Adapting the Neuman systems model for family nursing.
ABSTRACT Family nursing is in the early stages of development, and there is often difficulty in translating nursing conceptual frameworks into terms that are less abstract and more readily usable in the family practice arena. Yet the conversion of abstract ideas to concrete descriptions is necessary if nursing theory-based practice is to expand. This article describes the client system known as family within the Neuman systems model. Based on clinical data and the experience of nurses using the Neuman model in practice, a description of the family as client is developed. The five variables of Neuman's model are identified and the terms used in describing the family system are clarified. A rationale for the application is also presented.
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ABSTRACT: Although nursing has recognized spirituality as an important aspect of holistic patient care, exactly what spirituality means has remained rather amorphous. The purpose of this article is to present aspects of spirituality found in modern nurse theorists' ideas. These aspects are presented both in relation to reciprocal interaction or simultaneous action world-views and in relation to the extent of focus on the concept within the model or theory. This discussion will provide the researcher and practitioner with additional theoretical understanding on which to ground investigations and base practice.Journal of Advanced Nursing 02/1998; 27(2):294-303. · 1.69 Impact Factor
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ABSTRACT: Parental stress can negatively affect the parent-child relationship and reduce the well-being of the whole family. Family disagreement is associated with parental divorce and with psychological problems in children. The aim was to examine perceived parental stress and draw comparisons among mothers and among fathers, in relation to educational level, parental experience, existence of a parental role model and sense of coherence. The aim was also to examine perceived dyadic consensus and its association with perceived parental stress within couples. Questionnaires were completed by 320 mothers and 315 fathers at 1 week and 18 months post-partum. The Swedish Parenthood Stress Questionnaire, the Sense of Coherence Scale and the Dyadic Consensus Subscale were used. Low education, lack of a role model and poor sense of coherence promoted stress in mothers in the subareas social isolation and spouse relationship problems, while lack of a role model and poor sense of coherence promoted stress in fathers in the subarea social isolation. Furthermore, parental experiences promoted stress among mothers in the subarea incompetence while this was not seen among fathers. Mothers perceived a higher level of dyadic consensus than fathers in the items recreational activities, friends, aims and life goals, time spent together, and decisions regarding career and personal development. Household tasks was the only item where fathers perceived a higher level of dyadic consensus than mothers. Additionally, there were associations between perceived parental stress and dyadic consensus in several items and in the total score. To promote parents' health and family stability, health professionals should consider factors affecting stress and stress reactions, and take gender roles into account.Scandinavian Journal of Caring Sciences 11/2013; · 0.89 Impact Factor
Article: Teaching familynursing[Show abstract] [Hide abstract]
ABSTRACT: This study looks at the teaching of familynursing in the broader context of nursing education. The aim was to find out how Finnish teachers in nursing colleges define the concept of family, what sort of theoretical premises lie behind their teaching, and what kind of teaching methods they use. Teachers' information needs, as well as the use of knowledge concerning family nursing, were also explored. The data were collected from a total of 134 teachers in 42 nursing colleges. The results are presented in the form of descriptive frequencies, percentage distributions and cross-tabulations. According to the results the teachers took a fairly broad-minded approach to defining the family, going well beyond the notion of a traditional nuclear family. Almost all teachers also drew attention to the principle of family-orientation in nursing. On the other hand, the notion of family nursing was not very familiar to the respondents. About half of them associated the family with the metaparadigmatic concepts of individual or environment. The teachers said they used various different methods to teach their students how to work with families. However, almost one-third reported that they rarely ever provided instruction in the skills needed in family interviews. Only a small minority felt that they had the necessary theoretical competence to deal with the issue and to provide adequate training. Most of the material they used in teaching consisted of textbooks, whereas research data were used very sparingly.Nurse Education Today - NURSE EDUC TODAY. 01/1995; 15(3):204-210.