1. DEVELOPING THE
INTERVENTION
PLAN

2.  This involves
selection of
appropriate
nursing
interventions
based on the
formulated goals
and objectives.

4.  Home visit
 Clinic conference
 Visit in the work place
EXAMPLES OF RESOURCES
A. MATERIAL
 Supplies
 Equipment
 Teaching aids

5. B. HUMAN
 Other health team members
 Development workers
 Community leaders

6. 1. Analyze with the family the current
situation and determine choices and
possibilities based on a lived experience
of meanings and concerns.
2. Develop/enhance family’s
competencies as thinker, doer and
feeler.

7. 3. Focus on interventions to help perform the
health tasks.
4. Catalyze behaviour change through
motivation and support.

8.  The appropriateness of the nursing
intervention is, therefore, DEPENDENT
UPON THE LIVED MEANING OF THE
EXPERIENCES OF FAMILY MEMBERS
WITH EACH OTHER AND WITH THE
NURSE, given the current situation and
possibilities in health and illness realities.

9.  Nurse is given a choice of
possibilities that helps her and the
family gain a clearer understanding
of the self as a THINKER, DOER and
a FEELER.

10.  Developing and maximizing the skills
and communication competencies of
the family as DOER enhance confidence
in carrying out the needed interventions
to initiate and sustain change for:
a.) health promotion and maintenance
b.) accurate disease/problem
management.

11.  As a FEELER:
-affective competencies- be
developed
-to acknowledge &
understand motions generated
by family life or health-illness
situations *

12.  *This positive
ability may provide
respite and offer
perspective during a
time of negative
feelings such as fear
and anxiety.

13.  The nurse needs to focus her choice
of interventions on helping the
family minimize or eliminate the
possible reasons for or causes of
the family’s inability to the health
tasks:

14. 1. HELP THE FAMILY RECOGNIZE THE
PROBLEM.
Examples of interventions:
 Increasing the family’s knowledge on
the nature, magnitude and cause of the
problem.*
 Helping the family see the implications
of the situation, or the consequences of
the condition.*

15.  Encouraging positive or
wholesome emotional attitude
toward the problem by affirming
the family’s
capabilities/qualities/resources
and providing information on
available options.

16. 2. GUIDE THE FAMILY ON HOW TO DECIDE
ON APPROPRIATE HEALTH ACTIONS TO
TAKE.
This can be done through:
a.) identifying or exploring with
the family
- courses of action available and the
needed resources for each.*

17. b.) discussing the
consequences of each course
of action available
c.) analyzing with the
family the consequences of
inaction.

18. 3. DEVELOP THE FAMILY’S ABILITY AND
COMMITMENT TO PROVIDE NURSING
CARE TO ITS MEMBERS.
 Nurse can increase the family’s confidence
- to provide nursing care through
demonstration and practice sessions on
procedures, treatments or technique
utilizing readily available, low-cost
materials and equipment and other
resources*

19. CONTRACTING
- Is creative intervention that can maximize
opportunities to develop the ability and
commitment of the family to provide nursing
care to its members.
- It is an intervention whereby the nurse
creates a situation in order that the client
learns to achieve a health-related behaviour.*

20. -
- Contracting provides a systematic
method of increasing desirable
client behaviour through the use
of the PRINCIPLE OF POSITIVE
REINFORCEMENT.

21. - In order to make this intervention effective,
the necessary elements of the desired
behaviour must be MADE EXPLICIT AND
MUST BE WRITTEN IN THE FORM OF AN
AGREEMENT.
- To make the behaviour consciously reinforced
it must be observable and measurable.

22. 4. ENHANCE THE CAPABILITY OF THE
FAMILY TO PROVIDE A HOME
ENVIRONMENT CONDUCIVE TO HEALTH
MAINTENANCE AND PERSONAL
DEVELOPMENT.
 The family can be taught specific competencies to
ensure such a home environment through:
 Environmental modification
 Manipulation or management to minimize or
eliminate health threats or risks
 Install facilities for nursing care

23. 5. FACILITATE THE FAMILY’S CAPABILITY TO
UTILIZE COMMUNITY RESOURCES FOR
HEALTH CARE
- involves maximum use of available
resources through the COORDINATION,
COLLABORATION AND TEAM WORK
provided by an effective referral system.
- Easy access to available health and socio-
economic resources starts with
maintaining an updated file that lists such
resources, their addresses or telephone
numbers and specific services offered.

24. A sample format of the file or index of
community resources
Name of Office and email Type of client and Requirem
agency and addresses/telephone specific ents/proc
person to number services/schedule edures for
contact referral

25.  A TWO-WAY REFERRAL SYSTEM can
facilitate mobilization of resources for
families.
 An effective two-way referral system
ensures: a. monitoring of the case, problem
or situation
 follow-up of required interventions, case or
services
 evaluation of the client’s status or family’s
problem/situation.

26.  To bring about self-directed change, people
must learn to learn from their experiences.
 In order to help people lower their defenses
and allow themselves to experience the
needed change, it is necessary to have a
learning environment that
nurtures the change.

27.  The change agent can help the client put to
maximum use valid knowledge through
concern for:
a.) Human needs or the “use-value” of a given
piece of knowledge
b.) security, trust, self-esteem, self-identity,
group esteem and group identity
c. Accurate and appropriate preparation and
transmission of messages

28.  To catalyze the change, SUPPORT
IS NEEDED*
 In family health nursing practice,
the family as a system needs
OPTIMUM REALITY-ORIENTATION
in its adaptation to its changing
internal and external environment.

29.  To catalyze the behaviour
change towards problem-solving
competencies , a THEORY OF
FAMILY HEALTH NURSING
INTERVENTION was developed
by Maglaya.

30. COMPONENTS
 Motivation
 Support
MOTIVATION
- As conceptualized the intervention theory is any
experience or information that leads the family
to desire and agree to undergo the behaviour
change or proposed measure and take the initial
action to bring about the change.

31. SUPPORT
- As an intervention
- any experience or information that:
a. maintains, restores or enhances the
capabilities
b. resources of the family complete the
change process.
 The intervention leads the family to feel
“secured” or “ in control of the situation*

32.  Was adapted using the
motivation-support intervention.
 Families were guided through the
behaviour change process:
1.Constructing the intention to
initiate/sustain the change

33. 2. Translating the intention inot actions,
and
3. To integrate the actions/change into
existing lifestyle
CRITERIA FOR SELECTING THE TYPE OF
NURSE-FAMILY CONTACT
1. Effectivity
2. Efficiency
3. Appropriateness

34.  Is an effective and appropriate type of
nurse-patient contact if the objectives and
outcomes of care require accurate
appraisal of family relationships, home
and environment, and family
competencies.
 Expensive in terms of time, effort and
logistics for the nurse

35.  Less expensive
 Provides opportunity to use equipment
that cannot be taken to the home
 Other team members in the clinic may be
consulted or called in to provide additional
service
 Emphasizes to the family the importance
of empowerment and assuming
responsibility for self-help.

36.  May be effective, efficient and appropriate if :
-objectives and outcomes of care require immediate
access to data, given problems on distance or travel
time
 Data include monitoring of health status or progress
during:
- acute phase of an illness state
- change in schedule of visit or family decision,
- updates on outcomes or responses to care or
treatment.

37.  less time-consuming option for the nurse
a. when there are a large number of families
needing follow-up : problems of distance
and travel time.
 If the family is motivated enough and
independent enough- nurse can use the
advantage of placing responsibility for
action on the family, a letter, note and
learning materials are appropriate.

38. Health Family Goals Objectives Intervention Method Resources
Problem Nursing of of Care Measures Of Required
Care
problems Nurse
Family
Contact