Class 1: Family Health Care Nursing
1. ALL nursing is family nursing (caring for pt and surrounding ppl): want to discuss how it's viewed from relational
perspective/practice
2. What's relational perspective/practice: knowing yourself (self awareness) and knowing whats going on in your own life when
you are going into any practice setting;
-that means if last night my 7 months old has been up for several hours, and come in late, hair a mess, ranting to class = NO relational
practice)
-check yourself prior to engaging pt
-how are you presenting yourself, etc
3. What is family health care nursing: -is an art and science
-a philosophy
-way of interacting w/families about health care
-has evolved as way of thinking about & working with families
-Each family's structure, function, and process informs the nurse in how to optimize nursing care.
4. What does this philosophy assume: -Health and illness are family events.
-Health and illness affect all members of families.
5. What is family: -family is who the members say it is
-families influence the process & outcome of health care
Up to us as nurses that cultural perspectives changes definition of fam (fam is whatever the person says it is)
-lots of varying forms of fam, can be not blood related, etc
6. what's important for all nurses
-what informs the nurse in how to optimize nursing care: -Family health care nursing knowledge and skills are important for all
nurses
-Each family's structure, function, and process informs the nurse in how to optimize nursing care.
, Class 1: Family Health Care Nursing
7. Understanding families enables nurses to what: -assess fam health status
-ascertain effects of fam on idividual fam members health status
-predict influence of alterations in health status of fam system
-work with members as they implement action plans customized for improved health for each fam member & fam as a whole
8. What does family structure, function and processes do: -they are influenced by nad influence family and each individual
fam members health status & whole fam health status
-nurses need to know structure, function & processes of families & family theories
9. Changing family structure & nursing
-who in the fam has the financial responsibilities and social responsibilities (pick ups, drop offs, organizing dr appts,
etc)
-how are fam members involved in child rearing & parenting: Who in the family has the financial responsibilities and socia
responsibilities? (pick ups, drop offs, organizing dr appts, etc)
-Father have financial responsibilities 60 years ago and mom has social responsibilities 60 years ago
-Now it can be either or, depends on the family and age of the kids
How are family members involved in child rearing and parenting? -Stigma before to ask for help was not looked at
positively
-Now it's community raising them (aunts, uncles, grandparents, etc)
It is important to understand how family make decisions about health and health care.
1.60 yrs ago Dad would've been majority responsibility (moms stayed at home) but now its both parents with kids as well (sometimes)
2.Grandparents are now involved in childbearing whereas the mom stayed at home to take care of children in the back; (depends on the
family and the age of the kids) 10. Patient and Family centered care:: this philosophy can be missed and forgotten though at times
11. How are we held accountable for implementing family centered care:
(is there any type of documentation where we document this,: the whiteboards in the room (aren't always updated though)
-discharge planning or demo bathing
-if there were any family being in room or there
, Class 1: Family Health Care Nursing
-are areas where you can note any teaching provided (in shift summary)
-the support and communication we give is never really charted on
-pt and fam centered care can be forgotten about
12. Family Health Care Nursing: -Scientific discipline based in theory
-its an art, science, philosophy, way of interacting with family in health care)
-Since the 1980s, evolved as its own specialty
-Each family's structure, function, and process informs the nurse in how to optimize nursing care.
13. What does family nursing focus on
-what is it influenced by: 1. Family structure
2. Family function
3. Family process
4. Family roles
-structure, functions and processes of fam influence & are influenced by each individual fam members health status & overall health
status of the whole family
What is the at home life going to look like for that family/patient? What supports is the pt and family going to need
Core principles that interlace with each other!!!
14. Family nursing context approaches family through interventions as:: 1.
Family is a basic unit of human society.
2. Family is a unit of analysis.
3. Health and illness are family events.
4. Changes in the individual affect the entire family's functioning
15. Push for care of ppl to move to home stay to move towards family as a whole (want to empower the families
to feel they are a part of the care plan for the pt)
, Class 1: Family Health Care Nursing
-encourage fam's to take part
We want to empower the fam by giving them skills to do, ADL's, basic interventions to start the practice, what can
the pt empower themselves to do and what can the family be involved with, ask if they have: -nurses have broader
perspectives for approaching health care needs when families are considered unit of care (as opposed to individuals)
-health care is moving from hospital to community/family home
16. what are the advances in health care doing: -prompting changes from individual person paradigm to nursing care of
families as a whole
17. -nurses have ethical & moral obligation to involve families in their helath care practices
-priority on ensuring each person & fam as a whole are engaged as partners in their health care: -theres family as:
-context
-client
-system
-component of society
18. what are the 3 foundational components of family nursing are:: 1. Determining how family is defined
-(not looking at family and this is how I define them, but how the family defines themselves)
2. understanding the concepts of family health
3. ØKnowing the current evidence about the elements of a healthy family
(current evidence & research - you will get this information from scholarly papers, EBP, regulatory bodies, RNAO best practice
guidelines, WHO, Cochrane reviews, meta-analysis)
19. what is family life: -family life is universal human experience & NO 2 individuals have exact same experience within a family
-traditional meaning of family is being challenged
-no universal agreed upon definiton of fam, it differs for each person
CA legalized same sex marriage in 2005
20. Definitions of "family" differ by discipline
-legal
-biological
-sociological
1. ALL nursing is family nursing (caring for pt and surrounding ppl): want to discuss how it's viewed from relational
perspective/practice
2. What's relational perspective/practice: knowing yourself (self awareness) and knowing whats going on in your own life when
you are going into any practice setting;
-that means if last night my 7 months old has been up for several hours, and come in late, hair a mess, ranting to class = NO relational
practice)
-check yourself prior to engaging pt
-how are you presenting yourself, etc
3. What is family health care nursing: -is an art and science
-a philosophy
-way of interacting w/families about health care
-has evolved as way of thinking about & working with families
-Each family's structure, function, and process informs the nurse in how to optimize nursing care.
4. What does this philosophy assume: -Health and illness are family events.
-Health and illness affect all members of families.
5. What is family: -family is who the members say it is
-families influence the process & outcome of health care
Up to us as nurses that cultural perspectives changes definition of fam (fam is whatever the person says it is)
-lots of varying forms of fam, can be not blood related, etc
6. what's important for all nurses
-what informs the nurse in how to optimize nursing care: -Family health care nursing knowledge and skills are important for all
nurses
-Each family's structure, function, and process informs the nurse in how to optimize nursing care.
, Class 1: Family Health Care Nursing
7. Understanding families enables nurses to what: -assess fam health status
-ascertain effects of fam on idividual fam members health status
-predict influence of alterations in health status of fam system
-work with members as they implement action plans customized for improved health for each fam member & fam as a whole
8. What does family structure, function and processes do: -they are influenced by nad influence family and each individual
fam members health status & whole fam health status
-nurses need to know structure, function & processes of families & family theories
9. Changing family structure & nursing
-who in the fam has the financial responsibilities and social responsibilities (pick ups, drop offs, organizing dr appts,
etc)
-how are fam members involved in child rearing & parenting: Who in the family has the financial responsibilities and socia
responsibilities? (pick ups, drop offs, organizing dr appts, etc)
-Father have financial responsibilities 60 years ago and mom has social responsibilities 60 years ago
-Now it can be either or, depends on the family and age of the kids
How are family members involved in child rearing and parenting? -Stigma before to ask for help was not looked at
positively
-Now it's community raising them (aunts, uncles, grandparents, etc)
It is important to understand how family make decisions about health and health care.
1.60 yrs ago Dad would've been majority responsibility (moms stayed at home) but now its both parents with kids as well (sometimes)
2.Grandparents are now involved in childbearing whereas the mom stayed at home to take care of children in the back; (depends on the
family and the age of the kids) 10. Patient and Family centered care:: this philosophy can be missed and forgotten though at times
11. How are we held accountable for implementing family centered care:
(is there any type of documentation where we document this,: the whiteboards in the room (aren't always updated though)
-discharge planning or demo bathing
-if there were any family being in room or there
, Class 1: Family Health Care Nursing
-are areas where you can note any teaching provided (in shift summary)
-the support and communication we give is never really charted on
-pt and fam centered care can be forgotten about
12. Family Health Care Nursing: -Scientific discipline based in theory
-its an art, science, philosophy, way of interacting with family in health care)
-Since the 1980s, evolved as its own specialty
-Each family's structure, function, and process informs the nurse in how to optimize nursing care.
13. What does family nursing focus on
-what is it influenced by: 1. Family structure
2. Family function
3. Family process
4. Family roles
-structure, functions and processes of fam influence & are influenced by each individual fam members health status & overall health
status of the whole family
What is the at home life going to look like for that family/patient? What supports is the pt and family going to need
Core principles that interlace with each other!!!
14. Family nursing context approaches family through interventions as:: 1.
Family is a basic unit of human society.
2. Family is a unit of analysis.
3. Health and illness are family events.
4. Changes in the individual affect the entire family's functioning
15. Push for care of ppl to move to home stay to move towards family as a whole (want to empower the families
to feel they are a part of the care plan for the pt)
, Class 1: Family Health Care Nursing
-encourage fam's to take part
We want to empower the fam by giving them skills to do, ADL's, basic interventions to start the practice, what can
the pt empower themselves to do and what can the family be involved with, ask if they have: -nurses have broader
perspectives for approaching health care needs when families are considered unit of care (as opposed to individuals)
-health care is moving from hospital to community/family home
16. what are the advances in health care doing: -prompting changes from individual person paradigm to nursing care of
families as a whole
17. -nurses have ethical & moral obligation to involve families in their helath care practices
-priority on ensuring each person & fam as a whole are engaged as partners in their health care: -theres family as:
-context
-client
-system
-component of society
18. what are the 3 foundational components of family nursing are:: 1. Determining how family is defined
-(not looking at family and this is how I define them, but how the family defines themselves)
2. understanding the concepts of family health
3. ØKnowing the current evidence about the elements of a healthy family
(current evidence & research - you will get this information from scholarly papers, EBP, regulatory bodies, RNAO best practice
guidelines, WHO, Cochrane reviews, meta-analysis)
19. what is family life: -family life is universal human experience & NO 2 individuals have exact same experience within a family
-traditional meaning of family is being challenged
-no universal agreed upon definiton of fam, it differs for each person
CA legalized same sex marriage in 2005
20. Definitions of "family" differ by discipline
-legal
-biological
-sociological
