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 Overvie
w
 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

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 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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 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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Meaning
The family is a group of persons united by ties
of marriage ,blood or adoption , constituting
asingle household , interacting and
communicating with each other in their
respective social roles

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 Meaning
Family health is a dynamic, changing, relative
state of well-being includes the
which
biological, psychological,spiritual ,
sociological, and culture factors of the
family system.

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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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 Conceptual Framework

FAMILY
Concepts of
NURSIN individual ,
G
INDIVIDUAL
family nursing
& society
intersect with
FAMIL one another.
Y
SOCIET
Y

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• 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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 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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 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

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 Settings

• Home, clinic, school and workplace

• Each setting serves its own purpose and

has its advantages, disadvantages
and limitations

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 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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 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.

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 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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 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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 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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 Family Nursing
(contd…)

• 1995 – Journal of Family Nursing Research is

born

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 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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 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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 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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 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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 Principles
4.
( contd…)
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
3
way.
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 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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 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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 Principles
( contd…)
11. Family health nursing services should
be rendered to all families without any
discrimination.

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 APPROACHES TO FAMILY
NURSING
• Family as the
context Individual as
foreground Familyas
background

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 APPROACHES TO FAMILY
NURSING ( contd…)
• Family as the client
Family as foreground
Individual as background

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 APPROACHES TO FAMILY
NURSING ( contd…)
• Family as System
Interactional Family

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 APPROACHES TO FAMILY
NURSING ( contd…)
•Family as Component Of
Society

Bank
Churc
Hospita h
l

Family
School
/Home
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 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
3
curricula.
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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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 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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 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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 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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 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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 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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Family Health Nursing Process (contd…)
PLANNING
• Fa mily Hea lth Nursin g
Ca re
• 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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F amily Health Nursing Process
(contd…) ACTION PHASE

 Plan Implementation
 Review and Revise
Mobilisation of resources
facilitating work
environment
 Implementing
 Documentation

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F amily Health Nursing Process
(contd…)
• EVALUATION

• Concurrent
(Quantitaive)
• Terminal (Qualitative

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 Data Review & Update

ASSESSMENT
PHASE

Review/ Revise goals and objectives and

actions
PLANNING
PHASE

ACTION PHASE

EVALUATIO
N PHASE

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•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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 CONCLUSION
Working with families helps families live
alongside illness and increase their sense of
wellness.

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 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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