can ma:dniiw tcmchir1~-li. :. inling 11rpr Jrtunitics for the f:1mdy tnselec. :t :1nrl 11,. 'il 0111 inl1·rvc11ti1m r,µriw1-r t,1 d1t<·rminr thrir AJ')r,ropriarcnf"q S it1 hrlpi11g tl1t f. imily tow;1rd nt:1:c..l rc:mlutio11. THE EVALUAT ION PHASE Eval11;ilinn is lhc crrntirrnr,us r:ririq11ing of P:1d1 asper!,,r tl1c nursin14 pruccss (Clemen-Stone and others :. !l>IJ:l, p. 28:3). Althrm~h tv;d11;1tion is dis1·uss<?d as ;i scp,1ralc phase, il Ill usl t akc pl;u:e crn1nr rrint I~· with all r lw 11I lwr i,h:iscs,if the riursi ng process. ;i:, ill11stral1:d i11 f'i A, 1. 1 (in Ch:iprer 1). using an ad;1pt. ition of the diagram of /\lf:t1·n-l. t:Ftvn (:. !1111:. !, p. 191). Within 1his fnimework. two types ofevalw,tion include formative and !,,llll111lati\'C!. Formative cv;ilualinn oi:cun; during the course of the nurse-family relati<Jnship. Ongnin~ fccdh:1!'k is done and clicitccl Jnint Jy with Lhe family 1,, d Ptrrmine if ~oafs, pl::ms :md i11te.-·c1di1m str.,tt:gic.-s ;1n: apprl)J)riatcl~ f<Jcusecl. lbsed u1 the ev;ilu;ition plan which specifics th,· critcri:1/i11dicalo1-s, evaluatinn stand;ircl~. mf'lhods and tools. rt1m111tivc· 1v,1lua1inn is dcme ill pcrira1<. lk poin L, during the implcmenlation ph:,sc lo d<·lc-rmirw ch1111~Ps in tlw 1:li C'111·. s lw11lth conditirrn or hqmc :incl environment n:;ilities. Using t·val11atio11 <'i-iterl:, In help hoth nu1"s1: 1111d fomil~-tr, rlet,:rmine ;r the objectives ure :1ltai111,I. tlw nur.-e ncetl to r<\·iew ;ind determine hem· llw criteria rclale IQ each sta~C' nf thr nnr;;ini. prrwr-ss. \Vhc:n both the 1111rse and the fnrnily re. ilizt. : 1ha1 the objectives an· not 11r-l1 ievccl, the,· ca 11 a na h·zc pnssihle r~;<r-,ns. Some examples include: ( 1) inacl<'q1rn13 of ;i:-. sr,;smcnt d:1tn; (2) s. ;nals mid objective:-:1n· too hro:1cl nr unrealistic, or lhat 1hey,m· 1\<'Jt mutually estnhlisl H,d: (:-\} family resources or energiec: are not foi:11H·d 011 priori1y f. imily nccds or Jrc r. l C!plctcd ns n rc,;ult of crises-. itual inn:-: or (4) thr f:1111il. v lad;s lhf" inlrmnl or l'Xfernal '<t~rporl it needs to hnndk· the change process (Clcmtn-Ston L' :incl,,tfwr;: ::WO:!, p. 286). Form. iti,·e evalu;1t. ion µ;uid~ bolh lhc nun,e antl tlw family !Ill del"isinn:, nh0111 mnditic Mirms of gnals. ohjrcti,·es and inrenf'ntion st. rntc1;ics/meas11res, dq. 1c-11clinv. upon the current situation. emerging or addit1ona J hca IL h nc,·ds/ prnlil,n 1s nnd priorities of the family. Summativl cvnhmtio11 occurs at t. he encl of the fnmily-n11ri;,e relationship. It determine s if lhi: g,mls as sp L·t:itil-<l in the fam. ily nursing r~'lr<~ pl11n nre 11c-hir\'ed as n1e;is11red by the n11trn11w rrillrin and l. '\'lllual1on stnndards. Ba!;Cd on the famitv·s current situation an<l/,,r n·111:,i11i1 1!!, lwallf1 11cct. b or pr1>hlc111s. the n11r:;e cnn guide thr family on making c Jrnicc :-. ahi tlll ltnni11utio11 or referral. CHALLENGES AND DIRECTIONS Falllil_\ health n11rsi11~ prai:lkc is n pl1cnomenolop. ical l'S'[lf'rienr. e of r:iring and (·oping with c:11·,,gi\'il1);. F. xccllc·nrr in such nn cn)?H). \L-<l carin~ is reflected m skillful co111port111<11L, ~in. :11 Lhe 1111n;c's pcr:-onal antl pn1fessi11nul meanings. cunct1rns, e. xp1,·t:11i n11,-.. st~·lv. hahils ond rcsonrrcs. 11:Lrtinilarl y c:-.-perienced durin)!; the impl L·1111:11talio11 phas,:. Cn111111ilmcnt lo cxeellc::. ncc' or prai:tit:e i:,; :i li,·t-d 1;::xpt?rience of bei11" cffc1. :ti"<: in I 1arn. lli11~ th~: ch,\llen!;CS c f worki 11g wit Ii fa111 iii es. Th,· i rnplt' nwnt. it ion :1nrl 1·v:il uat i>n rhn"'<'S provide c,·e1;-· availnblc opp1,rtunity tor the nt1rsc and thi:: fa mtly tr,,·alidatc a:-!-. e,-. :,;mt·rtl d:11a and 111<1tlif) ah, 11ur"ing can plan h:ised on the family's pcn·,·pt i1111 of a111I n·~r1111"<'S 111 l'\'ery nur;,1:-family dfort,It explorini; the best choices in the family·:-:-ilu,tll·d pv:;.-;il,tlit1 e~. Throu~I, in1111ep,io11 inl<1 th,· client":-reality. the nurse gels a full tmc..lerstanding of thu dtp1h of tlw meaning of Lhe client"s experic11ce as both enhance cnc. h other's 11pport unities Ir> fod Jilatc thejoun1ey Crom apa Lbytocourage. vacillation lo decisiven ess, 107 