Hawler Medical University

College of Nursing
Community Health Nursing
4th stage
The lecturer: Assist. Professor
Dr.Kareem Fattah Aziz
Al.Barzinjy
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Lectures (C) family health
Family: A fundamental social group in society typically consisting of one or
two parents and their children.

Community: A group of people living in the same locality and under the
same government.

Family health: can be defined as possessing the abilities and resources to

accomplish family developmental tasks.

Types of family

1- Nuclear family consists of husband, wife one or more children.

2- Joint extended family includes members of nuclear family and other
relative’s aunt, uncles, grandparents, and cousins, are all parts of extended
family.

3- Blended families/ are formed when parents bring unrelated children

from prior marriage in to a new joint living situation because of
marriage or homosexual living together. or man and woman living
together without marriage.

4- Single parent families are formed when one parent leaves the nuclear
family because of divorce, separation or death.

Characteristics of family:

1- Every family is a small social system.

2- Every family has its own cultural values and rules. 3-
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Every family has its own structure.

4- very family performs certain basic functions.

5- Every family moves through stages of the life cycle.
Roles of the family

1- Child socialization /activities in the family that contribute to the

development of the child’s social and mental capacities.

2- provide role /provide goods and services needed by the family.

3- housekeeper role/include services in the home that contribute to the
pleasure and comfort of the family members.

4- Kinship role include assistance during the period of crisis. 5-

sexual role /requires mutual participation of both partners.

6- Therapeutic role assisting family members to cope with the

problems and providing emotional support.

7- Recreational role /providing aspects of relaxation and personal

development to the family.

Functions of the family

1- Generating affection ‫ المودّة‬/ affection is generated between

parents, children and among members of generation.

2- providing personal security and acceptance /the family provides a home

base with stability that allows family members to develop naturally in their
own way.

3- Giving satisfaction /family members enjoy life with each other through
satisfying activities.

4- Ensuring continuity of companionship‫( الرفقة‬kindness) among family

members.
5- providing social placement / prepare family members for them
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place in the social hierarchy.

6- control and sense of what is right within the family, family members first
learn rules, rights, responsibilities of human society.

Characteristics of healthy families:

1-A facilitative process of interaction exists among family members.

3- Individual member development is enhanced.

3-Role relationships are structured effectively.

4-Active attempts are made to cope with problems.
5-There is a healthy home environment and lifestyle.

6-Rugular links with the broader community are established.

Unhealthy family:

An unhealthily family has not recognized the value of establishing links with
the broader community This may be because of:

1-A knowledge deficit regarding community resources.

2- Previous negative experiences with community services.

3- Lack of connection with the community because of family
expectations or cultural practices.

Family health practice guidelines:

1-Work with the family collectively.

2-Start where the family is.

3-Adapt nursing intervention to the family’s stage of development

4-Recognize the validity of family structural variations.

5-Emphasize family strengths.

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 Principles of family health care:

When community health nurses want to implement family health care, they
have to follow certain principles given below:

1- Establishing good professional relationship with family.

2- Proper health education and guidance should be provided to family
to take care of themselves according to their needs.

3- Obtain relevant information about family to identify problems and set

priorities.

4- Improve health status of family.

5- Health care services should be provided to the family
irrespective of sex, age, income, religion n and etc.

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References:

1. Children’s Health Insurance Program Reauthorization Act of 2009. Public Law 111-
3. http://www.gpo.gov/fdsys/pkg/PLAW-111publ3/html/PLAW-111publ3.htm. Accessed May
15, 2015.
2. Harrington M, Kenney GM, et al. 2014. CHIPRA mandated evaluation of the Children’s Health
Insurance Program: final findings. Report submitted to the Office of the Assistant Secretary
for Planning and Evaluation, U.S. Department of Health and Human Services. Ann Arbor, MI:
Mathematica Policy Research; August
2014. http://www.medicaid.gov/chip/downloads/chip_report_congress-2014.pdf (1.032
MB). Accessed March 22, 2016.
3. U.S. Preventive Services Task Force. Visual Impairment in Children Ages 1-5: Screening.
January
2011. http://www.uspreventiveservicestaskforce.org/Page/Topic/recommendation-
summary/visual-impairment-in-children-ages-1-5-screening. Accessed March 22, 2016.
4. American Academy of Pediatrics. Recommendations for Preventive Pediatric Health
Care. http://pediatriccare.solutions.aap.org/DocumentLibrary/Periodicity%20Schedule_FIN
AL.pdf (394.89 KB) Last updated 2014. Accessed March 22, 2016.
5. U.S. Department of Health and Human Services. Preventive Care for Children. 26 Covered
Preventive Services for Children.