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Copyright, iv
Reviewers, vii
Acknowledgements, ix
Introduction, xiii
Reflections On The First To Fifth Editions, xiii
A Snapshot Of 25 Years Of Progress And Paradigm Events In Family Nursing, xv
The Fifth Edition: What It Is, What Is New And Unique, xvii
Tour Of The Chapters, xviii
New Features In Fifth Edition, xxi
Chapter 1. Family Assessment and Intervention: An Overview, 1
Evolution Of The Nursing Of Families, 2
Family Assessment, 3
Calgary Family Assessment Model: An Integrated Framework, 4
Indications And Contraindications For A Family Assessment, 4
Nursing Interventions: A Generic Discussion, 6
Definition of a Nursing Inervention, 6
Context of a Nursing Intervention, 7
Intent of Nursing Interventions, 7
Nursing Interventions For Families: A Specific Discussion, 7
Conceptualization of Interventions with Families, 7
Indications and Contraindications for Family Interventions, 9
Development And Identification Of Nursing Interventions With Families, 11
Family Responses To Interventions, 12
Calgary Family Intervention Model: An Organizing Framework, 14
Nursing Practice Levels With Families: Generalist And Specialist, 14
Conclusions, 15
Chapter 2. Theoretical Foundations of the Calgary Family Assessment and Intervention Models, 19
Postmodernism, 20
Systems Theory, 21
Cybernetics, 28
Communication Theory, 29
Change Theory, 32
Biology Of Cognition, 42
Conclusions, 44
Chapter 3. The Calgary Family Assessment Model, 47
Structural Assessment, 49
Internal Structure, 50
External Structure, 60
Context, 62
Structural Assessment Tools, 70
Developmental Assessment, 85
Middle Class North American Family Life, 90
Divorce and Postdivorce Family Life Cycle, 104
Remarried Family Life Cycle, 108
Comparison of Professional and Low-Income Family Life Cycle Stages, 111
Adoptive Family Life Cycle, 111
Lesbian, Gay, Bisexual, Queer, Intersexed, Transgendered, Twin-Spirited Family Life Cycles, 114
Functional Assessment, 116
Instrumental Functioning, 116
Expressive Functioning, 117
Conclusions, 136
Chapter 4. The Calgary Family Intervention Model, 143
Definition And Description, 144
Interventive Questions, 145
Other Examples of Interventions, 149
Interventions To Change The Cognitive Domain Of Family Functioning, 150
Commending Family and Individual Strengths, 150
Offering Information and Opinions, 151
Interventions To Change The Affective Domain Of Family Functioning, 153
Validating or Normalizing Emotional Responses, 153
Encouraging the Telling of Illness Narratives, 154
Drawing Forth Family Support, 154
Interventions To Change The Behavioral Domain Of Family Functioning, 155
Encouraging Family Members to be Caregivers and Offering Caregiver Support, 155
Encouraging Respite, 155
Devising Rituals, 156
Clinical Case Examples, 157
Clinical Case Example 1: Difficulty Putting 3Year-Old Child to Bed, 157
Clinical Case Example 2: Elderly Father Complains His Children Do Not Visit Often Enough, 158
Clinical Case Example 3: Enuresis and Discipline Problems with Child, 159
Clinical Case Example 4: Social Isolation and Physical Complaints of Elderly Woman, 161
Conclusions, 165
Chapter 5. Family Nursing Interviews: Stages and Skills, 169
Evolving Stages Of Family Nursing Interviews, 171
Types Of Skills, 173
Development Of Family Nursing Interviewing Skills, 174
Conclusions, 181
Chapter 6. How to Prepare for Family Interviews, 183
Hypothesizing, 183
How to Generate Hypotheses, 186
Interview Settings, 190
Home Setting, 191
Office, Hospital, or Other ork Setting, 192
Who Will Be Present, 194
First Contact With The Family, 196
How to Set Up an Appointment, 197
Resistance And Noncompliance, 200
How to Deal With a Hesitant Family Member, 201
How to Deal With Family Nonengagement and Referral Sources, 203
Ideas About The Nurse–family Relationship, 205
Conclusions, 209
Chapter 7. How to Conduct Family Interviews, 211
Guidelines for Family Interviews, 211
Engagement Stage, 212
Assessment Stage, 218
Guidelines For The Remaining Interviewing Process, 233
Planning and Dealing With Complexity, 233
Intervention Stage, 237
Termination Stage, 240
Clinical Case Example, 240
Pre-Interview, 240
Interview, 241
Conclusions, 243
Chapter 8. How to Do a 15-Minute (or Shorter) Family Interview, 245
Key Ingredients, 247
Key Ingredient 1: Therapeutic Conversations, 248
Key Ingredient 2: Manners, 249
Key Ingredient 3: Family Genograms and Ecomaps, 251
Key Ingredient 4: Therapeutic Questions, 251
Key Ingredient 5: Commending Family and Individual Strengths, 252
Personal Example Of Involving Family In Nursing Practice (lmw), 253
Professional Example Of A Brief Family Interview Without Family Members Present, 256
Conclusion, 258
Chapter 9. How to Use Questions in Family Interviewing, 261
Questions in Context, 261
Example #1: Engage All Family Members and Focus the Meeting, 263
Example #2: Use Questions to Assess the Impact of the Problem/Illness on the Family, 264
Example #3: Use Questions to Elicit Problem-Solving Skills, Coping Strategies and Strengths, 266
Example #4: Use Questions as Interventions and to Invite Change, 269
Example #5: Use Questions to Request Feedback About the Family Meeting, 271
Conclusions, 273
Chapter 10. How to Avoid the Three Most Common Errors in Family Nursing, 275
Error 1: Failing To Create A Context For Change, 275
How To Avoid Failing To Create A Context For Change, 277
Error 2: Taking Sides, 279
How to Avoid Taking Sides, 279
Error 3: Giving Too Much Advice Prematurely, 281
How to Avoid Giving Too Much Advice Prematurely, 282
Conclusions, 284
Chapter 11. How to Document Family Interviews, 285
Initial Impressions, Observations, And Responses, 286
Recording System, 289
Assessment—How to Use the CFAM, 290
How to Develop a List of Strengths and Problems, 294
How to Summarize the Family Assessment, 298
Intervention—How to Use CFIM, 302
How to Record Progress Notes, 305
How to Record a Discharge Summary, 308
Issues In Recording, Storing, And Accessing Records, 311
Conclusions, 312
Chapter 12. How to Terminate With Families, 315
Decision To Terminate, 316
Nurse-Initiated Termination, 316
Family-Initiated Termination, 318
Context-Initiated Termination, 320
Phasing Out And Concluding Treatment, 320
Review Contracts, 320
Decrease Frequency of Sessions, 320
Give Credit for Change, 321
Evaluate Family Interviews, 322
Extend an Invitation for Follow-Up, 323
Closing Letters, 324
Referral To Other Professionals, 326
Prepare Families, 327
Meet the New Professional, 327
Keep Appropriate Boundaries, 327
Transfers, 328
Success of Treatment in Family Work, 329
Conclusions, 330
Index, 333
The “How To” Family Nursing Series, 345
Purchase Information, 346

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