Module 6: FAMILY NURSING

AND THE NURSING PROCE

SS
(Formulating and Implement
ing Family Nursing Care Pla
n and Evaluation
LEARNING OUTCOMES

https://www.webpages.uidaho.edu
 THE FAMILY NURSING CARE PLAN

-It is a blueprint of the nursing care designed to systematically en

hance the family’s capability to maintain wellness and/or manage
health problems.

-The FNCP consists of the

 prioritized health condition/s or problem/s,
 goals and objectives of nursing care,
 intervention plan and
 evaluation plan.
Scale for Ranking Health Conditions and Problems According to Priorities

Purpose: To facilitate decision making in determining which particular

health conditions and their corresponding family nursing problems can
be addressed by the nurse with the family as client-partner at appropri
ate points in time.

*(The tool was Developed and published by Salvacion G. Bailon-Reyes and Araceli S. Maglaya, 1978, and updated by A. Maglaya ,2009)
Scale for Ranking Health Conditions and Problems According to Priorities
CRITERIA FOR DETERMINING PRIORITIES
Scale for Ranking Health Conditions and Problems According to Priorities
CRITERIA FOR DETERMINING PRIORITIES

2. Modifiability of the condition or the problem

 The probability of success in enhancing the wellness state, improvin
g the condition, minimizing, alleviating, or totally eradicating the probl
em through intervention

 Factors:
 Current knowledge, technology and interventions to manage the pr
oblem
 Resources of the family (physical, financial, manpower)
 Resources of the nurse (knowledge, skills, time)
 Resources of the community (facilities & community organization)
Scale for Ranking Health Conditions and Problems According to Priorities
CRITERIA FOR DETERMINING PRIORITIES
Scale for Ranking Health Conditions and Problems According to Priorities
CRITERIA FOR DETERMINING PRIORITIES

4. Salience
 Family’s perception and evaluation in the condition or problem
in terms of seriousness and urgency of attention needed or fa
mily readiness
To determine the score for Salience, the nurse evaluates the family’s perception of a problem. As a general rule, the family’s concerns and felt needs require priority attention
 Scale for Ranking Health Conditions and Problems According to Priorities

Criteria Weight
1. Nature of the condition or problem
Scale: Wellness State 3
Health Deficit 3 1
Health Threat 2
Forseeable crisis 1
2. Modifiability of the condition or problem
Scale: Easy modifiable 2
Partially modifiable 1 2
Modifiable 0

3. Preventive Potential
Scale: High 3
Moderate 2 1
Low 1
4. Salience
Scale: a condition or problem, needing immediate attention 2 1
a condition or problem not needing immediate attention 1
not perceived as a problem or condition needing change 0
Scale for Ranking Health Conditions and Problems According to Priorities

Scoring:
1. Decide on a score for each of the criteria.
2. Divide the score by the highest possible score and multip
ly by the weight: (score/highest score) x weight.
3. Sum up the scores for all the criteria. The highest score i
s 5 (equal to total weight).
Scale for Ranking Health Conditions and Problems According to Priorities
Scale for Ranking Health Conditions and Problems According to Priorities (Bailo
n and Maglaya, 1990)
Scale for Ranking Health Conditions and Problems According to Priorities (Bailo
n and Maglaya, 1990)
 ESTABLISHING GOALS AND OBJECTIVES

GOAL
 a desired observable family response to planned interve
ntions in response to a mutually identified family need
 It is the end that the nurse and family aim to achieve

*The likelihood of attainment of a goal is higher if the family “owns” the goal and i
f it is achievable within the existing family situation.
ESTABLISHING GOALS AND OBJECTIVES
 ESTABLISHING GOALS AND OBJECTIVES

Example:
GOAL:
After nursing intervention the family will be able to take care of the overweight child effe
ctively.

OBJECTIVE:
After nursing intervention, the overweight high school members of the family will decrea
se their weights by at least one pound per month.
SELECTING APPROPRIATE FAMILY INTERVENTIONS/STRATEGIES
SAMPLE FAMILY CARE PLAN
IMPLEMENTING FAMILY CARE PLAN
EVALUATION
 REFERENCES

David, E.S, Rodolfo, M.D., Claudio, V.S., and Ruiz, A.J. (2007) Community Health N
ursing; An Approach to Family and Population Group, Mirriam and Webster Bookstore, In
c.

Famorca, ZU, Nies, MA, Mc Ewen, M. (2013) Nursing Care in the

Community. Elsevier Mosby. Malaysia

Maglaya, Araceli S. 2009. Nursing Practice in the Community 5th ed.

Argonauta Corp., Philippines
THANK YOU!