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Nurses base decisions about the care of clients on information gathered with clinical assessment tools. For example the genogram, a tool to organize information about family structure and relationships is used by nurses in obstetrics to map hereditary illnesses, by nurse practitioners in primary care to designate family members and their health problems and by psychiatric nurses to identify interpersonal relationships within families. Information obtained with the genogram can form the base for excellent nursing practice and has the potential to provide sound data for research.
Although, the use of a clinical assessment tool such as the genogram for research raises questions about reliability and validity , it is also imperative to assess these issues to insure that use of the tool will enhance high quality nursing care. This presentation reviews the characteristics of the genogram and evaluates its use as a clinical assessment tool and research measure. Reliability and validity are addressed. The most accurate methods to obtain genogram information and identify family characteristics are discussed. Methods to insure cross-cultural validity of the genogram are emphasized.
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