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Strengths Based Nursing and Healthcare

Family-Strengths Conversations

Family involvement is necessary for the wellbeing of the members and it is also significant in the nursing care. This was demonstrated in the two nursing case studies of the family-strengths conversations. Jacinta Wungalu, who was 24 weeks pregnant. This was an aboriginal happy family where all the members supported each other. She had not regular antenatal care with her second child. Thereby, they had a meeting with one of the nurses who assessed their family functioning so as to build upon its strength to help Jacinta. The second case study was of Maria who was a young mother of 18 years old. She had admitted her 8 months old child James in the emergency department as she feared of dehydration. She had been assessed by a nurse for exploring her family dynamics.

Jacinta had a 15 months old son Tyrone who was also suffering from some health issues. The child she was expecting also had some complications as the child was found to be smaller than expected. The nursing family strengths assessment showed that the family members in this case are supportive to Jacinta. Her sister and mother assisted her in healthcare decision-making and supported her in taking care of her child. Maria and her husband had little support from their families and they had to face difficulty in managing the child and taking healthcare decisions. They did not join any support groups as they were young and Maria felt discouraged amidst older mothers of the group. Therefore, they had no one to support them in caring the child. However, her husband helped her in managing the child and this was the time when she could get some rest.

The family members play significant roles in the nursing care (Jazieh, Volker, & Taher, 2018). This is because they impact the healthcare decision-making, patient safety, quality of care, assist in home care and the address the needs and expectations of the patients (Khosravan, et al 2014). The two case studies have demonstrated the significance of families in caring for the two women who are in need of help from their family members. The nursing family strengths assessment showed the areas of strengths and weaknesses in the two families. Involvement of families is necessary in the nursing care. In Maria’s case, she had no one to assist her in taking care of herself and her child which deprived her of regular sleep. Therefore, the presence of family members would have been beneficial for her and her child as well. Hence, there should be promotion of family members in the nursing care so that effective and quality care is imparted to the people.


The nurses asked questions to Jacinta and this helped in exploring her deepest concerns and issues about her children’s health. The “One Question Question” (OQQ) is a family assessment tool which has been used for exploring the most critical concerns and challenges being faced by a family related to a health issue (Watanabe, et al 2011). With the use of this technique, the nurse in the Jacinta’s case was able to understand the dynamics prevailing in a family. These dynamics are affecting the emotional experience, adaptation to illness, healthcare decision-making, choice of treatment and overall health of the patient.

Australian Family Strengths Nursing Assessment (AFSNA) has been designed to be used by nurses (Alemayehu, 2019). This has range of questions which explore the eight qualities of family strengths and these are resilience, support, acceptance, shared activities, affection, communication, commitment and togetherness. This approach has been be used by the nurse in Maria’s case. With this she was able to define their hopes and visions for the family’s future instead of focusing on the problems being faced by a family. For instance, better housing options were explored for this family by the nurse.

Benefits of Family-Strengths Conversation

There are benefits of family-strengths conversation on clinical practice for promoting overall heath of the families. The two case studies demonstrated that the nurses effectively assessed the strengths of the families. Such a conversation can be used by the nurses in their practice for helping the families and gain benefits for the clinical practice in promoting overall family health. As it explores the strengths of the families which can be used in dealing with the health-related issue in a collaboration with the nurses. This leads to positive health outcomes for the patients (Svavarsdottir, Sigurdardottir, & Tryggvadottir, 2014).

The family-nurse relation is important in giving quality care to the patients. With this relation, the nurses are able to ensure that issues related to child neglect or abuse are avoided (Eckenrode, 2017). The family strengths perspective has been used by the nurse in the Maria’s case study. This recognizes the positive attributes of a family functioning. It takes efforts to build on these attributes to allow for improvement in the lives. Nurses are also able to help the family members in taking care of the mothers by providing them information and hence assisting in healthcare decision-making during the prenatal care and antenatal care. Therefore, a family-centered care is provided to the patient by engaging the family members in the care delivery which leads to better health outcomes.

References for Enhancing Patient and Family-Centered Care

Alemayehu, Y. H. (2019). Enhancing Patient and Family-Centered Care: A Three-Step Strengths-Based Model. International Journal of Caring Sciences12(1), 584-590.

Eckenrode, J. (2017). Nurse-Family Partnership Program Demonstrates Results. Retrieved from

Jazieh, A. R., Volker, S., & Taher, S. (2018). Involving the family in patient care: a culturally tailored communication model. Global Journal on Quality and Safety in Healthcare1(2), 33-37.

Khosravan, S., Mazlom, B., Abdollahzade, N., Jamali, Z., & Mansoorian, M. R. (2014). Family participation in the nursing care of the hospitalized patients. Iranian Red Crescent Medical Journal16(1).

Svavarsdottir, E. K., Sigurdardottir, A. O., & Tryggvadottir, G. B. (2014). Strengths-oriented therapeutic conversations for families of children with chronic illnesses: findings from the Landspitali university hospital family nursing implementation project. Journal of Family Nursing20(1), 13-50.

Watanabe, K., Okada, A., Okabe, N., Onishi, M., & Morishima, T. (2011). A One-Message Question in a Structured Interview: Investigating Psychological Needs of Children and Adolescents with Eating Disorders Directed toward Their Mothers. Acta Medica Okayama65(3), 185-192.

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