Pattern of family relations to support the well-being of its members, which can be strengthened

• Family structure, including perception of self and family, family composition, social roles of family members, family developmental stages, socioeconomics, education, occupation, ethnicity, and cultural and religious beliefs
• Family health pattern, including perception of health, health management, family developmental tasks, coping mechanisms, health beliefs and values, health status, stressors, and safety
• Family function, including family interactions, use of resources, decision-making, growth and development, responses to affection and concerns

• Desires to enhance balance between personal autonomy and family cohesiveness
• Desires to enhance communication pattern
• Desires to enhance energy level of family to support activities of daily living
• Desires to enhance family adaptation to change
• Desires to enhance family dynamics
• Desires to enhance family psychological resilience
• Desires to enhance growth of family members
• Desires to enhance interdependence with community
• Desires to enhance maintenance of boundaries between family members
• Desires to enhance respect for family members
• Desires to enhance safety of family members

• Family members will identify family goals and structured directions.
• Family members will express enjoyment and satisfaction in their roles in the family.
• Family members will regularly participate in traditional family activities.
• Family members will maintain open and positive communications.
• Family members will maintain a safe home environment.
• Family members will contact community resources for help, if needed.
• Family members will seek regular health screenings and immunizations.
• Family members will identify and acknowledge risk factors.
• Family members will make plans for dealing with life changes and unexpected events.
• Family members will maintain healthy lifestyles by exercising regularly, eating a well-balanced diet, avoiding substance abuse, and using proven holistic health strategies.

Suggested NOC Outcomes

• Encourage family members to identify individual and family goals and structured directions. Individual and family goals set the boundaries that are respected by family members. Family functioning with structured direction should enhance family members' ability to meet their physical, social, and psychological needs.
• Encourage family members to express enjoyment and satisfaction in their roles in the family to enhance family dynamics and strengthen family bonds.
• Assist family members in coping with changes related to growth and development. Each transition stage of growth and development is a stressful life event.
• Explore with family members traditional activities that all family members will enjoy doing together. Sharing traditional family activities increases loyalty, security, and a sense of belonging for family members.
• Assess measures taken to maintain open and positive communications. Healthy communications bridge the gap between members of the family.
• Assist family to clarify family values and beliefs regarding health and health practices by helping family identify their values, restate the values, and identify conflicts between values and action. Values guide actions and have power to motivate behaviors. Value conflicts could lead to noncompliant health practices and interrupt the well-being of family members.
• Assess measures taken to maintain safety in the home environment. Environments that are free from environmental hazards, both chemical and physical, assure a sense of security.
• Assess the stress-coping ability of family members, individually and as a whole, to determine the strength and weakness status of the individual's and family's stress-coping pattern. Help family make realistic plans for dealing with life changes and unexpected events. Preparation for stress enhances the use of coping mechanisms and minimizes the threat.
• Provide family with information on social support and community resources. Social support and community resources enhance the family process, reinforce family strength, and assist when families are experiencing stresses.
• Provide family with information on recommended health screenings and immunizations and encourage them to schedule regular checkups according to their growth and developmental stages. Screening is a valuable tool to enhance preventive interventions.
• Help family develop a genogram to identify genetic risk factors. Information from a genogram highlights a family's health patterns, provides knowledge leading to early identification of genetically related diseases, and may delay disease onset.
• Educate and encourage family members to exercise regularly, eat a well-balanced diet, avoid substance abuse, and use proven holistic health strategies. Health promotion behaviors could maintain optimum health.

Suggested NIC Interventions

• Family functions in a structured and goal-oriented direction.
• Family members state enjoyment and satisfaction in their roles in the family.
• Family members regularly participate in traditional family activities.
• Family members maintain open and positive communications.
• Family members maintain a safe home environment.
• Family utilizes various available social support venues as well as community resources to meet the needs of the family and individual family members.
• Family members participate in regular health screenings and immunizations.
• Family members identify and acknowledge risk factors.
• Family members have plans for dealing with life changes and unexpected events.
• Family members maintain healthy lifestyle by exercising regularly, eating a well-balanced diet, avoiding substance abuse, and using proven holistic health strategies.

• Identification of goals and activities carried out
• Satisfaction level of family members
• Use of support services
• Health visits, patterns of exercise and diet, use of other health-promoting strategies
• Evaluations for expected outcomes

• Choi, Y., Kim, T. Y., Noh, S., Lee, J., & Takeuchi, D. (2018). Culture and family process: Measures of familism for Filipino and Korean American parents. Family Process, 57(4), 1029-1048.
• Khamis, V. (2017). Psychological distress of parents in conflict areas: The mediating role of war atrocities, normative stressors and family resources. Journal of Mental Health, 26(2), 104-110.
• Kuo, P. X., Volling, B. L., & Gonzalez, R. (2018). Gender role beliefs, work-family conflict, and father involvement after the birth of a second child. Psychology of Men & Masculinity, 19(2), 243-256.
• Paskewitz, E. A., & Beck, S. J. (2017). When work and family merge: Understanding intragroup conflict experiences in family farm businesses. Journal of Family Communication, 17(4), 386-400.