1. 3/4/2013 ANCY KURIAN , I MSc.(N) 1

2. By ANCY KURIAN
I MSc.(N)
3/4/2013 ANCY KURIAN , I MSc.(N) 2

3. Overview
 Need of family focus.
Family, Health, Family Health Care Nursing
Nature of interventions
Settings
History
Objectives & General Principles
Approaches & Family Nursing Roles
Obstacles to Family Health Nursing
Errors In Family Nursing
Family Health Nursing Process
3/4/2013 ANCY KURIAN , I MSc.(N) 3

4. Need of Family Focus
• Health and illness behaviors are learned within
the context of family.
• Family units are affected when one or more
healthy members experience health problems.
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5. Need of Family Focus (contd…)
• Families affect the health of individual
members and viceversa .
• Health care effectiveness is improved when
emphasis is placed on the family.
• Promotion , maintenance and restoration of the
health of families is important to the survival
of society.
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6. Meaning
The family is a group of persons united by ties
of marriage ,blood or adoption , constituting a
single household , interacting and
communicating with each other in their
respective social roles
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7. Meaning
Family health is a dynamic, changing, relative
state of well-being which includes the
biological, psychological ,spiritual ,
sociological, and culture factors of the family
system.
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8. Family Health Care Nursing is defined as “the
process of providing for health care needs of
families that are within the scope of nursing
practice .
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9. Conceptual Framework
FAMILY
Concepts of
NURSING individual ,
INDIVIDUAL
family nursing &
society
intersect with one
FAMILY another.
SOCIETY
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10. • Family care is concerned with experience of the
family over time.
• Family nursing is considerate of the community and
cultural context of the group.
• Family nursing is directed at families
whose members are both healthy and ill.
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11. NATURE OF INTERVENTIONS
(contd..)
• Offered in settings in which individuals
present with physiologic or psychological
problems.
• Considerate of the relationships between and
among family members.
• Influenced by any change in its members.
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12. NATURE OF INTERVENTIONS
(contd..)
• Nurse manipulate the environment to increase the
likelihood of family interaction.
• Recognizes that which person in a family is the most
symptomatic may change over time.
• Focuses on strengths of individual family members
• Define with the family which persons constitute the
family and where they will place their therapeutic
energies.
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13. Settings
• Home, clinic, school and workplace
• Each setting serves its own purpose and
has its advantages,
disadvantages and limitations
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14. Family Nursing
• Nightingale Era
Florence nightingale - Establishment of district
nursing of the sick & poor and the work of
‘health missionaries’ through health-at-home
teaching.
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15. Family Nursing
(contd…)
• In Early 1900’s and 1960’s
• women continued the centuries old traditions
• 1930
• Nurses are assigned to families.
• Psychiatry and mental health disciplines -family
therapy focus.
• occurs
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16. Family Nursing
(contd…)
• 1960 - Concepts of maternal,child and family
care - incorporated into basic curriculums of
nursing schools.
- Family studies & research produce
family theories.
- Shift from public health to community
health nursing occurs.
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17. Family Nursing
(contd…)
• 1970 –
• Development of nursing models that consider
family as a unit of analysis.
• Many specialities focus on the family
• Masters and doctoral programs focus on
family.
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18. Family Nursing
(contd…)
• 1980–White House Conference on families.
- Greater emphasis is put on health from very
young to very old.
- Family science develops as a discipline.
- Family nursing research increases.
.
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19. Family Nursing
(contd…)
• 1991–Family leave legislation is passed.
• 1995 – Journal of Family Nursing Research is born
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20. OBJECTIVES
• To identify health and nursing needs and
problems of each family.
• To ensure family’s understanding and acceptance
of those needs and problems.
• To plan and provide health and nursing services
with active participation of family members.
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21. OBJECTIVES (contd…..)
• To help families develop abilities to deal with their
health needs and health problems independently.
• To contribute to family’s performance of
developmental functions and tasks.
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22. OBJECTIVES (contd…..)
• To help family make intelligent use of facilities
and services in the community.
• To educate ,counsel and guide family members.
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23. Principles
1. Family health nursing is family focused.
2. Must establish good working relationship
with the family.
3. Family health nursing is part of family health
care services
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24. Principles ( contd…)
4. Family health nursing services should be
realistic in terms of resources available.
5. Family as a unit is responsible for their
members’ health .
6. Family relates to community where it lives
and depends on community in various way.
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25. Principles ( contd…)
7. Health education ,guidance and supervision
are integral part of family health nursing.
8. Continuous services are effective services.
9. Effective system of record and report of
family health nursing service is essential .
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26. Principles ( contd…)
10. Periodic and continuous appraisal and
evaluation of family health situation
and health services are basic to family
health situation
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27. Principles ( contd…)
11. Family health nursing services should be
rendered to all families without any
discrimination.
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28. APPROACHES TO FAMILY
NURSING
• Family as the context
Individual as foreground
Family as background
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29. APPROACHES TO FAMILY
NURSING ( contd…)
• Family as the client
Family as foreground
Individual as background
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30. APPROACHES TO FAMILY
NURSING ( contd…)
• Family as System
Interactional Family
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31. APPROACHES TO FAMILY
NURSING ( contd…)
•Family as Component Of Society
Bank
Church
Hospital
Family /Home
Schools
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32. Family Nursing Roles
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33. Obstacles to Family Nursing Practice
• The majority of practicing nurses have not had
exposure to family concepts
• Lack of good comphrensive family assessment
models ,instruments and strategies.
• Students believe that study of family and
family nursing does not belong to curricula.
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34. Obstacles to Family Nursing Practice (contd…)
• Medical model has traditionally focused on
the individual as client , not the family.
• Nursing diagnostic systems used in health care
are disease-centered /focused on individuals.
• Traditional charting system in health care
has been oriented to individual
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35. Obstacles to Family Nursing Practice
(contd…)
• Insurance carriers - One identified patient
with diagnostic code drawn from an individual
disease perspective
• Increased family care has been the
established hours.
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36. Errors In Family Nursing
 Failure to create a contest for change
• Show interest ,concern and respect for each family
member.
• Obtain a clear understanding of the most pressing
concern or greatest suffering.
• Validate each member’s experience.
• Acknowledge suffering and sufferer.
• Health provider’s acknowledgement of client’s
suffering.
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37. Errors In Family Nursing
 Taking Sides
• Maintain curiosity.
• Remember that the glass can be half full and half
empty simultaneously.
• Ask questions that invite an exploration of both sides
of a circular interactional pattern.
• Remember that all family members experience some
suffering when there is a family problem or illness.
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38. Errors In Family Nursing
 Advicing prematurely
• Offer advice without believing that the suggestions
are the “best” or “better” ideas or opinions.
• Offer advice, opinions or recommendations only after
a thorough assessment.
• Ask more questions than offering advice during initial
conversations with families.
• Obtain the family’s response and reaction to the
advice.
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39. Family Health Nursing Process
ASSESSMENT
• FAMILY IDENTIFICATION - 1st
level Assessment
- Planning of Data Collection
- Data Collection Methods and
Techniques
- Analysis of Data
- Family Profile and Diagnosis
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40. Family Health Nursing Process (contd…)
PLANNING
• Family Health Nursing Care
• Plan Formulation
• Analysis of diagnosed health
problems and assessment of
family's abilities- 2nd level
assessment
• Establishing priorities
• Setting goals and Objectives
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41. Family Health Nursing Process (contd…)
ACTION PHASE
 Plan Implementation
 Review and Revise
 Mobilisation of resources
facilitating work environment
 Implementing
 Documentation
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42. Family Health Nursing Process (contd…)
• EVALUATION
• Concurrent (Quantitaive)
• Terminal (Qualitative)
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43. Data Review & Update
ASSESSMENT
PHASE
Review/ Revise goals and objectives and
actions
PLANNING
PHASE
ACTION PHASE
EVALUATION
PHASE
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44. •In this Canadian study
- A participatory action research approach
- To examine the relationships between families of
residents of traditional continuing care facilities and
the health care team.
- Results indicate that the resource-constrained
context of continuing care has directly impacted family
and staff relationships.
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45. CONCLUSION
Working with families helps families live
alongside illness and increase their sense of
wellness.
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46. REFERENCES
• Shirley May Harmon Hanson. Family Health Care
Nursing, 2nd ed. Philadelphia: F.A Davia Publishers;
2001.p. 4-19.
• Basvanthappa B T.Community Health Nursing. 2nd ed.
New Delhi. Jaypee Publishers; 2008. p. 129.
• Lorraine M Wright, Maureen Leahley. Nurses and
Families. 4th ed. Philadelphia: F.A Davis Company; 2005.
p. 277-84.
• Gulani K K. Community Health Nursing, 4th ed. New
Delhi; Kumar Publishing House; 2011. p. 145-74.
• The Growing Speciality of Family Health Nursing;
Available from: http://www.oppapers.com/essays/Family-
Health-Nursing/106495: Accessed on June 19,2012.
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