Family Nursing Research, Theory, and Practice

by Friedman, Marilyn R; Bowden, Vicky R.; Jones, Elaine

• ISBN13: 9780130608246
• ISBN10: 0130608246
• Edition: 5th
• Format: Paperback
• Copyright: 2002-08-08
• Publisher: Pearson

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