Using Fam HLTH Model For FFC 2.2018

Using the Family Health Model to
Provide Family-Focused Nursing Care
Sharon A. Denham, PhD, RN, CNE

Professor, Houston J. & Florence A. Doswell Endowed Chair in Nursing
for Teaching Excellence
Texas Woman's University, College of Nursing, Dallas Campus
Objectives
• Identify ways the Family Health Model can be used to provide family-
focused nursing care.
• Identify relationships between family-focused care and population
health.
• Discuss ways family-focused care can manage acute and chronic
health conditions.
• Describe role of family-focused care in promoting wellness, health
promotion, and disease prevention.
Family
Basic Unit of Society
• Two or more people related biologically, legally, or emotionally.
• A collection of persons who identify as family and have a

general commitment to the care and well-being of one another.
• Coontz (1992) - Traditional family arrangements provide a

workable model for family organization in the modern world.
Foster Families
LGBTQ Families
Boomerang Families
Transgender Families
Grandparent Families
Non-Married Families
Understanding Family Health
• Who is healthy? Who is sick?
• Do people with chronic illness see themselves as

unhealthy?
• What factors influence sickness? Wellness?
• Is attention better focused on preventing problems from

occurring or fixing them after they occur?
www.diabetesfamily.net/family/family-health-model/
Family Context
First Family Assessment Area
• Who is in the family? - What are caregiver(s) roles?
• Family household location (neighborhood, community)
• Race, ethnicity, culture, sexuality, ages, etc.
• Social networks - What forms of support are available?
• Resources available vs. resources lacking
• Important time factors to consider

Family Functions
Family Members are Developing Individuals
• Member roles and expectations CORE PROCESSES
• Cathexis
• Member communicative
interactions (within & outside • Communication
the family)
• Caregiving
• Extended family influences
• Celebration
• Economic and power structures • Change
• Exchange ideas that influence • Connections

health & illness
• Coordination
Family Structure Change Routines
Behavior Patterns
• Recognized vs.
unrecognized
• Habits
• Meanings
• Rituals & traditions
• Types (health promoting
vs. health depleting)
• Individual routines
• Characteristics/traits
• Family health routines
• Purposes/rationale
• Participants
• Timing of actions
Family Health Routines
• Willingness to change
• A clear destination - Rationale, time frames, specifics
• A road map - Small steps leading to goals
• Celebrations for all successes
• Recognition - Small mistakes do not mean failure

Socio-Ecological Model
• What events are shared and separate?
• What are the most important individual and collective experiences?
• Do the family’s routine behaviors inside and outside the family

household need adjustment?
• How do social networks, communities and environments contribute to

or threaten health and wellbeing?
• Do conflicts between individual and family values, beliefs, attitudes,

and perceived meanings exist?
• Which interdependent family factors are linked with health and

illness?
Family & Population Health
Define Population of Interest
• Think beyond ‘medical care’
• Social justice - Equitable distribution of resources
• Family context & lifestyle behaviors (vulnerability)
• Identify associated risks (prevention)
• Consider social determinants of health

Family-Focused Care
Care needed by ALL Families
• Think family - Nurse uses intentional attitudes to purposively guide all
nursing actions
• Family ALWAYS viewed as the unit of care
• Family is ALWAYS viewed in present tense even when they are absent
from the care setting
• Individuals & family units have unique needs
• Focus is beyond acute episodic needs - See health as a family unit

care continuum
• Relationship - based care: Foster collaboration & partnerships

Be Family - Focused
• Build trust & respectful relationships
• See beyond the immediate situation - Take a longer view of potential

possibilities
• Avoid biased assumptions or prescriptive solutions
• Use personal strengths in empowering ways
• Value reflection and knowing oneself

Family-Focused Roles
• Think family - Intentional care
• Establish trusting relationships
• ‘Being With’ not just ‘Doing For’
• Engage in therapeutic conversations
• Be present - Active listening
• Collaborative partnerships with others

Acute Care Needs
Critical Focus: Assist families to develop skills & build
confidence in managing illness experiences & adjust to
member challenges.
Clarrisa Green (1997)
• Aim at identifying - - - -
• What factors shape the situation?
• What is the related history?
• How has the family coped with illness in the past?
• What can the family become most supportive?

Family Care in Acute Situations
• Family stress
• Member uncertainty
• Member suffering
• Family decision - making
• Listen - Answer questions
• Address other family household demands

Family Care in Chronic Situations
The Diagnosis
• Care coordination
• Financial costs
• Caregiving tasks/fatigue
• Potential other family member risks
• Physical, emotional, and social challenges
• Family resilience
• Supports needed
Living with Chronic Illness
Family Care:
Wellness, Health Promotion & Prevention
Think Family Health
• Goal of nursing (Loveland - Cherry, 1996).
• Facilitate complex member & household interactions to

maximize individual & family wellness (Denham, 2003).
• Maximize member potentials that contribute to the family

unit’s health & wellness.

Using Fam HLTH Model For FFC 2.2018

Uploaded by

Copyright:

Available Formats

Using Fam HLTH Model For FFC 2.2018

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Using Fam HLTH Model For FFC 2.2018

Uploaded by

Copyright:

Available Formats

Using the Family Health Model to

Provide Family-Focused Nursing Care

Sharon A. Denham, PhD, RN, CNE

• Two or more people related biologically, legally, or emotionally.

• A collection of persons who identify as family and have a

• Coontz (1992) - Traditional family arrangements provide a

• Do people with chronic illness see themselves as

• What factors influence sickness? Wellness?

• Is attention better focused on preventing problems from

• Who is in the family? - What are caregiver(s) roles?

• Family household location (neighborhood, community)

• Race, ethnicity, culture, sexuality, ages, etc.

• Social networks - What forms of support are available?

• Resources available vs. resources lacking

• Important time factors to consider

• Member roles and expectations CORE PROCESSES

• Economic and power structures • Change

• Exchange ideas that influence • Connections

• A clear destination - Rationale, time frames, specifics

• A road map - Small steps leading to goals

• Celebrations for all successes

• Recognition - Small mistakes do not mean failure

• What are the most important individual and collective experiences?

• Do the family’s routine behaviors inside and outside the family

• How do social networks, communities and environments contribute to

• Do conflicts between individual and family values, beliefs, attitudes,

• Which interdependent family factors are linked with health and

• Social justice - Equitable distribution of resources

• Family context & lifestyle behaviors (vulnerability)

• Identify associated risks (prevention)

• Consider social determinants of health

• Family ALWAYS viewed as the unit of care

• Individuals & family units have unique needs

• Focus is beyond acute episodic needs - See health as a family unit

• Relationship - based care: Foster collaboration & partnerships

• See beyond the immediate situation - Take a longer view of potential

• Avoid biased assumptions or prescriptive solutions

• Use personal strengths in empowering ways

• Value reflection and knowing oneself

• Establish trusting relationships

• ‘Being With’ not just ‘Doing For’

• Engage in therapeutic conversations

• Be present - Active listening

• Collaborative partnerships with others

• What factors shape the situation?

• What is the related history?

• How has the family coped with illness in the past?

• What can the family become most supportive?

• Family decision - making

• Listen - Answer questions

• Address other family household demands

• Potential other family member risks

• Physical, emotional, and social challenges

• Goal of nursing (Loveland - Cherry, 1996).

• Facilitate complex member & household interactions to

• Maximize member potentials that contribute to the family

You might also like