NR 501 Week 5 Assignment-Annotated Bibliography

Family Systems Theory

Article 1

Concept Analysis of Family Centered-Care in Hospitalized Pediatric (2021). https://doi.org/10.1016/j.pedn.2018.06.014.

Summary: This article regarding family-centered care in hospitalized pediatric patients goes into depth regarding the need for family-centered care to promote overall maximum health outcomes for these patients. This article goes into depth by questioning/surveying the patients and nursing staff to determine their understanding of this theory and if it is incorporated into their care at the hospitals they are employed or cared for. This article proves that family-centered care is not taught much during educational programs but is learned through practice and experiences.

Relates to theory: This article relates to this theory because it questions the education/understanding that nurses have as it pertains to incorporating the family systems theory in their care given to patients. Family systems theory includes family dynamics and coping skills/mechanisms in the healthcare staff’s evaluation and treatment plan. Each family dynamic is different. Therefore, different patients require other treatment plans to be specifically molded to their situation regarding family coping mechanisms and what will allow for the best health outcome for this family and their case.

NR 501 Week 5 Assignment-Annotated Bibliography

NP practice: This article relates to the practice of a nurse practitioner because, as a nurse practitioner, it is essential to understand how much of an impact family members and family dynamics can have on the care and treatment of the patients. It is necessary to assess and make changes in care and treatment based on the needs of the family and the patient.

This can be emotional, financial, or spiritual changes and adjustments to give the patient a unique plan of care that fits the needs of the patient and the family. This is important to the NP practice as it is not often taught and will need to be a concept taught and learned throughout preparation.

 Article 2

Zhang Family functioning in the context of an adult family member with illness: A concept analysis. J Clin Nurs. 2018 Aug;27(15-16):3205-3224. doi: 10.1111/jocn.14500. PMID: 29700875; PMCID: PMC6105391.

Summary: This article details how family functioning and dynamics can be used in healthcare to promote and achieve health goals. The report gathers data using a sample group of healthcare workers and patients. The report identifies developing instruments to assess family functioning, the design of family-based interventions, and their application in clinical practice. There are no set ways to identify family function in the healthcare setting.

Relates to theory: This article relates to this specific theory because it identifies that there are no instruments to adequately and accurately evaluate family dynamics. This theory is all about family-centered care and the understanding that incorporating the family dynamics in the patient’s care can result in better overall outcomes for the patient and the family of the patient, but how are nursing staff or providers to do this evaluation of the family if there are no set tools to do so? It is based on the provider’s evaluations/assessments regarding the patient’s family dynamics and needs. Still, each provider is from a different background and has different views or beliefs. Hence, this raises inconsistencies between providers and the ability to utilize this theory because it is based on each provider instead of a commonly used tool to identify family needs.

NP practice: This article relates to NP practice and uses this theory to explain that there is currently no tool or instrument to assess patient’s family dynamics and needs consistently. As a Nurse Practitioner, knowing how to evaluate and adjust care plans based on the patient and their family’s requirements regarding their illness or treatment plan is essential.


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