The Effective Use Of The Calgary Family Assignment Sample

Introduction

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The significance of patient-centered family care models in nursing is highlighted in this assignment. It discusses how important it is for specialized nurses to evaluate patients' needs, make ethical decisions, and ensure cultural competence. Introduced as a framework for family evaluation, the Calgary Family Assessment Model (CFAM) is used by healthcare professionals, particularly nurses. The CFAM approach is evaluated into three categories that are structural, developmental and functional to evaluate the relationship between the clinical ability to adjust the changes. This assignment has included some pieces of literature that provide the discussion of the different author's opinions about the CFIM. Here also provides effectiveness of interpersonal communication, teamwork, shared decision making and cultural competence of the elder patients.

Discussion

Empirical study

According to Milseki, et al. (2022), in their research, the authors used the systematic approach that helps to independently examine the literature in search of concrete evidence of the “Calgary Family Intervention Model's (CFIM)” usefulness in supporting nurses' bedside education and identify the Model's enablers and obstacles. For this research, 169 articles were taken that were published from 1990 to 2021. The CFIM is a highly beneficial model that nurses may utilize to improve bedside education and overall patient and family outcomes, according to a considerable amount of data. This research study facilitates teamwork and therapeutic exchanges. Nurses who utilize CFIM provide a resource for patients and their families as well. The usage of CFIM has raised some concerns since it can cause complications when it comes to family dynamics and patient care. Insufficient family sharing may lead to the patient receiving inadequate treatment and family members having unreasonable demands. The CFIM is a great tool for improving patient and family outcomes and increasing clinical nurse education. It was advised to be used in circumstances where it can help deliver patients and their families with better treatment.

According to Misto et al. (2019), this research highlights how crucial it is to acknowledge the role that family members play in providing hospital care for older persons with chronic diseases. In their research paper, the authors explored how family members perceived the interaction between nurses and patients' family members when hospitalized elderly patients with diabetes at a magnetic facility. This research paper comprised 60 family members of patients who were older adults and was directed using the CFIM. The authors found that during the hospital stay period the patient and the family members' opinions of family nursing practices were favorable. This indicates that patients and their families typically found the contact and support that nurses offered to be beneficial. For this, patients need better quality social care. The decline in family health suggested a possible area in which nurses may provide better family care (Misto et al. 2019). In order to help families deal with the stress and difficulties of overseeing the hospitalizations of elderly people with chronic illnesses, this may entail offering more social support. The family members were admitted to the hospital more frequently. This research explored that family health declined. This emphasizes the difficulties that families may have when their elderly relatives are unwell and repeatedly admitted to the hospital. To enhance family outcomes and nursing practice, this research's findings highlight the significance of focused family-level initiatives. Such strategies to better support families during hospitalizations of older individuals with chronic diseases should be investigated and put into practice in future research.

According to Brémault-Phillips, (2016), the authors used a mixed method approach for evaluating the “decision-making capacity assessment” (DMCA) model. For conducting this research gathered information from 49 focus groups and 126 surveys were included. The model's advantages were noted by the research, which included its application to interprofessional teams as well as independent practitioners, its best-practice and implementation approach, its emphasis on knowledge and skill enhancement through training and its supply of practical tools and procedures (Brémault-Phillips, 2016). This research study was able to identify a number of obstacles to the model's adoption, such as problems with physician participation, accountability, role clarity, compensation, and specialized resources. This research study recommended the following in order to improve the execution of job descriptions that include DMCAs that have access to consultation services, continual education and adequate compensation. A best-practice and implementation approach to DMCAs is provided to professionals, inter-professional teams, and organizations through the DMCA Model. It would be necessary to remove obstacles and then further contextualize the Model.

According to Alarcon, et al. (2022), this research study highlights the difficulties experienced by elderly couples and the significance of creating care plans for them by using the CFAM model. This paper emphasized the evaluation and support provided to the families of elderly Brazilian victims of violence. The structural, developmental and functional features of these families were investigated in the research study through the use of the Calgary Family Assessment Model (CFAM) (Alarcon, et al. 2022). The outcome of this research draws attention to the senior couple's shortcoming, which includes low educational attainment, chronic illness, financial reliance, alcoholism etc. These flaws give rise to emotions like insecurity, depression, anxiety, and loneliness. It has been noticed that a large number of the elderly couples in the research had close interlinks to health services and significant religious affiliations. In order to enhance these families' ability to operate, the research also highlights how critical it is to address conflict resolution techniques. This research study focused on senior victims who field complaints and the potential omission of assessments of more vulnerable persons is among its drawbacks.

According to Najah, et al. (2023), the use of the Calgary Family Intervention Model (CFIM) to enhance a patient's quality of life for diabetes mellitus is the topic of this research study. In the case study of Mr J and his family, the patient was the center of the investigation. It has been recognized that the patient had a poor quality of life, especially in the dimensions of psychological and physical health. The patient explored dissatisfaction with his health. This research paper focused on the importance of involving patients' family members and their care process (Najah, et al. (2023). The CFIM process includes the education and engagement of the family members in managing diabetes mellitus, foot care, exercise, stress management etc. It has been noticed by the authors that after 2 weeks the patient's quality of life improved gradually, particularly in the dimensions of social and physical health. This research paper emphasizes how important it is for people with diabetes to regularly check their blood sugar levels, to take their medications as prescribed, and to lead healthy lives. Family-oriented treatment that employs the CFIM method can help people with diabetes mellitus live better lives.

Literature Gap

The authors describe about CFIM model. In this model, they did not conceptualize the specific domain which is the affective, cognitive behavioral fact, on the elder patient health outcomes. In the research studies, there was not mentioned the family functioning and particular intervention that was offered by the health professionals. CFIM has 3 major characteristics that are developmental, structural, and functional, but the authors did not describe each of the factors effectively from the perspective of the older patient health outcomes.

Interprofessional Communication

A useful framework for improving interpersonal interactions with elderly people and eventually improving health outcomes is the Calgary Family Assessment Model (CFAM). CFAM offers a methodical framework for comprehending and managing the intricate dynamics of families, a particularly pertinent aspect of elder care. The evaluation of family structure is one of the essentials of CFAM. Patients receiving geriatric care frequently have adult children, grandparents, and even acquaintances as part of their support network. Healthcare providers can discover important players in the patient's treatment by thoroughly assessing the family structure. For efficient care and collaboration, this information is essential.

The significance of comprehending family dynamics and procedures is also emphasized by CFAM. Family members are frequently the primary source of emotional and physical assistance for elderly patients. Healthcare professionals can evaluate family members' involvement in caring, decision-making, and emotional support by using CFAM. With the help of this knowledge, healthcare professionals may interact with family members more successfully and motivate them to participate in the patient's care plan. It has been noticed that the collaboration of interpersonal communication improves the older patient's outcome, helps to reduce the negative impact on the patient, helps to prevent emergency cases of hospitalizations as well as reduces the rate of mortality and morbidity of the elderly patients. This interpersonal communication helps to optimize the medicine dosage of the patients.

Figure 1: Interpersonal collaboration of elderly patient health outcome

(Source: https://www.mdpi.com)

Teamwork

Professionals in patient safety acknowledge that good cooperation and communication are necessary for delivering high-quality medical treatment. Healthcare teams may enhance patient happiness, avoid medical mistakes, improve effectiveness, and improve outcomes for patients when all medical and nonclinical personnel work together efficiently. Effective communication is very important with the patient (Cheung, et al. 2023). This will help to recognize the problem of the patients easily. If the patient communicates with the nurse and the doctor in an effective way then it will help to optimize the symptoms in the easiest way. Without any hesitation, the patient can share their problem. Simultaneously monitoring the patient is essential. According to the doctor's prescription if the medicine is provided to the patient properly. Then it is essential to monitor the patient in an effective way so that it helps to know the rate of improvement of the patient. This will be very beneficial for the patient's health. Consequently, mental support to the patient is very much required. This will be helpful for the patient to recover from the disease easily. This is also helpful to retain the patient's anxiety, and depression stage easily.

Figure 2: Family system nursing

(Source: https://media.springernature.org)

Shared decision-making

Shared Decision making provides several advantages for older persons such as reduced decisional conflict, enhanced risk awareness, and a better comprehension of benefits and drawbacks. This helps to decrease the conflict in the patient's decision-making so that the patient can share their approach with the healthcare provider without any hesitation (G, 2023). This helps to improve the accurate risk perception. This approach provides the safety of the patients and ensures the patient and their families so that they can get good hospital facilities. Due to this, patients learn about their own health responsibilities and are aware of their own health outcomes.

There are various types of integrated tactics which lie between the healthcare systems, in between them one of the most preferable tactics is the shared recession procedure (Mileski, et al. 2022). This is very helpful but it often becomes more complicated when it goes between many providers while communicating the requirements and also between the patients and their families. It also becomes more notable when it seems in the case of elderly people and their complicated requirements. These obligations will be removed by enhancing face-to-face communications, permits for sharing their opinions and requirements and discussing their hazards.

Figure 3: Shared decision making elderly patient health outcomes

(Source: https://media.springernature.org)

Cultural competence

In order to ensure that the unique artistic requirements and importance of older people are respected, cultural competence is crucial when providing supervision. When used appropriately in this case, the Calgary Family Assessment Model (CFAM) can significantly enhance patient results.

Healthcare professionals use the comprehensive framework known as CFAM to evaluate the dynamics, structure, and cultural background of the family. When used in geriatric care, it helps medical professionals comprehend the cultural background of their patients, which may have an impact on their health-related preferences, beliefs, and behaviors (Read Paul, et al. 2019).

Healthcare professionals can utilize CFAM to identify artistic peculiarities that may have an impact on patient treatment, such as dietary limitations, family obligations, and thoughts. This knowledge helps to increase patient's involvement by tailoring treatment programs and interventions to their artistic demands and likings.

Family-centered care is encouraged by CFAM, which involves the patient's family in support and decision-making. This model encourages cooperation, which can improve the patient's overall well-being and provide a more comprehensive approach to care in elderly treatment, where family plays a crucial role.

Conclusion

Healthcare professionals may work with elderly patients and their families to make educated decisions regarding their care by utilizing CFAM effectively. Treatment plans that are more individualized and patient-centered result from this method's assurance that the patient's values, interests, and objectives are taken into account. For instance, CFAM aids in acknowledging the family's involvement in the decision-making process when it comes to advanced care planning or treatment options. It can contribute to excellent patient outcomes in this vulnerable demographic by enhancing general well-being, increasing adherence to treatment programs, and improving patient satisfaction in older patients.

References

Journals

• Alarcon, M.F.S. et al. (2022) Elderly victims of violence: Family assessment through the calgary model, Revista Gaúcha de Enfermagem. Available at: https://doi.org/10.1590/1983-1447.2022.20200218 (Accessed: 30 October 2023). Retrieved From https://doi.org/10.1590/1983-1447.2022.20200218 [Retrieved on: 10.10.2023]
• Brémault-Phillips SC, Parmar J, Friesen S, Rogers LG, Pike A, Sluggett B. An Evaluation of the Decision-Making Capacity Assessment Model. Can Geriatr J. 2016 Sep 30;19(3):83-96. Retrieved From doi: 10.5770/cgj.19.222. PMID: 27729947; PMCID: PMC5038930. [Retrieved on: 10.10.2023]
• Cheung, S., O'Beirne, M., Hill, T., Huyghebaert, T., Keller, S., & Kelly, M. (2023). Management of sleep disorder by preceptors in a family medicine residency program in Calgary, Alberta: a mixed-methods study. Canadian Medical Association Open Access Journal, 11(4), E637-E644. https://www.cmajopen.ca/content/cmajo/11/4/E637.full.pdf [Retrieved on: 10.10.2023]
• G;, M.M.R.K. (2023) Efficacy of the use of the Calgary family intervention model in Bedside Nursing Education: A systematic review, Journal of multidisciplinary healthcare. Available at: https://pubmed.ncbi.nlm.nih.gov/35734541/ (Accessed: 30 October 2023). [Retrieved on: 10.10.2023]
• García?Vivar, C., Konradsen, H., Kolbrun Svavarsdóttir, E., Brødsgaard, A., Dieperink, K. B., Luttik, M. L., ... & Imhof, L. (2023). Healthcare interventions for older people with dementia and family caregivers in Europe: A scoping review. International journal of nursing practice, e13172. Retrieved From https://onlinelibrary.wiley.com/doi/pdf/10.1111/ijn.13172 [Retrieved on: 10.10.2023]
• Leslie, M., Gray, R. P., & Khayatzadeh?Mahani, A. (2021). What is ‘care quality'and can it be improved by information and communication technology? A typology of family caregivers' perspectives. Scandinavian Journal of Caring Sciences, 35(1), 220-232. Retrieved From https://scholar.google.com/scholar?output=instlink&q=info:jZK4R-eaSckJ:scholar.google.com/&hl=en&as_sdt=0,5&as_ylo=2019&scillfp=4952391214874962423&oi=lle [Retrieved on: 10.10.2023]
• Mahrer?Imhof, R., Østergaard, B., Brødsgaard, A., Konradsen, H., Svavarsdóttir, E. K., Dieperink, K. B., ... & Luttik, M. L. (2022). Healthcare practices and interventions in Europe towards families of older patients with cardiovascular disease: A scoping review. Scandinavian Journal of Caring Sciences, 36(2), 320-345. Retrieved From https://scholar.google.com/scholar?output=instlink&q=info:ehj0lCQhCI0J:scholar.google.com/&hl=en&as_sdt=0,5&as_ylo=2019&scillfp=13559080750545090340&oi=lle [Retrieved on: 10.10.2023]
• McClay, R. (2021). Implementation of the Family HELP Protocol: A Feasibility Project for a West Texas ICU. Healthcare 2021, 9, 146. Retrieved From https://pdfs.semanticscholar.org/cec4/bec5115eb416549260698502a5c5015051f4.pdf [Retrieved on: 10.10.2023]
• McClay, R. (2021, February). Implementation of the family HELP protocol: a feasibility project for a West Texas ICU. In Healthcare (Vol. 9, No. 2, p. 146). MDPI. Retrieved From https://www.mdpi.com/2227-9032/9/2/146/pdf [Retrieved on: 10.10.2023]
• Mileski, M., McClay, R., Heinemann, K., & Dray, G. (2022). Efficacy of the use of the Calgary family intervention model in bedside nursing education: a systematic review. Journal of Multidisciplinary Healthcare, 1323-1347. Retrieved From https://www.tandfonline.com/doi/pdf/10.2147/JMDH.S370053 [Retrieved on: 10.10.2023]
• Misto, K. (2019). Family perceptions of family nursing in a magnet institution during acute hospitalizations of older adult patients. Clinical Nursing Research, 28(5), 548-566. Retrieved From https://scholar.google.com/scholar?output=instlink&q=info:QHoUbQ7tY8wJ:scholar.google.com/&hl=en&as_sdt=0,5&as_ylo=2019&scillfp=4249584204444801221&oi=lle [Retrieved on: 10.10.2023]
• Najah, F.L. et al. (2023) Calgary family intervention model approach to improve quality of life for diabetes mellitus patients, KnE Social Sciences. Available at: https://knepublishing.com/index.php/KnE-Social/article/view/12876 (Accessed: 30 October 2023). Retrieved From https://knepublishing.com/index.php/KnE-Social/article/view/12876 [Retrieved on: 10.10.2023]
• Read Paul, L., Salmon, C., Sinnarajah, A., & Spice, R. (2019). Web-based videoconferencing for rural palliative care consultation with elderly patients at home. Supportive Care in Cancer, 27, 3321-3330. Retrieved From https://scholar.google.com/scholar?output=instlink&q=info:vnZwoU_nc6QJ:scholar.google.com/&hl=en&as_sdt=0,5&as_ylo=2019&scillfp=5218690932048491956&oi=lle [Retrieved on: 10.10.2023]
• Thomas, R. E., Nguyen, L. T., Jackson, D., & Naugler, C. (2020). Potentially inappropriate prescribing and potential prescribing omissions in 82,935 older hospitalised adults: association with hospital readmission and mortality within six months. Geriatrics, 5(2), 37. Retrieved From https://www.mdpi.com/2308-3417/5/2/37/pdf [Retrieved on: 10.10.2023]
• Wright, L. M. (2019). Older adults and their families: An interactional intervention that brings forth love and softens suffering. Journal of Family Nursing, 25(4), 610-626. Retrieved From https://scholar.google.com/scholar?output=instlink&q=info:jAycOe2JuzEJ:scholar.google.com/&hl=en&as_sdt=0,5&as_ylo=2019&scillfp=7280629339080666356&oi=lle [Retrieved on: 10.10.2023]