CNUR 300
Family - ANS 2 or more individuals who depend on one another for emotional, physical, and economic
support
Family Health - ANS A dynamic, changing state of well-being, which includes the biological,
psychological, spiritual, sociological, and culture factors of individual members and the whole family
system.
Interventions Nurses Use - ANS Family nursing considers the community and cultural context of the
group
Considers the relationships between and among family members
Family nursing is often offered in settings where individuals have physiological or psychological problems
Family nursing requires the nurse to manipulate the environment to increase the likelihood of family
interaction
Focuses on the strengths of individual family members and the family group to promote their mutual
support and growth
Must define with the family which persons constitute the family and where they will place their
therapeutic energies
4 Approaches to Family Nursing - ANS 1. Family as Context
2. Family as Client
3. Family as System
4. Family as Component of Society
Family as Context - ANS First approach focuses on the assessment and care of an individual client in
which the family is the context
,The family serves as context for the individual as either a resource or a stressor to the individual's health
and illness.
Family as Client - ANS Focuses on the assessment of all family members
The family is seen as the sum of individual family members, and the focus concentrated on each
individual
The nurse assesses and provides health care for each person in the family
Family as System - ANS Focus is on the family as a whole as the client
Family is viewed as an interactional system in which the whole is more than the sum of its parts a whole
The interactions between family members become the target for the nursing interventions
Family as Component of Society - ANS Looks at the family as a component of society, in which the family
is viewed as one of many institutions in society, similar to health, educational, religious, or economic
institutions
Family Structure - ANS Is the ordered set of relationships within the family, and between the family and
other social systems
Can use Genograms/Ecomaps to assess family structure
To determine family structure, the nurse needs to identify:
o The individuals who compromise the family
,o The relationships between them
o The interactions between the family members
o The interactions with other socials systems
Family Types - ANS Nuclear Dyad- Married couple, no children
Nuclear- Husband, wife, children
Binuclear-Two post divorce families with children as members of both
Extended-Nuclear family plus blood relatives
Blended-Husband, wife, and children of previous relationships
Commune- Group of men, women, and children
Family Functions - ANS Functional perspective has to do with the ways families serve their members-
how does the family function?
Function processes such as socialization, reproduction, economics and health care are areas that can be
assessed
Reproductive Functions - ANS Serves the purpose of pleasure and reproduction- how's the sex life?
Socialization Functions - ANS Major function is for families to raise and socialize their children to fit into
society
Family must guide children through various rites of passage
, Affective Functions - ANS Has to do with the ways family members relate to one another and outsiders
Families provide sense of identity
Characteristics of strong families include: expressions of appreciation, spending time together, strong
commitment to the family, good communication, and positive conflict resolution
Inductive vs Deductive Reasoning - ANS Deductive reasoning starts with a general theory, statement, or
hypothesis and then works its way down to a conclusion based on evidence.
Inductive reasoning starts with a small observation or question and works it's way to a theory by
examining the related issues.
Concepts-Propositions-Hypothesis - ANS Concepts- building blocks
Propositions- statements about the relationship between 2 or more concepts- may lead to hypothesis
3 Types of Theories - ANS 1. Family Social Science Theories
2. Family Therapy Theories
3. Nursing Models/Theories
Family Social Science Theories - ANS Best developed and informative
Focuses on:
Family functioning
Environment-family interchange
Family interactions
Family changes
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