Week 2 NCM 107

THE FAMILY
FAMILY-CENTERED MATERNAL-
NEWBORN NURSING
 Family-centered maternal-
newborn nursing is the term
used to describe the provision of
safe, quality care that
recognizes, focuses on, and
adapts to the physical and
psychosocial needs of the
pregnant woman, her family,
and the newborn.
PRINCIPLES OF FAMILY-CENTERED
MATERNAL & CHILD HEALTH
NURSING
Pregnancy and childbirth are usually normal health events within the
family.
 Childbirth affects the entire family and marks the beginning of a new
set of important relationships.
 Families are able to make decisions about care if given the proper
information.
 A maternal-newborn nurse serves as an advocate for the rights of all
family members, including the fetus.
 Personal, cultural and religious attitudes influence the meaning of
pregnancy and birth within the family.
THE FAMILY
 The FAMILY is the basic social institution and the primary group in society.
 According dg to Murdok, family is a social group characterized by common
residence, economic cooperation and reproduction.
 According dg to Burges and Locke, family is a group of persons united by
ties of marriage, blood or adoption, constituting a single household,
interacting and communicating with each other in their respective social roles
of husband and wife, mother and father, son and daughter, brother and sister,
and creating and maintaining a common culture.
 According and to Murray and Zentner is a social system and primary
reference group made up of two or more persons living together who are
related by blood, marriage or adoption or who are living together by
arrangement over a period of time.
FAMILY TYPES
 Family of orientation (the family one

is born into; or oneself, parents, and
siblings, if any)
 Family of procreation (a family one
establishes; or oneself, spouse or
significant other, and children, if any)
CLASSIFICATION OF FAMILY
STRUCTURE
Based on Descent :
 • Patrilineal- affiliates a person with a group of relatives through
his or her father.
 • Matrilineal- affiliates a person with a group of relatives through
his or her mother.
 • Bilateral- affiliates a person with a group of relatives related
through both his or her parents.
Based on Authority:
 • Patriarchal- authority is vested on the oldest
male in the family, often the father.
 • Matriarchal- authority is vested in the mother
or mother’s kin.
 • Matricentric- prolonged absence of the father
gives the mother a dominant position in the
family, although the father may also share with
the mother in decision making.
Based on Place of Residence
 • Patrilocal- requires the newly wed to reside near the groom’s
parents.
 • Matrilocal- near the bride’s parents.
 • Bilocal- provides the couple the choice to reside on either
parents.
 • Neolocal- permits the couple to reside independently of their
parents.
 • Avunculocal- prescribes the newly wed couple to reside with or
near the maternal uncle of the groom.
Based on Internal Organization or Membership
 Childfree or Childless Family
 Cohabitation Family
 Nuclear Family
 Extended or Multigenerational Family
 Single-Parent Family
 Blended Family
 LGBT Family
 Foster Family
 Adoptive Family
FAMILY TASKS
 Physical maintenance
 Socialization of family members
 Allocation of resources
 Maintenance of order
 Division of labor
 Reproduction, recruitment, and release of family members
 Placement of members into the larger society
 Maintenance of motivation and morale
DEVELOPMENTAL STAGES OF FAMILY
STAGE 1: MARRIAGE
 Establish a mutually satisfying relationship.

 Learn to relate well to their families of
orientation.
 Engage in reproductive life planning, if
applicable.
STAGE 2: THE EARLY CHILDBEARING
FAMILY
 Integrate the new member into the family.
 Make whatever financial and social adjustments
are necessary to meet the needs of the new
member while continuing to meet the meets of
the parents.
STAGE 3: THE FAMILY WITH A PRE-
SCHOOL CHILD
 Preventunintentional injuries (accidents) such as
poisoning or falls.
 Begin socialization through play dates, child
care, or nursery school settings.
STAGE 4: THE FAMILY WITH A
SCHOOL-AGED CHILD
 Promote children’s health through immunizations,
dental care, and routine health assessments.
 Promote child safety related to home and automobiles.
 Encourage socialization experiences outside the home
such as sports participation, music lessons, or hobby
activities.
 Encourage a meaningful school experience to make
learning a lifetime concern, not one of merely 12 years.
STAGE 5:THE FAMILY WITH AN
ADOLESCENT
 Loosenties enough to allow an adolescent more
freedom while still remaining safe.
 Begin to prepare adolescents for life on their
own.
STAGE 6: THE FAMILY WITH A LATE
ADOLESCENT
(THE LAUNCHING STAGE)
 Changetheir role from mother or father to once
removed support persons or guideposts.
 Encourage independent thinking and adult-level
decision skills in their child.
STAGE 7:THE FAMILY OF MIDDLE-
AGED PARENTS
 Adjust to “empty nest” syndrome by
reawakening their relationship with their
supportive partner.
 Prepare for retirement so when they reach that
stage they will not be unprepared socially or
financially
STAGE 8: THE FAMILY IN RETIREMENT
OR OLDER AGE
 Maintain heath by preventive care in light of
aging.
 Participate in social, political, and neighborhood
activities to keep active and enjoy this stage of
life.
TRENDS & ISSUES
 Increase divorce rate

 Decrease/increase family size
 Increased
dual-parent
employment/unemployment
 Household violence
ACTIVITY 2:Assessment of Family
Structure & Function
 Assess your own family structure.
Make a Genogram and Ecomap. Use
the results to make a plan of care for
the identified health problems in the
family and provide interventions.

Week 2 NCM 107

Uploaded by

Copyright:

Available Formats

Week 2 NCM 107

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Week 2 NCM 107

Uploaded by

Copyright:

Available Formats

THE FAMILY

 Family of orientation (the family one

 Establish a mutually satisfying relationship.

 Increase divorce rate

You might also like