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Theoretical Framework
Theory
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Framework: Friedman Family Assessment Model
FFAM is based on the structural-functional framework and developmental and systems theory2
1Friedman, Bone & Jones (2003). 2Kaakinen et al. (20015). 3
Framework: Friedman Family Assessment Model
Friedman’s Family Assessment Model (FFAM)1:
• Based on the structural-functional framework and
developmental and systems theory.
• Commonly used when the family-in-community is the
setting of care.
Assumptions of FFAM2:
• A family is a society system with functional requirements.
• A family is a small group possessing certain generic
features common to all small groups.
• The family is a social system accomplishes functions that
serve the individual and society. Family as component of society1
• Individuals act in accordance with a set of internalized
norms and values that are learned primarily through Consists
socialization.
Conceptual scheme of
family as legal systems in
community1
Family as
component society1
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Family Structure and Family Functions in FFAM
Variable No. Items No. Sub items
Communication 7 20
Power 7 18
Value 8 8
Role 15 18
Affection 7 15
Healthcare 16 94
Economic 5 5
Socialization 8 8
Reproductive 4 4
77 190
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Tools of Family Nursing
McMaster Family Family Assessment North Carolina Family Functioning
Assessment Device Measure (FAM): Family Assessment Index (FFI):
(FAD): • Task Scale (NCFAS): • Intrafamily
• Problem-solving accomplishment • Environment communication
• Communication • Role performance • Parental • Cohesiveness
• Roles • Communication capabilities • Decision making
• Affective • Affective • Family • Marital
responsiveness expression interactions satisfication
• Affective • Involvement • Family safety • Happiness
involvement • Control • Child well-being • Closeneness
• Behaviour control • Values and norms (Martens & Kirk, (Pless & Satterwhite,
• General functioning • Social desirability 2002) 1973)
(overall health, • Defensiveness
pathology of family) (Skinner, Steinhauer &
APGAR Family:
(Epstein, Baldwin & Santa Barbara, 1983)
• Adaptability
Bishop, 1983)
• Partnership
• Growth
• Affection
• Resolve
(Smilkstein, G 1978)
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