Domain 7. Role relationship
Class 3. Role performance
Diagnostic Code: 00064
Nanda label: Parental role conflict
Diagnostic focus: Role conflict
Nursing diagnosis helps healthcare professionals identify and effectively treat health issues in patients. It helps to categorize concerns and guide further interventions. One such nursing diagnosis is parental role conflict, which investigates how a parent's personal beliefs, goals, values, and expectations can create conflict between them and their adolescent children. This diagnosis helps medical practitioners better understand and assist the family when dealing with difficult issues.
NANDA Nursing Diagnosis Definition
The NANDA (North American Nursing Diagnosis Association) defines parental role conflict as “a state in which parents are unable to resolve differences of opinion between themselves and adolescent child(ren) regarding the child’s upbringing and development. This inability affects the effectiveness of parenting behavior, leading to impairment of the knowledge, attitude and/or skill performance related to parental roles.”
Defining Characteristics
When diagnosing for parental role conflict, healthcare professionals look for both subjective and objective symptoms. Subjectively, this diagnostic often appears as statements of frustration, tension, anger, or guilt within the household. On the other hand, there are also more tangible manifestations within the home, such as reduced communication, unhealthy disciplinary tactics, and diminishing trust between parent and adolescent.
There are several identifiable issues that can lead to parental role conflicts. These often include an imbalance of power, where one parent wields the control over the family; the lack of communication between the parent and the adolescent; cultural differences between the individuals; or when a parent is dealing with a crisis (e.g. financial, physical, or emotional).
At Risk Population
Parents who are at risk of experiencing parental role conflict are oftentimes those who have difficulty accepting and processing changes in their children or those unable to accurately assess their parenting capabilities. Additionally, parental role conflict is more common among those with inadequate education on parenting strategies, such as single-parent households or those parenting after divorce.
Suggestions for Use
Some of the suggested strategies clinicians may use when diagnosing for parental role conflict include cognitive therapy and behavior based modeling. Additionally, support groups and family counseling sessions can also be beneficial in helping clients understand and accept what is happening, as well as developing better coping skills and communication techniques.
Suggested Alternative NANDA Nursing Diagnoses
When diagnosing for parental role conflict, healthcare professionals may also want to consider other NANDA nursing diagnoses that may be related. These include Knowledge deficit related to proper parenting techniques, Impairment of family adaptive behavior, and Impaired social interaction in family dyads.
Usage Tips
It is important to remember communication between the parent and the adolescent is key when dealing with this diagnosis, so it should be developed with both parties in mind. Additionally, it is also advised to break down activities into manageable chunks and to provide opportunities for both parent and adolescent to express feelings and discuss possible solutions.
NOC Outcomes
When attempting to manage parental role conflict, a number of Nursing Outcome Classification (NOC) outcomes exist. These include Critical Thinking: Family, Family Involvement in Care, Family Resolution of Problem Management, Family Support for Decision Making, Family Understanding of Problem Management, Family Well-Being, Parent Adeptness and Problem Solving, Parent Educator Role Performance, Self-Care Adeptness, Social Companionship and Support, Social Interaction, Social Skills, and Meaningful Relationships.
Evaluation Objectives and Criteria
When assessing the effectiveness of parental role conflict management strategies, healthcare practitioners should consider criteria such as quality of communication, ability to keep anger and harsh discipline in check, strength of problem resolution capabilities, utilization of education on proper parenting approaches, and ability to manage potential crises.
NIC Interventions
Along with NOC outcomes, Nursing Interventions Classification (NIC) interventions also exist. These include Assertiveness Training, Facilitative Inquiry, Home Visiting, Course of Action Planning, Problem Solving Assistance, Risk-Focused Fall Prevention Intervention, and Social Cognitive Problem Solving.
Nursing Activities
When selecting and implementing interventions after diagnosing parental role conflict, healthcare professionals should assess the needs of the involved individuals and set realistic goals and expectations. Additionally, they can also make sure that the adult understands what their adolescent child’s needs are, as well as provide strategies for successful parenting.
Conclusion
Nursing diagnosis can be used to identify and effectively treat a variety of issues, including parental role conflict. By defining characteristics and utilizing related factors, at-risk populations, suggested treatments, anticipatory guidance, and more, healthcare professionals can ensure that families receive the best possible care.
FAQs
- Q1. What is the definition of parental role conflict?
A1. Parental role conflict is defined as a state in which parents are unable to resolve differences of opinion between themselves and their adolescent child(ren) regarding the child’s upbringing and development. - Q2. What are some of the problems associated with parental role conflict?
A2. Some of the issues that may lead to parental role conflict include an imbalance of power, a lack of communication between the parent and the adolescent, cultural differences, and a parent dealing with a personal crisis. - Q3. How can healthcare professionals help families dealing with parental role conflict?
A3. Healthcare providers are advised to recommend cognitive therapy, behavior based modeling, support groups, and family counseling sessions to assist families struggling with this issue. - Q4. What Nursing Outcome Classification (NOC) outcomes are associated with parental role conflict?
A4. NOC outcomes associated with parental role conflict include Critical Thinking: Family, Family Involvement in Care, Family Resolution of Problem Management, Family Support for Decision Making, Family Understanding of Problem Management, Family Well-Being, Parent Adeptness and Problem Solving, Parent Educator Role Performance, Self-Care Adeptness, Social Companionship and Support, Social Interaction, Social Skills, and Meaningful Relationships. - Q5. What Nursing Interventions Classification (NIC) interventions are used to help manage this diagnosis?
A5. NIC interventions used in parental role conflict situations include Assertiveness Training, Facilitative Inquiry, Home Visiting, Course of Action Planning, Problem Solving Assistance, Risk-Focused Fall Prevention Intervention, and Social Cognitive Problem Solving.