Hartrick G, Lindsey A E, Hills M
School of Nursing, University of Victoria, British Columbia, Canada.
J Adv Nurs. 1994 Jul;20(1):85-91. doi: 10.1046/j.1365-2648.1994.20010085.x.
Family nursing assessment has traditionally followed an illness-care model. This paper proposes a re-evaluation of traditional family assessment and suggests an approach which is fundamentally based in health promotion. The paper includes a discussion of varying perspectives of health and health care, the health promotion perspective adopted by the World Health Organization, and the relevance of these perspectives for family nursing practice. Central elements of health promotion are outlined and serve as the guiding principles for family nursing assessment. Two inherent aspects of health-promoting family nursing practice are proposed and described. These include an emphasis on a human caring nursing ontology, and a framework for guiding family nursing assessment. This health-promoting assessment framework contains four essential components: (a) listening to the family; (b) participatory dialogue; (c) recognizing patterns; and (d) envisaging action and positive change. These components are described, together with the strategic elements inherent in each. Based on this health-promoting family nursing assessment, implications for nursing practice are discussed, and recommendations are made for research into this assessment framework.
传统上，家庭护理评估遵循疾病护理模式。本文提议对传统家庭评估进行重新审视，并提出一种从根本上基于健康促进的方法。本文讨论了对健康和医疗保健的不同观点、世界卫生组织所采用的健康促进观点，以及这些观点与家庭护理实践的相关性。概述了健康促进的核心要素，并将其作为家庭护理评估的指导原则。提出并描述了促进健康的家庭护理实践的两个内在方面。其中包括强调以人为本的关怀护理本体论，以及指导家庭护理评估的框架。这个促进健康的评估框架包含四个基本要素：（a）倾听家庭的声音；（b）参与性对话；（c）识别模式；（d）设想行动和积极变化。描述了这些要素以及每个要素所固有的战略要素。基于这种促进健康的家庭护理评估，讨论了对护理实践的影响，并对该评估框架的研究提出了建议。
