1. Classify family types and/or household structure.
2. Describe functions occurring in families.
3. Define family nursing.
4. Examine concepts used in family nursing.
5. Explain functions of nurses in family nursing.
6. Review information resources for family nursing.

• family tasks and functions
• history of family development
• definitions of nursing and family nursing
• nurse's values relative to families
• nurse as leader, advocate, and researcher in family nursing
• family structures: ecomap
• information resources: Ms. Earla Pope, MS, Director, UNCW School of Nursing Learning Resource Center

• Bomar, Chapters 1 & 3.
• St. John, W. & Rolls, C. (1996). Teaching family nursing: Strategies and experience. JOURNAL OF ADVANCED NURSING 23(1), 91-96.
• Robinson, C.A. (Summer 1995). Beyond dichotomies in the nursing of persons and families. IMAGE 27(2), 116-120.

• Prepare an ecomap for a family; be prepared to present the ecomap and explain it in class.

1. Explain using the nursing process in family nursing.
2. Discuss applying theories, models, and tools for family nursing process.
3. Compare theories and conceptual frameworks that aid understanding family process.
4. Explain applying one conceptual framework for planning a a family intervention.

• theories and models used in family health nursing:
  • family care
  • family self-help
  • family theory related to the Neuman model
• family assessment tools: genograms and attachment diagrams

• Bomar, pp. 113-114.
• Bomar, Chapter 4.
• Wright & Leahey, Chapter 3.
• Zerwekh, J.V. (1991). A family caregiving model for public health nursing. NURSING OUTLOOK 39(5), 213-217.
• Zerwekh, J.V. (1992). Laying the groundwork for family self-help: locating families, building trust, and building strength. PUBLIC HEALTH NURSING 9(1),15-21.
• Reed, K.S. (1993). Adapting the Neuman systems model for family nursing. NURSING SCIENCE QUARTERLY 6(2), 93-7.

• ecomaps, maximum of three minutes per student

• Prepare material to support your discussion of how you have used, or might use, theories and models for family asssessment with your client families.
• Half the class will present next week; the remaining half will present the following week.
• Sign up for your presentation time by the end of class today (8 SEP 97).

1. Choose approaches for using the nursing process with families
2. Analyze processes that enhance or hinder planning family care interventions
3. Use family data for identifying and setting family goal priorities.
4. Examine strategies for moving intervention from the individual level to the family level

• moving nursing process application from individuals to families
• family health promotion
• identifying family strengths and weaknesses
• barriers to implementing family nursing interventions

• Bomar, Chapter 12.
• Balzer, J.W. (1992). The nursing process applied to family health promotion. In M. Stanhope and J. Lancaster (eds.). COMMUNITY HEALTH NURSING: PROCESS AND PRACTICE FOR PROMOTING HEALTH. St. Louis: Mosby-Year Book, pp. 453-468.

• Family nursing theory and/or model application with client families (first half of class)

• Second half of class presentations on theories and models

1. Choose approaches for evaluating family nursing.
2. Examine systems used to monitor family problem treatment.
3. Compare systems used for monitoring the impact of health care on family problems.
4. Explain a personal conceptual framework for clinical practice.

• Identifying family problems
• advantages and disadvantages of family problem classification systems
• Nursing diagnosis and family nursing
• The Omaha System , a nursing vocabulary for organizing nursing practice
• personal conceptual framework for clinical practice

• Martin, K.S. and Scheet, N.J. (1992). Nursing diagnosis applied to community health nursing. In M. Stanhope and J. Lancaster (eds.). COMMUNITY HEALTH NURSING: PROCESS AND PRACTICE FOR PROMOTING HEALTH. St. Louis: Mosby-Year Book, pp. 229-240.
• locate and critique or summarize one or more resources (book, article, audiovisual material, Intermet or world wide web) other than assigned textbooks addressing either (1) the Omaha System or (2) NANDA in family nursing

• Family nursing theory and/or model application with client families (second half of class)

• prepare your personal conceptual organizing framework for class presentation; use guidelines in course document

1. Define nursing metaparadigms.
2. Present a personal conceptual organizing framework for clinical nursing practice.
3. Compare prevention and health promotion concepts.
4. Explain how conceptual frameworks guide or influence family nursing practice.

• ways to organize family nursing concepts
• personal clinical conceptual organizing framework
• primary and secondary prevention
• health protection
• health promotion
• realms of family health nursing

• Bomar, Chapter 2.
• Bomar, P.J. (1990). Perspectives on family health promotion. FAMILY AND COMMUNITY HEALTH 12(4), 1-11.

• individual conceptual organizing framework presentations; maximum presentation time is 3 minutes

• Prepare to discuss how you are using concepts such as health promotion, primary and/or secondary prevention, and your personal conceptual organizing framework in your family nursing practice

1. Analyze cultural and ethnic sources for family health values and beliefs.
2. Evaluate the impact of culture, ethnicity, and beliefs on family health promotion.
3. Classify family health functions.
4. Compare the effect of health status and life style on family health.

• cultural and ethnic bases for family health beliefs
• family health beliefs and family health promotion
• family health functions
• family health status and life style

• Bomar, Chapter 5.

• Discuss application of family health care concepts, including health promotion, primary and/or secondary prevention, and personal conceptual organizing framework in family nursing practice

• Prepare to discuss examples of cultural and ethnic influence on health promotion, health beliefs, or other health related issues in your family nursing practice

1. Evaluate family relationships from a role theory perspective.
2. Examine the impact of roles on family health promotion and disease prevention.
3. Classify family communication patterns.
4. Differentiate social support and social network.
5. Evaluate the contribution of interaction realm concepts to family health promotion.

• family roles and relationships
• family communication
• social support and social networks
• influence of interaction realm concepts on family health promotion

• Bomar, Chapter 6, 8, and 9.

• Class Notes: Web Addresses

• discuss examples of cultural and ethnic influence on health promotion, health beliefs, or other health related issues in your family nursing practice

• Prepare to explain how you have used information about family roles, family communication, social support, or other family interaction realm concepts in conjunction with the nursing process in your family nursing practice

1. Compare family development with individual development.
2. Evaluate family function using family development concepts.
3. Explain major developmental stressors across the life cycle
4. Analyze changes in family configurations associated with family development.

• individual and family development
• stages of family development
• family transition
• nontraditional family structure
• family changes associated with family development
• nursing and family transitions

• Bomar, Chapter 20.

• discuss how you have used information about family roles, family communication, social support, or other family interaction realm concepts in conjunction with the nursing process in your family nursing practice

• Prepare to explain how you have used information about stages of family development, family transition, nontraditional family structure, or other family development realm concepts with the nursing process in your family nursing practice

1. Examine family integrity concepts
2. Compare traditional, modern, and postmodern families.
3. Classify family routines.

• family integrity concepts:
  • shared meanings
  • family history
  • boundary maintenance
  • family rituals
• family configurations:
  • traditional
  • modern
  • postmodern

• Denham, S.A. (1995). Family routines: A construct for considering family health. HOLISTIC NURSING PRACTICE 9(4), 11-23.
• Hartman, S. (1995). Preparing modern nurses for postmodern families. HOLISTIC NURSING PRACTICE 9(4), 1-10.

• Not REQUIRED, but fun stuff: Some World Wide Web links on Topics for Today's Class

• Discuss how you have used information about stages of family development, family transition, nontraditional family structure, or other family development realm concepts with the nursing process in your family nursing practice

• Prepare to explain family rituals or routines you have observed in your family nursing practice. How have you incorporate family rituals or routines into your work with client families?

1. Differentiate family crisis and family stress.
2. Review theoretical models of family stress.
3. Apply the nursing process to an example of family stress.
4. Classify family coping mechanisms.

• family crisis and stress
• family adaptation and coping
• problem solving with families
• Conceptual Organizing Framework Paper

• Bomar, Chapters 10 and 14.

Suggested, not required
Some Web Resources related to Family Crisis, Adaptation, Coping and Stress

• Domestic Violence

• Family Crisis

• Promoting Family Adaptation

• developmentally delayed children and families

• Family Resiliency List

• Family Coping Strategies

• Holidays: A source of family stress

• Lessen Family Stress

• Discuss family rituals or routines you have observed in your family nursing practice. How have you incorporate family rituals or routines into your work with client families?

• Read, critique, and prepare to discuss one or more articles focused on (1) family crisis or stress or adaptation or coping or (2) vulnerable families.

1. Explain how to recognize symptoms of abuse.
2. Classify secondary prevention concepts related to abuse or addictive behavior in families.
3. Explore strategies for nursing intervention related to abuse or addictive behaviors in families.
4. Analyze the role of the family nurse regarding legal and ethical issues relted to abuse or addictive behaviors in families.
5. Evaluate nursing roles in family crisis.

• abuse in families: spouse and/or child
• substance abuse: alcohol and/or drugs
• situations associted with low income
• family crisis intervention

• Lynch I. & Tiedje L.B. (1991). Working with multiproblem families: an intervention model for community health nurses. PUBLIC HEALTH NURSING 8(3), 147-153.
• McFarlane J., Christoffel K., Bateman L., Miller V., & Bullock L. (1991). Assessing for abuse: self-report versus nurse interview. PUBLIC HEALTH NURSING 8(4), 245-250.
• Ragaisis, K.M. (1994). Critical incident stress debriefing: A family nursing intervention. ARCHIVES OF PSYCHIATRIC NURSING 8(1), 38-43.

• discuss your critique of one or more articles focused on (1) family crisis or stress or adaptation or coping or (2) vulnerable families relative to your family nursing practice.

• Read, critique, and prepare to discuss one or more articles on your choice of concepts related to family health nursing.

1. Evaluate the spirituality component of family interaction.
2. Explore health policy issues affecting the family.
3. Analyze the nurse's avocacy role relative to family health policy.
4. Forecast future family health policy issues.

• spirituality in families
• health policy and its effect on family health
• future health policy issues affecting families

• Select at least one article related to a family health nursing topic or concept that interests you or related to your family nursing project presentation.

• Medicare and Needs of the Elderly

• New Child Health Program

• Idea Central on Health Policy

• Managed Care Consumer Protections

• Explain associations between one or more articles on your choice of concepts related to family health nursing and your family nursing practice.