CHAPTER 4: IMPLEMENTATION AND EVALUATION IN FAMILY NURSING PRACTICE Araceli S. Maglaya Meeting the challenges of the implementation and evaluation phases is cn1ciol in family nursing practice. The nurse experiences with tl1efamily, a lived meaningful world of mutual. dy1mmic interchange of meanings, concerns, perceptions, biases, emotions and skills.,Just as the self nims to achieve body-mind integration to nchieve wholeness in the experience of "'being" and "becomtng", lhc mn·se must engage in foll awareness of being in this 1ived experience of caring with Lhe family", if she aspires to achieve "being'' and "becoming· in csperl cm·ing. The nurse can achieve cxperl caring within a dynamic and empowering family-nurse relationship directed at making choices in this meaningfu l world of coping, aspi1·ations, emotion;, nnd skills. EXPERT CARING: METHODS AND POSSIBILITIE ·s Expert caring during the implementa tion phase is demonstra ted when the nurse carries out intervention s bused on the family's understanding of the lived experience of coping and being in the world. Expert caring is developinl!, the capability of the family for "engaged care·. Through the m1rse·s skilled practice, the family learns to choose and carry out tl1e best possibilities of caring given the meanings, concerns, emotion~ and resources (skills and equipment) as experienced in the situation. W11ile the challenge for eirpert caring is a reality, the nurse _is enriched els a result of such an e:iq)erienc e (Benner and Wrubel 1989): .. ay belhg expen:s in ca. ring. nurses must take O-\i J::r and transform the notions of experttse. Exp~t c:,ring has nothlhg to do with possessing pri Vlleged Information that ihcrea'ses one's c-ont;t-QI a,cl donilnatfon of another. Rather, expert carlng unleasnes the possrbllities inherent in the self and ~ sltu:,tion, Expert caring liberates. :1nd facilitates in such a way that the one caring 1s enriched In the process (page 398). While expert caring does not happen overnight to the novice nurse, there are methods and possibilit ies that can enhance learning towards e>..-pert curing. Such methods and possibilities need to be carried out and experienced in real contexts a11d real relationship s to achieve skillful comportme nt nnd excellence in the current situation. 97 