Approaches to family nursing

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Overview

Discuss from your nursing experience an intervention you used with a family using each of the 4 types of approaches:

1. Family as Context

Focuses on the assessment and care of an individual patient in which the family is the context.
Traditional
Individual is in the foreground and the family is in the background
Family serves as context for the individual as a resource or stressor (so the family can be either anegative or positive context).
An example of this would be in the care of children under 18. Physician rounds are generally “family centered” and done with the focus on the patient, but with discussion with both the patient and the parents or caregivers.

** For the Approaches to Family Nursing Assignment, think of a time in your clinical practice or with your own particular family when one of the members of the family needed health care and other members of the family were involved in that person’s health care needs. Explain who the family member in need of health care was, what was the condition of the family member, health problem, and health care needs. What roles did each family member take in helping care for the individual family member?

2. Family as Client

Assesses all family members
The nurse is interested in the way all the family members are individually affected by the health/hospitalization of one member of the family unit.
The family is in the foreground.
Focus is on every member of the family.

An example of could be when a beloved matriarch of the family gets a grave diagnosis, the nurse would ask the patient how her family was dealing with the diagnosis? How are the members of your family adjusting to this news? Will the care you will need be a problem for your family?

**For the Approaches to Family Nursing Assignment, think of a time in your clinical practice or with your own particular family when one family member suffered from a health care problem and as a result other members of the family developed health care needs. Describe the health needs of all of the family members and the overall affects of the family members’ illness on the rest of the family.

3. Family as System

The family as a whole is the patient. The focus is on the individual and the family simultaneously.
Interactions between family members become the target for nursing interventions.
Emphasis is on the interactions between the family members.
Runs on the theory that when something happens to one part of the system, the other parts of the system are affected as well (if one member of the family becomes ill, then the other members of the family are affected as well).
For example, when a child is diagnosed with cancer, the nurse may ask the father, what has changed between you and your wife since the diagnosis? How has this devastating diagnosis affected this child’s siblings?

**For the Approaches to Family Nursing Assignment, describe how the family interacts with one another when one family member becomes ill. Describe the types of interactions that occur such as one family member is in denial, one family member is crying and panicking, one family member becomes the caregiver, and so forth. Base your answer on your practice or your personal experience.

4. Family as Component of Society

Looks at the family as a component of society.
The family as a whole interacts with other institutions to receive, exchange, or give communication or services.
This is a major aspect of Community Health nursing.
Examples of this may include suggesting a support group for a patient/family for their disease, or asking how “society” (those outside of their family) have reacted to their diagnosis.

**For the Approaches to Family Nursing Assignment, describe how one family used a variety of community resources to help them care for a family member who has become ill or who has been diagnosed with a health care problem. What resources did the family use or seek? What were the results? How effective were the healthcare resources for the family and the ill family member? What problems were encountered when the family tried to obtain community resources?

Objectives

Differentiate roles within a family
Discuss the role of the family healthcare nurse

References

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

Style

Unless otherwise specified, all the written assignment must follow APA 6th edition formatting, citations and references. Click here to download the Microsoft Word APA 6th edition template. Make sure you cross-reference the APA 6th edition book as well before submitting the assignment.

Textbooks:

Family Health Care Nursing

- Read Chapters 1, 2, 3, 4, 5.

http://ners.unair.ac.id/materikuliah/ebooksclub.or…

Approaches to family nursing

rubric_approaches_to_family_nursing.pdf

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NRSE 4530 RUBRIC: M1 A2 WA: APPROACHES TO FAMILY NURSING (40 pts) Criteria Introduction Family as Context Body Accomplished 7 to 7 Points  Clearly states the purpose of the paper.  Provides a comprehensive overview of topic or questions.  Engages the reader.  Organized and has easy follow. 5 to 5 Points  Describes scenario in detail when family as context approach in nursing is applied. Levels of Achievement Needs Improvement 2 to 6 Points  Overview is provided, but key points/ideas are missing.  Purpose statement is not clear.  Does not engage the reader.  Somewhat disorganized but still comprehensible. 1 to 4 Points  Describes scenario and provides brief example of the nurses’ role. Not Acceptable 0 to 1 Points  Does not provide an overview of the paper or is absent.  No purpose statement. 0 Points  Does not address the section. Family as Client 5 to 5 Points  Describes scenario in detail when family as client approach in nursing is applied. 1 to 4 Points  Describes scenario and provides brief example of the nurses’ role. 0 Points  Does not address the section. Family as System 5 to 5 Points  Describes scenario in detail when family as system approach in nursing is applied. 1 to 4 Points  Describes scenario and provides brief example of the nurses’ role. 0 Points  Does not address the section. Family as a Component of Society 5 to 5 Points Approaches to family nursing

 Describes scenario in detail when family as component of society approach in nursing is applied. 1 to 4 Points  Describes scenario and provides brief example of the nurses’ role. 0 Points  Does not address the section. 7 to 7 Points  Summarizes paper and reflects on what the reader has learned from the paper.  Demonstrates persuasive thought and is well organized. 2 to 6 Points  Merely summarizes the introduction or contains new ideas not present in the paper contents.  Somewhat disorganized but still comprehensible 0 to 1 Points  Simply restates the introduction or is absent.  Disorganized to the point of distraction. Conclusion Last updated: 06/07/2017 © 2017 School of Nursing – Ohio University Page 1 of 2 NRSE 4530 RUBRIC: M1 A2 WA: APPROACHES TO FAMILY NURSING (40 pts) Criteria Stylistics Accomplished 6 to 6 Points  APA Citations are appropriate.  Formatted correctly.

 Reference page is complete and correctly formatted.  At least 4 references provided: Two (2) references from required course materials and two (2) peer-reviewed references. *References not older than five years.  More than 600 words excluding title and reference pages. Levels of Achievement Needs Improvement 3 to 5 Points  APA Citations are appropriate and formatted correctly.  Reference page is formatted correctly.  References are not professional or is not formatted correctly.  Missing 1 professional reference.  At least 600 words or more excluding title and reference pages. Not Acceptable 0 to 2 Points  No citations are used or citations are made but not formatted correctly Approaches to family nursing

 Reference page is missing.  Less than 600 words excluding title and reference pages. Peer-reviewed references include professional journals (i.e. Nursing Education Perspectives, Journal of Professional Nursing, etc. –), professional organizations (NLN, CDC, AACN, ADA, etc.) applicable to population and practice area, along with clinical practice guidelines (CPGs – National Guideline Clearinghouse). References not acceptable (not inclusive) are UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases. *All references must be no older than five years (unless making a specific point using a seminal piece of information) Note: You will have three (3) attempts to submit a written assignment, only the final attempt will be graded. For each attempt you will receive a SafeAssign originality report. This will give you a chance to correct the assignment based on the SafeAssign score. Click here to view instructions on how to interpret SafeAssign originality report. Last updated: 06/07/2017 © 2017 School of Nursing – Ohio University Page 2 of 2 … Approaches to family nursing