NURSING MODEL OF COMMUNICATIVE-PREVENTIVE COUNSELING OF A FAMILY FROM THE IODINE-DEFICIENCY REGION

Abstract

Summary. The nurse is called to use knowledge, skills and abilities in the organization of optimal communication with the family and to provide the necessary counseling to all its members.

The aim of the study – to develop a nursing model of communicative and preventive counseling for families from iodine-deficient regions of residence.

Materials and Methods. A survey of 117 nurses of medical and preventive institutions of Chernivtsi region was conducted in order to identify knowledge about the effects of iodine deficiency. The anonymous questionnaire contains 14 questions aimed at obtaining information on respondents' opinions on the medical and social consequences of iodine deficiency, risk groups, existing prevention methods.

Results. The majority (105 out of 117 respondents, 89.6 %) know about the existing iodine deficiency in Chernivtsi region and its effects on the body. However, 12 (10.3 %) failed to identify critical groups of influence, to identify the most significant negative impact on certain groups. We have proposed a nursing model of communicative and preventive family counseling, which defines strategic (providing all categories of the population with comprehensive, objective information on iodine deficiency) and tactical (informing all target groups on issues related to the prevention of iodine deficiency) areas. The complex model of communicative activity of the nurse defines tasks and functions; level, object, tool of influence; forms of implementation; necessary resources; monitoring and evaluation. Family counseling should go through three phases: the position of the leader, monitoring the interaction between family members, the impact on the structure of interaction.

Conclusions. The proposed model will ensure the quality of work the nurse and increase the effectiveness of prevention of iodine deficiency.