Family Health Care Nursing: A Comprehensive Overview - Essay Sample

Introduction

Nursing is a multifaceted profession which entails the cooperation of the nurse, medical practitioners and patients. In most cases, the nurse serves the advocacy role, which lies in presenting and prioritizing the needs of the patient. Nursing education is based on nursing practice in individual patients. Patients are family members, and families are basic units of the various societies. Therefore, family health care nursing has evolved over the years with an emphasis on the way of thinking and the and the working of the family with relation to family structure. In this case, family nursing entails the philosophy and means of interacting with the clients, which affect the collection, intervention and advocacy for patient needs and the spiritual approach to the patient needs (Kaakinen, Coehlo, Steele & Robinson, 2018)). Family social and cultural values are critical in the dissemination of family nursing care. This implies that the concepts and the principles of particular family health are part and parcel of the family nurse values and the knowledge which aid in engagement in generalized or specialized nursing practice.

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Value of Family Nursing Care Process

Family care nursing plays a critical role in the enhancement of the health status of the family as well as the prevention and treatment of diseases at the family level. The competencies in family nursing are not delegated and therefore lie in the registered nurse (RN) individual scope of practice. RNs make informed decisions based on education, experience as well as evidence. In this light, they can tackle various needs of family nursing. Family nursing entails prioritizing the demands of the client, which calls for extensive interpersonal and cultural competencies to address the diversity in clients' needs. According to Cloyes, Hart, Jones & Ellington (2019), family health nursing encompasses the family as the unit of care with nursing serving as a channel of attaining the goal of good health. In the delivery of health and meeting the client's health needs, the health care provider needs to address all the relevant details and the problems of the client to come up with a reliable strategy to meet the client's demands.

According to Hope (2018), the process of family nursing is systemic and logical of acting on information collected from various client's interaction points and extracting important details that foster the development of interventions and meaningful actions. RNs come up with a strategic plan for care provided to the family. Family nursing care plan provides guidelines or a framework of the nursing care designed to address specific health-related problems in a family. The process of family nursing is continuous, and therefore, a RN must keep up updating the care plan based on the prevailing changes in the family as a community unit. The nursing care plan can be used to illuminate the value of family nursing care. During the family visits during the assessment phase and problem identification, the various needs of the family are highlighted, which gives the RN a platform to come up with goals and objectives to meet the family demands. Families have varying needs based on the underlying factors that influence their health. Therefore, the strategies that present rational intervention plans to the various problems need to be implemented based on the goals and objectives set by the RN in the course of formulating the goals and objectives of the care plan.

The process of family care nursing is mainly objective and adheres to the goals, and the objectives realized in the assessment and identification of the health problem in the family (Kaakinen et al., 2018). The goals and objectives are devised and accorded a reasonable intervention plan that addresses the particular problem identified. The evaluation of the outcome of the care is crucial in the determination of the efficiency of the care and the influence in tackling the problem in the family enhances the quality of the treatment. The quality of the care accorded is facilitated by the evaluation of the outcome of the applied intervention strategy. However, fixation of the plan and making of modifications are implemented upon evaluation of their validity and viability. For instance, in a family which embraces poor hygiene in eating identifies poor hygiene as the health problem. This can be expressed presented as the family's inability to create a conducive to embracing good health and maintenance of secondary hygienic practices. This can be observed by an evaluation of the internal environment and external environment. The family nurse identifies the key factors that contribute to unhealthy hygiene. In the identification of the critical problems, a goal for care is designed to provide the guideline to the scope of treatment. The family nurse designs the time frame under which the family can sensitize to understand the healthy practices to adhere to as well as the habits to retain, which promotes health. In line with promoting good hygiene, the family must identify the healthy practices they undertake and encourage the habitual exercise of the practices. For instance, based on the case of a family with hygiene problem, the objectives designed that are specific, objective and attainable within a particular time frame. In this case, the target may entail a time frame under which the family should be able to acknowledge healthy hygiene practices such as the washing of hand before and after meals and after the visitation of toilets. Additionally, the nurse should effectively enumerate the factors which promote unhygienic practices among the family members. The nurse can also target to instil acceptance of the hygienic activities which can be embraced to exhibit change.

Family nursing promotes the safe habits that protect the population from harm or ill health. For instance, in family driving practices (Kaakinen et al., 2018). Some of the health issues may arise from an accident linked to drunk driving. The family nurse points out drunk driving among family members as the health problem. Drunk driving is a health hazard which poses a threat of accidents, injuries that can lead to paralysis and amputation in some cases. The traumatic events associated with accidents are crucial in hinting at the need to embrace safety in various health perspectives. However, other safety practices may be challenging to point out, which calls for close monitoring of the nurse over time. The nursing process is dynamic, and the family health is continuous, which calls for close monitoring of the safety factors as well as the changes in the health practices among the family members (Kaakinen et al., 2018). This signifies the need role played by family nurses in identification intervention and promotion of healthy practices. In this case, it is distinct that a family nurse recognizes the family as the basic unit, which outlines the values of the entire community. The role of RN in family nursing is, therefore, critical in ensuring the quality and the health status of a particular family as a unit a given community. The RN has to evaluate the goals set and the response to the objectives of the proposed family care (Kaakinen et al., 2018). This entails the activities of the family towards meeting the particular aims of the care. The role of the family nurse id to establish the success level of the

The Challenges Encountered by RNs in Facilitating Family-Centered Care Outcomes

According to Clay & Parsh, (2016), facilitation of family-centered care (FCC) is a crucial process which requires the collaboration of the family, nurse and the health care system. This includes favorable policies which advocate for the practice of nursing to particular family interests and family members. Initially, FCC was mainly linked to pediatric care, however, with the transformations in the healthcare systems and health care demands, FCC cuts across various groups in enhancement and improvement of the quality of life and health care services (Clay & Parsh, 2016). However, the dissemination of FCC id hampered by challenges which emanate from the nurses, families and the policies of the institutions. The various needs of the clients and the respective unit requirements may exhibit a conflict of interest, which delays the influence of FCC. Some of the common challenges faced by RNs in the provision of FCC include knowledge and skills, unsupportive health care system and restrictive policies, workloads which include personal and overwhelming client demands (Khan, 2015). In addition, the communication process in FCC may be poorly coordinated with discrepancies in nurse to nurse handing over and shift coordination. According to Khosravan, Mazlom, Abdollahzade, Jamali, & Mansoorian (2014), the nurse attitude, along with the allocation of enough resources and support, are crucial in the facilitation of FCC.

According to Khosravanet al. (2014), nurses report interference with performance expectations with the presence of the family member. Family member breaches patient confidentiality and may impact declined service and care delivery to the family member. Involvement of parents also has implications on the quality of care and the performance of the nursing role. Some family members tend to hide some health conditions from family members, which, on the other hand, incapacitates the process of care delivery. The contribution of the family members during rounds is cited for outweighing the sharing of confidential information. However, this can be resolved by the use of soundproof headphones. The possibility and the exposure of family members to hospital infections are a significant concern in the provision of FCC. This is associated with restricted visitation. Based on Davidson et. (2014), this has insufficient information to limit the visitation and influence the FCC. As highlighted by Coats et al. (2108), the presence of family members in teaching hospitals impedes the process of teaching and therefore serving a barrier to patient education.

Technical barriers, which include unit policies and unsupportive healthcare system, serve as a significant setback in the FCC provision. Health care systems have different policies and guidelines in line with the FCC. However, they all tend to focus on the role of the family members in the recuperation and streamlining the healthcare experience. The process entails the establishment of relationships supportive to the patient and the families and aid the patient acknowledges the influence of their strength and weaknesses in influencing their health and healthcare process. The workload and the nurse-patient ratio are also cited as a significant factor which deters the facilitation of FCC. For instance, nurses' strain to provide the care of an ill child but also has to put in the family stressors and the needs and grief. The high importance of kindness embraced by families may also impair the provision of complex medical care required for a family member. Therefore, they tend to act as watchdogs on the acts of kindness rather than the medical care provided to the patient.

Communication is significant in the establishment of a working relationship between the nurse, patient and the family members. Nurses are the communicators, and therefore, the family member looks up them to get a bigger picture of the situation at hand (Riley, 2015). Additionally, coordination of communication among health care providers is equally important in providing concurring information to the family. Uncoordinated communication can lead to different physicians saying varied details to the family members.

In other cases, lack of support and resources deprives the RNs in implementing the FCC. This can be highlighted in disagreements over the treatment plans and the...