Application of Calgary Family Intervention Model in Brynn's Case Study

This case study applies the Calgary Family Intervention Model (CFIM) to address the challenges faced by Brynn's parents following their daughter's admission to the pediatric ward with pneumonia and subsequent chest tube insertion. The parents' fear of interacting with Brynn due to the chest tube prompted the need for interventions in the cognitive, affective, and behavioral domains. In the cognitive domain, the nurse would educate the parents about Brynn's condition and how to handle her, addressing their lack of knowledge and fear. In the affective domain, the nurse, through counseling, would help the parents acknowledge and manage their emotions, recognizing the impact of their feelings on Brynn's healing. For the behavioral domain, the nurse would highlight the importance of the parents' presence and positive interaction, encouraging them to spend quality time with Brynn. The interventions are supported by research and scholarly literature, emphasizing the importance of family involvement in pediatric care. The CFIM is used to provide a structured approach to address the family's needs and improve patient outcomes. The case study highlights the integrated approach of CFIM, which includes family as a crucial unit in enhancing the quality and safety of care.

Running head: CALGARY FAMILY INTERVENTION MODEL 1
Case Study Application of the Calgary Family Intervention Model (CFIM): Brynn’s Family
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Institution

CALGARY FAMILY INTERVENTION MODEL 2
Case Study Application of the Calgary Family Intervention Model (CFIM): Brynn’s Family
Cognitive Domain
Interventions focus on this domain; more often than not have the biggest impact on the other two
domains. However, such a change is limited to the extent to which the interventions rhyme with the specific
needs of the patient’s family members (Shajan & Snell, 2019). The interventions in this domain would be
educating Brynn’s family on the condition of their child and how to handle him under this circumstance. The
fear of the parents that spending quality time with their child would worsen her situation is a clear manifestation
of a lack of adequate knowledge on how to manage a child under supportive care. For this intervention to be
effective, the nurse must strive to create a personal and cordial relationship with Brynn’s parents to help them
embrace their daughter in her current situation.
Bringing the family members close to the care process is critical in the sense that they will be able to
understand the risks of neglecting their child under such circumstances as well as the inherent benefits that
could come with their closeness to their daughter (Denham, Eggenberger, Young, & Krumwiede, 2015).
Consequently, the nurse together with the parents would be in a better position to share new ideas and beliefs
and all these would ultimately contribute to enhancing the quality of care and patient outcome. But what if the
parents have given up on the condition of their child? Well, the entrenched fear of their daughter’s condition
may be a deterrent in so many ways, but that is likely to change given the wits of the CFIM whose focus is the
integration of care that involves the family as a crucial unit in enhancing the quality and safety of care (Shajan
& Snell, 2019).
Affective Domain
Emotions are very critical to quality care but can also be detrimental depending on the extent and
direction to which it drives those who are expected to give their best during the intensive care unit (ICU) as in
the case study (Wright & Leahey, 2013). Emotional stability is very crucial especially when the situation calls

CALGARY FAMILY INTERVENTION MODEL 3
for thinking of possible solutions to the problem. While the parents may be overwhelmed by the emotions, it is
important for them to acknowledge their role in the life of the child. The nurse through a counsellor should
intervene by advising them on the effect of their emotions on the healing of the child and the general feeling of
the family as a whole (Shajan & Snell, 2019). What if the counselling fails to work? The nurse should
reinforce the advice given with their personal beliefs and experience on the role of emotions on health care
quality maybe and not limited to making reference to past practical experience.
Behavioural Domain
The behaviour of the parents is a gesture of their attitude towards their child and consequently affects
the patient’s outcome. The nurse should bring to the attention of the parents the potential negative impact of
their behaviour on the safety and quality of care of their child. Upon understanding the significance of their
presence in the life of their child, they will deem it fit to give her quality time on daily basis and the visit pattern
will eventually change. Through the cognitive and affective domains of the CFIM, the change in behaviour of
the parents is inevitable (Wright & Leahey, 2013). They will have gathered more knowledge on how to handle
their baby under such challenging circumstance and their emotional stability would be on point at this juncture.
In conclusion, the CFIM is structured in such a manner that whichever direction each domain might
take, the primary focus is on the cognitive domain almost automatically yields the desired results.

CALGARY FAMILY INTERVENTION MODEL 4
References
Denham, S., Eggenberger, S., Young, P., & Krumwiede, N. (2015). Family-focused nursing care. FA Davis.
Shajan, Z., & Snell, D. (2019). Wright & Leahey's Nurses and Families: A Guide to Family Assessment and
Intervention. FA Davis.
Wright, L. M., & Leahey, M. (2013). Nurses and families: A guide to family assessment and intervention.
Philadelphia: F.A. Davis.