t,rn maximize tcachinj. \-l<'m·11i11g oppcn-tunitics for the family to :,clccl llll Ll test l HII intervention option:; to tlctcn11ilu. their appm1>rintcncss in hclpi11g the fomily tow. ud need rcsol11tlon. THE EVALUATION PHASE E"nlual inn is tlw conli1111011:-criliq11ing of cnch asp Pl'l (Jr tile 1111rsi11g process {Cl,:nw11-S1011c and,>1hcrs :2002. p. :28;~). i\llhc111). th c\·al1111Lin1 1 is discnsscd ns u ,;cpant IL' phast. it must t ak, plu,·c <' llll'1tl TL·111 ly with nil t lw ot lwr ph. 1:-l'S of I he nursing 111·m·,:,;s. :ts illnstrnl,d i11 Fig. 1. 1 tin Chapter 1), 11s111i; :111 mlaptation of lhc. ' diagn11n of Alfnro-1.,F,vr, · (:. !t H 1:2. p. 1~1t). v Vi Lh in this frmm:wm·k. two Wpc:; of eval\1111 iun include fr,rmativc und s11111mali \'c. Ft)n11ali\'(~ C\':1'11:1tim1 occnrs d11ri11g the course of the 1111rsc-fn111il) 1·cl111ionship. Ongoing feedback is d Clnt,,md elidtud,ininl J~ with the family to clclcr111inc if gt1als, pl. ms and i111l'r\'c1ttit1 11 stral,:gics ;11·,· :1ppr<1prialcly foc:11sc1. l. llns,·d in lhl: eval11atic:m plan whil-h s1wcilics \he nitl·ria/i11dit-,11ors. cvalualitll l sland:mls, methods and tools, for111:1 I i\'c' ('\',1111 :11 ion L-: don,· n t p L1·ioclk points d11 ri 11A the i 111plt:111~·111111 ion phas~ lo dclcr111i1w c:h;m A<'S in llw eli(111·s h L·11Hh i. :011diliu11 or humc and e11virom11c11l H::1litics. L1::i11g ('\'al11atinn c-ril!ria tu hdp lmth nurs,· :111<1 family IP ddrr111i1H' ii' tlw 1,hj1ctivcs are nttnin,d, t·lt<:' nurse n..:cd lo n. :,·ic-w it11d t,lclt:nnine hnw th, criteria rclal. t lo each singe of till' 1rnrsi11µ. pn1niss. \Vhen b Nh. the 11111·s~ anti the family n:alizc thal the objccti\'CS an: nnt. icilicn:d. thl'Y can analy·,..... possiblt: r(·asnns. So inc 0x. 1111plcs include: (1) i11adcq11ac·y of assessn1c 111 d11t11: {2) ~oal:,; and ()bjcel i\'CS arc tnll J)l'oc Jd or 111Hcalistic, or that they are 11e11 mt1l\lallr established; (;3) familr rcso11rce-S or cntrgicn nre not focused on pric1rity familr needs or arc deplctccl as a result of nisei-si1. 11;1tio11s; or (,I) the family la C'ks the i11L,rnal or external support ii needs In hantllc the chan). tc process (Clemen-Stone and olhcn; :. !\ll):. !, p. :. !86). Fornwtivc cvaluatio 11 gui1. h:i; both Lhc nurse and the fa mil:, on <lccisiom; ah<l11I modilic. ations of goals, object i\le:S und interventio n strategies/measures, depending uplln the c11ne11l silualio11, emerging or. tll<lilional health needs/problems and priori tie:-of the family. Smumative evulua Lion occurs at the end of the family-nurse relationship. It determines iftbe goals as specified in the family m. u·sir. ig cnrc plan are il Chieved as measured by Ute outcome criteria a ncl evalualion standards. T3asell on the family's c11rrcnt sittrnrion and/Dr remaining health needs or pl'oblcms, the nurse can guide tho family on ma. king choices about tern1innl ion or 1·cfer1·al. CHALLENGES AND DIRECTIONS Family health nursing practice is a phenomenological e11.-perience of caring and coping,vi U1 cart:giving. Excelle L1ce in such nn engaged caring is reflected in skillful comport Jnent, given the nurse's personal and profession. il meanings, concerns, expectations, style, habits and resources, particulnrly experienced during the implementatio n phase. Commib11ent to excellence of practice is a lived experience of being effective in ltaudlingtbe challenges of working with families. The implementation and evaluation phases provide every avaifable opportunity for the nurse and the family to validate assessment data and modify Lbe nursing care plu. n based on the family's perception of ru1d responses to every nurse-famil y effort at e:-.."J)loring the best choices. in the family's sit1. 1ated possibilities. Through immersion into lhe client's 1·eality, the nurse gets a full understanding of the depth of the ·meaning of L11e client's experience ns both enhance each other's opportu nitiestofacil itate thejow·uey from apathy lo courage, vacillation to decisiveness, 107 