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1. 6 pages (rubric attached)2. APA format3. Family: I was thinking of a family with a Mom and 3 daughters. Single mother who works nightshift with no access to healthcare. They live in a two bedroom apartment in a small town of 45, 000 population. Daughters are 9, 6 and 4. Mom works at Walmart and is 26 years old and receives day care help from her parents. Her parents are her biological parents and she has one brother and one sister. The father is not in the picture and mother sleeps most of day to prepare for work. The grandparents are very involved with care and are very old fashion catholics who have been married for over 30 years. 4. Book: Friedman, Marilyn M. (2003). Family nursing : research, theory & practice. Upper Saddle River, N.J. :Prentice Hall5. Notes attached
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N3352 Legacy of the Family
Family Analysis Project
Submit by 2359 Saturday of Module 5.
NOTE: You will create and upload an original Word file for this assignment instead of typing
directly into this document.
Overview
Select one (1) family based on personal/professional acquaintance, to complete a
comprehensive, written assessment/analysis using the criteria listed below (based on class
notes and readings). DO NOT use your family of orientation (family of origin) or your nuclear
(conjugal) family. (For definitions, see the Glossary of Terms in Friedman et al, Family Nursing
textbook.
Objectives



Examine the impact of functional patterns and role structure on the family.
Examine family relationships and communication patterns.
Identify influences on family health promotion.
©2013 University of Texas at Arlington
Page 1 of 5
N3352 Legacy of the Family
Grading Rubric
Family Analysis
Project
Target
60 points max
Acceptable
At least 42 points
Unacceptable
Less than 42 points
Introduction
(5 points)
Introduction is present and
forecasts content of the
paper.
(4-5 points)
Introduction is present and
forecasts the content of the
paper. (3-4 points)
Introduction is present.
(0-1 point)
Description of
Nuclear Family or
Variant Family Form
(8 points)
Comprehensive
description of nuclear
family or variant
family form;
demographic trends
(composition, form,
ages, educational
level); developmental
stage
(7-8 points)
Adequate description of
nuclear family or variant
family form; demographic
trends (composition, form,
ages, educational level);
developmental stage
(4-6 points)
Minimal description of
nuclear family or variant
family form; demographic
trends (composition, form,
ages, educational level);
developmental stage. Some
elements may be missing.
(0-3 point)
Sociocultural Data:
Cultural/Ethnic
Asessment; Social
Class Status
(5 points)
Comprehensive description
of the sociocultural data,
including an assessment of
cultural/ethnic and social
class status
(4-5 points)
Adequate description of the
sociocultural data, including
an assessment of cultural
ethnic and social class
status
(2-3 points)
Minimal description of the
sociocultural data, including
an assessment of cultural
ethnic and social class
status
(0-1 point)
Genogram & Ecomap
(14 points)
Genogram represents a
minimum of 2 generations;
Uses correct symbols to
demonstrate relationships;
Includes symbol legend
Ecomap identifies family
relationships inside the
middle circle;
Uses external circles to
include representation from
multiple formal and informal
support systems;
Identifies the nature of
relationships between
family members and
support systems;
Includes legend
(12-14 points)
Genogram represents only
1 generation;
Uses mostly correct
symbols to demonstrate
relationships;
Includes symbol legend
Ecomap identifies family
relationships inside the
middle circle;
Uses external circles to
include representation from
some formal and informal
support systems;
Identifies the nature of
some of the relationships
between family members
and support systems;
Includes legend
(7-11 points)
Genogram is incomplete;
Uses some correct symbols
to demonstrate
relationships;
Includes symbol legend
Ecomap identifies some
family relationships inside
the middle circle;
Uses external circles to
include some
representation from formal
and informal support
systems;
Identifies the nature of a
few of the relationships
between family members
and support systems;
Includes legend.
(0-6 points)
©2013 University of Texas at Arlington
Page 2 of 5
N3352 Legacy of the Family
Environment:
Physical
Setting (Home,
Neighborhood,
Community)
(5 points)
Clearly depicts the
physical environment,
including the home,
neighborhood, and
community.
(4-5 points)
Depicts some of the
physical environment,
including the home,
neighborhood, and
community.
(2-3 point)
Depicts some of the
physical environment,
including the home,
neighborhood, and
community.
(0-1 point)
Communication
(5 points)
Carefully describes the
quality and methods of
communication within
the family
(4-5 points)
Generally describes
some of the quality
and/or methods of
communication with the
family
(2-3 point)
Inadequately describes
some of the quality or
methods of
communication with the
family
(0-1 points)
Power Structure:
Hierarchy; Power Bases;
Coalitions
(5 points)
Clearly explains the
power structure within
the family, including
the power hierarchy,
power bases, and
coalitions
(4-5 points)
Adequately explains the
power structure within
the family, including the
power hierarchy, power
bases, and coalitions
(2-3 point)
Inadequately explains
the power structure
within the family,
including the power
hierarchy, power bases,
and coalitions
(0-1 points)
Role Structure:
Relationships (Formal &
Informal)
(5 points)
Clearly describes the
roles within the family
and how they relate to
one another, both
formally and informally
4-5 (2 points)
Adequately describes the
roles within the family
and how they relate to
one another, both
formally and informally
(2-3 point)
Inadequately describes
the roles within the
family and/or how they
relate to one another
(0-1 points)
Values: Norms & Rules
(5 points)
Thoroughly explains
the values of the family
as demonstrated
through its norms and
rules
(4-5 points)
Adequately explains the
values of the family as
demonstrated through its
norms and rules
(2-3 point)
Inadequately explains
the values of the family
as demonstrated
through its norms and
rules
(0-1 points)
Spiritual Activities
(5 points)
Thoroughly explains
the spiritual activities of
the family and their
role in their lives
(4-5 points)
Adequately explains the
spiritual activities of the
family and their role in
their lives
(2-3 point)
Inadequately explains
the spiritual activities of
the family and their role
in their lives
(0-1 points)
Socialization: Child
Rearing Practices; Intrafamily Support/Social
Network; Recreational/
Leisure Activities
(5 points)
Carefully explains each
aspect of socialization
in the family unit as
outlined to the left.
(4-5 points)
Explains some aspects of
socialization in the family
unit as outlined to the
Left. (2-3. Points)
Fails to explain some
aspects of socialization
in the family unit as
outlined to the left.
(0-1 points)
©2013 University of Texas at Arlington
Page 3 of 5
N3352 Legacy of the Family
Adaptation: Role
Conflicts/ Overload/
Changes; Coping
Strategies (Functional &
Dysfunctional); ProblemSolving Skills
(4 points)
Effectively explains the
adaptability of the
family through its role
conflicts, handling of
overload/changes,
coping strategies, both
functional &
dysfunctional, and
problem-solving skills
(3-4 points)
Attempts to explain the
adaptability of the family
through some of the
following: handling of role
conflicts, handling of
overload/changes,
coping strategies, both
functional &
dysfunctional, and
problem-solving skills
(1-2 point)
No attempt to explain
the adaptability of the
family through some of
the following: handling
of role conflicts,
handling of
overload/changes,
coping strategies, both
functional &
dysfunctional, and
problem-solving skills
(0-1 points)
Health Care:
a.Beliefs Regarding
Health/ Illness
b.Practices Including
Promotion/ Prevention
Efforts
5 points)
Comprehensively
covers the healthcare
beliefs regarding
health and illness, as
well as practices to
promote health and
prevent illness.
(4-5 points)
Adequately covers the
healthcare beliefs
regarding health and
illness, as well as
practices to promote
health and prevent
illness.
(2-3 points)
Minimally covers some of
the healthcare beliefs
regarding health and
illness, as well as
practices to promote
health and prevent
illness.
(0-1 points)
Interventions:
a.Recommendations for
Strengthening
/Maintaining the
Family’s Health
b.Discuss Interventions
Based on at Least One
Theoretical Framework
1) Health Belief Model
(textbook, pp. 431432) or
2) Health Promotion
Model (pp. 432-434)
(14 points)
Completely outlines
recommendations for
strengthening/maintaini
ng the family’s health
and discusses
interventions based on
at least one theoretical
framework from the
Health Belief Model
mentioned in the
textbook (pp. 431-432)
or from the Health
Promotion Model (pp.
432-434)
(12-14 points)
Outlines
recommendations for
strengthening/maintain
the family’s health and
discusses interventions
based on at least one
theoretical framework
from the Health Belief
Model mentioned in the
textbook (pp. 431-432) or
from the Health
Promotion Model (pp.
432-434)
(9-11 points)
Offers a few
recommendations for
strengthening/
maintaining the family’s
health and discusses a
few interventions.
(0-8 points)
Summary/Conclusion
(5 points)
Includes summary and
conclusion
(4-5 points)
Includes summary and
conclusion
(2-3 points)
Missing summary and/or
conclusion
(0-1 points)
Format, Length, and
Quality of Writing
(5 points)
Accurately follows APA
format, is within the
required length, and is
free of errors.
(4-5 points)
Mostly follows APA
format, is within the
required length, and has
few errors.
(2-3 points)
Loosely follows APA
format, is within the
required length, and
contains many errors.
(0-1 point)
©2013 University of Texas at Arlington
Page 4 of 5
N3352 Legacy of the Family
Instructions
Once you have selected the family to study, begin your analysis. Use the Rubric on the previous
pages to guide your work.
CONFIDENTIALITY ALERT!
DO NOT USE LAST NAMES FOR FAMILIES THAT ARE PERSONAL OR
PROFESSIONAL ACQUAINTANCES. USE INITIALS or FIRST NAMES ONLY.
Address each criterion listed in the Rubric in sufficient depth to reflect the data you obtained,
your analysis of the data, and your recommendations for interventions. Be sure to include
specific examples to validate your analysis. You must use references (textbook, class notes,
others), and these must be cited throughout your paper.
Submit your analysis in formal writing, typed using APA format. The limit is six (6) content
pages. Once your paper is complete, you will follow the on-screen instructions to upload the
document into the system.
©2013 University of Texas at Arlington
Page 5 of 5
N3352 Legacy of the Family
Class Notes: Week 2
Family Power & Decision Making (Chapter 11)



Influential (formal & informal)
Decision-making
Authoritative (legitimate power)
Assessment of family power bases

















Legitimate power/authority
Parental rights
Matriarchal or patriarchal patterns
Powerless/helpless power
Manipulative “victim”
Referent power
Association
Resource/expert power
Money or possessions
Special knowledge, skill, experience
Coercive/dominant power
Threats, punishment, coercion, violence
Informational power
Affective power
Manipulation by withdrawing affection
Tension management
Pouting, debating, crying
Power by control







Decision making
Consensus
Negotiation
Accommodation
Willing/unwilling concessions
Coercion/bargaining/ compromising
De-facto
o by “default”
©2010 University of Texas at Arlington
Page 1 of 3
N3352 Legacy of the Family
Assessing family power
When assessing family power, focus particularly on the following characteristics:
Hierarchy

Pecking order
Family form




Two parent
Single parent
Stepparent
“Child” parent
Family coalitions



Parental
Parent-child
Sibling
Family network


Balanced
Imbalanced
o “Go-betweens”
Overall family power




Autocratic
Single member dominates
Syncratic
Mutual decision-making
o Autonomic
o Independent
Family Role and Structure (Chapter 12)
According to Friedman (1996), adequate role functioning is crucial not only for the individual
family member, but for the family unit as well. The functions of the family are fulfilled through
member roles.
Formal roles






Provider
Housekeeper
Child care
Child socialization
Recreational
Kinship
©2010 University of Texas at Arlington
Page 2 of 3
N3352 Legacy of the Family


Therapeutic
Sexual
Informal family roles











Encourager
Harmonizer
Initiator/contributor
Compromiser
Blocker
Dominator
Scapegoat
Placator
Caretaker
Distractor
Go-between
Influences on family roles






Social class
Family forms
Ethnic background
Family developmental stage
Role models
Situational events
o Health & illness
Adequate assessment of family power and roles provides the nurse with greater
understanding of the family’s health status.
©2010 University of Texas at Arlington
Page 3 of 3
N3352 Legacy of the Family
Class Notes: Week 3
Cultural Aspects of Family
Culture (Falicov, 1988)

A set of shared world views and adaptive behaviors derived from simultaneous
membership in a variety of contexts
o nationality & ethnicity
o religious background
o political leanings
o geographic setting, etc.
Broad definition of culture







Ethnographic variables
Nationality, ethnicity, language, religion
Demographic variables
Age, gender, place of residence
Status variables
o social, economic, education
Affiliation variables
Formal & informal group memberships
Why the focus on culture in nursing?
“Clients have a right to have their sociocultural backgrounds understood in the same way
that they expect their physical and psychological needs to be recognized and understood.” Leininger (1995)
Lack of cultural insight can result in:




Poor communication.
Interpersonal tension.
Inability to work effectively with others.
Poor assessment of health problems & remedies.
Cultural dissimilarity can lead to incongruent:



Goal expectations.
Rapport.
Communication styles.
© 2013 University of Texas at Arlington
Page 1 of 4
N3352 Legacy of the Family

Client acceptance of ideas or recommendations.
Ethnicity (more focused than culture)





A common ancestry
Sense of “peoplehood”
Group identity
Shared social & cultural history
Shared values & customs
2008 Texas statistics (estimates) ¹

Black persons (11.9%)

Non-Hispanic white persons (47.4%)

Hispanic/Latino origin persons (36.5%)

Persons reporting 2 or more races (1.3%)

Asian persons (3.5%)

American Indian/Native Alaskan persons (0.8%)

Native Pacific Islander persons (0.1%)

White persons (82.4%)
¹ http://quickfacts.census.gov/qfd/states/48000.html
Race


Biological variation
Physical characteristics
Remember, race can vary in terms of ethnicity & culture. There is also great variation within
ethnic groups.
Stereotyping





Labeling
Generalizing
Lack of recognition of individual differences
To avoid stereotyping, remember “norms” are a clue to family background.
These culturally derived patterns need to be verified with assessment for each
family.
© 2013 University of Texas at Arlington
Page 2 of 4
N3352 Legacy of the Family
The “traditionalist fallacy” (Tripp-Reimer & Lauer, 1987)


Clients may not want traditional beliefs and customs incorporated into their care if
alternative approaches are acceptable.
Ethnic clients may not wish to remain unassimilated.
Acculturation (two-way)


Internalization of the dominant culture’s norms and values
Dominant culture also influenced by exposure to the ethnic or subcultural groups
within its boundaries.
Assimilation (one way)


One culture absorbed into the dominant culture
Minority culture may totally be extinguished.
Biculturalism



Participation in two cultural systems
Requires two sets of behavior & ways of thinking
An important adaptive strategy
Cultural relativism



Perspective that cultures are neither inferior nor superior to one another
No single scale for measuring the value of a culture
Customs, beliefs, & practices must be judged or understood relative to context.
Cultural imposition


Belief that one’s cultural beliefs and practices are superior and proper
Force own values, beliefs, and practices on others
Focus areas for cultural assessment










Family’s self-identified ethnic background
Degree of acculturation
Languages spoken, particularly in home
Family’s religion or spiritual beliefs
Ethnic group affiliation
Dietary habits & dress
Household décor
Customs & beliefs about life transitions
Beliefs about health & health problems
Use of traditional healing methods
© 2013 University of Texas at Arlington
Page 3 of 4
N3352 Legacy of the Family
As you view the assigned movie for this week, apply the content from this lecture when you
assess the movie family’s culture. Be sure to recognize how your assessment would affect
your nursing interactions with this family. Are you more aware of cultural issues that you
might not have noticed prior to this week’s discussion and readings?
© 2013 University of Texas at Arlington
Page 4 of 4
N3352: Legacy of the Family
Class Notes: Week 4
General Family Interventions (Chapter 7)
Family interventions






Nursing treatments that assist families & their members to promote, attain, or
maintain optimal health & functioning or to experience a peaceful death
Teaching
Role modeling
Anticipatory guidance
Counseling
Contracting
Nurse’s collaborative role






Patient/family
Physician
Nurse practitioner
Social worker
Psychologist
Physical/occupational therapists
Family-oriented nursing specialization





Family & child abuse
Family crisis intervention
Genetic counseling
Health promotion
Parenting
©2010 University of Texas at Arlington
Page 1 of 1

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