00159 Willingness To Improve Family Processes

Domain 7: role/relationships
Class 2: family relationships
Diagnostic Code: 00159
Nanda label: willingness to improve family processes
Diagnostic focus: family processes
Approved 2002 • Revised 2013 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « willingness to improve family processes ” is defined as: family functioning pattern to maintain the well -being of its members, which can be reinforced.

Definite characteristics

  • Expresses desire to improve the balance between personal autonomy and family cohesion
  • Express desire to improve the communication pattern
  • Expresses desire to improve family energy level to support the activities of daily life
  • Express desire to improve family adaptation to change
  • Express desire to improve family dynamics
  • Expresses desire to improve family psychological resilience
  • Express desire to improve the growth of family members
  • Express desire to improve interdependence with the community
  • Expresses desire to improve the maintenance of limits between family members
  • Expresses desire to improve respect for family members
  • Express desire to improve the safety of family members

Suggestions of use

This label describes a family whose functioning is effective, but that wishes to improve its dynamics and its ability to face situational and development crises.

Suggested alternative diagnostics

  • Family coping, disposition to improve the
  • Paternity, willingness to improve the
  • Family processes, interruption of (risk of)

NOC Results

  • Family social atmosphere: support environment characterized by the objectives and relations between family members
  • Family Health: General Health and Social Competitions of the Family Unit
  • Family operation: Family system capacity to meet the needs of its members during development transitions
  • Family integrity: behaviors of family members who together demonstrate cohesion, strength and emotional ties
  • Family resilience: positive adaptation and functioning of the family system after an important crisis or problem

Evaluation objectives and criteria

  • • The family shows improvement in family processes, as evidence /li>

    Other examples

    The patient and family will be able to:

    • • Recognize changes in family roles
    • • Identify coping patterns, common and effective
    • • Use appropriate support systems
    • • Recognize environmental and lifestyle factors that constitute health risks, and act to minimize risks
    • • Provide mutual support to each family member

    NIC Interventions

    • Health Education: Preparation and supply of information and teachings to facilitate the voluntary adoption of health behaviors in individuals, families, groups or communities
    • Health Evaluation: Risk detection or health problems through anamnesis, exploration and other procedures
    • Promotion of family integrity: improvement of cohesion and family unit
    • Promotion of family integrity: parenting: facilitation of the growth of individuals or families that add a child to the family unit
    • Maintenance of family processes: Reduction of the effects of the destabilization of family processes
    • Improvement of socialization: facilitation of another person’s ability to interact with others
    • Improvement of coping: Help the patient to adapt to stressful factors, changes or perceived threats, which interfere with the satisfaction of the demands and the roles of life
    • Orientation on the health system: facilitation to a patient of the location and use of adequate health services
    • Resilience promotion: Help people, families and communities, to develop, use and strengthen protective factors that must be used to face environmental and social stressful factors

    Nursing Activities


    • • Help family members identify and anticipate situations that can alter family processes
    • • Identify the spiritual support of the family
    • • Identify changes in family roles and their effects on family processes
    • • (NIC) Promotion of family integrity.
      • Determine the usual family relationships
      • Monitor current family relationships
      • Identify priority conflicts between family members

    Patient and family education

    • • Teach to the family skills (such as time administration, treatments) that can improve family processes
    • • Offer information on available social support mechanisms, which can be useful in stress situations


    • • Help the family identify personal strengths
    • • Help the family resolve conflicts (if necessary)
    • • Encourage the family to express feelings and concerns
    • • Encourage the family to participate in patient care and plan after hospitalization care
    • • Offer flexible visit schedules to adapt family visits
    • • Conserve family routines and rituals (for example, allow private meals or family decision making)
    • • Provide positive reinforcement in the effective use of coping mechanisms
    • • (NIC) Promotion of family integrity.
      • Allow the family to have privacy
      • Facilitate open communication between family members
      • Advise family members about additional effective coping skills for their own use

    At home

    • • Previous interventions can be used in the care provided in the home

    Babies and Children

    • • Encourage the family to eat together to favor good nutrition and improve family communication

    Older people

    • • Provide positive reinforcement to the caregivers of the elderly; highlight the importance of your activities
    • • Explore, with the families of the elderly, some ways to maintain their social ties with friends and family