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Family in Cultural and Community context
Nursing Care of the Childbearing Family (NSG-432)
Grand Canyon University
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Family in Cultural and Community context Define Family Primary unit of socialization – represents primary social group that influences and is influenced by other people Family Organization Nuclear Family – Traditional family w/ husband, wife, and their children Extended Family – grandparents, aunts, uncles, or other people May also live in close proximity to nuclear family Multigenerational Family – consists of 3+ generations living together Nonbiologic-parent family – children live independently in foster or kinship care (living w/ grandparent) Married-blended families – formed d/t divorce and remarriage Cohabitating-parent families – unmarried biologic or adoptive parent who may or may not be living w/ other adults Alternative Family – term used for LBTQIA families Family Theory Used to describe families and how they respond to events within and outside the family Family Assessment Important to be a health-promotion rather than illness-care model Calgary Family Assessment Model (CFAM) – sued as a guide for assessing aspects of family. Comprises 3 Major categories 1. Structural: determine members of families, relationships a. Who are the members of your family? b. Has anyone moved out? c. Are there members that don’t live w/ you? 2. Developmental: Describe the life cycle a. When you think back, what do you most enjoy about your life? b. What do you regret? c. Any plans for your care as your health declines? 3. Functional: Evaluate the way an individual behaves in relation to each other a. Who in your family is responsible for caring for Grandma? b. Who makes dinner for Grandpa? Graphic Representation of Families Genogram – family tree depicting family members over at least 3 generations Ecomap – Graphirc portrayal of social relationships of the woman and family Cultural Factors Acculturation – change that occurs when people from different cultures come into contact w/ one another Assimilation – occurs when a cultural group loses its cultural identity Implications for Nursing Ethnocentrism – view that one’s own way of doing things is best Cultural Relativism – opposite of ethnocentrism Refers to learning about and applying standards from another’s culture to activities within that culture Cultural Questions to Ask 1. What do you and your family think you should do to remain healthy during pregnancy? 2. What can you do to improve your health and the health of your
baby? 3. What foods will help to make a healthy baby? 4. Who do you want with you during your labor? 5. What can your labor support person do to help you be most comfortable during labor? 6. What actions are important for you and your family after the baby’s birth? 7. What do you and your family expect from the nurse(s) caring for you? 8. How will family members participate in your pregnancy, birth, and parenting? Vulnerable Populations African Americans, Hispanic Americans, Native Americans, Pacific Islanders, and Asian Americans are all considered vulnerable populations Women Women of color, many of whom live in poverty, also have higher rates of chronic disease, including heart disease, cancer, hepatitis, and acquired immunodeficiency syndrome (AIDS), as well as mental health issue Adolescent Girls Participate in risk behaviors = compromise health Older Women Greater life expectancy than men but more likely to have chronic illness Incarcerated Women Often have Hx of IPV, HIV and Substance Abuse, and Emotional Problems Immigrant, refugee, and migrant women Often face problems r/t financial instability, child labor, poor housing, lack of education, and limited access to health services Perinatal Services 1. Prepare for Visit a. Contact family to arrange details b. Review and clarify appropriate data c. Identify community resources d. Plan the visit and prep a bag w/ equipment 2. In-Home: Establish Relationship a. Reintroduce yourself and establish purpose b. Spend brief time interacting w/ the family 3. In-Home: Working with the Family a. Conduct systematic assessment b. Determine adequacy of support system c. Observe home EV for adequacy of resources 4. In-Home: Ending the Visit a. Summarize activities and main points b. Provide info if needing to schedule next visit 5. Post Visit Interventions a. Document the visit thoroughly
Family in Cultural and Community context
Course: Nursing Care of the Childbearing Family (NSG-432)
University: Grand Canyon University
