de Moutigny F
Can Nurse. 1995 Nov;91(10):38-42.
More and more, families are being included in the nursing process. However, defining family nursing interventions still presents a challenge. Specific knowledge, abilities and attitudes are required to intervene with more than one person at a time. Observing the family in action enables the nurse to identify specific needs that generally fall into one of four types: cognitive, affective, physical and spiritual. These needs are then validated with family members to develop an appropriate care plan. If the care plan is based on Roy's model, family behaviors and contributing factors will be noted. If Orem's model is chosen, family abilities will be analysed to identify the problem solving difficulties family members have. A nursing diagnosis will then be made. As well, co-evolving objectives will take into account elements of change theory such as allowing time for change, being conscious of everyone's perception of the problem and not expecting every family member to change in the same way. Nurses play various roles with families. They offer support, and act as role models and educators. Their responsibilities can be shared with colleagues through care plans and nursing notes.
越来越多的家庭被纳入护理过程。然而,界定家庭护理干预措施仍然是一项挑战。一次对不止一个人进行干预需要特定的知识、能力和态度。观察家庭的实际行为能使护士识别出通常属于四种类型之一的特定需求:认知需求、情感需求、身体需求和精神需求。然后与家庭成员确认这些需求,以制定适当的护理计划。如果护理计划基于罗伊的模型,将会记录家庭行为和促成因素。如果选择奥瑞姆的模型,将会分析家庭能力,以识别家庭成员存在的解决问题困难。然后将做出护理诊断。此外,共同发展的目标将考虑变革理论的要素,比如留出时间进行改变、意识到每个人对问题的看法,并且不期望每个家庭成员都以相同的方式改变。护士在与家庭相处时扮演着各种角色。他们提供支持,并充当榜样和教育者。他们的职责可以通过护理计划和护理记录与同事分担。