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1. What are the three foundational components of family nursing?: 1. Determining
how the family is defined
2. Understanding the concepts of family health
3. Knowing the current evidence about the elements of a health family
2. What is family?: Family life is a universal human experience and no two individuals have the exact same
experience within a family. No universally agreed-upon definition of family.
3. Legal Definition of Family: relationships through blood ties, adoption, guardianship or marriage
4. Biological Definition of Family: Genetic biological networks among and between people. Who is
biologically connected to that family member? Epidemiology, hereditary disease.
5. Sociological Definition of Family: Groups of people living together with or without legal or
biological ties I.e Kibbutz
6. Psychological Definition of Family: Groups with strong emotional ties. People that want to be
together are really connected emotionally so they end up staying with each other.
7. The textbooks definition of family: Family refers to two or more individuals who depend on one
another for emotional, physical, and economic support. The members of the family are self-defined. Family is who
they say they are, nurses who work with families should ask clients who they consider to be members of their family
and should include those persons in health care planning with the patient's permission.
8. What is family health?: Family health is a dynamic, changing state of well-being, which includes the
biological, psychological, spiritual, sociological, and cultural factors of individual family members and the family
system.
- an individual's health (on wellness-to-illness contunuum) affects the entire family
-ensure you are looking at the whole perspective
9. What is family functioning?: Difficult to describe characteristics of a family that is well-functioning.
Otto (1963) -first scholar to develop psychosocial criteria for assessing family strengths, and emphasized the
need to focus on positive family attributes instead of pathological approach that accentuated family problems and
weaknesses.
Pratt 1976 -energized family: as one whose structure encourages and supports individual to develop their capacities
for full functioning and independent action, thus contributing to family health.
10. Curran's Traits (1985) of a Healthy Family: Communicates and Listens
Fosters table time and conversation
Affirms and supports each member
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Teaches respect for others
Develops a sense of trust
Has a sense of play and humor
Has a balance of interaction among members
Shares leisure time
Abounds to rituals and traditions
Teaches a sense of right and wrong
Shares a religious core
Respects the privacy of others
Values service to others
Admits to problems and seeks help
11. Family Flexibility: Olson and Gorall (2005) conducted a study and found that the ability of the family
to demonstrate flexibility is related to its ability to alter family leadership roles, relationships, and rules, including
control, discipline, and role sharing. Functional, healthy families have the ability to change these factors in response
to situations.
12. What are the dominant patterns of family functioning?: Balanced flexibility and
balance cohesion
13. Family Nursing Competences: Generalist: 1. Enhance and promote family health
2. focus nursing practice on family's strengths, the support of family and individual growth, the improvement of family
self-management abilities, the facilitation of successful life transitions, the improvement and management of health,
and the mobilization of family resources.
3. Demonstrate leadership and systems thinking skills to ensure the quality of nursing care with families in everyday
practice and across every content.
4. Practice using evidence-based practice
14. What are the four views of family through a lens?: Systems
Component
Context
Client
15. Family as Context: Family centered, family focused,
The first approach to family nursing focuses on the ax and care of an individual client in which family is context.
Traditional nursing focus, individual is foreground, family background. The family serves as a context for the individual
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as either a resource or stressor to the individual health or illness. This approach is rooted in the speciality of
maternal-child nursing and underlies the philosophy of many maternity and peds health care settings.
16. Family as Client: The family nurse is interested in the way all family members are individually affected
by the health event of one family member. In this approach, all members of the family are in the foreground. The
family is seen as the sum of individual family members, and the focus is concentrated on each individual. The nurses
assesses and provides healthcare for each person in the family. Typically seen in the communities where Primary care
Physicians, or NPs provide care over time to all individuals in a given family.
Family as foreground, individual as background
17. Family as System: The family as a whole as the client; here, the family is viewed as an interactional system
in which the whole is more than the sum of its parts. In other words, the interactions between family members become
the target for the nursing interventions. The interventions flow from the ax of the family as a whole.
Interactions between family members become the target for nursing interventions. The interventions flow from the
ax of the family as a whole. The family nursing system approach focuses on the individual and family simultaneously.
Emphasis on interactions between family members. When something happens to to one part of the system, the other
parts of the system are affected.
18. Family as a Component of Society: The family is viewed as one of many institutions of society,
similar to health, educational, religious, or economic institutions. The family is a basic primary unit of society, and it
is part of the larger system of society. Family as a whole, interacts with other institutions to receive, exchange, or give
communication and services. Family social scientist first used this approach in their studies of families in society.
19. Family structure: The ordered set of relationships within the family, without respect to roles and function.
Doesn't indicate how healthy a family is or how it functions. Multitude of family forms, different family types have their
strengths and limitations, which directly or indirectly affect individual and family health.
20. What should the nurse identify when determining family structure?: The
individual who comprise the family and the individuals in the family. The relationships between them. The interactions
between family members. The interactions with other social systems.
21. Single family: living alone, never married.
22. Nuclear dyad/childless: married couple, no children
23. Nuclear: Two generations of family, parents, and their own or adopted children residing in the same
household.
24. Binuclear: Two post-divorce families with children as members of both
25. Extended/Multigenerational: Two or more adult generations and one that include grandparents
and grandchildren in the same household.