Kaakinen, Gedaly-Duff, Coehlo & Hanson, (2010) report family is the biggest resource for managing care of individuals with chronic illness; family members are the main caregivers and provide necessary continuity of care. Therefore, it is important for health care providers to develop models of care based on an understanding what families are going through (Eggenberger, Meiers, Krumwiede, Bliesmer, & Earle, 2011). The family I chose to interview is in the middle of a transition in family dynamics. I used the family as a system approach as well as a structure-function theoretical framework to the effects of the changes in dynamic function. Additionally, the combinations of genogram, ecomap, adaptations of the Friedman Family Assessment model as well as Wright & Leahey’s 15 minute family interview were utilized.
The 15-Minute Family Interview includes the five key steps of applying good manners, setting up a therapeutic conversation with a family, completing a genogram and ecomap, asking several therapeutic questions, and offering commendations (Wright & Leahey, 1999). Along with several components of the 15-minute interview, the Friedman Family Assessment Model explains type of family, cultural background, Religion, social class status and social class mobility. The genogram, ecomap and interview guide created for this assignment are included in this paper as appendix A, appendix B, and appendix C, respectively.
The intent of this interview was discussed with the family, namely, how the data would be used to discuss family experiences for an assignment in Family and Societal Nursing for RNs at State University. Most importantly, I mentioned to the family that I hoped to provide them with interventions and support to help them through this difficult time. Prior to conducting the interview, confidentiality and consent was discussed with the family. The family was advised that the information collected would be disclosed to the Family and Societal Nursing for RNs class and instructors for professional discussion, furthermore, that this nurse would maintain strict confidentiality and anonymity by not identifying the family by name or address. The family consented to the interview.
The family chosen through my community networks is the Tanners (names changed for privacy). The Tanners include the grandparents Kate and Willie, parent Lynn, Lynn’s fiancé Brian plus Lynn and Brian’s 2 year old son Gordon. Lynn is currently pregnant with her second child and is due this coming Spring. These family members reside in a single family home. I had a hard time defining the type of family.
Willie is a 45 year old male. He works as a hospital security guard. His only health history includes hypertension. His parents passed away in a motor vehicle accident in 1990. He is an only child and has “lost touch” with his extended family since his parents passed away. He has baptized, confirmed and married in the Catholic Church, and...