Mechanics for Initial Database (IDB) Interview

A. Secure consent (to be sent to your class president) from the head of the family.
B. The interview will measure the topic learning outcomes on communication and documentation.
C. The interview has to last for maximum of 15 minutes. You may not include the consent taking in the actual
video.
D. Make sure that the face of the interviewee will be seen in the video.
E. Save the videos in one folder for one clinical group using last name as the file name e.g. dela Cruz_B1. Save the
videos in one USB and bring one laptop for each clinical group.
F. Interview don’t need to cover all the content of the IDB. However, the interview video has to be substantial.
G. Interview may jump from one item of the IDB to another depending on the flow of the process. But instructors
will take note of how you handle situations like this.
H. Students are not allowed to use side notes or guides during the interview.
I. Do not fill-up the IDB forms yet. Filling-up will be done during RD class time therefore the student has to know
all the items.
J. Interviewing immediate family member is not allowed. Preferably, the head of the family.
K. Note the proxemics or the professional distance.
L. Wear SLU ID and semi-formal attire during interview.

Suggested Guide Process for Initial Database (IDB) Interview

1. Greet and introduce your self

2. State the purpose of your home visit
3. Establish rapport, eye contact, note-taking only, emphasize confidentiality and right for self-determination
4. Therapeutic communication (reflecting, exploring, focusing,

A. FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS/RELATIONAL PATTERNS

5. Family members
-names
-birthday
- gender
-marital status
6. Type of family (structure, decision-making, roles)
7. Describe the relationship (spouse, child, siblings)

B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

8. Sensitive: highest educational attainment, budget (budget and actual expense), health care practice
9. Other significant others
10. Describe relationship with other community organization (e.g. church, school, RHU, senior org)

C. HOME AND ENVIRONMENT

11. Food storage,

12. Medicine storage
13. Source of electricity
14. Water supply
15. Garbage disposal
16. Recreational facilities (distance, use)
17. Health facilities (distance, use)
18. Communication
19. Transportation
D. HEALTH STATUS OF EACH FAMILY MEMBER

20. Obstetrical history

21. Diseases
22. Nutrition (eating patterns, risk factors e.g. alcohol, smoking, diseases)
23. Physical assessment

E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION, MAINTENANCE AND DISEASE PREVENTION

24. Immunization history

25. Belief in family planning Data Gathering methods
26. Exercise, rest, and sleep  Observation- through the use of
27. Other concerns….. senses
 Physical examination
28. Summarize important points  Interview
29. Thank the family  Records review
30. Make appointment for next visit  Laboratory/ Diagnostic tests- e.g.
acetic or benedict’s test
 RUBRIC FOR INITIAL DATABASE

INITIAL DATABASE TOOL 1 3 5

TLO 16: Establish rapport with co-workers, client/s and /or support system
ensuring adequate information about each other as partners in a working
relationship Able to:
Able to state name  state name and affiliated institution
Misses at least two of
A. Establish rapport with the family only  set family-nurse contract
the criteria for score 3
 Introduces self correctly  state purpose of the visit.
 Able to show signs of trust from the family
 Ask neutral questions
Has poor eye contact Maintains eye contact all through out the
No eye contact at all
assessment
B. Maintain eye contact and ability to focus on the IDB items Sways some of the
Unable to control the
time from the focus of Able to focus substantially on the IDB items
flow of the interview
the items
Able to use:
 Well modulated voice
 Appropriate gestures (non verbal
Unable to perform Misses two to three of
C. Use proper communication techniques in getting information techniques)
items in #3 the criteria for score 3
 Verbal therapeutic communication
techniques
 Able to pick up appropriate cues
Able to show professional behavior all the time:
Able to show  Wears SLU ID
TLO 45 Model professional behavior to her classmates, clients and BHWs Unable to show
professional behavior  Don semi-formal attire
professional behavior.
some the time.  Uses culturally apporpriate language
 Professional proxemics
Uphold all the Patient Bill of Rights and
Obligations
TLO 40 Protect client’s rights based on “Patient Bill of Rights and Obligations” Uphold only one or Uphold some the
 Consent explained
two Patient Bill of Patient Bill of Rights
 Consent signed
Rights and Obligations and Obligations
 Shows respect for the worth and
dignity of man
Establish and uphold Establish and uphold protocols and principles of
Violates the protocols protocols and confidentiality in safekeeping and releasing
TLO 19 Adhere to protocols and principles of confidentiality in safekeeping and and principles of principles of record all the time.
releasing records and other information within the family and community confidentiality in confidentiality in  15 minutes only
safekeeping and safekeeping and  Saved in one file/ group using proper
releasing record. releasing record some file name
the time.
 SAINT LOUIS UNIVERSITY
School of nursing

VIDEO INTERVIEW CONSENT FORM

 I am the legal guardian/parent of _________________________________ (name of student) of BSN II section ___.

 I am _____________________________ (name of student) of BSN II section ______.

I hereby authorize BSN2 students of Saint Louis University School of Nursing to interview and at the same time video me and my family, as part of their
Related Learning Experience in the subject NCM104a Community Health Nursing.

It has been explained to me that the information that will be gathered in the interview will be kept confidential and private and that it will be utilized for
learning purposes only.

I hereby release SLU SON, their students and clinical instructors from any and all liability that may arise from the administration of this interview, whether or
not foreseen or unforeseen.

SIGNATURE OVER PRINTED NAME OF PARENT

SIGNATURE OVER PRINTED NAME OF STUDENT