There is no single definition of family that has been agreed upon universally. Currently, the known definition of family has gained massive debate in different parts of the world with the emergence of same-sex couples being recognized as family and with the same rights. Nonetheless, a family is a critical unit that immensely contributes to the well-being of every individual. It is one of the basics that one requires to be a complete self. From the reading, it is evident that the state, structure, function, and process of the family has a direct impact on the conduct and how one will behave in different spheres of daily engagements. For instance, interrogate someone with the aim of getting a gist on a point in time when they were affected by issues that the family was going through at or something that happened to one of the family members, and the intensity of emotions on the extensive details will overwhelm you. Moreover, even the persons who do not have consistent interaction with the family have in one way or another influenced by the family. The relevance of the family has been researched extensively in different areas including nursing.

The relevance of the reading in terms of family health care nursing

The significance of working in collaboration with families in the healthcare system is evident in the texts. Despite the importance of incorporating family in the patients healing process in case of sickness, some healthcare providers have a negative attitude in engaging them and often view that as a nuisance and a burden to them. Due to the influence of family, some nurses are often baffled when the patient’s family react in a different way contrary to what the nurse has experienced in the past and what their professional norms state. Additionally, nurses tend to avoid tension, confrontations, and anxiety whenever such issues occur. However, it is in such delicate situations that families require the attention of nurses even more

Additionally, the reading has provided an insight into the evolution in the area of family healthcare nursing. There have been concerns raised on how different is family health care nursing from other specialties that have evolved in families. Some of these specialties include community health nursing, maternal-child health nursing, and mental nursing. However, family nursing considers all four dimensions of a family which are family as context, family as a whole, the family system and family as a component.

Similarly, it also incorporates individuals, family, and community with the aim of enhancing, maintaining and redeeming the health of families. The reading also educates on what is currently happening in the family set up. It states that as time goes by, family nursing consistently embeds ideas from family therapy and family social science to be part of family nursing.

Family health care nursing is a significant area, and that is the core reason why it included in their curriculum distinct among different levels of knowledge and skills that family nurses require for their effective execution of their task. Family health care nursing is taught at two levels. The basic where detailed analysis is done and undergraduate level family therapy is taught because it is understood that the family assessment is crucial for nurses at all level. Moreover, the reading also provided knowledge of the levels of family healthcare practices. These include the expert level, proficient level, and competent, advanced beginner and novice levels. All these are attained as one climbs the ladder in education and experience gained. The reading also provided approaches to family nursing that guide the nurses in their dealings with clients. These are family as a context for individual development, family as a system, family as a client and family as a component of the society. Nurses have the discretion of choosing which type of approach to apply depending on various factors like the resources available to the nurse, healthcare setting and the situation of the family at that point.

In the family as a context approach, the main focus is on the evaluation and care of an individual in which the family is a context. This is the traditional way of nurses’ focus in that a person is considered first and family comes second. A nurse applying this approach in will mention to a client: “do you have anybody in your family that will help you take the drugs at night.” The second approach; family as client focuses on all the family members.  Here the interest of the nurse is on how the health of one member of the family will affect all the other members of the family implying that all the members of the family are on the foreground and have a keen interest in the health of one of their members. Additionally, the family here is seen as the total of all the members that are in that particular family. In this context, the nurse may ask the patient how their families have been affected by the patient’s illness.

The third approach that sees the family as a system concentrates on the family as a client. In this scenario, the nurse’s interaction with the family members forms the main point of his or her focus. Moreover, the concentration on the sick individual and the family is done simultaneously. This approach will be applied in a case where if something happens to one member of the family, the entire family is affected. Finally, the family as a component of society is the fourth approach. Here, the family is viewed as one of the many others that when put together forms the society that corresponds to nurses, education and religious institutions. There is an interaction between families to exchange ideas and also communication

How to address the issues of family healthcare

There are various issues surrounding family healthcare that a practitioner ought to know.

Furthermore, it is by understanding and practicing some of the problems to the problems that makes them successful in matters of family healthcare. Some of the issues include nature of interventions in family nursing which comprises of a ten point detailed analysis. Secondly, the practitioner should understand the approaches to family nursing discussed above. This will help them know when to apply which approach when faced with different situations. Thirdly, he or she should be aware of the variables that affect family nursing since both traditional and emerging factors immensely influence the sector. Consequently, they should get versed with the family nursing roles which will help avoid conflict of interest and maintenance of objectivity. The next area of concern to be learned is obstacles to family nursing practice. It is only by knowing the challenges that one can navigate through to find solutions. Finally, the practitioner may also integrate the family’s history to help him or her in handling them since history has a way of giving a clue of what is happening and what might happen in future

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