00056 Impaired parenting

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00056 Impaired parenting

Definition of the NANDA label

Inability of the main caregiver to create an environment that favors the optimal growth and development of the child.

Inability of primary caregiver to create, maintain or regain an environment that promotes the optimum growth and development of the child.

Defining characteristics

Infant or child

• Poor school performance.
• Frequent accidents.
• Frequent illnesses.
• Flight.
• Incidence of physical or psychological trauma or abuse.
• Lack of connection.
• Lack of adequate development.
• Behavioral disorders.
• Bad social competition.
• Lack of separation anxiety.
• Inadequate cognitive development.

Parental

• Inadequate arrangements for the care of the child.
• Rejection or hostility towards the child.
• Claims of inability to meet the child’s needs.
• Inflexibility to meet the needs of the child or the situation.
• Poor or inappropriate caring skills.
• High incidence of penalties.
• Inconsistent care.
• Child abuse.
• Inappropriate maintenance of the child’s health.
• Unsafe home environment.
• Verbalization of not being able to control the child.
• Negative expressions about the child.
• Verbalization of frustration and inappropriate role.
• Inappropriate auditory, tactile, visual stimulation.
• Abandonment.
• Little or no connection with the child.
• Inconsistent behavior.
• Negligent child care.
• Few affective displays.
• Deficit of mother-child interaction.
• Bad parent-child interaction.

Related factors

Social

• Lack of access to resources.
• Social isolation.
• Lack of family cohesion.
• Inadequate arrangements for the care of the child.
• Overload or tension in the performance of the role.
• Marital conflict, decreased satisfaction.
• Devaluation of maternity or paternity.
• Change in family unit.
• Low socioeconomic class.
• Unexpected or unwanted pregnancy.
• Stress (economic, legal, recent crisis, cultural change).
• Lack of parental role model or inadequacy of the existing one.
• Lack of social support networks.
• Maladaptive coping strategies.
• Lack of problem solving skills.
• Inability to prioritize the child’s needs over their own.
• Low self-esteem.
• Lack of resources.
• Poor home environment.
• Lack of transportation.
• Unemployment or job problems.
• Single parent family.
• No involvement of the child’s father.
• History of having committed ill-treatment.
• History of having suffered abuse.
• Economic difficulties.
• Poverty.
• Transfers.
• Legal difficulties.

Knowledge

• Lack of knowledge about maintaining the child’s health.
• Lack of knowledge about parenting skills.
• Unrealistic expectations about oneself, the child, the partner.
• Lack of knowledge about the child’s development.
• Inability to recognize and act on the child’s cues.
• Low educational level.
• Lack of communication skills.
• Limitation of cognitive function.
• Lack of cognitive availability for parenthood.
• Preference for physical punishment.

Physiological

• Physical illness.

Of the infant or child

• Premature delivery.
• Disease.
• Prolonged separation from parents.
• Sex other than desired.
• Attention deficit due to hyperactivity.
• Difficult temperament.
• Separation from parents at the time of birth.
• Temperament of the child that does not correspond to the expectations of the parents.
• Unwanted or unwanted child.
• Disabilities or delays in development.
• Multiple birth.
• Alteration of perceptual abilities.

Psychological

• History of substance abuse or dependence.
• Disability.
• Depression.
• Difficult labor or delivery.
• Youth, especially adolescence.
• History of mental illness.
• Multiple pregnancies or pregnancies in a row.
• Sleep deprivation or disturbance.
• Lack of prenatal care or late prenatal care.
• Separation of the infant / children.

At risk population

Infant or Child

• Developmental delay
• Difficult temperament
• Gender other than desired
• Prematurity

Parental

• Change in family unit
• Closely spaced pregnancies
• Difficult birthing process
• Economically disadvantaged
• High number of pregnancies
• History of abuse
• History of being abusive
• History of mental illness
• History of substance misuse
• Insufficient cognitive readiness for parenting
• Legal difficulty
• Low educational level
• Multiple births
• Relocation
• Single parent
• Unemployment
• Unplanned pregnancy
• Unwanted pregnancy
• Work difficulty
• Young parental age

Associated condition

Infant or Child

• Alteration in perceptual abilities
• Behavioral disorder
• Chronic illness
• Disabling condition

Parental

• Alteration in cognitive functioning
• Disabling condition
• Physical illness

NOC

• Family environment: internal.
• Safety behavior: physical environment of the home.
• Child development.
• Execution of the role.
• Family functions.
• Father-son emotional ties.
• Be dad.
• Social support.
• Overcoming family problems.

NIC

• Environmental management: safety.
• Surveillance: security.
• Parental education.
• Stimulation of family integrity.
• Promotion of fatherhood.
• Promotion of child development: specify.
• Role empowerment.
• Maintenance in family processes.
• Child care.
• Promotion of rapprochement.
• Support in the protection against abuse.
• Promotion of development.
• Identification of risks.
• Increase in support systems.
• Increase in family involvement.
• Support group.
• Family support.
• Increase coping.

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