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,Family Health Care Nursing the process of providing for the health care needs of families that are within the scope of
nursing practice. This nursing care can be aimed toward the family as context, the family
as a whole, the family as a system or the family as a component of society.
Family as Context The individual is in the foreground, and the family is in the background. The family is the
resource for the individual. (Traditional)
Family as Client All family members are in the foreground, and no individual is exclusive of the whole.
(Family-centered care)
Family as System The family is the client. (Family therapy)
Family as a Component of Society The family is a component of the main institutions of society. (Community health)
Family Functions Reproduction; Socialization; Affective; Economic; Health care
Legal family Relationships through blood ties, adoption, guardianship, or marriage
Sociological family Groups of people living together with or without legal or biological ties
Biological Family Genetic, biological networks among and between people
Psychological family Groups with strong emotional ties
Traditional Family The family is a group of persons united by ties of marriage, blood, or adoption,
constructing a single household; interacting and communicating with each other in their
own respective social roles of husband and wife, mother and father, son and daughter,
brother and sister, and creating and maintaining a common culture
, Family Nursing Theory - Critical concepts No single theory or conceptual framework sufficiently describes the multifaceted
relationships of family structure, function, and process; Family theories assist nurses in
making critical decisions concerning the care of families; Improving the quality of nursing
care of families is the major function of theory in family nursing; Family theories guide
practice and research, and vice versa; Incorporating various theories enhances nursing
practice; Integrating inter-professional practice theory with family nursing theory is
critical to contemporary nursing practice.
Theories abstract or general ideas subject to rules and organizations that: Contain concepts,
relations, and propositions; Show logical relationships between concepts to illustrate
patterns (i.e., family cohesion and mental health); Attempt to make sense of complex
phenomena in the world (i.e., domestic violence); Describe; explain; predict; increase
knowledge; enhance understanding; and improve nursing care
Concepts building blocks for theory development—concrete or abstract images of a phenomenon
Propositions statements about the relationship between two or more concepts
Hypothesis a statement predicting an expected relationship between concepts
What is a Conceptual Model or Theoretical Framework? A set of general propositions that illustrates the connection between concepts. The
concepts are integrated into meaningful configurations or patterns.
The conceptual models that guide nursing have evolved from family social science (e.g. Family Stress Theory and Change Theory); family therapy and
three major disciplines nursing models and theories (e.g. Neuman's Systems Model & Parse's Human Becoming
Theory). Conceptual models are based on observations, insights and deductions, and
nurses typically draw from many theoretical conceptual foundations, using a more
pluralistic and eclectic approach.
Family Assessment and Intervention Model is a multidimensional framework consisting of three key groupings: structural;
developmental; and functional. Each category has its own subcategories and clarifies
family strengths; limitations; roles and all possible resources the family has or may need.
These findings assist the nurse to assess the Jones family's perspectives at this specific
time in their lives and enable the nurse to help with any difficulties or challenges the
family may encounter. The CFIM is a classifying framework conceptualizing the
interconnection between a particular domain (i.e. cognitive; affective; or behavioral) of
family functioning and a particular intervention offered the nurse.