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Learning Outcomes
1.

Parenting with Families:

Family-Centered Care

2.

Debra M. Giusto RN MSN IBCLC

3.

4.

Learning Outcomes (contd)

5.

6.
7.

List the Categories of Family Strengths

that Help Families Develop and Cope
with Stressors
Identify Family Support Services that
Might be Available in a Community
Summarize the Advantages of Using a
Family or Cultural Assessment Tool

Learning Outcomes (contd)

11. Discuss Nursing Interventions for

Providing Culturally Sensitive and

Competent Care to the Child and
Family

Describe Key Concepts of FamilyCentered Care

Identify Characteristics of Different
Types of Families
Contrast Four Different Parenting Styles
and Analyze Their Impact on Child
Personality Development
Explain the Effects of Major Family
Changes on Children

Learning Outcomes (contd)

Develop a Family-centered Nursing
Care Plan for a Child and Family
9. Examine the Role of the Nurse in
Promoting Cultural Competence
10. Describe the Cultural Influences on the
Familys Beliefs About Health, Illness,
and Treatments
8.

Family-Centered Care
OProvider and Family Mutually Respected

Partners

OOpposite of family-focused care

OFamily-focused: Provider directs care

OCollaboration Between Providers and

Families Promotes Best Outcomes for

Children
OExchange of Information

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Family-Centered Care
(contd)

Family
OWhats your definition of family?

OImproves Outcomes
OIncreases Compliance with Recommended

Therapies
OReduces Anxiety of Patients and Families

Definition of family
OBasic social unit consisting of parents and

their children, considered a group, whether

dwelling together or not traditional family
OSocial unit consisting of one adult together
with children
OGroup related by blood
OGroup with a common interest
OMafia or Cosa Nostra one leader

Legal implications of family

OObtaining information
OVisiting rights
OA voice in childs care

Dictionary.com

Family

Table 2-2 Characteristics of Significant Parenting Attributes"

OTraditional nuclear family

ONuclear family
OBlended family
OExtended family
OBinuclear family
OGay or lesbian family

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Table 2-3 Parenting Styles by Level of Warmth and Control"

Family Functioning
OChanges in Family Functioning Can Impact

Children

ONurses Assist Families By Inquiring About

the Circumstances and Changes the Child

Experiences

Parenting Styles
OAuthoritarian
ORigid; sets rules

OAuthoritative
OSets limits; listens to child

Special Family Changes

ODivorce
OStepparenting
OFoster Care
OAdoption

OPermissive
ONo limits; child sets rules

OIndifferent
OLittle interest in child

Table 2-4 Potential Effects of Divorce on Children of Different Ages"

Table 2-4 (continued) Potential Effects of Divorce on Children of Different Ages

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Family Strengths
OFamily Strengths Help Support Families

During Times of Change and Adversity

OFour Types of Strengths:

OTraits, such as Optimism or Resilience
OAssets, such as Finances
OSkills and Competencies, such as Problem

Solving
OMotivation
Table 2-4 (continued) Potential Effects of Divorce on Children of Different Ages

Box 1-1 Family Strengths Helpful in Managing Stressors

Table 2-5 Eight-Stage Family Life Cycle"

Family Support Services

OPositive Family Relationships
OParental Competencies
OHealth and Development
OChild and parents

Family nursing interventions

OBehavior

modification
OCase management
and coordination
OCollaborative
strategies
OFamily crisis
intervention

ONetworking self-

help groups

OProviding

information

OCommunity-based

Services

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Culturally Sensitive Family

Care
OIdentify Primary Decision Maker
OAssess Health Beliefs and Practices
OConsider Familys Ethnic Background and

Religious Beliefs

Figure 2-8 An ecomap illustrates the familys relationships and interactions with
groups and individuals in the immediate external environment"

Table 2-6 Cultural Assessment Models"

Family-Centered Care Plan

OAssess and Help Families Identify

Strengths and Resources

ODetermine How Childs Condition Affects
Family Functioning
OEstablish a Therapeutic Relationship with
Child and Family
OAssist Family in Planning for Ongoing Care

Table 2-6 (continued) Cultural Assessment Models

Promoting Cultural
Competence
OAssess the Influence of Culture on the

Child and Family

OHelp Families Determine how to

Incorporate Prescribed Therapy with

Health Care Beliefs and Practices
OFamilies Are More Likely to Comply When
Cultural Values Are Incorporated into the
Care Plan

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Cultural Influences on Family

Beliefs
OCulture Determines Family Goals, Family

Member Roles, and Childbearing

Practices and Beliefs
OCommunication and Language Impact
Ability to Understand and Follow
Treatment Recommendations
OCultural Practices Include Diet and Family
Eating Patterns
OAlternative Therapies

Critical thinking
OYou are assigned to care for a Vietnamese

boy who is in traction, hospitalized for a

fractured femur. He speaks his native
language as well as English. His caregivers,
who also speak both languages, are present
in the childs room when you enter to
perform an initial nursing assessment. What
considerations are important in order to
perform culturally care?

Summary
ONo agreement about the definition of the

family
OFamily is what an individual considers it to
be
ONurses need to be advocates for families
ONurses play an important role in the wellbeing of families and their children

Culturally Competent Nursing

OCollaborate with the Child and Family
OAssist Family to Identify and Select

Resources

Summary
OIn Family-Centered Care, Provider and

Family Are Mutually Respected Partners

OCollaboration Between Providers and

Family Promotes the Best Outcomes for

Children
OFamilies Are More Likely to Comply with
Treatment Recommendations When
Cultural Values Are Incorporated into the
Care Plan

Nurses
ONeed to recognize the influence of family

dynamics on child health & well being

OFocus on the family as an element of

optimum child health and development

OExamination of families and its function

should be incorporated into your assessment

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Resources
Onstitute for Patient- and Family-Centered

Care http://ipfcc.org/ Provides essential

leadership to advance the understanding
and practice of family-centered care.
OHome Observation Measure of the
Environment
http://ualr.edu/case/index.php/home/
home-inventory/

Resources (contd)
OChild Welfare Information Gateway

Family Assessments
http://www.childwelfare.gov/famcentered/
casework/assessment.cfm
ONational Center for Complementary and
Alternative Medicine http://nccam.nih.gov/
Provides information and supports
research in complementary and
alternative medicine.

Adoption Resources
ONational Adoption Clearinghouse

http://www.adoption.org/adopt/nationaladoption-clearinghouse.php

Resources (contd)
ONational Foster Parent Association

http://www.nfpainc.org National
organization that supports foster parents
and remains a consistently strong voice
on behalf of all children.
OCenter for Cross-Cultural Health
http://www.crosshealth.com/ Supports the
integration of cultural competency into
health and human services.

Adoption Resources (contd)

OAmerican Academy of Pediatrics Section

on Adoption and Foster Care

http://www.aap.org/sections/adoption/
OAdoptive Families Magazine
www.adoptivefamilies.com
OParent Network for the PostInstitutionalized Child
http://www.pnpic.org/ (cut and paste link in
browser window)

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Adoption Resources (contd)

OJoint Council on International Childrens

Services http://www.jcics.org/

ONorth American Council on Adoptable

Children http://www.nacac.org/