STEPS IN FAMILY NURSING ASSESSMENT There are three major slcps in nursing n~cssmcnl ns applied to family nursing prnctice: darn collcc Lion; data analysi:;; ;;ind formulntion of diagnm;is. Figure 2. 1 illustrntrs these,;teps. Data collection for fir. ;t-kvcl fl&;cssmcnl invoh·cs gathcrin~ of fi\'C types of tl;ila which generates ll1e categoric ;, of health conditicms or problems of the family. TI1csc dnta include: I. Family slrudurc. clrnractcrislic;,; :111d d~,,amic. '. s: 2. Sociu-1..'<'<)1HJ111 k and l'tl lturnl chnrndcristics: 3. Home and c11vin111111c11t; 4. Health stntus uf ~·ad1 member; and 5. Vnlucs ;rnd practkl'S on health promo Lion/maintcnancc and disease prevention. Second-level nssessm Pnt dnt. i include those thnt sp1:cify or dc.-. cribc t111 f11mily's realities, perceptions about :md :1llitudes related lo Lill' assumption or pcrformnncc of family he-al th t. :1sks on eac]1 health condition or prnblcm identified during the first-level assessmel\ t. Dala analysis in,·nl,-cs sc,·eral sub-steps: ( 1) Snrlin~ 11f data fur broad calc):\Ol'ic..-. such as those related with thl' health st. ltus or pr;1rtii. :1s of f;11nily llll'llllwr,-: or dat:1 about home and environment:(:. !) Clusicrin~ ofrdnt(d cues 10 dck·rmirll: rd:r lions hips hct ween :1ntl among uala: (3) Distin!!,1. 1ishi11g relevant fro111 irrch-vn11l llal:1 to dt'ddc whal inform. it inn is pcrtincnl to un<lerstnm ling lhl' :-it11atio11 at hand bmsccl on spcci~ic rnlq~orics or dimensions; (4) lcknlif~·ing patterns :s11d1 as physiologic function. dcvc-lopmcntnl, nutritional/clietarv. coping/:iclaptatinn or 1·nn11111111il';1tio11 nr i11t. 1ractirn1 patterns nnd lifestyle; (5) Rcfating family data to relevant clinical/n·s,·:11Th findin~s and comparing patlerns with m1m1s or :;tanclnrds nf hcrtlth (c. J:(. nulritio1111l intake. i111111uni;,:Hion status, growth :ind devck,pmcnt. J1ocial nnc. l economic prntludi\'it~ ·. environmenta l health requisites) family functioning anrl assumption nf hen 1th tasks; (6) lnterpr. :ting results based on how fomilv characteristic. ;<, \','\lucs. attitudes. perceptions, lifo:;tylc, communication, interaction. decision m. iking. or role/task pe1·for111ance are as:soci:iled w;tlt specific beal U1 conditicins or problems identified: and l7l l\u1kinp, inferen~es or dr:'lwing conclusio ns ab1)Ul lhe n::asum, for tltc existence uf lhe heal U, condition or problem and risk factor/s relate<l lo non-maintenance of wellness state/s which can be attributed to non-per-t'ormancc of family heallh tasks. The last step in family ntrrsing assessment i11volvcs 111. ikini; a <liagnosi:.. This includes two types: (1) definition of wellness state/ poteutiul or heal Lh condition or µrob le ms as an end product of first-level assessment:. md ( 2) ddin it. ion vf family nursing problems as an end result of sccond-]c\'el nssessm cn L The family nursing vroblom is stated as an inability to perform a specific health task and the reasons (eliolo~v) why the family cannot perform such task. 55 