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Strengths Based Nursing and Healthcare

According to Lauritzen, Kolmannskog and Iversen (2018), the promotion of family involvement in nursing care is very important as it ensures active feedback from the patient and their family members, collaborative care, effective communication with associated health professionals, ensures psychological and emotional support, and effective planning of patient’s care. Family involvement can also help in the reduction of stress, depression, anxiety, and other factors in patients. As per the strength-based nursing care (SBNC), its principles ensure creating a safe, holistic, emotional, and physically safe environment for the patient. The principles also show that as different people have different ideas which are considered appropriately while in a decision-making procedure, therefore, the involvement of family and their ideas help in the formation of an effective treatment or management care plan for the patient with the help of their diversified viewpoints, so that culturally safe care can be delivered. As per the principles of SBNC, the nurses can ensure that encouraging the involvement of family members can help to create a collaborative approach for self-information, self-maintenance (Gottlieb, Gottlieb, and Shamian 2015). The family members if taught about the medical procedures and heir management methods then the health issues can be resolved and prevented at later stages of the patient’s life. This is so because the family members are informed about the illness prognosis, therapeutic programs, and a few other factors. All these factors of promoting family involvement in patient care will result in his/her improved health and fats recovery.

The family strength assessment tool provides outcome-oriented and practical information about the resources, strengths, and family needs to enable effective participation. With enhancing the family various outcomes are achieved like good family spirit, sharing, open communication, conflict management, and many others (Olding, McMillan and Reeves et al. 2016). One tool is the Australian Family Strengths Nursing Assessment (AFS nursing assessment), this tool identifies the strength of the family interaction, but because it is not designed as a diagnostic tool so it cannot rank the families in the level of their functioning (Kiwanuka, Akhavan and Alemayehu 2019). This tool ensures family participation, reflects the choices and voices of the family members, and various other factors about the strengths of the family. Under this tool, if the family does not meet with any of the strengths then it is will not be labeled as ‘no strength’. This too encourages active and healthy interaction with family members that ensures the well-being of each other. Another tool is the American Family Strength Inventory (AFSI). In this assessment tool, there are many categories with various sub-questions in each of the categories (Gottlieb et al. 2015). The family members are asked about each question and the type of answer given makes the family realizes their weak points so that they can improve those. This tool helps to recognize the strengths of their family and maintain those strengths over time.

According to Luttik, Goossens, and Ågren et al. (2018), the family/nurse-patient relationship and health well-being outcomes interact bidirectionally. The family members ensure trusting roles; the family also checks the environment in which the care is delivered to the patent in the hospital; to ensure holistic care; patient protection; sharing of the information related to the patient medical care services. If the relationship is strong between the patient and the family or the family and the nurses then there is the effective transfer of information at every end and results in the development of an effective care plan. If the patient is unable to speak or communicate effectively with the nurse then that role can be efficiently performed by the family members to ensure fast recovery and long-term care. The nurse should show empathy, propriety, and care for the patient with the use of non-verbal or verbal communication, effective feedback, and effective monitoring and evaluation of patient health. Moreover, with the effective observation of the body language of the patient, there can be monitoring of the associated factors as well that might be impacting the health of the patient negatively. The nurse should inform that family member for the records, reports, and other follow-ups updates. The patient will get improved if the interaction is strong and this will result in better health outcomes. There should be the maintenance of a trustworthy, healthy, peaceful, and safe environment for the patient for better recovery. Moreover, the tone and attitude should be soft so that there is reporting of feedback and clearance of doubts of the patient without any stigmatization due to discriminating behavior (Hetland, McAndrew and Perazzo et al. 2018).

References for Family Strength Conversation

Gottlieb, L., Gottlieb, B. and Shamian, J. 2015. Principles of Strengths-based nursing leadership for strengths-based nursing care: A new paradigm for nursing and healthcare for the 21st century. Nursing leadership, vol. 25, pp. 38-50. https://www.researchgate.net/publication/229160015_Principles_of_Strengths-Based_Nursing_Leadership_for_Strengths-Based_Nursing_Care_A_New_Paradigm_for_Nursing_and_Healthcare_for_the_21st_Century

Hetland, B., McAndrew, N., Perazzo, J. and Hickman, R. 2018. A qualitative study of factors that influence active family involvement with patient care in the ICU: Survey of critical care nurses. Intensive and Critical Care Nursing, vol.44, pp.67-75. https://doi.org/10.1016/j.iccn.2017.08.008

Kiwanuka, F., Akhavan, R. S., and Alemayehu, Y. 2019. Enhancing patient and family-centered care: A three-step strengths-based model. International Journal of Health Sciences, vol. 12, pp. 584. https://www.researchgate.net/publication/332974319_Enhancing_Patient_and_Family-Centered_Care_A_Three-Step_Strengths-Based_Model/citation/download

Lauritzen, C., Kolmannskog, A.B. and Iversen, A.C. 2018. Family assessment conversations as a tool to support families affected by parental mental illness: A retrospective review of electronic patient journals. International Journal of Mental Health System, vol. 12,no. 18. https://doi.org/10.1186/s13033-018-0199-x

Luttik, M.L.A., Goossens, E., Ågren, S., Jaarsma, T., Mårtensson, J., Thompson, D.R., Moons, P., and Strömberg, A. 2017. Attitudes of nurses towards family involvement in the care for patients with cardiovascular diseases. European Journal of Cardiovascular Nursing, vol. 16, no. 4, pp.299-308. https://doi.org/10.1177%2F1474515116663143

Olding, M., McMillan, S.E., Reeves, S., Schmitt, M.H., Puntillo, K. and Kitto, S. 2016. Patient and family involvement in adult critical and intensive care settings: A scoping review. Health Expectations, vol. 19, no. 6, pp.1183-1202. https://doi.org/10.1111/hex.12402

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