Overview
This lecture discusses the planning phase of the Family Nursing Care Plan (FNCP), focusing on prioritization, setting SMART objectives, and effective collaboration with families.
Features of a Family Nursing Care Plan
- FNCP serves as a blueprint for systematically addressing family health or nursing problems.
- The planning phase follows after assessment and diagnosis in the nursing process (APPI).
- The core elements are approaches, strategies, activities, methods, and materials aimed at problem-solving.
- Plans must follow SMART principles: Simple, Measurable, Attainable, Realistic, and Time-bound.
- FNCP should be continuous, regularly evaluated, and updated based on family needs.
- Must be based on clear, explicit, and existing problems as determined in the assessment and diagnosis.
Qualities and Importance of Planning
- FNCP should be realistic and developed collaboratively with the family to encourage independence.
- Planning individualizes care, sets priorities, promotes communication, ensures continuity, and coordinates care among providers.
- Written form is essential for clarity, continuity, and accountability.
- Leaders/delegates roles, but supervision and group cooperation are vital for effective planning.
Prioritization of Health Problems
- After assessment, prioritize problems using four criteria: nature, modifiability, preventive potential, and salience (family’s perception).
- Assign scores to each criterion, calculate weighted totals, and rank problems to establish priorities.
- Modifiability has the highest weight; if a problem is non-modifiable (e.g., inborn conditions), interventions may be limited.
- Nature of problem includes: wellness, health deficit, health threat, or foreseeable crisis.
- Problems with the highest computed scores are prioritized in the FNCP.
Setting Goals and Objectives
- Goals are general statements, and objectives are specific, measurable outcomes.
- Objectives guide interventions and form the basis for evaluation of outcomes.
- Goals and objectives must be mutually agreed upon with the family.
- Barriers include lack of family recognition, time, or unwillingness to participate in care.
Evaluation
- Evaluate if objectives are fully met, partially met, or not met; this determines the effectiveness of interventions.
- Immediate, intermediate, and long-term objectives should be set.
Types of Interventions
- Anticipatory interventions: Preventive/promotive actions taken before health issues arise (e.g., health education, immunization).
- Compensatory interventions: Measures to manage or cope with existing health problems (e.g., treatment, rehabilitation).
Key Terms & Definitions
- Family Nursing Care Plan (FNCP) — A systematic plan to address family health problems.
- SMART — Criteria for goal setting: Simple, Measurable, Attainable, Realistic, Time-bound.
- Modifiability — The degree to which a health problem can be altered by intervention.
- Salience — The family’s perception of the significance of a health problem.
- Anticipatory Intervention — Preventive action before the disease/problem occurs.
- Compensatory Intervention — Actions taken after a problem has occurred to reduce impact.
Action Items / Next Steps
- Review prioritization criteria and practice scoring sample family health problems.
- Prepare a written FNCP for assigned families, ensuring SMART objectives and collaboration.
- Watch the video on FNCP format and prepare for the next session on implementation.