FAMILY NURSING CARE PLAN
INTERVENTIONS
- Is the blueprint of the care that the nurse designs to
systematically minimize or eliminate the identified health
and family nursing problems through explicitly
formulated outcomes of care and deliberately chosen set
of interventions, resources and evaluation of criteria,
standards, methods and tools.
CHARACTERISTICS OF FAMILY NURSING CARE
PLAN:
 It focuses on actions which are designed to solve or
minimize existing problem.
 It is the product of a deliberate systematic process.
 It relates to the future.
 It is based upon identified health and nursing problems.
 It is a means to an end, not an end itself.
 It is a continuous process, not a one-shot-deal.
DESIRABLE QUALITIES OF A NURSING CARE
PLAN:
 Clear and explicit definition of the problems
 Realistic
 Preparedly jointly with the family
 Useful in written form
IMPORTANCE OF PLANNING OF CARE:
 They individualize care to clients
 Helps in setting priorities by providing information about
the client as well as the nature of his problems
 Promotes systematic communication among those
involved in the health care effort.
 Continuity of care is facilitated through the use of nursing
care plans
 Facilitate the coordination of care by making down
known to other members of health team what the nurse is
doing.
STEPS IN DEVELOPING A FAMILY NURSING CARE
PLAN:
FIRST STEP: PRIORITIZED CONDITIONS OR
PROBLEMS
 It starts with a list of health condition or problems
prioritized according to the nature, modifiability,
preventive potential and salience. The prioritized health
condition or problems and their corresponding nursing
problems become the basis for the next step which is the
formulation of goals and objectives of nursing care.
SECOND STEP: FORMULATION OF GOALS AND
OBJECTIVES
 The goals and objectives specify the expected health/
clinical outcomes, family response/s, behavior or
competency outcomes.
THIRD STEP: SELECTION OF NURSING
 It focuses on alternatives and decision on appropriate
intervention measures based on the specific objectives
formulated. The interventions specify the nursing actions
to help the family eliminate the barriers to the
performance of health tasks or the underlying cause/s of
non-performance of expected health tasks. These
interventions include family focused alternatives or
strategies to help members recognize/detect health
problems or opportunities to enhance wellness state or
condition monitor, eliminate, control, and manage health
problems or enhance wellness condition.
FOURTH STEP: PLAN FOR EVALUATING CARE
 It specifies the criteria or outcomes as explicit measures
that determine achievement of formulated objectives.
FIGURE 1: STEPS IN DEVELOPING THE FAMILY
NURSING CARE PLAN
PRIORITIZE THE HEALTH CONDITIONS AND
PROBLEMS BASED ON:
 Nature of condition or problem
 Modifiability
 Preventive potential
 Salience
DEFINE GOALS AND OBJECTIVES OF CARE:
FORMULATE:
EXPECTED OUTCOMES
 Conditions to be observe to show problem is
prevented, controlled, resolved, or eliminated.
 Client response/s or behavior
SPECIFIC, MEASURABLE, CLIENT-CENTERED
STATEMENTS/COMPETENCIES
STEPS IN DEVELOPING THE FAMILY NURSING
CARE PLAN
DEVELOP THE INTERVENTION CARE PLAN:
DECIDE ON:
Measures to help family eliminate:
 Barriers to performance of health tasks
 Underlying cause/s of non-performance of health
tasks
 Family-centered alternatives to recognize defect,
monitor, control or manage health condition or
problems
DETERMINE METHODS OF NURSE-FAMILY
CONTACT
SPECIFY RESOURCES NEEDED
DECIDE ON:
Measures to help family eliminate:

 Barriers to performance of health tasks

 Underlying cause/s of non-performance of health

tasks

Family-centered alternatives to recognize defect, monitor,

control or manage health condition or problems

DETERMINE METHODS OF NURSE-FAMILY CONTACT

SPECIFY RESOURCES NEEDED

DEVELOP THE EVALUATION PLAN:

SPECIFY:

Criteria/outcomes based on objectives of care methods/tools

SCALE FOR RANKING HEALTH CONDITIONS AND

PROBLEMS ACCORDING TO PRIORITIES

 This tool aim to objectivize priority setting. There are four

criteria for determining priorities among health
condition/s or problems. These include:

1. NATURE OF THE CONDITION OR PROBLEM

PRESENTED

- Categorized into wellness state/potential, health

threat, health deficit and foreseeable crisis

2. MODIFIABILITY OF THE CONDITION OR

PROBLEM

- Refers to the probability of success in enhancing

the wellness state, improving the condition,
minimizing, alleviating or totally eradicating the
problem through intervention

3. PREVENTIVE POTENTIAL

- Refers to the nature and magnitude of future

problems that can be minimized or totally
prevented if intervention is done on the condition
or problem under consideration.

4. SALIENCE

- Refers to the family’s perception and evaluation

of the condition or problem in terms of
seriousness and urgency of attention needed or
family readiness

TABLE 1: SCALE FOR RANKING HEALTH

CONDITIONS AND PROBLEMS ACCORDING TO
PRIORITIES

CRITERIA WEIGHT

1. Nature of the condition or problem 1

presented

- Wellness state (3)

 - Health deficit (2)

- Health threat (1)

- Foreseeable crisis (0)

2. Modifiability of the condition or 2

problems

- Easily modifiable (2)

- Partially modifiable (1)

- Not modifiable (0)

3. Preventive potential 1

- High (3)

- Moderate (2)

- Low (1)

4. Salience 1

- A condition or problem,
needing immediate attention
(2)

- A condition or problem not

needing immediate attention
(1)

- Not perceived as a problem

or condition needing change
(0)
 SCORING:
 Decide on a score for each of the criteria
 Divide the score by the highest possible score and
multiply by the weight: (score/highest score) x Weight
 Sum up the score for all the criteria. The highest
score is 5, equivalent to the total weight.
FOMULATION OF GOALS AND OBJECTIVES OF
CARE:
GOAL
 Is general statement of the condition or state to be
brought about by specific courses of action
Example:
- After family nursing interventions, the family will be
able to take care of the disabled child completely.
- It should be realistic or attainable
- It is best stated in term of client outcomes, whether at
the individual, family or community levels.
- Tells where the family is going after the interventions.
OBJECTIVES
 Refer to more specific statements of the desired results
or outcomes of care.
 They specify the criteria by which the degree of
effectiveness of care are to be measured
 Milestones to reach the destination or the goal
 The more specific the objectives, the easier is the
evaluation of their attainment
Example:
After nursing intervention, the family will be able to:
- Feed the mentally retarded child according to prescribes
quantity and quality of food
- Teach the mentally retarded child simple skills related
to the activities of daily living
- Apply measures taught to prevent infection in the
mentally retarded member.
Objectives vary according to the times span required
for their realization
OUTCOMES EVALUATION/CRITERIA/
INDICATORS
Goal: improve the Weight (as nutritional status
nutritional status of the criterion)
two-year-old family
member
SHORT TERM OR IMMEDIATE OBJECTICES- are
formulated for problem situations which require immediate
attention and results can be observed in a relatively short
period of time. They are accomplished with few family
contacts and the use of relatively less resources.
E.g. the sick members will take the drugs accurately as to
dose, frequency, duration, and drug combination.
LONG TERM OR ULTIMATE OBJECTIVES- require
several nurse-family encounters and an investment of more
resources.
E.g. all members will carry out mosquito vector control
measures.
MEDIUM-TERM OR INTERMEDIATE
OBJECTIVES- are those which are not immediately
achieved and are required to attain the long-term ones.
E.g. all members will have medical check-up and laboratory
confirmation to diagnose malaria.
DEVELOPING THE INTERVENTION PLAN
 This involves selection of appropriate nursing
interventions based on the formulated goals and
objectives.
GUIDE IN SELECTION OF APPRORIATE NURSING
INTERVENTIONS
1. Analyze with the family the current situation and
determine choices and possibilities based on a lived
experience of meanings and outcomes.
2. Develop/enhance family’s competencies as thinker,
doer, and feeler.
3. Focus on interventions to help perform the health
tasks.
4. Catalyze behavior through motivation and support.
DEVELOPING THE EVALUATION PLAN
 The evaluation specifies how the nurse will determine
changes in health status, condition or situation and
achievement of the outcomes of care specified in the
objectives of the family nursing care plan. The plan
includes evaluation criteria/indicators, standards,
methods, and tools/evaluation data sources.
EVALUATION STANDARDS EVALUATION
METHOD TOOL/
DATA SOURCE
Increase of at least 1 kilo Weight Weighing scale, early
gram in six weeks monitoring childhood care and
development card for 0-6
years
Objective: the family will Performance criteria/indicators: Correct identification of Dietary history Food recall form or food
be able to: inadequacies in intake of taking frequency record
1.A identify inadequacies in specific macronutrients,
1. Provide adequate specific nutrients generated from vitamins, minerals, critical
care to the two- the baseline dietary intake of the to growth, bone
year-old member child development and strong
immune system.

Accurate application of
1.B prepare meals based on cycle
Daily nutrients guide Record review Menu plan
menu plan
pyramid for Filipino
children 1-6 years.
Preparation of meals
guided by principles such
as nutrient preservation,
increased variety and Observation Performance evaluation
appealing to taste. checklist

Child’s daily food intake

based on recommended
1.C feed the child based on energy and nutrient intake
Record review Estimated food record
agreed upon quality and quantity for age group
observation performance evaluation
of food
and interview checklist

Appropriate and effective

measures-based child’s
1.D carry out strategies/measures age and nature/magnitude
of eating/feeding problems Interview and Performance evaluation
to address child’s eating
observation checklist
idiosyncrasies and problems

Clinic follow-up at least

once during the month
2.A bring the child to the health
center for regular early childhood Record review Early childhood care and
2. Utilize community growth monitoring and care development card for 0-6
resources for care years old.

BARRIERS TO JOINT GOAL SETTING BETWEEN THE
NURSE AND THE FAMILY INCLUDE THE FOLLOWING:
 Failure on the part of the family to perceive the existence of
the problem.
 The family may realize the existence of heath condition or
problem but is too busy at the moment with other concerns
and preoccupations
 Sometimes the family perceives the existence of a problem
but does not see it as a serious enough to warrant attention.
 The family may perceive the presence of the problem and the
need to take action however refuses to face and do something
about the situation.
 Failure to develop a working relationship.
DEVELOPING THE INTERVENTION PLAN:
 Analyze with the family the current situation and determine
choices and possibilities base on a lived experience of
meetings and concerns
 Develop/enhance family’s competencies as thinker, doer, and
feeler
 Focus on interventions to help perform the health tasks
- Help the family recognize the problem
- Guide the family on how to decide on appropriate health
actions to take
- Develop the family’s ability and commitment to provide
nursing care to its members
- Enhance the capability of the family to provide a home
environment conductive to health maintenance and personal
development
- Facilitate the family’s capacity to utilize community
resources for health care.
 Catalyze behavior change through motivation and
support