Family assessment can be challenging and each nurse may obtain additional information regarding family structure and dynamics. What is the best way to share this information from shift to shift?
a. Create an informal family information sheet that is kept on the bedside clipboard. That way, everyone can review it quickly when needed.
b. Develop a standardized reporting form for family information that is incorporated into the patient's medical record and updated as needed.
c. Require that the charge nurse have a detailed list of information about each patient and family member. Thus, someone on the unit is always knowledgeable about potential issues.
d. Try to remember to discuss family structure and dynamics as part of the change-of-shift report.
B
A standardized method for gathering data about family structure and function and recording it in an official document is the best approach. This strategy ensures that data are collected and kept in the medical record. Data are also easily retrievable by anyone who needs to know this information. Informal documentation is often kept to assist in follow-up and change-of-shift reporting; however, this strategy is not recommended, as data collected are likely to vary and not be part of a permanent record. Although the charge nurse often has some information regarding families, the primary responsibility for assessment and follow-up belongs to the bedside nurse. Family information should be shared at change of shift using a standardized format, not "try to remember to discuss… ."
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