00064 Parental role conflict

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00064 Parental role conflict

Definition of the NANDA label

State in which one of the parents experiences conflict or confusion regarding their functions in response to a crisis.

Parental experience of role confusion and conflict in response to crisis.

Defining characteristics

• The father, mother, or both, express concern or feelings of helplessness in meeting the physical and emotional needs of the child during hospitalization or at home.
• One or both parents report concern in relation to changes in their role as father or mother, or in the dynamics, communication and health of the family.
• The father, the mother, or both, report concern about the loss of control in decisions regarding the child.
• There is an obvious interruption or disturbance in the child’s care.
• One or both parents refuse or are reluctant to participate in the usual care of the child, even with support and encouragement.
• The father, the mother, or both, report or show feelings of guilt, anger, fear, anxiety or frustration regarding the effects that their child’s illness may have on family life.

Related factors

• Separation from the child due to a chronic illness.
• Intimidation of parents before the practice of restrictive or invasive therapeutic techniques in the child (isolation, intubation) or before their admission to special care centers.
• Home care for a child who needs special care (apnea monitoring, postural drainage, hyperalimentation).
• Changes in the couple’s situation.
• Alterations in family life imposed by specialized home care (treatments, caregivers, lack of rest).

At risk population

• Change in marital status
• Home care of a child with special needs
• Living in nontraditional setting

NOC

• Adaptation of the family caregiver to the income of the
patient to a health entity.
• Family environment: internal.
• Execution of the role.
• Family functioning.
• Preparation of the family caregiver.
• Be dad.
• Overcoming problems.

NIC

• Support for the main caregiver.
• Role empowerment.
• Promotion of fatherhood.
• Maintenance in family processes.
• Support for the main caregiver.
• Promotion of family involvement.
• Intervention in cases of crisis.
• Advice.
• Increase coping.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.

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