Overview
This lecture explains the planning phase in the Family Nursing Process, focusing on the prioritization of health problems using specific criteria and a scoring system.
Planning in the Family Nursing Process
- Planning is the third step in the Family Nursing Process.
- Prioritization of health problems is essential because not all issues can be addressed at once.
- The Philippine setting commonly uses the ranking scale devised by Bailon in Maglaya for prioritizing family health problems.
Criteria for Prioritizing Health Problems
- Four main criteria for prioritization: Nature of the Problem, Modifiability, Preventive Potential, and Salience.
- Each criterion is scored and weighted to determine which health problem should be addressed first.
Nature of the Problem
- Classifies issues as Wellness Status, Health Deficit, Health Threat, or Foreseeable Crisis (Stress Point).
- Wellness Status and Health Deficit score 3, Health Threat scores 2, Foreseeable Crisis scores 1.
- Weight of this criterion is 1.
Modifiability of the Problem
- Assesses how changeable the problem is: fully, partially, or not modifiable.
- Factors: available knowledge, technology, interventions, and resources (family, nurse, community).
- Easily modifiable scores 2, partially modifiable scores 1, not modifiable scores 0.
- Weight of this criterion is 2 (most important).
Preventive Potential
- Looks at the possibility of preventing future problems if interventions are done.
- Factors: severity, duration, current management, and exposure risk.
- Highly preventable scores 3, moderately preventable 2, low preventable 1.
- Weight is 1.
Salience
- Measures the family’s perception of the seriousness and urgency of the problem.
- If the family acts immediately, score is 2; if not urgent, 1; if not recognized, 0.
- Weight is 1.
Scoring and Ranking Process
- Each identified problem is scored per criterion.
- Score is divided by the highest possible score per criterion, then multiplied by the weight.
- The sum of all weighted scores determines the priority; the highest total is the most urgent problem.
- Example: COVID-19 as a health deficit might score highest and be prioritized first.
Key Terms & Definitions
- Family Nursing Process — A systematic approach to identify, prioritize, and address family health issues.
- Nature of the Problem — Classification of the issue (wellness, deficit, threat, crisis).
- Modifiability — Extent to which a problem can be changed or managed.
- Preventive Potential — Likelihood of preventing future complications with intervention.
- Salience — Importance of the problem as perceived by the family.
Action Items / Next Steps
- Practice scoring and ranking identified family health problems using the four criteria.
- Prepare justifications for the scores assigned during prioritization.
- Review next steps: setting goals, creating objectives, and planning interventions for top priority problems.