The Family Health Nursing Process involves a set of actions by which the nurse measures the status of the family as a client, its ability to maintain itself as a system and functioning unit, and its ability to prevent, control or resolve problems in order to achieve health and well-being among its members

1. FAMILY HEALTH NURSING
PROCESS
By: ROMMEL LUIS C. ISRAEL III

2. THE FAMILY HEALTH NURSING PROCESS
Involves a set of actions by which the nurse measures
the status of the family as a client,
its ability to maintain itself as a system and functioning
unit, and
its ability to prevent, control or resolve problems in order to
achieve health and well-being among its members

3. NURSING ASSESSMENT
DATA COLLECTION
Data analysis or interpretation
Problem definition or nursing diagnosis
FIRST LEVEL ASSESSMENT
Existing and potential problems categorized as wellness states,
health
threats, health deficits, stress point or foreseeable crisis
SECOND LEVEL ASSESSMENT
Defining the nature or type of nursing problems

4. DATA COLLECTION: FIRST LEVEL DATA
DATA ON:
Family structure, characteristics and dynamics
Socioeconomic and cultural characteristics
Home and environment
Health status of each member
Values and practices on health promotion/maintenance and disease
prevention

5. DATA COLLECTION: 2ND LEVEL DATA
Data on family’s assumption on health task on each
health condition or problem
Family’s perception of the condition or problem
Decisions made and appropriateness; if none,
reasons
Effects of decisions and actions on other family
members

6. DATA ANALYSIS
 Sort data
 Cluster/group related data
 Distinguish relevant from irrelevant
data
 Identify patterns with norms
 Make inferences

7. HEALTH PROBLEMS AND NURSING
DIAGNOSIS
First level assessment
Define health problems
Second level assessment
Define the family nursing problem
diagnosis

8. DATA GATHERING
METHODS/TOOLS

9. OBSERVATION
Use of sensory capacities
Gather information about the family’s state of
being and behavioral responses
- Communication, interaction patterns,
interpersonal relationships
- Role perceptions/tasks assumptions;
decision-
making patterns
- Home and environment condition

10. PHYSICAL EXAMINATION & INTERVIEW
Physical examination
Direct examination
Interview
Completing health history of family members
Personally asking significant family
members Collecting information from
colleagues who

11. RECORDS REVIEW &
LAB/DIAGNOSTIC TESTS
Records review
Reviewing existing records and
reports
Laboratory/diagnostic test

12. FAMILY COPING INDEX
 Basis for estimating the nursing needs of the
family
 A family health care need is present when:
- The family has a health problem with
which they are unable to cope
- There is a reasonable likelihood that nursing
will make a difference in the family’s ability to
cope

13. FAMILY COPING INDEX
 Direction for scaling
Two parts:
1. A point on the scale
2. A justification statement
 A point on the scale
Placing the family in relation to their ability to cope
with the nine areas of family nursing at the time
you
observed and as you would expect it to be

14. FAMILY COPING INDEX
 A point on the scale (general considerations)
It is the coping capacity and not the underlying
problem that is being rated
It is the family and the individual that is being
rated
Rating should be done after 2 – 3 home visits
when the nurse is more acquainted with the
family

15. FAMILY COPING INDEX
Scale is as follows
0 – 2 or no competence
3 – 5 coping in some fashion but poorly
6 – 8 moderately competent
9 fairly competent
Terminal rating is done at the end of the given
period of time (enables the nurse to see progress
the family has made in their competence)

16. FAMILY COPING INDEX
Scaling cues
0 – no competence
3 – moderate competence
5 - complete competence

17. FAMILY COPING INDEX
 Justification statement
Brief statement or phrase that
explain why you have rated the
family as you have

18. FAMILY COPING INDEX
 Justification statement
Expressed in terms of behavior of observable facts
 Physical independence
 Therapeutic competence
 Knowledge of health condition
 Application of principles of general hygiene
 Health attitudes
 Emotional competence
 Family living
 Physical environment
 Use of community facilities

19. FAMILY COPING INDEX
Physical independence
Ability to move about, get out of
bed, take care of daily grooming,
walking and other things which
I nvolves daily activities

20. FAMILY COPING INDEX
Therapeutic competence
- Includes all the procedures or
treatment prescribed for the care
of ill
- Giving medications, dressings,
exercise and relaxation, special
diets

21. FAMILY COPING INDEX
Knowledge of health condition
- Concerned with the particular health
condition that is the occasion of care
Application of the principles of general hygiene
- Family action in relation to maintaining
family nutrition, securing adequate rest
and
relaxation for family members, carrying out
accepted preventive measures

22. FAMILY COPING INDEX
Health attitudes
- The way the family feels about health care in
general, including preventive services, care of
illness and public health measures
Emotional competence
- Maturity and integrity with which the members of
the family are able to met the usual stresses and
problems of life, and to plan for happy and
fruitful

23. FAMILY COPING INDEX
Family living
- Interpersonal or group aspects of family
life – how well the members of the family
get along with each other, the ways in
which they take decisions affecting the
family as a whole
Physical environment
- Home, the community and the work environment
as
it affects family health

24. FAMILY COPING INDEX
Use of community facilities
- Generally keeps appointments,
follow through referrals, tells
others about health
department

25. INITIAL DATA BASE
Family structure, characteristics and dynamics
Socio-economic and cultural characteristics
Home and environment
Health status of each family member
Values and practices on health
promotion/maintenance and disease prevention

26. FIRST LEVEL ASSESSMENT
Presence of wellness condition
- Potential for enhanced capability
- Readiness for enhanced capability
Health threats
Health deficit
Stress point or foreseeable crisis

27. SECOND LEVEL ASSESSMENT
Inability to recognize the presence of a problem
Inability to make decisions with respect to taking appropriate
health action
Inability to provide adequate nursing care to the sick, disabled,
dependent or vulnerable/at risk member of the family
Inability to provide a home environment which is conducive to
health maintenance and personal development
Failure to utilize community resources for health care

28. NURSING DIAGNOSIS
Wellness condition
- Capability for wellness
Health condition or problem
- Interferes with health maintenance
Nursing diagnosis
- Family’s failure to adequately perform
specific health task

29. PRIORITY SETTING: NATURE OF THE
PROBLEM
Wellness (3)
Health deficit (3)
Health threat (2)
Foreseeable crisis (1)

30. PRIORITY SETTING: MODIFIABILITY
OF THE PROBLEM
Modifiability
Current knowledge, technology,
interventions to manage the problem
Resources of the family
Resources of the nurse
Resources of the community

31. PRIORITY SETTING: PREVENTIVE
POTENTIAL
Gravity or severity of the problem
More severe – lower Preventive Potential
Duration of the problem
Direct relationship to gravity
Current management
Exposure of any high risk group
Increases Preventive Potential

32. PRIORITY SETTING: SALIENCE
Family’s perception and
evaluation of the problem