prompts 1 and 2 Paper


Please respond to the discussion prompt. Week 2 CHAPTER 1-4

Discuss why it is important for advanced practice nurses to integrate conceptual and theoretical frameworks when working with families (whether geriatric, young adult, or pediatric patients). Why do you think it is critical for the advanced practice registered nurse to agree on what the health issue is for the family?

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. This is required. In addition, you may also provide an example case, either from personal experience or from the media, which illustrates and supports your ideas.  All sources must be referenced and cited using correct APA (including a link to the source).


Conceptual and theoretical frameworks are the building blocks and the foundation for many nursing theories and practices. It is important to implement these frameworks into practice because it helps to focus the scope of advanced practice nurses while taking care of a specific population. Using nursing conceptual and theoretical frameworks helps to differentiate between a medical perspective and focuses on looking at families and each individual patient with a lens to be able to “be truly present in the lives of their patients” (Wilson & et al., 2014). It is crucial to be present for the patients and the families as a whole because advanced practice nurses need to care for them.

It is also critical for the advanced practice registered nurse to agree on what the health issue is for the family because the care is developed to be specific for each patient and each family. Having a good understanding and being in agreement with what the health issue is for the family will guide the care better and be better suited for the family. Also, agreeing on what the health issue is for the family helps to convey and support four core concepts in family health: respect, information sharing, participation, and collaboration (Cowling, 2015). If the family and nurse are in agreement with what the health issue is, an environment of understanding and collaboration is fostered to work together on what the health issue is. Having the participation of both the family and the nurse in unison helps in identifying other health issues and identifying the needs of the family as well. The advanced practice registered nurse can also act as the liaison between each family member as well if there are more difficult family dynamics. And, one other reason why it is so critical for the advanced practice registered nurse to agree on what the health issue is is because nursing care is always about the patient and now about the family as well. It is important to identify patient needs, to incorporate the preferences, and assist in the care whenever there is a need (Clay & et al., 2016).


Theoretical frameworks can guide and assist clinicians in problem-solving by using more than one concept in their care. Integrating frameworks to tackle a health problem from different perspectives can provide multiple solutions for healthcare providers that tailor interventions. Our textbook (Kaaniken et al., 2015) states that no one theoretical perspective applies to all healthcare settings. A clinician must carry a broad base of theoretical knowledge on which to assess and intervene with the complex health events experienced by families. Each patient has a unique situation that requires targeted focus, whether it is a physiological, psychological, or spiritual need. Care is organized around the family, where providers partner with them to identify and satisfy the full range of patient needs and preferences (Ortiz, 2018). Every family requires different interventions because what might be suitable for one might not be appropriate for another. A patient in the acute hospital setting, outpatient primary care, assisted living, palliative care, and hospice care will all require different strategies. Illness and role strains within families can inflict vulnerability and powerless which is why it is important for clinicians to maintain transparency in care and involve the family in decision-making to include everyone. A family that received a terminal illness diagnosis will require coping strategies and resources that are different from another family who is caring for a member who was in a motor vehicle accident or one that is expecting a new child. Nursing concepts and principles keep nurses focused on proper care coordination that is uniquely based on the needs of those they serve.

The use of numerous theoretical approaches in practice to assess and intervene with families is crucial to ensure that the unique needs of the family are met, uncover any gaps in enacting a plan, and offer resources to the family. Clinicians are tasked with gathering, examining, organizing, and analyzing the data to craft a clear view of the family’s story using the theoretical teachings to guide that process.  According to the Family Assessment and Intervention Model, families are subject to tensions when stressed and their reaction to it depends on its impact and their coping capabilities to adapt (Kaaniken et al., 2015). It focuses on health promotion, family reaction to stress, and utilizing proper coping mechanisms. Meanwhile, the Friedman Assessment Model focuses on a family’s structure (values, communication, hierarchy), functions (activities and purposes), and relationships with other social systems (religion, education, and health) that all interrelate to one another (Kaaniken et al., 2015). Using these assessments for family-centered care, clinicians can then utilize different theoretical foundations aimed at treating the family for drawing proper interventions. If a family member has been diagnosed with a chronic illness, such as type 1 diabetes, interventions from the conceptual framework from the Chronic Illness Framework and Family Systems Theory can be initiated. Identifying strengths and building coping mechanisms to prevent caregiver burnout targets the family-centered care focus of the Chronic Illness Framework while the Family Systems Theory interventions will focus on fortifying positive interactions of communication between family members to assist with coping. Nurses already utilize theoretical nursing concepts in everyday care to guide their practice that range from Orem, Nightingale, Roy, Henderson, and many others. Family-nursing care theories will add another layer of background knowledge for advanced practice nurses to draw from when enacting care for both the patient and their family.

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