LEC 6: McGill Model of Nursing & Resiliency Model Flashcards
(41 cards)
McGill Model of Nursing
- Strength based appraoch
- Shifts focus for deficit perspective to strength-based perspective
- shit in perspective; understand their narrative
- Is about growth and change over time; using their strengths to move them forward
What are the main goals for McGill Model?
- Main goal of nursing is to form a partnership with person/family
- Goal is to help families use their strengths and external resources to cope, achieve goals, and develop
What are the problems with a problem orientation?
- Labels family
- Stigma
- Powerlessness, learned helplessness
- Alienation from the nurse
Deficit Perspective
- Focused on what was wrong, missing, or abnormal
- Clinicians were the expert
- Negative diagnosis
Strength Perspective
- Seeks to identify family strengths within and around the individual, family, community
- Relationship between clinician and family is partnership
- Positive diagnosis
What are the 3 key ideas the McGill model looks at?
- Strengths
- Potentials
- Resources
McGill Model: Strengths
- Strengths are internal to the family system:
- Traits
- Assests
- Capabilities, skills, or competencies developed
McGill Model: Resources
Resources are assets external to the family system
McGill Model: Potentials
Potentials are assets external to the family system.
Strategies for Working with Resources
- The Nurse Can:
- Identofy resources
- Mobilize and use resources
- Regulate resources
Resiliency Model of Family Stress, Adjustment, and Adaptation
Outcome of the family’s efforts over time to bring a fit at two levels: the individual to family, and the family to community. This process ranges on a continuum from optimal bonadaptation to maladaptation
What is resilience?
- The ability to withstand and reobound from disruptive life challenges.
- Resilience contributes to positive adaptation within the context of significant adversity
- The ability to “struggle well” and surmount obstacles.
What are assumptions of the Resiliency model?
- Families manage stressful situations over time
- Unexpected or unplanned events are usually perceived as stressful
- Stressful events within the family are more disruptive than stressors that occur outside the family
- Lack of previous experience with stressor leads to increased perceptions of stress
- Ambiguous stressor events are more stressful than non-ambiguous events
Fostering Family Resiliency
- Built on the complex interactions between individual, family, and community protective factors
- Assess family resilience
- Identify:
- Rirsk
- Protective factors
- Recovery factors
- Resources
- Develop clinical interventions based on these factors to strengthen families
Individual Protective Factors for Family Resiliency
- Internal locus of control
- Emotional regulation
- Belief systems, values
- Self-efficacy
- Effective coping skills
- Increased educationm skills, and training
- Health
- Temperament
- Gender, roles
- Self concept and self esteem
Family Protective Factors for Family Resiliency
- Family structure
- Intimate partner relationship stability
- Family cohesion
- Supportive environment
- Social support
- Family of origin influences
- Stable and adequte income
- Adequate housing
Community Protective Factors for Family Resiliency
- Involvment in the community
- Peer acceptance
- Supportive mentors
- Safe neighborhoods
- Access to quality schools, child care
- Access to quality healthcare
If a family is lacking resilience:
- Assess…is it individual realted?
- Assess…is it family related?
- Assess…is it community related?
Strengths and Resiliency
- A family adapting to adversity (process of creating resiliency) will develop new strengths, accomplish developmental tasks, and new skills and competencies
- Additional strengths adds to their resiliency
- Taking control, making good choices, becoming empowered
- Resiliency becomes a strength
What are the four types of strengths?
Strenths are assets internal to the family systyem:
- Traits (optimism, resilience)
- Assets (dinances)
- Capabilites or competencies developed (problem-solving skills)
- QUalities (more transient in nature thant a trait or asset, motivation)
What does strengths enable families to do?
- Cope
- Change
- Develop
What are the nurse’s roles related to strengths?
- Identifying family strengths
- Providing feedback on the strengths
- Developing strengths
- Calling forth strengths
Nurse’s Role Related to Strengths: Identifying Strengths
- Use open-ended, exploratory questions to assess:
- Perceptions of concerns
- What is improtant to them
- How did they handle previous challenges
- Listen and observe
- Inventory and recognize the family’s strengths