance and nurture family nursing practice
- Provide family nursing leadership through education, research, scholarship, socialization and collegial exchange on all aspects of family nursing
5 goals of IFNA
- increase visibility of family nursing
- ensure IFNA sustainability
- increase membership diversity, reach, and impact
- Sustain member connections and encourage increased engagement
- increase international collaboration
IFNA Essential Background Knowledge for Generalist Family Nursing Competencies (8)
- Family nursing theories
- Family Development theory
- Family Systems theory
- Reciprocal nature (mutual influence) of the individual family health experience
- Nurse-family relationship development
- Family interventive questioning skills
- How to have a therapeutic conversation
- Clinical assessment, decision-making, and intervention
5 Generalist Family Nursing Competencies
- enhance and promote family health
- focus practice on
- strengths
- growth
- self management abilities
- facilitation of successful transitions
- improvement/management of health
- mobilization of resources - leadership and systems thinking
- self-reflective practice
- evidence based approach
when we speak about diversity…we often limit ourselves to ______ diversity
cultural
ACE
Adverse Childhood Experiences (ACEs)
* Potentially traumatizing experiences, such as emotional, physical or sexual abuse experienced in the first 18 years of life
What ACE score indicates a child is likely to suffer adversity later in life
> 4
Trauma
An experience someone has and encodes in fear
3 Categories of ACE scoring
- abuse: emotional, physical, sexual
- neglect: emotional, physical
- housefold dysfunction: substance use, IPV, seperation/divorce, incarceration
(1 point for each thing)
What gender reports more aces?
women
What are the 10 corrective experiences to mitigate the ACEs
- 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
Systems thinking regarding ACEs
Public health has a role in the prevention and mitigation of ACEs as an essential service to support communities and improve population health
What is the Patient First Review?
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
Define Patient and Family Centred Care
Working with patients and families, rather than doing to or for them.
grounded in mutually beneficial partnerships among health care providers, patients, and families
4 Pillars of Patient and Family Centred Care
- Respect and Dignity
- Information Sharing
- Participation
- Collaboration
Describe respect and dignity as a pillar of patient centred care
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.
Describe information sharing as a pillar of patient centred care
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.
Describe participation as a pillar of patient centred care
patients and families are supported and encouraged to participate in their own care and decision making at the level they choose
Describe collaboration as a pillar of patient centred care
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.
Describe respect and dignity as a pillar of PCC
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.
Describe information sharing as a pillar of PCC
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.
Describe participation as a pillar of PCC
patients and families are supported and encouraged to participate in their own care and decision making at the level they choose
Describe collaboration as a pillar of PCC
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.
Legal family definition
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)
Economic family definition
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
Census family definition
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
