00075 Willingness To Improve Family Coping

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00075
Nanda label: willingness to improve family coping
Diagnostic focus: coping
Approved 1980 • Revised 2013

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « willingness to improve family coping is defined as: management pattern of adaptive tasks by the reference person (family member, significant person or intimate friend) involved in the change in patient’s health, which can be reinforced.

Definite characteristics

  • Expresses desire to recognize the impact of the growth crisis
  • Express desire to choose experiences that optimize well -being
  • Express desire to connect with others who have experienced a similar situation
  • Express desire to improve lifestyle
  • Expresses desire to improve health promotion

Suggestions of use

  • This diagnosis should be used in a family with normal functioning that wishes to conserve and improve family integrity during changes produced by a situational disease or crisis.
  • The family is likely to have control over the results or improve their quality of life. This and the following suggested alternative diagnoses are partially overlap. Waiting for more investigations, use disposition to improve family processes.

Suggested alternative diagnostics

  • Family processes, disposition to improve the

NOC Results

  • Family coping: family actions to manage stressful factors that test family resources
  • Welfare of the caregiver: how positive the state of health and the life circumstances of the primary caregiver are perceived
  • Health search behavior: personal actions aimed at achieving optimal levels of well -being, recovery and rehabilitation
  • Health promotion behavior: personal actions aimed at maintaining or increasing well -being
  • Family operation: Family system capacity to meet the needs of its members during development transitions
  • Family Standardization: Family system capacity to maintain habits and develop strategies to achieve functioning
  • optimal when a member suffers from a chronic disease or disability
  • Family Resilience: Ability of the family system to adapt successfully and function competently after adverse events or important crises

Evaluation objectives and criteria

(See also the diagnostic evaluation objectives/criteria willing to improve family processes ’)

Evaluation objectives/criteria

  • The family demonstrates family functioning, as manifested by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often or consistently):
    • Regulates the behavior of the members
    • It adapts to development transitions
    • Get appropriate resources to meet the needs of its members
    • Members perform the expected roles
    • Members support each other

Other examples

  • The family member or members will be able to:
    • Prepare a personal growth plan
    • Evaluate and modify the plan if necessary
    • Identify and prioritize personal goals
    • Apply the plan

NIC Interventions

  • Caregiver Support: Provide the information, aid and support necessary to facilitate the fundamental care of a patient, made by someone who is not a health care professional
  • Family support: foster family values, interests and objectives
  • Help for personal change: reinforcement of personal changes initiated by the patient, in order to achieve important personal goals
  • Care to give a break: to supply care in the short term to relieve the cargo of the caregiver
  • Health Education: Prepare and provide information and teachings to facilitate the voluntary adoption of health behaviors in individuals, families, groups or communities
  • Promotion of family participation: facilitate family participation in the emotional and physical care of the patient
  • Improvement of coping: help the patient adapt to stressful factors, changes or perceived threats that interfere with the satisfaction of the demands and the roles of life
  • Orientation on the health system: facilitate a patient the location and use of adequate health services
  • Promotion of standardization: help parents and other family members with children who have chronic diseases or disabilities to provide normal vital experiences to their children and family members
  • Resilience promotion: help people, families and communities to develop, use and strengthen protective factors that must be used to face environmental and social stress factors

Nursing Activities

In general, nursing activities for this diagnosis focus on evaluating the system and family support, providing all the information necessary for patient care and working with them to plan family development.


  • Evaluate the physical, emotional and educational resources of the family
  • Identify the cultural influences of the family
  • Identify any patient self -care deficiencies
  • Identify family structure and roles
  • (NIC) Family support.
    • Assess the emotional response of the family to patient’s disease
    • Determine the psychological load that implies the prognosis for the family
    • Identify the nature of the spiritual support of the family

Patient and family education

  • (NIC) Family support.
    • Teach the family of medical and nursing care plans
    • Provide the necessary information about the different alternatives to help the family make decisions about patient care
    • Help the family acquire the knowledge, skills and equipment necessary to support their decision on patient care

Collaboration activities

  • Identify useful community resources to improve the patient’s health with family members:
  • (NIC) Family support, plan rest periods for the caregiver, if indicated and the caregiver wishes:


  • Help family members elaborate a personal growth plan. The Plan may include the research of employment opportunities, school education, support groups, enriching activities and exercise
  • Give emotional support and be available to the family during the application, evaluation and review of the plan
  • Help relatives identify and prioritize their personal goals
  • Encourage family members to compare the initial reaction to the crisis with the current situation to identify the changes
  • Create opportunities for family members to reflect on the effect of patient disease on family structure and dynamics
  • Comment how strengths and resources can be used to improve the patient’s health status with family members
  • (NIC) Family support.
    • Ensure the family that the best possible care is being provided to the patient
    • Accept family values ??without judging them
    • Listen to the concerns, feelings and questions of the family
    • Facilitate the expression of concerns and feelings between the patient and the family or among family members
    • Answer all family members or help you find the answers
    • Respect and support the adaptive coping mechanisms of the family
    • Provide feedback to the family about their coping mechanisms
    • Encourage family decision making regarding the planning of patient’s long -term care that affect family structure and economy
    • Defend the family, if necessary
    • Support the family in their search for information, if necessary

At home

  • All previous activities can be carried out at home

Babies and Children

  • See the care for babies and children in family coping committed

Older people

  • See the care for older people in compromised family coping