rnao life transitions

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Facilitating Life Transitions Dr. Dawn-Elise Snipes, PhD, LMHC, CRC, NCC

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Page 1: RNAO Life Transitions

Facilitating Life Transitions

Dr. Dawn-Elise Snipes, PhD, LMHC, CRC, NCC

Page 2: RNAO Life Transitions

“Flower (Em)power”

Depicts a comprehensive and perennial approach to treatment.

At the core of the flower is the clinician-family partnership.

Page 3: RNAO Life Transitions

The Stem

Sustaining a caring environment represents different interrelated components of promoting family health.

The stem of the flower symbolizes the advocacy activities and policy changes needed to ensure that the clinical activities that support and strengthen families can grow.

Page 4: RNAO Life Transitions

The Leaves

The leaves of the flower stand for:

Vision

Values

Principles

Page 5: RNAO Life Transitions

The Roots

Symbolize how this best practice model is grounded in the following five axioms:

Responsibility

Resources

Respect

Results

Recognition

Page 6: RNAO Life Transitions

Developing a genuine partnership with families

Acknowledging and respecting the important role of family in health care situations

Determining the desired degree of family involvement

Negotiating the roles of both nurse and family within the partnership

Page 7: RNAO Life Transitions

Discussion Forum

Think of a time when, working with a family in transition, you developed a genuine partnership with them. How did the partnership begin? How did it grow? How were you affected professionally, and personally, by this?

Please take a moment to share your responses in the discussion forum. Thank you.

Page 8: RNAO Life Transitions

Family Assessment

Address all of the following: Family structure

Environmental data

Family strengths

Family supports

Page 9: RNAO Life Transitions

Identify resources and supports to assist families

Where?Within the nuclear family

Between families (in laws, distant relatives)

Supports outside the family (i.e. Church, non-related friends)

Page 10: RNAO Life Transitions

Sustaining a caring workplace conducive to family-centered practice

Ensuring that staff are oriented to family-centered care, including family assessment

Ensuring that staff have the awareness and ability to effectively access resources

Providing ongoing opportunities for professional development

Page 11: RNAO Life Transitions

Supporting family centered practice in the workplace

Ensuring appropriate staffing levels, assignments, and staffing categories

Implementing family-centered practices and policies

Creating and maintaining physical work environments that are conducive to promoting family involvement

Page 12: RNAO Life Transitions

Best practice guidelines

Can be successfully implemented only if there are:

Adequate planning

Resources

Organizational and administrative support

Appropriate facilitation

Page 13: RNAO Life Transitions

Developing a plan for implementationAn assessment of organizational readiness and barriers to education

Dedication of a qualified individual to provide the support needed for the education and implementation process

Ongoing opportunities for discussion and education to reinforce the importance of best practices

Opportunities for reflection on personal and organizational experience in implementing guidelines

Page 14: RNAO Life Transitions

The family

Plays an integral role in promoting and maintaining health of family members, as well as providing physical and emotional support.

Page 15: RNAO Life Transitions

Vision for Supporting Families

“In a perfect world ” Families would be supported across the care continuum in a caring, consistent, timely and effective manner.

Families would have access to timely and comprehensive information.

Families would be able to choose from a full range of respite care and support services which would be delivered consistently across Ontario in a flexible, culturally-sensitive, and affordable manner.

Page 16: RNAO Life Transitions

Vision for Supporting Families Cont…

Families would be comprehensively supported by nurses and other care providers because resources would be available to allow this to take place.

Families would say their needs were met and they were supported and strengthened through the care experience.

Page 17: RNAO Life Transitions

Discussion Forum

Think of your collective experience from supporting families during life transitions. If you could change one aspect of the care and support they received, what would it be? What would you make different for them?

Please share your responses in the discussion forum. Thank you.

Page 18: RNAO Life Transitions

Values & principles for supporting and strengthening families

It is important for staff to recognize their own assumptions and values about families and cultural beliefs, and adjust their care accordingly.

Families and family relationships are unique and diverse, and may change over time.

Families have expert knowledge and skills that help them determine their own needs and respond to expected and unexpected life events.

Page 19: RNAO Life Transitions

Values & principles for supporting and strengthening families cont…

Partnerships with families are built upon mutual trust, honesty, and collaboration.

Families participate in care only as much as they are able, or want to.

Partnerships increase the likelihood that clinicians will follow a family-centered approach to care.

Support families in their choices.

Family members and the client may have different and conflicting needs.

Clinicians should support family situations.

Page 20: RNAO Life Transitions

Family beliefs & values and the clinician-family partnership

The differences in family beliefs and values in families will affect the clinician-family partnership.

Page 21: RNAO Life Transitions

Key components of an assessment and intervention framework

Listening to the family

Engaging in a participatory dialogue between the nurse/counselor and family members

Recognizing patterns

Page 22: RNAO Life Transitions

Family supports

Examine the types of supports the family requires during the expected or unexpected life event.

Issues that should be assessed include: The family’s appraisal of the stressor

Their concerns and sense of vulnerability

Information needs

Page 23: RNAO Life Transitions

Involving families

The most common reason offered by nurses and counselors for not routinely assessing and involving families in their practice is because they don’t have time.

The shortest amount of time required is 15-minutes for a family interview to be purposeful, effective, informative, and even therapeutic for family members.

Page 24: RNAO Life Transitions

Key components of a 15-minute family interview

Therapeutic discussions and questions

Identifying who makes up the family unit

Identifying family and individual strengths

Page 25: RNAO Life Transitions

Families coping

Nurses and counselors can support families in recognizing their strengths

In times of stress each family copes in a unique way.

Page 26: RNAO Life Transitions

Family-Centered Care

Emphasis should be placed on all of the following:

Creating opportunities for families to become more competent and independent

Strengthening families by building on their strengths and natural resources

Enhancing the family’s acquisition of a wide variety of competencies and resources

Page 27: RNAO Life Transitions

Supporting family-centered practice in the workplace

Ensuring appropriate staffing levels, assignments, and staffing categories

Implementing family-centered practices and policies

Developing employee assistance programs promoting family health

Page 28: RNAO Life Transitions

Key steps in implementing a best-practice

Identify a well-developed, evidence-based clinical practice guideline

Identification, assessment and engagement of stakeholders

Assessment of environmental readiness for guideline implementation

Planning and implementing evaluation

Identifying and securing required resources for implementation

Page 29: RNAO Life Transitions

Discussion Forum

One of the key steps in implementing a best-practice is identification, assessment and engagement of stakeholders. Take a moment to think about how you identify stakeholders. How do you assess and engage them?

Please share your thoughts in the discussion forum. Thank you.

Page 30: RNAO Life Transitions

Developing an empowering partnership with families

Recognizing the family’s assessment of the situation is essential

Acknowledging and respecting the important role of family in health care situations

Determining the desired degree of family involvement

Page 31: RNAO Life Transitions

Supporting interdisciplinary family-centered practice in the workplace

Ensuring appropriate resources (e.g., time, staffing)

Creating and maintaining environments that are conducive to family-centered care

Developing programs that promote work life balance for employees

Page 32: RNAO Life Transitions

Conducting a family assessment

The clinician engages in a partnership with the family to assess their perception of and their capacity to address the life event.

Areas to be assessed include Family perceptions of the event(s)

Family structure, composition, values

Home and community

Environmental characteristics

Family strengths

Page 33: RNAO Life Transitions

Summary

Using a collaborative and consultative approach, both in the workplace and in treatment, helps clinicians empower families to:

Learn how to assess and meet their needs

Communicate

Take responsibility for their care and treatment