00064 Parental Role Conflict

Domain 7: role/relationships
Class 3: role performance
Diagnostic Code: 00064
Nanda label: parental role conflict
Diagnostic focus: role conflict
Approved 1988 • Revised 2017

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « conflict of parental role  » is defined as: parental experience of confusion and conflict in the role in response to a crisis.

Definite characteristics

  • Anxiety
  • Interruption of caregiver’s routines (a)
  • Express fear
  • Express frustration
  • Inadequacy perception to meet the needs of the child
  • Perception of loss of control over decisions related to the child
  • Resistance to participate in the usual care activities
  • Concern Report on the change in the parental role
  • Family concern report
  • Report feel guilty

Related factors

  • Interruptions in family life because of the home treatment regime
  • Intimidation by invasive treatments
  • Intimidation by restrictive treatments
  • Separation of parents and the child

Risk population

  • People who live in a non -traditional environment
  • People who experience a change in the marital state
  • Children’s parents who require home care due to special needs

Suggestions of use

  • This label should be used when a situation causes unsatisfactory performance of the previously effective role by caregivers (parents).

Suggested alternative diagnostics

  • Committed family coping
  • Caregiver, tiredness of the role of (real or potential)
  • Paternity, deterioration of the
  • Paternity, risk of deterioration of
  • Family processes, interruption of the

NOC Results

  • Alteration of the lifestyle of the caregiver: gravity of the disturbance of the lifestyle of a relative due to the caregiver role
  • Knowledge: parental role: level of knowledge expressed about the offer of a constructive and safe environment for a child between one and 17 years of age
  • Parental role performance: congruence of a person’s role behavior with the expectations of the role
  • Provision of the caregiver for home care: degree of preparation of a caregiver to assume responsibility for the health care of a family member at home
  • Parental role: Actions of parents aimed at providing the child with a physical, emotional and social, constructive and safe environment

Evaluation objectives and criteria

Examples with the use of terms no c

  • • The parental role conflict is resolved or relieved, as manifested by the preparation of the caregiver for home care, the alteration of the lifestyle of the caregiver; The knowledge: the parental role, the paternal and maternal role, and the performance of the role.
  • • Parental role performance is demonstrated, as manifested by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often or usually):
    • Cover the child’s physical needs
    • Cover the child’s special needs
    • Stimulate cognitive and social development
    • Stimulate emotional and spiritual development
    • shows a love relationship
  • • Role performance is demonstrated, as manifested by the following indicators (specify from 1 to 5: no, slightly, moderately, substantially or totally adequate): family performance and labor behaviors

Other examples

The father or caregiver will be able to:

  • • Identify and use social support available in the community
  • • Use effective coping strategies
  • • Demonstrate skills to modify the role of parents in the face of a crisis
  • • Express that he considers that the child’s needs meet satisfactorily
  • • Be available to support the child and give their consent for treatments
  • • Inspire confidence in health care suppliers
  • • Request information about the disease and patient treatment
  • • Express the willingness to assume the role of caregiver
  • • Demonstrate knowledge about child’s disease, the treatment regime and emergency care

NIC Interventions

  • Caregiver Support: Provision of the information, aid and support necessary to facilitate the fundamental care of a patient, made by someone who is not a health care professional
  • Support in decision making: Provision of information and support to a patient who is making a decision regarding his health
  • Psychological advice: use of an interactive process of help focused on the needs, problems or feelings of the patient and their loved ones, to improve or strengthen coping, problem solving and interpersonal relationships
  • Parent Education: Adolescent: Help parents understand and help their teenage children
  • Parent Education: Family and upbringing: Assistance to parents to understand and encourage growth and physical, psychological and social development, their young children, in preschool or school age
  • Promotion of paternity: offer information for parents, as well as support and coordination of complete services to high -risk families
  • Development promotion: Adolescent: Facilitation of optimal physical, cognitive, social and emotional growth, of individuals during the transition from childhood to adulthood
  • Development Promotion: Child: Facilitation or teaching to parents and caregivers to offer optimal cognitive, social, emotional development, of thick and fine motor skills, and the language of preschool and school age children
  • Anticipatory Guide: Preparation of a patient for a situational crisis and/or anticipated development
  • Intervention in crisis: Use of brief psychological orientation to help the patient to face a crisis and restore a similar functional state, or better, to the state prior to the crisis
  • Maintenance of family processes: minimization of the effects of the destabilization of family processes
  • Improvement of coping: assistance to a patient to adapt to stressful factors, changes or perceived threats that interfere with the satisfaction of the demands and the roles of life
  • Improvement of the role: assistance to a patient, his family and closest people to improve relationships by clarifying and complementing the specific behavior of the role
  • High planning: Preparation to transfer a patient from one level of care to another, inside or outside the current health institution
  • Promotion of family participation: Facilitation of family participation in the emotional and physical care of the patient

Nursing Activities

Valuations

  • • Ask parents how they want to participate in the care of their hospitalized son
  • • (NIC) Maintenance of family processes:
    • Determine the usual family processes
    • Identify the effects of role changes on family processes

Patient and family education

  • • Teach the behavior of the new role, derived from the crisis situation
  • • Explain the foundations of treatments and encourage questions to reduce misunderstandings and increase participation to the maximum
  • • (NIC) Maintenance of family processes: teach the family skills to administer and organize time by providing patient care at home, as required

Collaboration activities

  • • (NIC) Maintenance of family processes: help family members use the support mechanisms available

Others

  • • Confront parents regarding their ineffective behavior (during this crisis) and analyze the alternatives
  • • Motivate parents to express their feelings about child’s disease
  • • Involve parents as much as possible in care, and to the extent that they wish
  • • To make parents feel comfortable in the hospital environment (for example, offer them a place to sleep next to the child’s bed)
  • • Help parents identify personal strengths and coping skills that could serve to resolve the crisis
  • • Analyze with one or both parents, a strategy to meet personal and family needs
  • • Provide positive reinforcement for the constructive actions of the parents
  • • (NIC) Maintenance of family processes:
    • Maintain flexibility in visits in order to meet the needs of family members and the patient
    • Provide options for relatives who remain in the health institution can communicate with other relatives (for example, telephones, audio recordings, open visits, photographs, email messages and video recordings)
    • Help relatives in the facilitation of patient visits to their home, when possible

At home

  • • Previous nursing activities are adequate or can adapt to home care