Family Nursing : Research Theory and Practice

by Friedman, Marilyn M., Ph.D.

• ISBN13: 9780838525258
• ISBN10: 0838525253
• Edition: 4th
• Format: Paperback
• Copyright: 1998-01-01
• Publisher: Prentice Hall

Summary

For nursing courses. The fourth edition of this popular text addresses the full practice of family nursing, identifying the family as a whole, and 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 nursing essential in preparing a comprehensive family nursing assessment and planning appropriate interventions.

Table of Contents

Contributors	ix	(2)
Preface	xi	(4)
Acknowledgments	xv
PART I. INTRODUCTORY CONCEPTS AND PROCESSES	1	(72)
1. Introduction to the Family	3	(28)
Two Basic Purposes of the Family	4	(1)
Why Work With the Family?	4	(1)
The Family-Society Interface	5	(1)
Interaction of Health/Illness and the Family	6	(3)
Family Definitions	9	(1)
Family Health	9	(1)
Characteristics of Healthy Families	10	(1)
Societal Changes Affecting Families	11	(4)
Varied Family Forms	15	(10)
Looking at the Future of the American Family	25	(1)
Family Nursing Implications	26	(5)
2. Family Nursing: Focus, Evolution, and Goals	31	(18)
Family Nursing: Defining the Specialty	32	(3)
The Incorporation of Family into ANA's Standards of Care	35	(1)
Family Nursing's Historical Legacy	36	(1)
Levels of Prevention	37	(1)
Primary Prevention: Family Health Promotion and Maintenance	38	(5)
Secondary Prevention	43	(2)
Tertiary Prevention	45	(4)
3. The Family Nursing Process	49	(24)
The Family Nursing Process	50	(1)
Family Assessment	51	(2)
Family Nursing Diagnoses	53	(5)
Planning	58	(2)
Family Nursing Intervention	60	(5)
Evaluation	65	(1)
Modification	66	(1)
Termination	66	(7)
PART II. THEORETICAL FOUNDATIONS	73	(98)
4. Theoretical Approaches to Family Nursing	75	(24)
What Is Theory?	75	(1)
Why Theory?	76	(1)
Conceptual Sources for Family Nursing Theories	77	(1)
Nursing Models and Theories	78	(5)
Family Social Science Theories	83	(6)
Family Therapy Theories	89	(5)
Family Nursing Theories: Integrated Models	94	(1)
Summary and Conclusions	94	(5)
5. Structural-Functional Theory	99	(12)
The Structural-Functional Approach	100	(1)
Concept of Structure	101	(1)
Concept of Function	102	(2)
Changes in Family Functions	104	(7)
6. Family Developmental Theory	111	(42)
The Family Career or Family Life Cycle	113	(2)
Two-Parent Nuclear Family Career or Life Cycle Stages	115	(23)
Family Life Cycle or Career Stages in Divorced Families	138	(2)
Life Cycle or Career Stages in Stepparent Families	140	(1)
Family Life Cycle Stages or Family Career in Domestic Partner Relationships	141	(1)
Impact of Illness and Disability on Family Developmental Stages	142	(1)
Assessment Areas: Developmental Stage and History of the Family	143	(2)
Family Nursing Interventions	145	(8)
7. Systems Theory	153	(18)
General Systems Theory: Paradigm and Associated Theories	154	(2)
Definitions of Systems Concepts and Propositions	156	(3)
Family Systems Definitions	159	(6)
A Systems Theory Perspective on Healthy Families	165	(1)
The Relationship Between the Structural-Functional and Systems Theories	165	(6)
PART III. FAMILY NURSING PRACTICE: RESEARCH, THEORY, AND PROCESS	171	(308)
8. Family Identifying Data: Sociocultural Assessment and Intervention	173	(40)
Identifying Data: Getting to Know the Family	174	(2)
The Family's Cultural Orientation	176	(8)
The Process for Assessing Culture	184	(3)
The Family's Social Class	187	(7)
Assessment Questions and Areas: Socioeconomic Status and Social Mobility	194	(1)
Family Social Networks and Social Support: Theory and Assessment	195	(4)
Family Recreational Activities: Theory and Assessment	199	(1)
Family Nursing Interventions	200	(13)
9. Family Environmental Data	213	(18)
The Family's Environment	214	(1)
Housing: The Family's Home	214	(6)
Physical Setting: The Neighborhood and Community	220	(1)
Attributes of Healthy Families: Their Associations in the Community	221	(1)
Nursing Diagnoses: Family Environmental Health Area	222	(1)
Family Nursing Interventions	222	(9)
10. Family Communication Patterns and Processes	231	(34)
Defining Communication	232	(1)
Elements of Communication	232	(1)
Communication Principles	233	(2)
Channels of Communication	235	(1)
Functional Communication Processes	236	(3)
Dysfunctional Communication Processes	239	(4)
Functional Communication Patterns in the Family	243	(3)
Dysfunctional Communication Patterns in the Family	246	(2)
Factors Influencing Family Communication Patterns	248	(3)
Communication in Families with Health Problems	251	(1)
Assessment Questions	251	(1)
Family Nursing Diagnoses	252	(1)
Family Nursing Interventions	253	(12)
11. Family Power Structure	265	(28)
Family Power: Definitions and Concepts	266	(1)
Family Power and Resources	267	(1)
Measuring Family Power	268	(1)
General Assessment Areas	269	(8)
Overall Family Power	277	(1)
Contemporary Trends in Family Power	278	(1)
Healthy and Unhealthy Family Power Attributes	279	(2)
Assessment Questions	281	(2)
Family Nursing Diagnoses and Intervention Guidelines	283	(10)
12. Family Role Structure	293	(34)
Role Theory and Definitions	294	(3)
Healthy Family Role Functioning	297	(1)
Formal Family Roles	297	(6)
Informal Family Roles	303	(2)
Variables Affecting Role Structure	305	(4)
Family Roles During Health and Illness	309	(3)
Assessment Questions	312	(2)
Family Nursing Diagnoses	314	(1)
Family Nursing Interventions	315	(12)
13. Family Values	327	(24)
Basic Definitions	328	(1)
Disparity in Values Systems	329	(1)
Value Changes in American Society	330	(1)
Major Value Orientations	330	(6)
Family Values	336	(1)
Major Variables Affecting Family Values	337	(1)
Value Conflicts	338	(1)
Assessment Questions	339	(2)
Family Nursing Diagnoses	341	(1)
Family Nursing Interventions	341	(10)
14. The Family Affective Function	351	(20)
Importance of the Affective Function	352	(1)
Components of the Affective Function	352	(5)
The Affective Function in Energized Families	357	(1)
The Family Under Stress: The Affective Function	358	(1)
Assessment Questions	359	(2)
Family Nursing Diagnoses	361	(1)
Family Nursing Interventions	361	(10)
15. The Family Socialization Function	371	(32)
Socialization: A Family Affair	372	(2)
Societal Attitudes Toward Children	374	(1)
Socialization in a Changing World	375	(5)
Theories Related to Socialization	380	(2)
Child-rearing Research	382	(1)
Influence of Culture on Child Rearing	383	(2)
Influence of Social Class on Child Rearing	385	(1)
Other Variables Influencing Child Rearing	386	(1)
Socialization in Single-parent and Stepparent Families	387	(1)
Socialization in High-Risk Families	388	(1)
Assessment Questions	388	(2)
Family Nursing Diagnoses	390	(1)
Family Nursing Interventions	391	(12)
16. The Family Health Care Function	403	(32)
Family Behavior Related to Health and Illness	404	(5)
How Well Families Perform the Health Care Function	409	(2)
Health Care Practices	411	(12)
Family Health History	423	(1)
Assessment Questions	424	(3)
Family Nursing Diagnoses and Planning	427	(1)
Family Nursing Interventions: Guidelines for Lifestyle Modification	427	(8)
17. Family Stress and Coping Processes: Family Adaptation	435	(44)
The General State of Family Health Today: How Well Families Are Coping	436	(1)
Basic Concepts and Definitions Related to Stress and Coping	437	(2)
Time Phases of Stress and Coping Strategies	439	(1)
Family Stress Theory	439	(7)
Impact of Stressors	446	(1)
Family Coping Processes	447	(9)
Dysfunctional Family Adaptive Strategies and Processes	456	(9)
Summary	465	(1)
Assessment Questions	465	(2)
Family Nursing Diagnoses	467	(1)
General Family Nursing Interventions	467	(12)
PART IV. GENERAL FAMILY NURSING INTERVENTIONS	479	(24)
18. Family Nursing Interventions	481	(22)
Defining Family Nursing Interventions	483	(1)
Family as Active Participant and Partner	484	(1)
Teaching	484	(4)
Counseling	488	(2)
Contracting	490	(1)
Case Management	491	(4)
Collaboration	495	(2)
Consultation	497	(1)
Family Empowering Interventions	498	(5)
PART V. CULTURAL DIVERSITY AMONG FAMILIES	503	(64)
19. The Hispanic-American Family	505	(22)
Demographic Patterns of Hispanic-Americans	506	(1)
The Hispanic-American Interface with American Society	507	(3)
The Normative Family Form	510	(1)
Environmental Issues	511	(1)
Family Structural Characteristics	511	(4)
Family Functional Characteristics	515	(5)
Family Nursing Practice Implications	520	(7)
20. The African-American Family	527	(20)
Historical Development of the African-American Family	527	(1)
Demographic Patterns of African-Americans	528	(1)
The African-American Family: A Legacy of Vulnerability and Resilience	529	(1)
Status of African-American Families: Criticism of the Literature	529	(2)
African-American Family Forms and Kinship System	531	(1)
Family Values and Coping Strategies	532	(2)
Family Socialization Patterns	534	(1)
The Family Health Care Function	535	(1)
Social Class Differences	536	(4)
Family Nursing Practice Implications	540	(7)
21. The Asian-American Family	547	(20)
Demographic Patterns of Asian-Americans	547	(5)
Cultural Characteristics of Asian-American Families: Commonalities and Diversity	552	(1)
Family Structural Characteristics	553	(5)
Family Functional Characteristics	558	(2)
Family Coping Strategies and Processes	560	(1)
Influence of Acculturation on Family Structure and Functions	561	(1)
Family Nursing Practice Implications	561	(6)
APPENDICES	567	(44)
A. The Friedman Family Assessment Model (Long Form)	567	(12)
B. The Friedman Family Assessment Model (Short Form)	579	(4)
C. Case Study of the O'Shea Family	583	(10)
D. Family Nursing Process Example: The O'Shea Family	593	(18)
References	611	(46)
Index	657