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Family Nursing : Research, Theory, and Practice

by ; ;
Edition:
5th
ISBN13:

9780130608246

ISBN10:
0130608246
Format:
Paperback
Pub. Date:
8/8/2002
Publisher(s):
Prentice Hall
List Price: $105.53

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Summary

This popular book addresses the full practice of family nursingidentifying the family as a wholeand teaches a holistic, philosophical approach. The reader is guided through generalized concepts and theoretical foundations, reality-based applications, case studies, thorough and updated discussions, assessment, and nursing diagnoses. Well-organized and complete, this edition includes foundations in family theory and family nursingessential in preparing a comprehensive family nursing assessment and planning appropriate interventions.A four-part organization covers introductory concepts, theoretical foundations of family nursing, family nursing practice, and cultural diversity among families.For pediatric nurses, nurse practitioners, family counselors, clinical nurse specialists, and anyone planning for a career in family or community cursing.

Author Biography

Marilyn M. Friedman, PhD, MS, MA, RN: Professor Emeritus, School of Nursing, California State University, Los Angeles, California Vicky R. Bowden, DNSc, RN: Associate Professor, School of Nursing, Azusa Pacific University, Azusa, California Elaine G. Jones, PhD, MS, RN: Associate Professor, College of Nursing, The University of Arizona, Tucson

Table of Contents

Preface xv
Acknowledgments xx
PART I INTRODUCTORY CONCEPTS 1(58)
Introduction to the Family
3(32)
Two Basic Purposes of the Family
4(1)
Why Work With the Family?
5(1)
The Family-Society Interface
6(1)
Interaction of Health/Illness and the Family
6(3)
Stage 1: Family Efforts at Health Promotion
7(1)
Stage 2: Family Appraisal of Symptoms
7(1)
Stage 3: Care Seeking
8(1)
Stage 4: Referral and Obtaining Care
8(1)
Stage 5: Acute Response to Illness by Client and Family
8(1)
Stage 6: Adaptation to Illness and Recovery
9(1)
Definition of Family
9(1)
Family Health
10(1)
Characteristics of Healthy Families
11(1)
Societal Changes Affecting Families
12(5)
Economic Trends
12(1)
Technological Advances
12(1)
Demographic Trends
13(1)
Sociocultural Trends: Changing Racial and Ethnic Composition
14(1)
Changes in the Family
14(3)
Varied Family Forms
17(11)
The Nuclear Family
17(3)
The Adoptive Family
20(1)
The Foster Family
21(1)
The Extended Family
21(1)
The Single-Parent Family
22(3)
The Single Adult Living Alone
25(1)
The Stepparent Family
25(2)
The Binuclear Family
27(1)
The Nonmarital Heterosexual Cohabiting Family
27(1)
The Gay and Lesbian Family
27(1)
Looking at the Future of the American Family
28(1)
Family Nursing Implications
29(1)
Summary
29(6)
Family Nursing: Focus, Evolution, and Goals
35(24)
Family Nursing: Defining the Specialty
36(3)
Family as Context
36(1)
Family as Sum of Its Members
37(1)
Family Subsystem as Client
37(1)
Family as Client
37(1)
Family as a Component of Society
38(1)
Defining Family Nursing
38(1)
Distinguishing Family Nursing from Other Practice Areas
39(1)
Incorporation of Family into Standards of Care
39(2)
Family Nursing's Historical Legacy
41(1)
Current Issues in Family Nursing
42(2)
Family Nursing Goats: Levels of Prevention
44(1)
Primary Prevention: Family Health Promotion and Disease Prevention
45(14)
Factors Leading to Renewed Interest in Primary Prevention
45(4)
Family Health Promotion
49(1)
Impediments to Primary Prevention
50(1)
Specific Preventive Measures
51(1)
Risk Appraisal/Risk Reduction
51(1)
Family's Role in Primary Prevention
51(2)
Secondary Prevention
53(1)
Tertiary Prevention
54(1)
Summary
54(5)
PART II THEORETICAL FOUNDATIONS OF FAMILY NURSING 59(112)
Theoretical Foundations for Family Nursing
61(28)
Conceptual Sources and Functions of Theory in Family Nursing
62(2)
Nursing Conceptual Models Applicable to Family Nursing
64(5)
Nightingale's Environmental Model
64(1)
King's Theory of Goal Attainment
65(1)
Roy's Adaptation Model
66(1)
Neuman's Health Systems Model
66(1)
Orem's Self-Care Model
67(1)
Rogers's Science of Unitary Human Beings
67(1)
Newman's Expanding Consciousness Model
68(1)
Evolution of Family Nursing Theories
69(1)
Family Social Science Theories
69(7)
Structural Functional Theory
70(1)
Systems Theory
70(1)
Family Developmental Theory
71(2)
Family Interactional Theory
73(1)
Family Stress Theory
74(1)
Change Theory
75(1)
Other Family Social Science Theories
76(1)
Family Therapy Theories
76(5)
Interactional/Communication Family Therapy Theory
77(1)
Structural Family Therapy Theory
78(1)
Family Systems Therapy Theory
79(2)
Other Family Therapy Theories
81(1)
Family Nursing Theories: Integrated Models
81(1)
Family Assessment Intervention Model (Family Systems Stressor-Strength Model)
81(1)
Calgary Family Assessment Model and Calgary Family Intervention Model
82(1)
The Friedman Family Assessment Model
82(1)
Summary
82(7)
Structural-Functional Theory
89(14)
Theoretical Perspectives Used in this Text
90(1)
The Structural-Functional Approach
90(1)
Concept of Structure
91(1)
Concept of Function
92(3)
Affective Function
92(1)
Socialization and Social Placement Function
93(1)
Health Care Function
94(1)
Reproductive Function
94(1)
Economic Function
94(1)
Changes in Family Functions
95(1)
Summary
95(8)
Family Developmental Theory
103(48)
Overview of Family Developmental Theory
104(1)
A Critique of Family Developmental Theory
105(1)
The Family Career or Family Life Cycle
105(6)
Family Developmental Tasks
106(1)
Family Career or Life Cycle Variations
106(2)
Changing Life Cycle
108(1)
Family Life Cycle Framework
108(3)
Family Life Spiral
111(1)
Two-Parent Nuclear Family Career or Life Cycle Stages
111(24)
Transitional Stage: Between Families (The Unattached Young Adult)
111(2)
Stage I: Beginning Families
113(2)
Stage II: Childbearing Families
115(3)
Stage III: Families with Preschool Children
118(3)
Stage IV: Families with School-Aged Children
121(1)
Stage V: Families with Teenagers
122(3)
Stage VI: Families Launching Young Adults
125(2)
Stage VII: Middle-Aged Parents
127(2)
Stage VIII: Families in Retirement and Old Age
129(6)
Family Career or Life Cycle Stages in Divorced Families
135(2)
Family Career or Life Cycle Stages in Stepparent Families
137(2)
Family Career or Life Cycle Stages in Domestic Partner Relationships
139(1)
Lesbian/Gay Family Career Stages
139(1)
Family of Illness and Disability on Family Developmental Stages
139(2)
Family Assessment Areas: Developmental Stage and History of the Family
141(1)
Family Nursing Diagnosis
142(1)
Family Nursing Interventions
142(2)
Summary
144(7)
Systems Theory
151(20)
General Systems Theory: Paradigm and Associated Theories
152(2)
Holistic Paradigm
152(1)
Associated Theories: Cybernetics and Communication Theory
153(1)
The Relationship Between the Structural-Functional and Systems Theories
154(1)
Central Concepts and Propositions of General Systems Theory
154(4)
Family Systems: Definition and Concepts
158(5)
A Systems Theory Perspective on Healthy Families
163(1)
Impact of Stress and Crises on the Family System
164(1)
Limitations of Family Systems Theory
164(1)
Summary
165(6)
PART III FAMILY NURSING PRACTICE 171(340)
The Family Nursing Process
173(40)
Overview of the Family Nursing Process
174(1)
Family Assessment
174(5)
Sources of Family Assessment Data
175(3)
Building a Trusting Relationship
178(1)
Preparation for Family Interviews and Home Visits
178(1)
Identifying Family Problems: Family Nursing Diagnoses
179(4)
Nursing Diagnosis: The NANDA Classification
180(1)
Nursing Diagnosis: The OMAHA System
180(1)
Determining the Family Problems
181(2)
Planning
183(2)
Mutual Goal Setting
183(1)
Generating Alternative Approaches and Identifying Resources
184(1)
Family Nursing Interventions
185(18)
Indications for Family Nursing Interventions
185(1)
Nursing Intervention Systems/Models
186(1)
Guidelines for Family Nursing Interventions
186(3)
Specific Family Nursing Interventions
189(13)
Barriers to Implementing Family Interventions
202(1)
Evaluation and Modification of the Plan of Care
203(2)
Evaluation
203(2)
Modification
205(1)
Terminating the Nurse-Family Relationship
205(1)
Summary
206(7)
Family Identifying Data: Sociocultural Assessment and Intervention
213(34)
The Family's Cultural Orientation
214(8)
Importance of Culture for Practice
214(1)
Cultural-Ethnic Pluralism
215(1)
The Cross-Cultural or Transcultural Approach
216(5)
Ethnic Families
221(1)
The Family's Social Class
222(4)
Social Classes in the United States
223(3)
Poverty in America
226(3)
Poverty in the Family
227(1)
The American Underclass
228(1)
Impact of Poverty on Health
229(1)
Family's Economic Status
229(1)
Social Class Mobility
229(1)
Family Assessment Areas
230(6)
Assessment of Family Composition: The Family Genogram
230(2)
Assessment of Family's Cultural Background
232(1)
Ethnic and Religious Assessment Areas
233(2)
Assessment of Socioeconomic Status and Social Class Mobility
235(1)
Family Nursing Diagnoses
236(1)
Family Nursing Interventions
236(4)
Sociocultural Family Interventions
236(3)
Economic Interventions
239(1)
Summary
240(7)
Family Environmental Data
247(18)
The Family Environment and Family Health
248(1)
Characteristics of the Home Environment
249(5)
Housing: Structure, Safety, and Health Hazards
249(4)
Resources in the Home Environment
253(1)
Homeless Families
254(1)
Characteristics of the Neighborhood and Community Environments
254(2)
Physical and Geographic Characteristics of the Neighborhood
255(1)
Social and Demographic Characteristics of the Neighborhood
255(1)
Sociopolitical Environment and Family Health
256(1)
Areas of Assessment
257(3)
Assessing the Home Environment
257(1)
Areas of Assessment: Neighborhood and Community
258(2)
Family Nursing Diagnoses
260(1)
Family Nursing Interventions
260(1)
Summary
261(4)
Family Communication Patterns and Processes
265(28)
Defining Communication
267(1)
Elements of Communication
267(1)
Communication Principles
268(2)
Channels of Communication
270(1)
Functional Communication Processes
271(2)
The Functional Sender
271(1)
The Functional Receiver
272(1)
Dysfunctional Communication Processes
273(3)
The Dysfunctional Sender
273(1)
The Dysfunctional Receiver
274(2)
Dysfunctional Senders and Receivers
276(1)
Functional Communication Patterns in the Family
276(3)
Communicating Clearly and Congruently
276(1)
Emotional Communication
277(1)
Open Areas of Communication and Self-Disclosure
277(1)
Power Hierarchy and Family Rules
277(1)
Family Conflict and Family Conflict Resolution
278(1)
Research on Marital Interactions
279(1)
Dysfunctional Communication Patterns in the Family
279(2)
Factors Influencing Family Communication Patterns
281(3)
Communication Patterns in Families with Different Ethnic/Cultural Backgrounds
281(1)
Communication Differences over the Family Life Cycle
282(1)
Gender Differences in Communication
283(1)
Communication Differences in Family Forms
284(1)
Communication Differences Due to the Family Mini-culture
284(1)
Communication in Families with Health Alterations
284(1)
Assessment Areas
285(1)
Family Nursing Diagnoses
286(1)
Family Nursing Interventions
286(2)
Summary
288(5)
Family Power and Decision Making
293(28)
Family Power: Concepts and Domains
294(5)
Family Power
295(1)
Authority
295(1)
Power Bases
295(2)
Power Outcomes
297(1)
Family Decision Making
298(1)
Variables Affecting Family Power Dynamics
299(4)
Family Power Hierarchy
299(1)
Type of Family Form
300(1)
Formation of Family Coalitions
300(1)
Family Communications Network
300(1)
Gender Differences
301(1)
Age and Family Life Cycle Factors
302(1)
Cultural and Interpersonal Factors
302(1)
Social Class
302(1)
Classifying Overall Family Power Structure
303(1)
Family Power in Healthy Families
304(1)
Power Dynamics and Family Violence
305(5)
Theoretical Perspectives of Family Violence
306(1)
Intimate Partner Abuse
307(1)
Child Abuse
308(1)
Sibling Abuse
309(1)
Parent Abuse
309(1)
Elder Abuse
310(1)
Assessment of Family Power
310(2)
Power Outcomes
311(1)
Decision-Making Processes
311(1)
Power Bases
311(1)
Variables Affecting Family Power
312(1)
Overall Family System and Subsystem Power
312(1)
Family Nursing Diagnoses
312(1)
Family Nursing Interventions
313(1)
Summary
313(8)
Family Role Structure
321(30)
Role Theory: Definitions and Key Concepts
322(3)
Role Behavior, Performance, and Enactment
322(1)
Role Sharing Role-Taking, and Reciprocal/Complementary Roles
323(1)
Role Stress/Strain and Role Conflict
323(1)
Propositions About Family Roles
324(1)
Formal Family Roles
325(5)
Marital Roles and Marital Relationships
325(1)
Women's and Men's Roles in the Family
326(2)
Grandparent's Roles in the Family
328(1)
Family Role Changes
329(1)
Informal Family Roles
330(2)
Variables Affecting Role Structure
332(3)
Social Class Differences
332(1)
Family Forms
333(2)
Cultural/Ethnic Influences
335(1)
Family Developmental Stage
335(1)
Role Models
335(1)
Healthy Family Role Functioning
335(1)
Family Roles During Healthy Alterations
336(4)
Role of Mother in Health and Illness
336(1)
The Family Caregiver Role
336(3)
Role Changes During Illness and Hospitalization
339(1)
Assessment of Family Role Structure
339(1)
Family Nursing Diagnoses
340(1)
Family Nursing Interventions
341(4)
Role Supplementation of Role Enhancement Strategies for Role Transitions
341(2)
Interventions for Role Strain
343(1)
Interventions for Role Inadequacy
344(1)
Interventions for Rote Conflict
344(1)
Interventions for Role Failure
344(1)
Summary
345(6)
Family Values
351(28)
Basic Definitions
352(2)
Values
352(1)
Family values
353(1)
Beliefs
353(1)
Norms
353(1)
Family Rules
354(1)
Disparity in Value Systems
354(1)
Diverse Social Values
354(1)
Clash of Values Between Dominant Culture and Subculture
354(1)
Clash of Values Between Generations
355(1)
Differences Between the Family Members and the Health Care Professional
355(1)
Value Changes in American Society
355(1)
Major Value Orientations
356(8)
Productivity/Individual Achievement
356(2)
Individualism
358(1)
Materialism/The Consumption Ethic
359(1)
The Work Ethic
359(1)
Education
360(1)
Equality
360(1)
Progress and Mastery over the Environment
361(1)
Future Time Orientation
362(1)
Efficiency, Orderliness, and Practicality
362(1)
Rationality
362(1)
Quality of Life and Maintaining Health
363(1)
Tolerance of Diversity
363(1)
Family Values
364(1)
Major Variables Affecting Family Values
365(4)
Family's Socioeconomic Status
365(1)
Family's Ethnicity and Acculturation
365(1)
Geographical Location (Urban, Suburban, or Rural)
366(1)
Generational Differences
366(3)
Family Assessment
369(1)
Family Nursing Diagnoses
370(1)
Family Nursing Interventions
370(2)
Values Clarification
370(2)
Cross-Cultural Counseling Approaches
372(1)
Summary
372(7)
The Family Affective Function
379(22)
Importance of the Affective Function
380(1)
Components of the Affective Function
380(8)
Maintaining Mutual Nurturance
380(1)
Development of Close Relationships
381(1)
Mutual Respect Balance
382(1)
Bonding and Identification
383(1)
Separateness and Connectedness
384(2)
Need-Response Patterns
386(2)
The Therapeutic Role
388(1)
The Affective Function in Energized Families
388(1)
The Family Under Stress: The Affective Function
389(1)
Family Assessment
390(1)
Family Nursing Diagnoses
390(1)
Family Nursing Interventions
391(10)
Interventions Promoting Healthy Need-Response Patterns
391(1)
Promoting Mutual Nurturance
392(1)
Assisting Families with Closeness-Separateness Issues
392(1)
Assisting Families with Grieving
393(2)
Summary
395(6)
The Family Socialization Function
401(26)
Socialization: Definitions and Influences
402(1)
Societal Context for Childrearing Families
403(3)
Contemporary Socialization Patterns
406(3)
Changes in Gender Role Socialization
406(1)
Day Care and Socialization of Young Children
407(1)
Changes in Expectations for Children and Adolescents
408(1)
Legislation Affecting Child Care and Children
408(1)
Theories Related to Socialization
409(2)
Developmental Theories
409(1)
Socialization Processes
410(1)
Parental Support and Control
410(1)
Cultural Variations in Socialization Patterns
411(2)
Social Class Differences in Socialization
413(1)
Other Variables Influencing Childrearing
413(1)
Family Form and Socialization
414(2)
Single-Parent Families
414(1)
Stepparent Families
414(1)
Gay/Lesbian Families
415(1)
Family Assessment Areas
416(1)
Family Nursing Diagnoses
417(1)
Family Nursing Interventions
418(4)
Making Interventions Socioculturally Appropriate
418(3)
Teaching and Anticipatory Guidance for Varied Family Forms
421(1)
Initiating Referrals to Early Intervention Programs
421(1)
Initiating Referrals to Parenting Programs
421(1)
Summary
422(5)
The Family Health Care Function
427(36)
Family Behaviors Related to Health and Illness
428(6)
Differences in Conceptualizations of Health and Illness
428(3)
Health Beliefs About Health Care Seeking and Health Action
431(3)
How Well Families Perform the Health Care Function
434(2)
Health Care Practices
436(15)
Family Dietary Practices
437(2)
Shopping, Planning, and Preparation Practices
439(1)
Family Sleep and Rest Practices
439(1)
Family Physical Activities and Recreational Activities
440(2)
Family's Therapeutic and Recreational Drug, Tobacco, and Alcohol Patterns
442(3)
Family's Self-Care Practices
445(1)
Environmental and Hygiene Practices
446(1)
Medically Based Preventive Measures
446(4)
Complementary and Alternative Therapies
450(1)
Family Health Assessment
451(5)
Health Care Function
451(1)
Family Health History
451(1)
Family Health Records
451(5)
Family Nursing Diagnosis
456(1)
Family Nursing Interventions: Guidelines for Lifestyle Modifications
457(1)
Self-Confrontation
457(1)
Cognitive Reframing
457(1)
Modeling
457(1)
Operant Conditioning
457(1)
Stimulus Control
458(1)
Summary
458(5)
Family Stress, Coping, and Adaptation
463(48)
How Well Families are Coping
464(1)
Basic Stress and Coping Concepts
465(2)
Time Phases of Stress and Coping Strategies
467(1)
Antestress Period
467(1)
Actual Stress Period
467(1)
Poststress Period
468(1)
Family Stress Theories
468(7)
Hill's Family Stress Theory
468(2)
The Resiliency Model of Family Stress, Adjustment, and Adaptation
470(5)
Stressors and Their Impact
475(1)
Family Coping Strategies
476(11)
Internal Family Coping Strategies
477(4)
External Family Coping Strategies
481(6)
Dysfunctional Family Coping Strategies
487(7)
Denial of Family Problems
487(4)
Family Dissolution and Addiction
491(1)
Family Violence
492(2)
Factors Influencing Coping
494(1)
Gender Differences in Coping
494(1)
Sociocultural Variations in Family Coping
494(1)
Impact of Health Alterations
494(1)
Family Assessment Areas
494(5)
Family Stressors, Strengths, and Perceptions
496(1)
Family Coping Strategies
496(2)
Adaptation
498(1)
Tracking Stressors, Coping, Adaptation Over Time
498(1)
Family Nursing Diagnoses
499(1)
Family Nursing Interventions
500(4)
Assisting Family to Decrease Risk Factors
500(1)
Assisting Families at Risk to Cope
500(3)
Protecting Family Members Who Are at Risk for Violence
503(1)
Referring Families that Exhibit More Complex Family Coping Problems and Dysfunction
504(1)
Summary
504(7)
PART IV CULTURAL DIVERSITY AMONG FAMILIES 511(72)
The Latino Family
513(24)
Latino Demographic Patterns
514(1)
The Latino Interface With American Society
515(2)
The Mexican American Experience
515(1)
The Central American Experience
516(1)
The Puerto Rican Experience
516(1)
The Cuban Experience
516(1)
Family-Society Interface: Effect on Family Life
516(1)
Environmental Issues
517(1)
The Acculturation Issue
517(1)
Socioeconomic Status of Latinos
518(1)
The Normative Family Form
519(1)
Family Structural Characteristics
520(4)
Family Values
520(3)
Family Roles and Power
523(1)
Family Communication Patterns
524(1)
Family Functional Characteristics
524(4)
The Family Socialization Function
524(1)
The Family Health Care Function
524(3)
Access to and Attitudes About Western Health Care
527(1)
Family Stressors and Coping Strategies
528(2)
Family Support
528(1)
Spiritual Support
529(1)
Fatalism/Passive Appraisal
529(1)
Contrasts with Anglo Families
529(1)
Family Nursing Assessment
530(1)
Family Nursing Interventions
530(2)
Summary
532(5)
The African-American Family
537(22)
African-American Demographic Patterns
538(2)
Teenage Pregnancies and Single-Parent Families
539(1)
Marriages: Delayed and Declining
539(1)
Rising Number of Troubled African-American Men
540(1)
The African American Family: A Legacy of Vulnerability and Resilience
540(1)
Status of African-American Families: Criticism of the Literature
541(1)
Studies of African-American Families by Social Scientists
542(1)
African-American Family Forms and Kinship System
542(1)
Extended Families
542(1)
Single-Parent Families
543(1)
Family Values and Coping Strategies
543(2)
Strong Religious Commitment and Participation
544(1)
Strong Bonds and Support from Kin and Friends
544(1)
Family Role Flexibility
545(1)
The Family Socialization Function
545(1)
The Family Health Care Function
546(2)
Historic Review
546(1)
Use of Folk Medicine and Home Remedies Today
547(1)
Health Care Access Barriers
547(1)
Social Class Differences
548(4)
African-American Upper and Middle-Class Families
548(1)
African-American Nonpoor Working Class Families
549(1)
African-American Lower Class Families: The Working Poor and the Nonworking Poor
550(2)
Family Nursing Assessment
552(1)
Replacing Stereotypes with Informed Knowledge
552(1)
Assessing Family Stress and Coping Patterns
552(1)
Dealing with Client Discomfort and Mistrust
552(1)
Family Nursing Interventions
553(1)
Encouraging the Use of Extended Families, Social Networks, and Self-Help Groups
553(1)
Encouraging the Use of Spiritual and Church Support
553(1)
Assisting with Health-Related Family Problems
553(1)
Promoting Family-Centered Health Regimes
554(1)
Emphasizing Strengths and Empowerment
554(1)
Summary
554(5)
The Asian American Family
559(24)
Asian-American Demographic Patterns
560(5)
Chinese-Americans
560(2)
Japanese-Americans
562(1)
Korean Americans
563(1)
Filipino-Americans
563(1)
Vietnamese-Americans
564(1)
Commonalities and Differences Among Asian Americans
565(1)
Family Structural Characteristics
566(5)
Family Values and Beliefs
566(3)
The Family Role and Power Structure
569(1)
Family Communication Patterns
570(1)
Family Functional Characteristics
571(2)
The Family Affective Function
571(1)
The Family Socialization Function
571(1)
The Family Health Care Function
572(1)
Family Stressors and Coping Strategies
573(1)
Influence of Acculturation on Family Structure and Functions
574(2)
Family Nursing Assessment
576(2)
Culture
576(1)
Environment
576(2)
Family Nursing Interventions
578(1)
Summary
579(4)
Appendices 583(66)
A. The Friedman Family Assessment Model (Long Form)
583(10)
B. The Friedman Family Assessment Model (Short Form)
593(2)
C. Case Study of the O'Shea Family
595(8)
D. Family Nursing Process Example: The O'Shea Family
603(14)
E. Answers to Vignette and Study Questions
617(32)
Glossary of Terms 649(6)
References 655(48)
Index 703

Excerpts

As readers of the fifth edition, we think you will be pleased with the changes and additions that have been made. Much of this is due to the fact that two new co-authors have been added to the text. As the first author, I feel profoundly blessed to have two gifted and caring family nurses join me in updating and enriching the fifth edition's content and presentation. Dr. Vicky Bowden is a well-known nursing author, practitioner, and educator. Dr. Elaine Jones is also very experienced and expert in family nursing education, practice, and research with families with deaf members. Their positive contributions have made revising this text an exciting and very positive endeavor. We each revised about one third of the chapters, but carefully reviewed and made suggestions to the primary revisor on the other chapters to make them more comprehensive and relevant.Great strides have been made in the field of family nursing since this text's inception in 1980 and the additions and changes in this text parallel family nursing's growth. There has been a proliferation of texts in family nursing that contain in-depth discussions of theories, research, and practice. The increase in publications about family nursing; the inception of theJournal of Family Nursingin 1995; the growing incorporation of family nursing into ANA Standards of Nursing Practice, NANDA nursing diagnoses, and the Nursing Intervention Classification (NIC); the holding of national and international family nursing conferences; the continuing activity of the family and health section of the National Council for Family Relations; and the increase in family nursing courses and content in both undergraduate and graduate nursing programs present strong evidence of the development of family nursing as both an integral part of generalist practice and as a specialty area in advanced practice nursing. Moreover, there is a growing consensus that family nursing is conceptually and empirically distinct from nursing of family members. And due to the profound influence of family therapy and the application of systems theory, family nurses are increasingly "thinking interactionally" in their writings and conversations about families and family nursing practice.The text's focus in the fifth edition includes nursing diagnoses and interventions. In this edition, as previous editions, the same basic comprehensive family assessment tool is presented, with some modification. The family assessment model is based primarily on three theoretical perspectives: a systems perspective, a structural-functional perspective, and a family developmental perspective. A multicultural perspective is also integrated throughout.This text is intended for undergraduate and graduate family nursing students and practitioners who are not practicing advanced family therapy or family systems nursing. Advanced family nursing practice requires the completion of a specialized program at the master's level. Hence, we included family nursing interventions that are basic and straightforward; these suggested interventions, although certainly necessary within family nursing practice, are insufficient for working with the very complex family in which more sophisticated, indirect interviewing and advanced counseling skills are required. NEW FEATURES IN THE FIFTH EDITIONIn the fifth edition of this text, the following new features have been added: Content outlines have been added at the beginning of each chapter. A bulleted summary at the end of each chapter highlights the key ideas within the chapter. A glossary containing the major terms used in each of the chapters augments comprehension. More tables and figures have been added to graphically depict key points. As part of the review questions at the end of each chapter, a family vignette has been added, which addresses chapter content and augments critical thinking skills. Chapters a


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