Lecture 4 - 15 minute interview

Question 1

Why use 15 min interview

• Why time is important 4 CBIS
• Capitalize on moments to interact with family because 3 FPE

Answer 1

• Changes in health care delivery
• Budget constraints
• Increased acuity
• Staff cutbacks
• Family nursing knowledge easily and effectively applied in very brief family meetings can be beneficial
• Purposeful, informative, and healing
• Even if short, SOME involvement is better than NO involvement

Question 2

15 minute interview is meant to modify what

Answer 2

15 minute interview is meant to modify the beliefs of no time

The aim of this is to be therapeutic

Question 3

5 key ingredients to the 15 minute interview

TMGTC

Answer 3

1. Therapeutic conversation
2. Manners
3. Genograms & Ecomaps
4. Therapeutic questions
5. Commending family strengths

Question 4

Ingredient #1 - Therapeutic Conversation
-5 key parts
Purposeful what
Art of what
Potential for?
Every minute is a potential opportunity for?
Critical distinction between what

-What part of the cake

Answer 4

• Purposeful, time-limited(therapeutic)
• Art of listening (SOLER face squarely, open posture, lean forward, eye contact, relaxed)
• Potential for healing as they bring family together
• Every minute is a potential opportunity for patient and family members to be acknowledged and affirmed
• Critical distinction between time effective 15 min interview vs. social interactions

Mix

Question 5

Ingredient #2 - Manners
-4 key parts
Simple what
Introductions involve what
Why do we care? CN
Do what?

-what part of cake

Answer 5

Simple acts of courtesy (politeness, respect, kindness)

Introductions
-Explaining role, procedure, use names, speaking directly to patients/families (not around them), eye contact, encourage participation

Why do we care?

• Contributes to the growth of a trusting relationship (Building of rapport)
• Not attending to these things can damage the relationship with a patient/family

Do what you say you are going to do when you when say you’ll do it

Sugar

Question 6

Ingredient #3 – Genograms and Ecomaps
-3 parts
Genograms are important for what
Good starting point for what
What is essential info?

-What part of cake

Answer 6

Genograms are very important if you are caring for patients for more than one day (brief-about 2 minutes)

Good starting point
-engages the family, gives you (the nurse) a starting point, groundwork, and familiarity

Essential information:

• Identify individuals, ages, dates etc.
• Occupations/school grade
• Religion, Ethnic background
• Current health status of all members /concerns

Butter

Question 7

Ingredient #4 – Therapeutic Questions
-4 parts
Use what kind of questions
Think of atleast 3 what
What are basic themes to address SECCM
You need a multitude of what?

-what part of cake

Answer 7

Utilize linear, circular and interventive questions)

Think of at least 3 key questions you will routinely ask, to involve family members

Basic themes to address:

• Sharing of information
• Expectations of hospitalization
• Clinic or home care visits
• Challenges, sufferings
• Most pressing concerns or problems

You need a multitude of questions (open, closed ( trying to get the point of something/factual data),

-Flour

Question 8

Key Ingredient #5 – Commendations
-5 parts
Positive statements about what?
What is the difference between commendation and a compliment and why is it important
Be a familys what
Ensure there is enough what
Offer a commendation when

What part of the cake

Answer 8

Positive statements about family strengths, resources, or competencies

Commendation: Observation of behavior across time/patterns of behavior
Compliment: observation of a one-time occurrence
-Internalized by the family – may affect a families engagement, uptake, utilization of resources, also helps the family to view themselves differently

Be a family “strengths” detective

Ensure that there is enough evidence for the commendation

Offer a commendation (if possible) within the first 10 minutes of your interaction, and at the end of your interaction, before offering opinions – may increase the receptivity of the family (Identifying their strengths actually brings it to light
)

Chocolate

Question 9

3 most common errors

• Failing to what
• Taking what
• Giving what

Answer 9

1. Failing to create a context for change
2. Taking sides
3. Giving too much advice prematurely

Question 10

Error # 1: Failing to create a context for change

• who undergoes change
• A context for change is what
• All obstacles must what

How to avoid failing to create a context for change

• Show what
• Obtain what
• Validate who
• Acknowledge what

Answer 10

In creating this context for change, both the nurse and family undergo change

A context for change is the central foundation of the therapeutic process

All obstacles to change must be removed

1. Show interest, concern and respect for
   each family member
2. Obtain a clear understanding of the most pressing concern or greatest suffering
3. Validate each member’s experience
4. Acknowledge suffering and the sufferer ((pluralism, acknowledge everyones reality))

Question 11

Error # 2: Taking sides

• Most common what
• Most often done how
• Results in what

How to avoid taking sides

• Maintain what
• Remember what
• Ask what
• Remember that all what
• Give what
• Remember info is what
• Avoid what

Answer 11

Most common error

Most often done unintentionally

Results in some family members feeling disrespected, disempowered, non-influential

• Maintain curiosity
• Remember that the glass can be half full AND half empty at the same time
• Ask questions that invite an exploration of both sides of a circular interactional process
• Remember that all family members experience some suffering
• Give equal “talk time”
• Remember that information is “news of a difference”
• Avoid side conversations

Question 12

Error # 3: Giving too much advice prematurely

• Nurses are what
• Families are often what
• what is critical

How to avoid giving premature advice:

• Offer what
• Offer what without?
• Ask more what
• Obtain what

Answer 12

Nurses are in a socially sanctioned position that involves offering advice, information, opinions

Families are often keen and receptive to nurse’s knowledge

Timing and judgment are critical in deciding when, how, and what type of advice is offered

• Offer advice/opinions/recommendations only after a thorough assessment is completed and a full understanding of the family’s health concern/problem is reached
• Offer advice without believing that the suggestions are the “best” ideas or opinions
• Ask more questions than offering of advice during initial conversations
• Obtaining the family’s response and reaction to the advice

Question 13

Family Nursing Diagnoses

• Described as
• Linked to?
• Atleast what
• Concise
• Represents what
• Must include 2
• Refrain from??

Answer 13

Family-focused, relevant, non-ambiguous terms,

Linked to the CFAM assessment data

At least one must be positive, wellness or strengths-based NxDx (cognitive, affective or behavioural)

Concise phrase

Represents a Pattern of related cues

Must include “related to” factors

• Often related cause or contributing factors to the diagnosis
• Could include observable cues that cluster around the manifestation of a wellness or strength-based NxDx

Refrain from using NANDA “cookie-cutter”NxDx