Critique and Analysis of Family Pressure Theory Medical theory talks about the relationship among concepts to boost understanding and knowledge about a phenomenon (Walker , Advant, 2005). Assumptive frameworks for nursing of families give a foundation for guiding the introduction of family centered care and research (Friedman, Bowden, , Jones, 2003). The application of theory helps to guide nursing practice, education, and research and supports the introduction of evidence-based nursing jobs strategies and interventions for both the individual as well as the family while the client.
This paper will analyze and provide a great analysis from the family anxiety theory. A quick introduction with the history and publisher of this theory will be supplied and the main concepts and assumptions of the theory referred to. The rationale for selecting this assumptive model mainly because it relates to friends and family nursing practice will be provided and its strengths and weaknesses identified. Additionally , a discussion with the application of the Family Pressure Theory in current medical research will probably be presented. Finally, ideas for foreseeable future research required to continue to develop this theory for its software in family members nursing practice will be looked into.
Family Anxiety Theory The family stress theory was introduced by simply Professor Reuben Hill inside the late1940s after the Great Depression (McDonald, n. d. ). McDonald (n. d) explains that Hill structured his observations on family members who survived the financial challenges with the Great Depression and people families whom did not. Friedman, Bowden, and Jones (2003), explain that Hill primarily based his analysis on the effects of separation and reunions resulting from war time on families. In both equally cases, the Family Stress Theory really helps to explain why some households are able to adapt and survive when confronted with stressors whilst other families encounter catastrophe.
Hill’s Family Stress Theory has offered as a platform for the introduction of more contemporary family members stress models, such as the Resiliency Model, so that as a base for clinical practice and crisis input (Friedman, Bowden, and Williams, 2003). Key Concepts Hillside describes the importance of social relationships and positive perceptions which serve as buffers in protecting the family via crisis (McDonald, n. d. ). In developing the family stress theory, Slope formulated an ABCX framework which helps to define the tension, identify the family solutions, explore the family’s notion of the stressor, and the problems.
The A variable can be identified as the provoking stressor or celebration that the relatives encounters. Family experiences and strengths and also family and community resources signify the N variable. This variable includes the family’s social support structure, both external and internal, which effects the magnitude of the anxiety on the family (McDonald, d. d. ). The family members perception in the degree of pressure produced by the provoking stressor or celebration represents the C changing.
Combined, these three parameters influence what sort of family deals, reacts, and manages the specific situation and determines whether or not the situation becomes a catastrophe, the By variable. Past experiences, satisfactory and offered resources, period, and support all effect how a is able to modify and change towards the situation. The usage of the family members stress theory helps to forecast the potential for a household crisis. In accordance to McDonald (n. g. ), “the combination of high stress with social seclusion (the “B variable) intended for families has been highly correlated with many types of dysfunctional family members outcomes (para. ). Hill’s family pressure theory provides a framework for the family as client targeted assessment and the development of evidence-based nursing concours that reinforce the as well as promote great outcomes. Friends and family Stress Theory’s assumption regarding Family and Breastfeeding The Relatives Stress theory is central range ideas developed by Hillside and as the variability of families will be recognized through research, the conventional ABCX theoryevolved to different family members stress theory and produced the theory and the supposition of what family is regarding.
In 1996, McCubbin and McCubbin discussed the theory’s assumption of any family in crisis (Smith , Liehr, 2008, l. 227): Family members over the course of lifestyle face struggles and adjustments as a natural and estimated aspect of family life. Families develop fundamental competencies, habits of functioning, and functions to engender the growth and development of members of the family and the family members unit, and also to protect the family from major disruptions in the face of transitions and alterations.
Families develop basic and unique expertise, patterns of functioning, and capabilities built to protect the family by unexpected or perhaps non-normative stressors, and strains and to foster the family’s recovery pursuing the family crisis or key transition or perhaps change. Households draw from and contribute to the network of associations and assets in the community, which includes its ethnicity and cultural heritage, particularly during times of relatives stress and crises. People faced with catastrophe situations challenging changes in the family’s functioning job to restore purchase, harmony, and balance actually in the midst of change.
In the Family members Stress theory’s metaparadigm, medical is responsible in supporting families at the same time of adaptation by promoting the family member’s health, help to cure illness, assist the member of the family to function in the specific overall health limitation, support and develop family’s talents, assist in the usage of community solutions available, help the friends and family in evaluation of the condition and help the family determine what is suitable for the situation (Beckett, 2000).
The Family Tension Theory in Family Nursing Stress can impact intimate interactions in the relatives setting. Though stress can be regular and normal in the family members setting, serious stress can lead to serious friends and family situations including domestic violence, alcoholism, drug abuse, and even child neglect. The results of the family’s situation through the stressful function depends on how the family responds and thrives to the nerve-racking situation.
A stressful event can be in the form of an acute or chronic illness in the relatives, sudden function changes, struggles in the friends and family life routine, separation, and death of any family member. The usage of Family Tension Theory in Family Nursing assists the nurses in exploring the family system’s patterns and response to situational stressors and transitional events. The Family Pressure theory was useful in the family’s coping ability regarding the care of the child with extraordinary needs (Crawford, 2002).
You read ‘Nursing and Family members Stress Theory’ in category ‘Family’
Children with special needs is actually a stress to both father and mother because time is needed to develop competency in caring for this sort of child inside the family. The use of community and family methods should be presented and considered to adapt to the crisis. A single literature as well applied the theory in remarriage in people and suggested that “remarriage and adjustment to stage family living are considered as lifestyle transition in the framework in the Family Tension Theory (Crosbie-Burnett, 1989, p. 323).
Identifying every one of the variables present in any demanding event plus the family’s capacity of adapting to the stress employing all assets available will assist the nurse in producing the nursing jobs process by causing a thorough relatives internal and external environmental assessment, help the family members in setting up a goal and planning for strategies to resolve the situation, providing the family conceivable interventions in managing the stressor function, improving coping abilities, and enhancing the family’s strength during the nerve-racking event.
The nurse is additionally responsible in following-up and evaluating the effectiveness of the intervention to either continue the current management or change the coping strategy. Family members Assessment In the use of qualitative and quantitative studies, families have different habits to the response of tension. Assessing family members resources, coping strategies, and processes offers the function pertaining to assisting households in edition and achievement of a higher level of wellness (Friedman, Bowden , Jones, the year 2003, para 3).
Families participate in different managing and coping strategies once dealing with demanding events. The nurse must assess the healthiness or dysfunctional aspects of the family. Throughout the assessment period, the doctor set certain goals that will aid the family with coping mechanisms of stress. The foundation for achieving the goals would depend on family support, financial resources and coping approaches. Families remain strong and durable possibly during this economic crisis. Inspite of all the financial, social and political stresses, most family members can elizabeth considered to be operating satisfactorily (Friedman, Bowden , Jones, the year 2003, para 4). The theoretical model family stress identifies two types of situations that will cause a relatives to enter into a crisis. Those situations are classified while developmental and situational events. Events which can be identified as psychological growth of a family are observed as developmental events. Some examples are old age, a child coming into high school or college, or adoption. The examples denote the normal existence cycle affecting the entire family members unit.
Unpredicted events are considered situational situations such as fatality, loss of task, or the loss of the home due to fire. The family’s financial resources and dealing mechanisms will help the family adapt and work through the crisis. The nurse usually takes the listed examples that help the family members develop goals in turning out to be healthy and strong friends and family again. Evaluate of the Friends and family Stress Theory The use of the family stress theory by rns with advanced training can be described as key sign for creating treatment paths that enhance the performance of results for positive family overall health.
Family clinicians use the tension theory to facilitate a collaborative learning process among family members with special emphasis on the different family members processes: parenting, balancing job, dealing with child years issues, and maintaining balance in house life. The stress theory is used as being a helpful device for figuring out sources of anxiety that give a within the for producing strategic strategies to assist with managing all of them.
Further applicability of the anxiety theory offers a supporting resource for identifying coping systems of person family members and determining just how effective their coping approaches are during stressful family situations. The theoretical structure for the stress theory also serves as a device for detailing how family members adjust and adapt as you system during stressful situations (Friedman, Bowden, , Smith, 2003, p. 470). Data for determining coping mechanisms for families of culture can be had by using a ethnic genogram to collect information about all their trengths and weaknesses. The clinician uses the information to make use of it for the stress theory framework to help the relatives with developing feasible ways of dealing with stress filled events. Ongoing research efforts incorporating the stress theory critical for producing innovative relatives care plans for assisting families steer clear of and decrease stress levels. Further more family-focused study can be produced to address the coping manners of widely diverse people during demanding situations (Friedman et ‘s., 2003).
The brand new wave of multi-types of families supports the need for intervention research that serves as evidenced-based practices to assist not only broadly diverse people but also all people to deal with pressure. Strengths The strengths identified in making use of the family pressure theory will be that the style is easy to understand and easy to translate into remedy and treatment. During the examination period of detailing the style and how it relates to the situational catastrophe of the relatives, it is important that people understand the program. The doctor will clarify adaptation, family members adaptation, family members coherence and family resilience.
During the educational process, the concepts can be defined and described within a manner the family can easily view the catastrophe and place the big event in the relatives unit’s perspective. As the nurse converted the model into remedy sessions and intervention operations, the family members will not have difficulty working together had to heighten relatives growth. The nurse and family will work together to determine goals. Throughout the intervention program the family will engage with the causes affecting the family. The family will work extensively to come back the unit to the whole relatives concept.
Weaknesses Weaknesses identified are limited to the discussion of aspects in the family dealing with stress and punctuation or perhaps interruptions. The family can be limited in providing essential information inside the discussions. The nurse will help set goals depending on the provided information. Disgrace and sense of guilt play elaborate roles in how much details is presented. The relatives will need to take part in the discussion and work periods in order to return to the practical family product. Punctuation or interruptions arise during the gatherings with the health professional and friends and family.
Unforeseen activities causes messy scheduled conference. A specific period should be allocated for the meeting to ease interruptions. The nurse and family will make stride in the event the sessions will be uninterrupted. Family Nursing Analysis The tendencies of nursing jobs care include evolved over time from being a patient concentrated care industry into a market focused around family focused care. Primary of rendering family concentrated care offers resulted in a great emergent need to develop concepts, assessment steps and clinical skills customized to the attention being supplied.
For this reason, family members nursing studies have detonated although much of the studies in its infancy stages. Much of the current literature about family medical pertains to pediatric nursing and family, even so the call for friends and family nursing analysis for the adult associated with nursing is usually emerging too. One particular research conducted by staff analysts at The School of North Carolina at Chapel Hill spot light on how households care for a young child with serious illness and debilitating disorders. The by-product of this research study is the FaMM (Family Managing Measure).
Even though the FaMM was cultivate through the use of the Family members Management Style Conceptual Construction (FMSF), the FaMM actions how a family manages during stressful circumstances, which is a direct correlation towards the family anxiety theory. Additionally to spotlighting, the purpose of the study is “that it will additional the development and testing of interventions plus the comprehensive analysis of families’ efforts to manage chronic conditions (Knafl et al., 2007). Based on inspecting the brought on leading up to the FaMM, research workers had ne primary issue and challenged themselves to find a way to help make the eight conceptual dimensions of the FMSF right into a measureable analysis tool having a high percentage of dependability and validity. Second, an assessment tool (FaMM) and a hypothesis originated to support the inquiry. The hypothesis converged to explain just how “data from your FaMM will contribute to clinicians’ and researchers’ ability to understand more fully family members functioning inside the context of childhood serious conditions (Knafl et al., 2007).
Even though the research study definitely seems to be qualitative in methodology using its categorical method to establishing measurements it is extremely quantitative. All the established dimension guidelines or perhaps categories turns into conclusive having a percentage credit score as a means to evaluate against varies. The ranges help to determine whether the friends and family has the ability to take care of many of the anxiety factors connected with care of a chronically ill child. The results of the research exhibited a high validity as well as stability.
In particular, the reliability with the test ranged between 72% to 90% for moms and 73% to 91% for dads, both demonstrating above fifty percent reliability. The ongoing future of family nursing jobs research ought to branch to be able to include all forms of relatives, for example , children being brought up by grandparents, homosexuals, promote parents and, other forms of guardianship. With the Family Stress Theory more research is necessary to determine the long-lasting effects of stress on the family product and approaches to offset these effects.
Furthermore, the research by family anxiety theory is useful to relatives nursing practice in that it provides nurses a place to begin to initiate interventions, treatment and, various other diagnoses. Bottom line Family stress theory provides nursing personnel with both extrinsic & intrinsic information to include in providing better services, care, and outreach to family members. The concepts and assumptions identified in the theory arecurrently being searched for performance in rendering the best application measures for family nursing practice. Despite the weakness identified in the theory, the strengths from the theory much outweigh.
In closing, the friends and family stress theory can be used to guide nursing practice in severe care options but may also provide in sight on principal prevention strategies. References Beckett, C. (2000). Family theory as a construction for assessment. Unpublished manuscript, Northern Az University, Flagstaff, Arizona. Recovered from http://jan. ucc. nau. edu/~nur350-c/class/2_family/theory/lesson2-1-3. code Crawford, Deb. (2002). Keep your focus on the family. Diary of Child Medical care, 6, 133-146. doi: twelve. 1177/136749350200600201 Crosbie-Burnett, M. (1989, July).
Application of Family Anxiety Theory to remarriage: A Model for determining and supporting stepfamilies. Family Relations, 32, 323-331. Gathered from http://www. jstor. org/pss/585060 Friedman, Meters. M., Bowden, V. R., , Jones, E. G. (2003). Family members Nursing: Research, Theory and Practice (5th Ed. ). Upper Saddle, NJ: Prentice-Hall. Knafl, T., Deatrick, T., Gallo, A., Dixon, M., Grey, Meters., Knafl, G., , O’Malley, J. (2007). Family managing measure (FaMM). Retrieved Dec 5, 2009, from http://nursing. unc. edu/research/famm/ McDonald, T. (n. m. ). Hill’s theory of family tension and buffer factors: Build the safety factor of social relationships and positive perception with multi-family groups_. Retrieved Dec 5, 2009, from http://cecp. air. org/vc/presentations/2selective/31mcdon/HILL’S_FAMILY_STRESS_THEORY_AND_FAST. htm Smith, M., , Liehr, P. (2008). Midsection range theory for nursing jobs (2nd impotence. ). Nyc, NY: Springer Publishing Company, LLC. Walker, L. To., , Avant, K. C. (2005). Strategies for theory structure in nursing (4th male impotence. ). Higher Saddle Water, NJ: Pearson Prentice-Hall.