SAINT LOUIS UNIVERSITY
School of Nursing
FAMILY HEALTH NURSING PROCESS FORMAT AND OVERVIEW
I. FAMILY NURSING ASSESSMENT
A. Family structure, characteristics and dynamics
B. Socio-economic and cultural characteristics
C. Home and environment
D. Health status of each family member
E. Values and practices on health promotion, maintenance and disease prevention
II. FAMILY NURSING DIAGNOSIS
A. First level assessment (List of categorized health conditions and or problems)
1. Wellness states
2. Health deficits
3. Health threats
4. Stress points / foreseeable crisis
B. Second level assessment (with active participation of family)
Health Conditions and / or Problems and Cues Family Nursing Diagnoses
III. DEVELOPING THE FAMILY NURSING CARE PLAN
A. Tables of prioritization (based on the list in II.A)
Health condition or problem: _____________________________________
Criteria &Total Interpretation and Justification Scoring and Computation Actual Score
B. List of prioritized health conditions and or problems (from highest to lowest)
Health Conditions and / or Problems Actual Score Date
Identified Resolved
C. Family nursing care plan
Health Condition Goal and Objectives of Intervention Plan Evaluation Plan
and / or Care Method of contact, Resources Outcome criteria Methods / tools
Problems proposed actions, available in the
methods of teaching family
A WITH CONFORME FROM FAMILY THROUGH CONTRACTING.
IV. IMPLEMENTING AND MONITORING THE FAMILY NURSING CARE PLAN (SERVICE & PROGRESS NOTES)
Date Health Condition and Nursing Observations & Actions Taken Evaluation Results (Responses & Signature over
or Problems Progress/Outcomes Printed Name
V. OVER-ALL EVALUATION OF THE FAMILY NURSING CARE PLAN & PARTNERSHIP
(End-of-the-rotation/Semester)
A. General comments (qualitative and quantitative)
Bases of qualitative evaluation Comments from Family Comments from Student Assigned
Positive comments/experiences
Negative comments/problems encountered
Learning insights
Bases of quantitative evaluation Total Resolved / Done %
(indicate #)
Family problems identified
Family health tasks 5
B. General recommendations (check appropriate box)
Terminate if:
Criteria Follow-up Actions
* 80-100 % of the family problems were resolved Give psychological paycheck/recognition to family
* 80-100 % of the family health tasks done by family Endorse to BHW & RHM for monitoring of
continued behavior change
* Productive learning insights from both evident SN visit sporadically for monitoring purposes
* Other criteria deemed necessary
Criterion Follow-up Action
* Family refuses to accept another student Find out reasons
Continue the relationship through endorsement to the next student: WITH CONFORME FROM FAMILY
Criteria Follow-up Actions
* 0-79 % of the family problems not resolved Ask family to sign agreement for next relationship
------------------------------------------------------------------------------------------------------------------------------------------
SLU-SON | P a g e 1
SAINT LOUIS UNIVERSITY
School of Nursing
* 0-79 % of the family tasks not being done by family Endorse FNCP notebook to the CI, who will,
* With generally positive comments re relationship in turn, endorse it to the next CI or student.
Ref: Maglaya, Araceli et al. Nursing Practice in the Community. Marikina City: Argonauta Corporation, 2009.
Teacher’s Module: Family-Based Nursing Process for Health Care II utilized by Level II. Unpublished but utilized by Level II Faculty, 2007
------------------------------------------------------------------------------------------------------------------------------------------
SLU-SON | P a g e 2