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Family Health (CNUR 300) Study Guide

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John Marsh
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CNUR 300 Study Guide-what is the primary focus of nursing care in the “family as context” approach?

University of Regina

Family Health (CNUR 300)

CNUR 300 Study Guide
Chapter 1: Critical Concepts
■ Family health care nursing = art and science, a way to think about working with families
■ Scientific discipline based in theory
■ Health and illness are family events
■ Family has many definitions; we go with “the family is who the members say it is”
■ One person’s health affects the entire family’s functioning
■ A family’s ability to function affects each individual member’s health
■ Family health care nursing knowledge and skills are important for nurses who practice in
generalized and in specialized settings.
■ The structure, function, and processes of families have changed, but the family as a unit of
analysis and service continues to survive over time.
■ Nurses should intervene in ways that promote health and wellness, as well as prevent illness
risks, treat disease conditions, and manage rehabilitative care needs.
■ Knowledge about each family’s structure, function, and process informs the nurse in how to
optimize nursing care in families and provide individualized nursing care, tailored to the
uniqueness of every family system.
Chapter 1: Summary
This chapter provides an introduction and broad overview to family health care nursing. The following
major concepts were discussed in this chapter:
■ Family health care nursing is an art and a science that has evolved as a way of thinking about and
working with families.
■ Family nursing is a scientific discipline based in theory.
■ Health and illness are family events.
■ The term family is defined in many ways, but the most salient definition is, The family is who the
members say it is.
■ An individual’s health (on the wellness- to-illness continuum) affects the entire family’s functioning,
and in turn, the family’s ability to function affects each individual member’s health.
■ Family health care nursing knowledge and skills are important for nurses who practice in generalized
and in specialized settings.
■ The structure, function, and processes of families have changed, but the family as a unit of analysis
and service continues to survive over time.
■ Nurses should intervene in ways that promote health and wellness, as well as prevent illness risks,
treat disease conditions, and manage rehabilitative care needs.
■ Knowledge about each family’s structure, function, and process informs the nurse in how to optimize
nursing care in families and provide individualized nursing care, tailored to the uniqueness of every
family system.
Notes:
o Family health = family functioning, healthy families, or family health.
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o Dynamic, changing state of well-being, which includes the biological,
psychological, spiritual, sociological, and cultural factors of individual members
and the whole family system.
o Healthy family = successful family
o Success of marriage doesn’t depend on the presence or amount of conflict. 4
characteristics that predict divorce with 94% accuracy are:
o Criticism – personal attacks consisting of negative comments about each other
o Contempt – most corrosive; comments with disgust & disrespect
o Defensiveness – blames the other; verbal attack
o Stonewalling – one or both refuse to interact both verbally and nonverbally
o **traits of a Healthy family : pg 6 (box 1-1)
o Conflict is addressed in 3 ways by a healthy family:
o Validators – talk problems out, express emotions, reach at a compromise
o Volatiles – two partners that view each other as equals; conflicts do not include
the 4 negative characteristics
o Avoiders – agree not to engage in conflicts
o Family Health care nursing – process of providing for the healthcare needs of a
families that are within the scope of nursing practice.
o Composes the intersecting concepts of the individual, the family, nursing, and
society.
Nature of Interventions in Family Nursing:
o Family care is concerned with the experience of the family over time. Both history and
future
o Considers the community & cultural context.
o Relationships between and among family members. Accepts that individual members
don’t achieve maximum health simultaneously.
o Directed at families that are both healthy and ill
o Offered in settings where individuals have physiological or psychological problems.
o Family system is influenced by any change in its members.
o Require the nurse to manipulate the environment to increase family interaction (even
there’s physical absence of family members)
o Family Nurse recognize that the most symptomatic person in family may change over
time, thus focus will change too.
o Focuses on the strengths of family members & family group to promote mutual support
and growth.
o Nurse must define with the family which constitute the family and where they will place
their therapeutic energies.

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Family Health (CNUR 300) Study Guide

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