FSU Nursing Assessing Intervention Efficacy Discussion Response – Description
Please respond to discussion below:
In order to determine how effective an intervention is, a P.Q. uses 5 measures or indicators of family functioning. One of them is the changes in interaction patterns whereby the nurse deems an intervention to be effective whenever interaction patterns remain unchanged and renders the intervention problematic whenever there are significant or great changes in the way the individuals in the family interact. For example, conflict and interpersonal tensions emanating from a given intervention may inhibit marital quality between husband and wife hence the nurse can utilize the Dyadic Adjustment Scale to assess the satisfaction of couples’ in the relationship (LCIRN, 2023). This improves communication and adaptability between couples especially the migrant farm workers who are often forced to separate due to work. Effective communication is another measure of family functioning. It entails the degree to which members of the family are able to communicate with each other, share ideas, collaborate to find solutions to family problems, as well as moving through problems as a cohesive unit. A clinical example of this is when a wife is unable to communicate problems facing her or the children to the nurse for fear of her husband’s reaction. The nurse can use the Family Assessment Device (FAD) to determine or measure the family’s structural characteristics and hence understand the best approach to improve the communication dimension (LCIRN, 2023). In clinical settings, the P.Q. uses this measure to discover the various areas where the family might find it hard to work together and hence vulnerable to failure of interventions, say inability to offer physical, emotional, and psychological support to a sick family member undergoing medical interventions (Rueff).
The measure of the ability to express emotions comes in handy in allowing the nurse to put all the factors into consideration whilst exploring the most fitting intervention to use on a given family member. The Family of Origin Scale (FOS) can be used in clinical settings to determine the subscales of the broader Autonomy Dimension relevant to the case presented. These subscales include acceptance of loss and separation, openness to others, and expressions of clarity (LCIRN, 2023). A good measure of this fosters effective communication and effective involvement of the entire family in the recovery process. Moreover, it underpins the measure of affective responsiveness to specific individual needs of family members. Problem-solving ability is measured by the P.Q. to understand the Intimacy Dimension whereby FOS can be used to determine the conflict resolution and trust subscales (LCIRN, 2023). The P.Q. may use the FAD scale in clinical settings to determine the other measures of family functioning namely; the ability to express emotions, responsiveness to individuals, and problem-solving ability. FAD provides metrics to determine the family’s transactional, organizational, and structural traits. Additionally, the P.Q. can measure problem-solving ability by use of the Conflict Behavior Questionnaire that explores levels of relationship distress in family functioning as well as the Brief Family Relationship Scale to assess children’s perception of family functioning quality and family relationships (LCIRN, 2023).
To attain maximum health potential in family individuals, the nurse can incorporate other parameters besides physiological ones (such as blood pressure, heart rate, immunological functions, serum levels of cortisol and other stress hormones, and body temperature (Sapra et al., 2023) in the health assessment. With reference to case 2 presented, the other parameters I can suggest include psychological, socio-economical, family history (health history and migration status), and emotional parameters (to determine family distress levels and more so that of children). The family developmental stages include the forming and nesting stage (early stage), the family separating process (middle phases), and the finishing stage (last phase). Examples of the early stage include coupling in which the family is established by two individuals either married or not. The early stage also involves the coming of a dependent member (children). An example of the middle phase is when the first child moves into the extra-familial environment for example school, whereby the child gains partial independence. Other examples of the middle stage include expansion and exits. Expansion is where the last dependent family member enters the community. Exits incorporate the establishment of a marriage-bound independent family entity or simply a new independent household entity within the family. The last stage entails the continuous expansion of members’ independence as all dependent ones (children) make an exit into the world and create extended family entities. Another example of the last stage is the ending phase whereby either spouse or both dies (Khalil Center, 2023). A family structure that consists of both biological parents offers good protection to the children throughout tender age and adolescence from issues of mental health as well as emotional support. Healthcare is better offered to such children whereas there is a greater likelihood for children raised in extended families to be neglected emotionally and hence at risk of poor maternal health, child health, and ultimately poor mental health (Turagabeci et al., 2007).
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