3. Health-related motives may not always give rise to health-related hehavior and converse ly, hcalth-relatea behavior may not a Jways be determined by health-related motives. These principles on motivatic Jn have ddinile implications lo nursing interven tions. Utilizing Lhe lirst 11ri11ciple. tile nurse can help Lhe family n,eognizc Lhc existence of he,illh problems and motivate the family to tukc nc1inns on them by helping individual menibers see the problems ;is having serious consc. quences and high prohability of occurrence within the family's reality. The second priuciple,Hn guide the nuri-e to utilize social nnd cconomi<: moti\·cs in making rhe family renlize the 1:1J11scquenccs of health problems,rnd health ncti<ms. Cousiderini:; the Lhird principle. the n11rse can cncournge health bchaviu1· by ulilb. ing 1wo-hcal ll 1 11101 i ''CS wb ich have mol'e weight in influencing action. The need for,1ffirmalion. the need to belong, social pressures of relatives and signific,1111 others-rill these can generate enou1,;h motiv:ition for appropriate health behavior. Effoctb,e nursing of families mny not be too cn,;y n tnsk in i-hc face ofliruited resources. both material ancl m:111pm,· er. Considering the problem on limil C'd matcrinl resources, the nurse can explore I he pm<sibility of utilizing indigenous supr,Jies to substitute for e.,,,ensivc. commercial ones. In the face of mnnpowcr rnnstrainls. the nurse·s ability nt developin g th, cnpnbilitit:s of cli1:111,-; lo support the hc,llth cn1·c system can he put to use. Fc1r example, slw can leach incli,~duals or w-oups on the sii!,. m, :-mcl,;ymptoms or common health pn Jblems so lhal the_,, can serve as monilodnj:\ network in the comnmnity lo infvrrn Lite nurse of pn Jhlcms thal need her immi:Jiatc alien lion. The nurse clln also tr::iin a11xiliary :rnd village hci1hh w1wkcrs tn 1mm:ige simple health problems 1>r do roul in,iry work and pn:ieccl UJ·e()dentcd acth·itics. Hy doing U1is, sbe can utilize her time dt>i11g the fum:Lio11 lhal requires ltcr cxpertise-ht:lpinl!, f;1milic;; develop co1111wtc11de_:; for health dc,·clopmc11t. The nurse aims to at l. iin self-rcli:111cc among families hy ckvclnpi11i:; thcir skills to r<'cogniz~ and mnnage simple IIN1lth 11rohlems. Ni 1ltis is achieved. there i,; no need to hea Yily depend on the overburde ned limited health resources for problems I hat farnilie~ 1:an adequately manage by themi;elvcs. IL is, likewise. i. 111port:mt th:11 the nurse lie well-informed al Jout the available community resources so that !\he c::in utilize thcn1 apprr,priatcly. EXPERTISE THROUGH REFLECTIVE PRACTICE Th r<>11~h mfleet ivc prnclice. Lhc implc111cnlnl ion plrns(' 11ro,;c1e. ~ the best opportunities to wickn cxpl'rl i:;;I. ' in fom ily !wall h c·n rl'. S,!vcn, I authors de~cribe two sels of reflective l)rnctice: Relki:Lion-in-adinn and Rctlcclion-n n-:iction (Gl'l;'Cnw uod. 1998). Rclle<·tin11-i11-:1L·lio11 means to think whal one is clning whik nne is doing ii. lt allows 1 he nurse lo rc-dcsii. :. n wha1 she is doin~ whill' slw is doing il (S<. :hon. 198::i. L987). Reflection­ on.. actiou i1n"c,lvfs rcvic,,.. ln J!i 01· re-cvaluntin~ on C"·s :. H. :tiuns to: (L) relate what unc has lc. 1rned frnm this c:,,.-peri<incc lo her 1x. isti11g knowledge' ~tr11c111rns; (:!) mentally test her new 1111dcrstantlings in new contc:-:;ts; mid,(~~) 111nkc the knowledge gained J1er own tools for crilk,11 thinkin~ untl,·xpcrl c;irinp, Relh:t:tivc pn,clicc e111. :011ni;1es llw nurse lo immerse i1110 tin· cli<nt"s rc,ility :os hnlh lcarn tul-\cthc1· lo trnnsfonn lhc exp.,rionc:e intn new w:iy~ of heini. :. anct hccnmin)!.. Using l'ar:;o's Theory of Tlum1111 Flecnming as;, ~uide, the 1111rse learns to undcrntund full~-the clicnl·s responses. feelin:;s, nnd pt!rccplirnrn. This expcricnec 011 eli L11l-n11n,<' immersion in the dic111's reality guides both 1ow:1rtls trnn~i:cndin~ till!,·111-r1nt st~11us r·ueing. ") to the h<. !sl pus~ihh; hii. ;hcr level of stale or fum:t inn in~(.. Bc<:omini:(). Sample process quest ions for each type of reflective prnctice arc shown in Bo~ 4. L. 105 