Family_Value

Family values NUR/543 June 10, 2013 Dr. Danielle Patrick Family values “Family” is used often when people try to emphasize the support system they have in their lives. The concept of family in the health care system is the immediate, external, environmental factors that influence patient’s health status. Family is an integral part of nursing care delivery. According to Garwick (2003) “family health nursing provides the conceptual foundations of family nursing across the life span” (p. 284). Patient-family-nursing is the trend of health care service today, but the concept is rooted as early as 1950s with Florence Nightingale, and other theorist brought a gist to it (Newton, 2003). Family-Health Nurse (FHN) concept was also well defined by the World Health Organization (WHO) in Europe to strengthen family and community-oriented health services (Nayback, 2009). Health care profession, especially nurses, need to incorporate family member in patient care, and to understand the role of family system, and concept in the application of health care delivery.  Family system in promotion of patient’s health As patient is the centers of care, and lives in dynamic environment, he or she sees the immediate environment, family members, subject to change because of illness, injury, or death that afflict him or her. Family needs to have a positive role in patient’s health and be part of the health care plan. To have positive results, and to discuss family nursing care according to Friedman, Bowden, and Jones, (2003), family referrers as “two or more individuals who depend on one another for emotional, physical, economical support; the member of the family are not self-defined” (p. 567). As member of the family adapt to stress, and changes, in aiding families, nurses play an important role. Because of diversity, nurses provide care culturally competence to reach patient and family needs. Cultural competence meets the three concepts of care such as respect, collaboration, and communication. They are important in nursing practice to play the role of advocates for patient, and to reach patient and family’s goal. Roy’s adaptive model theory presented a comprehensive aspect of family members’ role and nurses. For her each patient’s adaptation level is fulfilled through the kind of support he or she receives from the family. Nurse’s role is to promote adaptation in those four level cares such as physiologic needs, role function, self-concept, and inter-dependence, and to reach patient-family at their level of comprehension (Nayback, 2009). According to Mitchell, Chaboyer, Burmeister, & Foster (2009) “patient and family centered care applies to patients of all ages, and in any health care setting system” (p. 544). Concept of Family - Theory in area of Nursing Practice The concepts of family used in the nursing practice are Parse and Watson’s theories. Those two theorists invited nurses to play the role of liaison to coordinate patient care. As a result to help patient and family reach the level of care expected. The concept of mind-body-spirit presented by theorist Jean Watson, are subject to change from one moment to another. Family is the only external elements of the environment that can help patient find the equilibrium. Family is the main support system. Parse’s concept of care is based on eight dimensions for patient-family centered care. She focused on the access of health care services, respect for patient’s values, preference of care, integration of family in the coordination of care, encourage patient, and family to access information. Nurses’ role is to educate, provide physical comfort, emotional support, and alleviate patient-family fear and anxiety to continue care in a home-based setting (George, 2011). Denham (2003) described home as “where health is learned, lived, and experienced, as well as being the niche were multiple members encounter and respond to disease, illness across the life course” (149). Those two theorists are very pragmatic in the way the approach the application of nursing-family centered care. Their concept view patient-family in their wholeness and address the gaps. Theory in area of practice Out-patient care clinic depend on patient-family nursing care to reach patient’s goal. Patient and family are usually advice to contact his or her primary care team for any deviation in his or her health status, or questions. This strategy not only help patient and family to manage chronic disease but also when acute illness occur in patient’s life, patient can rely on the same support system. The cost of care is well managed at a clinic setting, and prevention is the key for success. Health care team has for objective to teach and encourage patient and family to make important decision, and to follow-up with them in the practice of maintain his or her wellbeing. This model is evidence-based practice of a health care delivery system. As Friedman, Bowden, and Jones (2003) opinioned about this process can be expanded beyond its original boundaries and encompass the concept of Orem’s self-care theory. Orem described, in her writing, family as “the basic condition unit in which the individual learns culture, roles, and responsibilities” (p. 455). Parse, Watson’s theories are typically applied to the practice of care providing to the veterans. With the new system, Patient Aligned-Centered Care (PACT), and advancement in technology, patient can easily access care by create his new visit, patients are assessed and triaged by tele-care nurses, patient is referred accordingly to care service needed. Via secure messaging patient and family are in constant communication. Patient and family understand the need to prevent disease by having good sleep, being active, monitoring blood pressure, blood sugar, weight, cholesterol, and developing health living habits, etc. In conclusion, throughout the entire health care system, family-centered nursing care approach is getting underlined. Researchers and health care professional re-conceptualize this method to maintain family connectedness in acute, long-term care, inpatient, and outpatient clinic. As Mitchell, Chaboyer, Burmeister, & Foster (2009) indicated “institutionalization becomes a reality for a large number of families, promoting quality of life by encouraging family involvement will become a matter of great concern for the nursing profession” (p. 534). References Denham, S. (2003). Familial research reveals new practice model. Holistic Nursing Practice, 17(3), 143-151. Friedman, M. M., Bowden, V. R., & Jones, E. G. (2003). Family nursing: Research, theory, & practice (5th ed.). Upper Saddle River, NJ: Prentice Hall. Garwick, A. (2002). Family Health Care Nursing (Book). Family Relations, 51(3), 284. George, J.B. (2011). Nursing theories. The base for professional nursing practice (6th ed.). Retrieved from The University of Phoenix eBook Collection. Mitchell, M., Chaboyer, W., Burmeister, E., & Foster, M. (2009). Positive effects of a nursing intervention on family-centered care in adult critical care. American Journal Of Critical Care, 18(6), 543-552. doi:10.4037/ajcc2009226 Newton, M. S. (2003). Family-Centered Care: Current Realities in Parent Participation. Pediatric Nursing, 26(2), 164. Nayback, A. (2009). PTSD in the Combat Veteran: Using Roy's Adaptation Model to Examine the Combat Veteran as a Human Adaptive System. Issues In Mental Health Nursing, 30(5), 304-310. doi:10.1080/01612840902754404