Plan and evaluate evidence – based nursing for families across the lifespan. Instructions
Written assignment:
“Nursing Process applied to a Family”
2,000 words
Weighting
:
40 %
Due Date
: Monday 21st August, 2017 by 5.00 pm
Aim:
The aim of this written assessment item is to
apply
the nursing process in providing family
centred care. When an infant, young child or adolescent experiences a health or social issue,
the issue can impact upon all family members. Nurses working in acute care and community
settings need to understand the
functioning of the family unit so they can care for and assist
the whole family.
This written assignment addresses course learning outcomes 2 and 3
:
2. Demonstrate an understanding of the functioning of the family unit using family
assessment model
s that enable families to make health decisions;
3
.
Plan and evaluate evidence
–
based nursing for families across the lifespan.
Instructions:
This
2000 word
written assignment has
two
distinct parts that you should address
separately
.
Please use headings
for each part
.
You do
not
need to provide an introduction or a conclusion for
the written assignment or
any
of the
parts.
There are two family scenarios for you to choose from
;
select
ONE
scenario and use this for
your entire assignment.
Part 1
–
Nursing Care of the
Family
:
Assessment
(500 words)
Create
a
genogram
to visually depict the family’s structure.
You must use the
PowerPoint slide which
will be
supplied to you
within the Assessment Folder on
Learning@Griffith course
site
to
create
your genogram. Save the slide as a picture file
(*.jpeg)
,
and insert the picture into your document.
Below the genogram, summaris
e
the structure of the family
to demonstrate your
understanding of the family assessment findings
.
Us
e
the
Australian
Family S
trengths Nursing Assessment Guide (
AFSNAG)
to
identify
and briefly describe
t
wo
(2)
strengths of the family
you are assessing
.
2
Part 2
–
Nursing Care of the Family
: Planning, Implementing and Evaluating
(1,500
words)
Select
two
(2)
issues/challenges
for
the family or a member of the family
you have
selected
. These
issues
may be identified by the nurse, family or both.
These can be
health, social, or developmental family issues/challeng
es e.g.
,
breastfeeding, social
isolation, transition to parenting; they should
not
be ‘medical’ issues
e.g.
,
diabetes, high
blood pressure.
For
each
issue/challenge
identified in the family assessment
(
allow
approximately
750 words per issue
)
:
a)
Describe
the issue
o
U
se
appropriate evidence
from scholarly literature
to
describe the issue and
discuss
what is known
about the issue
/challenge
.
b)
Plan
nursing
care
o
P
rovide a relevant
nursing goal
and j
ustify the goal
(
explain
why it is
relevant
to
the issue)
using a
ppropriate evidence or policies
.
c)
Implement
nursing
care
o
O
utline one nursing intervention that supports the family to achieve the goal
.
Each nursing intervention should
be supplemented by
the recommendation of
an
existing
online resource
for the fam
ily and an appropriate referral.
d)
Evaluat
e
nursing care
o
De
scribe how you would evaluate the
effectiveness of the intervention
to address
whether it met the planned goal of care
.
3
Other elements:
Do
not
include a Griffith University cover page at the start of your assignment.
You will
agree to the assignment submission statements when you submit electronically
.
Refer
to the
Griffith Health Writing and Referencing Guide
for
guidance
on writing, and
referencing according to APA 6
th
style and presentation.
Ensure that you
use
relevant
scholarly literature
1
(digitised readings, research articles
,
relevant Government reports and text books) that has been published within the last
seven
(7)
years. If you use literature older than
7
years, you will need to
justify
why you
are n
ot using recent literature
. Please note it is preferable to locate and us
e Australian
sources
if you are describing the extent or magnitude of the issue.
Use academic language
2
throughout and write in the third person.
Refer
to the
marking criteria
when writing your assignment. This will assist you in
calculating the weighti
ngs of the sections for your assignment.
State your word count
(
excluding your reference list
) on
your
assignment
title page
.
Maintain
academic integrity
.
Submit
your assignment
as a word document (not a PDF).
Submit a draft assignment
via Turnitin
and check
your
Turnitin report
(allow up to 24
hours for report generation)
.
If you need more information about Turnitin, make use of
the online
resources
.
Submit your final assignment via Turnitin as per the instructions on the 2810NRS
Learning@Griffith course site
[Submit in the
‘Assessment’ tab].
Keep your Turnitin receipt as a record of successful submission.
1
Some papers are of central importance to a research topic, often because they report a major breakthrough,
insight, or a new
and generative synthesis of ideas. This kind of paper may describe a study that changes our
understanding of a topic, or describes and illustrates a new and highly useful research method. These kinds of
articles are often referred to as seminal or class
ic papers.
2
Everyday language is predominantly subjective. It is mainly used to express opinions based on personal
preference or belief rather than evidence. Written academic English is formal. It avoids colloquialisms and
slang, which may be subject to l
ocal and social variations. Formal language is more precise and stable, and
therefore more suitable for the expression of complex ideas and the development of reasoned arguments.
4
Family Scenario One:
The Williams Family
Parents:
●
Hannah Williams, 29, operates a successful clothes boutique business.
●
Steven Williams, 32, is an electrician for
an oil company in Gladstone, Queensland. Steven is
away for four weeks, then returns home for two weeks leave.
Background:
●
Steven and Hannah have been married for 3 years, following Hannah’s bitter divorce from her
first husband, Barry.
Steven
has not
been married before.
●
Hannah has a 5 year old son, Bill
y
from her first marriage and shares joint custody of her son.
●
Hannah
had
an uneventful first pregnancy and a normal delivery.
●
Billy
attends the local prep
–
school.
●
Hannah has had trouble conce
iving
with Steven, but is now 32
weeks pregnant with her
second child.
●
Hannah plans to stop working at 38 weeks gestation and
employ
a manager to take care of her
business for six months following the birth. After this, Hannah plans to return to work whilst
the
baby will attend the local day care centre.
●
The couple relocated to a larger three bedroom home in a coastal suburb on the southern Gold
Coast at three months gestation, increasing their mortgage to do so.
Extended family:
●
Billy
’s father (Hannah’s former
husband) Barry (36) is a lawyer and lives in a nearby suburb.
He is in a relationship with Jane (34), a primary school teacher. Jane and her two children
(from a previous relationship) Ronan (12) and Emi
ly (10), live with Barry. Billy
enjoys
spending time
with his father.
●
Hannah’s mother, Marion (52)
,
had postnatal depression (PND) after the birth of Hannah.
This remained undiagnosed and untreated until Hannah went to school.
●
Two years ago Marion retired to the northern Gold Coast. She is very supportive
of Hannah
and is looking forward to helping
more
with
her
grandchildren.
●
Hannah’s father, Sam (59), lives and works in the Philippines. He has a new Filipino wife,
Ariel (39) and they visit Australia twice a year.
●
Steven’s father, Henry, died last year at
64 years of age from coronary heart disease. He and
Steven’s mother, Mavis (59) had been married for 39 years. Mavis lives in Sydney, and is
trying to cope with the loss of her husband
.
Steven and family do not see her very often
.
Steven describes his fa
ther as a harsh disciplinarian who was not warm and
hit him with
a
belt
occasionally if he misbehaved as a child.
Current situation:
●
Hannah gave birth to a baby girl,
eight
weeks premature. Hannah was discharged from
hospital
six
weeks ago, and has been v
isiting her baby every day in
the
Special Care Nursery
in the hospital. The baby is now breast feeding, having been tube fed expressed breast milk
for the first week of life. The baby will be discharged from hospital tomorrow, into Hannah
and Steven’s care
. Hannah is planning to breastfeed the baby for the first six months before
she returns to work. She also plans to paint and make new curtains for the baby’s bedroom,
the lounge and dining areas to save some money. She likes to keep fit and hopes to join a
new
parents walking group to meet other new mums.
●
Due to work commitments over recent years and with the new move, Hannah and Steven
have not met many people on the Gold Coast, except for a small gro
up of mothers met
through Billy
’s prep
–
school. Since mo
ving to the Gold Coast Steven has taken up golf during
5
his time off work. He has joined the local Golf Club and plans to take the family there for
lunch soon, declaring that this might be a good place to meet some people.
●
Due to Hannah’s caesarean section
delivery, she has declined to resume any form of sexual
relationship with Steven, which he says he understands. He is anticipating that they will be
able to resume sex within a week or two, stating that
‘things will be back to normal again
soon’.
He adds that because Hannah is taking time off work he thinks she will be rested, more
relaxed and willing to resume their sexual relationship.
●
Steven is a little concerned about how they will manage financially during the first six
months, while a paid
manager is looking after Hannah’s business, so is keen for Hannah to
return to work full time. When asked about how he will manage being woken up by the baby
early in the mornings he says that,
‘Hannah can sort that as I will go for an early round of
golf
in the mornings when I’m home. And besides, she has done this all before wh
en Billy
was
a baby’
. He adds that he still plans to help with the cooking in the evenings when he is home.
In the weekends he is looking forward to family time as long as the baby
‘doesn’t cry too
much’
.
●
Hannah is concerned how she will cope with two small children, especially when Steven is
away working his four week rotation.
As the Child and Family Health nurse, the Midwife has notified you about Hannah and her
baby’s impending
discharge. You meet the family at the home visit when they are discharged
from hospital.
6
Family Scenario Two:
The Jenson Family
Parents:
●
Sheila Jenson, 24, is a stay
–
at
–
home mum, and Scott Jenson,
38
, is an accountant. They have
been married for 2
years.
Background:
●
Sheila met Scott while she was undertaking a TAFE course studying accountancy. Sheila has
completed a Diploma in Accounting but has not been employed since
finishing this
qualification
.
●
They have one daughter Jessie (2 years old) and a
newborn son Grant (4 weeks old).
●
Scott has been married twice before and has three sons (10, 8 and 6 years old) from his prior
marriage to Shelly and no children
from
his first marriage to Lydia.
●
Sheila stays at home with the children as Scott prefers S
heila to be able to have quality time
with the children before they go to school. Sheila would like to work part time
as a teacher
in
the future
however she will have to study again to do this. She might look for part
–
time
bookkeeping work when Grant is o
lder.
●
They recently moved to a four bedroom house set on 20 hectares of property 40 km from
town.
Extended family:
●
Sheila’s parents Mary (55) and Keith (60) live over 2 hours away although they visit
whenever they can.
●
Mary and Keith would like to come a
nd help Sheila more often but they prefer to come when
Scott is not home as he is not always welcoming. They generally come on weekends as they
are both still working so this makes it difficult. They adore Jessie but find her temper
tantrums difficult
,
par
ticularly since the birth of Grant.
●
Scott’s mother Brydey, 79, lives alone in an assisted living unit two hours away, but does not
feel settled there and is becoming increasingly forgetful and agitated. She moved there after
her husband Robert passed away
suddenly two years ago from bowel cancer at 84.
The only
time
Sheila has met Scott’s parents
was
at her wedding
to Scott
.
Current situation:
●
Sheila is finding it quite difficult having a toddler who does not sleep much
, who
is
not
toilet
trained and still in nappies
,
in addition to a new baby. Sheila is feeling rather isolated
,
particularly as they only have one car and Scott needs the car to drive to work. They live one
kilometre away from the closest bus stop which makes it diffi
cult to go anywhere.
●
Scott regularly comes home late from work and often brings work home with him. Scott
expects the house to be immaculate and dinner ready on the table when he arrives home from
work. Sheila has found this very difficult particularly wi
th the arrival of Grant.
●
Sheila is feeling very tired and discusses this with y
ou wh
en you attend a newborn home visit.
Grant is breast fed although Sheila says he cries all the time. Sheila has not had much sleep
over the past 4 weeks.
●
Sheila is also wo
rried about Jessie and would like to have her toilet trained. Jessie does not
sleep well and is eating very little. Jessie is also quite withdrawn and Sheila would like to take
her to day care but this is too far away by public transport. Her tantrums are
also annoying
Scott who gets very cross with her. You notice that Jessie is still sucking her thumb.
●
Sheila raises some concerns about the children when you do a home visit. Sheila discusses
Jessie’s increasing temper tantrums and not being toilet trained
in addition to her poor
7
sleeping.
She is also unsure about
getting Grant immunised, as Scot
t’s other children were
not immunised.
●
You refer to the hospital discharge notes regarding Grant’s pre
–
term birth and notice that there
had been some complication
s and Sheila had an emergency lower segment caesarean section
[LSCS] for foetal distress during her labour at 34 weeks.
●
His APGAR scores at birth were 3 at one minute, and 6 at five minutes.
●
He was in Neonatal Intensive Care Unit (NICU) on
CPAP
for 24 h
ours and spent two weeks
in Special Care Nursery (SCN) prior to discharge.
As the Child and Family Health nurse, you check Grant’s progress and notice that he
is
tracking along the 10
th
percentile line for weight, length and head circumference measuremen
ts
since discharge from hospital.
8
MARKING
CRITERIA
POSSIBLE MARK
Nursing care of the family: A
ssessment
U
ses the supplied template to create a genogram and insert it into the
body of the assignment.
Correctly uses text and symbols to visually
represent the family
and
create
s
an accurate, comprehensive genogram.
10
Accurately summarises the family structure and demonstrates
understanding of the family assessment findings
5
Clearly identifies and describes two family strengths using the
AFSNAG
5
Nursing care of the family
: Planning, Implementing and Evaluating
For each issue
:
Issue 1
Issue 2
a) Description of issue
/challenge
Describes a
n
issue/challenge experienced by the family or its members
Clearly and logically discusses
what is
known
about this issue
/challenge
10
10
b)
Planning nursing care
P
rovides a relevant nursing goal
Provides a clear, logical justification for the chosen goal (why it is
relevant to the issue)
5
5
c
) Implementing nursing care
Discusses one
appropriate nursing intervention to achieve the goal
Provides a clear, logical justification for the chosen nursing intervention
Supplements the nursing intervention by recommending an online
resource for the family and providing an appropriate referral
10
10
d
) Evaluating nursing care
Describes how the nurse would evaluate the effectiveness of this nursing
intervention
and whether it met the planned goal of care
5
5
All parts
–
REFERENCING
and USE OF EVIDENCE
The written assessment task is appropriately supported by
no fewer than
10
different sources
The sources are scholarly and are appropriately inserted in
–
text to
provide
relevant
e
vidence to support the point/s made
Referencing
(in
–
text citations and refere
nce list entries) strictly adheres
to
APA Style 6
th
Edition
guidelines.
Reference list starts on a
separate page.
10
All parts
–
PRESENTATION and STRUCTURE
Conforms to the
Assignment Presentation Formatting Guidelines
Includes assignment title page (
not
Griffith University as
signment
submission cover sheet)
Essay is well presented, with
correct spelling
,
grammar
, and
well
–
constructed sentence
and
paragraph structure
Uses
academic language
throughout
Word count
is stated and 2,000 words
or less.
10
Total marks
100
