MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Family Nursing' source. Sat, 20 Mar 2010 14:47:16 +0100 http://www.medworm.com/index.php?rid=3256858&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F16%2F1%2F128%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=3256858 Wed, 10 Feb 2010 00:05:07 +0100 3256858 http://www.medworm.com/index.php?rid=3256857&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F16%2F1%2F126%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=3256857 Wed, 10 Feb 2010 00:05:07 +0100 3256857 http://www.medworm.com/index.php?rid=3256856&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F16%2F1%2F124%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=3256856 Wed, 10 Feb 2010 00:05:07 +0100 3256856 http://www.medworm.com/index.php?rid=3256855&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F101%3Frss%3D1 This study aimed to illuminate meanings of being closely connected to health care providers experiencing burnout. Ten interviews were conducted with five people closely connected (i.e., family members or supportive friends) to health care providers recovering from burnout. The interviews were tape-recorded and transcribed verbatim, and the resulting text was interpreted using a phenomenological-hermeneutic method. One consequence of being closely connected to health care providers experiencing burnout is putting one’s life on hold to help. In facing an almost unmanageable burden, those closely connected revealed their own suffering, emphasizing their need for support. Health care professionals need to be aware that those who are closely connected to a person experiencing burnout may ... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=3256855 Wed, 10 Feb 2010 00:05:07 +0100 3256855 http://www.medworm.com/index.php?rid=3256854&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F68%3Frss%3D1 Much of the existing research on caregiving in families of individuals with mental illness has been conducted in Western societies. Therefore, the purpose of this review was to critically examine research on caregiving in families of individuals with mental illness living in Taiwan, Hong Kong, and Mainland China. A search using computerized databases, public search engines, and references from retrieved articles revealed 37 studies published from 1990 to 2009. Four studies were theory driven at an individual level, and one study was guided by a family-level framework. Thirty-two articles were quantitative studies, and 5 were qualitative studies. All but 5 of 37 studies were cross-sectional. Findings suggest that misconceptions about mental illness, behavior disturbances, inadequate social ... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=3256854 Wed, 10 Feb 2010 00:05:07 +0100 3256854 http://www.medworm.com/index.php?rid=3256853&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F45%3Frss%3D1 During deployment of National Guard or reserve troops to Iraq or Afghanistan, spouses on the home front have been largely invisible to our collective consciousness. A total of 18 spouses living in rural Wisconsin were interviewed to identify sources of stress and coping strategies. Stressors varied from predeployment through postdeployment, as did coping responses. During predeployment, spouses articulated that the primary stressor was their lives being "on hold." During deployment, five stressors summarize the experience: worrying, waiting, going it alone, pulling double duty, and loneliness. Communication technology made it possible for most spouses to stay in touch using telephone, e-mail, or even Webcam. Keeping busy—managing personal, family, and household responsibilities&mdash... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=3256853 Wed, 10 Feb 2010 00:05:07 +0100 3256853 http://www.medworm.com/index.php?rid=3256852&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F26%3Frss%3D1 This article offers a synthesis of the significant developments and progress of family nursing in Sweden. A review was conducted to locate Swedish family nursing research produced over the past 10 years. CINAHL, Medline, and PubMed were the primary databases used to locate approximately 75 family nursing studies conducted in Sweden. The majority of the studies used descriptive methods with data collected from surveys and interviews involving nurses and family members either together or individually. Only a few of the studies examined family nursing interventions. This article also reports the results of a recent survey of Swedish nurses that examined how family nursing is used in practice. After 10 years of creating a strong foundation for family-focused nursing in Sweden, there is still a... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=3256852 Wed, 10 Feb 2010 00:05:07 +0100 3256852 http://www.medworm.com/index.php?rid=3256851&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F8%3Frss%3D1 The author’s reflections on knowledge transfer/translation highlight the importance of the circular process between science and practice knowledge, leading to the notion of "knowledge exchange." She addresses the dilemmas of translating knowledge into clinical practice by describing her academic contributions to knowledge exchange within Family Systems Nursing (FSN). Teaching and research strategies are offered that address the circularity between science and practice knowledge. The evolution of 20 years of teaching, research, and clinical experience has resulted in the recent creation of a Center of Excellence in Family Nursing at the University of Montreal. The three main objectives of the Center uniquely focus on knowledge exchange by providing (a) a training context for skill dev... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=3256851 Wed, 10 Feb 2010 00:05:07 +0100 3256851 http://www.medworm.com/index.php?rid=3256850&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F16%2F1%2F3%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=3256850 Wed, 10 Feb 2010 00:05:07 +0100 3256850 http://www.medworm.com/index.php?rid=2929244&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F506%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2929244 Mon, 26 Oct 2009 15:40:15 +0100 2929244 http://www.medworm.com/index.php?rid=2929243&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F504%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2929243 Mon, 26 Oct 2009 15:40:15 +0100 2929243 http://www.medworm.com/index.php?rid=2929242&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F502%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2929242 Mon, 26 Oct 2009 15:40:15 +0100 2929242 http://www.medworm.com/index.php?rid=2929241&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F486%3Frss%3D1 Outcomes for maternal well-being and behavior as well as difficult child behavior following participation in a 5-day early parenting center residential parenting program were explored. Participants were 44 mothers and their children, the majority presenting with child sleeping difficulties. Data were collected at four stages: intake (2-4 weeks prior to the program), the first day of the program, the last day of the program, and 4 weeks after the program. Measures included questionnaires, monitoring sheets, and videotaped observations of parent— child interactions. Improvements were seen in mothers’ behavior during parent—child interaction over the week they attended the program. Maternal symptoms of depression, anxiety, and stress were lower after the program. The perceiv... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2929241 Mon, 26 Oct 2009 15:40:15 +0100 2929241 http://www.medworm.com/index.php?rid=2929240&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F461%3Frss%3D1 The "One Question Question," first coined by Dr. Lorraine M. Wright in 1989, is an interventive question designed to elicit family members’ most pressing needs or concerns within the context of a therapeutic conversation. In this article, two clinical projects analyzed the responses to this unique interventive question. The first project analyzed the responses of 192 family members experiencing illness who were asked the question in the context of a therapeutic conversation; families focused on their need to deal with the impact of the illness on the family. The second project examined responses of 297 nurses who were asked the question prior to a 1-week Family Systems Nursing training program; nurses wanted to know how to deal with conflictual relationships between families and heal... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2929240 Mon, 26 Oct 2009 15:40:15 +0100 2929240 http://www.medworm.com/index.php?rid=2929239&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F445%3Frss%3D1 Conclusions about facilitating the implementation of family nursing knowledge into clinical practice are offered. The circularity between knowledge translation and practice is emphasized. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2929239 Mon, 26 Oct 2009 15:40:15 +0100 2929239 http://www.medworm.com/index.php?rid=2929238&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F417%3Frss%3D1 This study tested the hypothesis that various components of the stress process model were related to negative outcomes (depression, guilt, negative health) in cancer caregivers. This study also tested the hypothesis that psychosocial resources (mastery, socioemotional support) mediated the relationship between the various domains of the stress process model and negative outcomes. A total of 238 cancer caregivers were recruited from radiation medicine clinics at the University of Maryland Greenebaum Cancer Center (n = 186) and the University of Minnesota Cancer Center (n = 52). A comprehensive interview battery was administered. A multivariate regression found that primary subjective stressors were the strongest predictors of depression and negative health impact. A path analysis indicated ... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2929238 Mon, 26 Oct 2009 15:40:15 +0100 2929238 http://www.medworm.com/index.php?rid=2929237&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F412%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2929237 Mon, 26 Oct 2009 15:40:15 +0100 2929237 http://www.medworm.com/index.php?rid=2929236&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F407%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2929236 Mon, 26 Oct 2009 15:40:15 +0100 2929236 http://www.medworm.com/index.php?rid=2623879&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F3%2F402%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2623879 Mon, 20 Jul 2009 23:00:00 +0100 2623879 http://www.medworm.com/index.php?rid=2623878&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F3%2F400%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2623878 Mon, 20 Jul 2009 23:00:00 +0100 2623878 http://www.medworm.com/index.php?rid=2623877&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F384%3Frss%3D1 This article reviews current literature to identify fundamental issues facing families that include sexual minority parents and their children. The unique nursing needs of families with gay, lesbian, transgender, or bisexual parents are critically examined for direct relevance to family nursing practice. Nurses and other health care professionals can incorporate current knowledge of unique child developmental, parenting, and legal issues into their work with these families. Nursing assessment and policies that consider the unique needs of these families will be addressed. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2623877 Mon, 20 Jul 2009 23:00:00 +0100 2623877 http://www.medworm.com/index.php?rid=2623876&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F360%3Frss%3D1 The objectives were to (a) explore the formation and maintenance of family—staff relationships, with attention paid to the relational elements of engagement and mutual respect; (b) explore family and staff perspectives of environmental supports and constraints; and (c) identify practical ways to support and enhance these relationships. Results indicate that the resource-constrained context of continuing care has directly impacted family and staff relationships. The nature of these relationships are discussed using the themes of "Everybody Knows Your Name," "Loss and Laundry," "It's the Little Things That Count," and "The Chasm of Us Versus Them." Families' and staff's ideas of behaviors that support or undermine relationships are identified, as are concrete suggestions for improving ... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2623876 Mon, 20 Jul 2009 23:00:00 +0100 2623876 http://www.medworm.com/index.php?rid=2623875&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F343%3Frss%3D1 This article describes the development and testing of a research instrument called Parents' Perceptions of Care (PPC). It is designed to measure the interaction between health care professionals and family members in situations where a child aged 1 to 3 years is in need of acute hospital care. Administered to the child's parents or other persons responsible for the child's care, PPC was developed using four concept categories drawn from Maijala's substantive theory of interaction. The instrument was piloted with 91 parents recruited from four hospitals in southern Finland. The construct validity of the scale was assessed by item analysis, and internal consistency was assessed by Cronbach's alpha values. The results of the statistical analysis are sufficient to encourage further psychometri... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2623875 Mon, 20 Jul 2009 23:00:00 +0100 2623875 http://www.medworm.com/index.php?rid=2623874&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F318%3Frss%3D1 This study provides an opportunity to enhance our understanding of the parenting patterns of mothers of children with ADHD in Korea. The findings can function as a cornerstone for developing future models of parenting children with ADHD and parent—child interactions. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2623874 Mon, 20 Jul 2009 23:00:00 +0100 2623874 http://www.medworm.com/index.php?rid=2623873&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F295%3Frss%3D1 This study has implications for practice and policies to meet the needs of families and promote the independence of older persons. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2623873 Mon, 20 Jul 2009 23:00:00 +0100 2623873 http://www.medworm.com/index.php?rid=2623872&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F273%3Frss%3D1 The purpose of this report is to describe caregiving by teens for family members with Huntington disease (HD). Thirty-two teens in HD families in the United States and Canada participated in focus groups from 2002 to 2005 in a study to identify concerns and strategies to manage concerns. An unexpected finding was 24 (77%) described caregiving activities. Descriptive analysis of caregiving statements identified themes of Tasks and Responsibilities, Subjective Burden, Caregiving in Context of Personal Risk for HD, and Decisional Responsibility. Teens took an active part in nearly all aspects of care with the exception of contacting health care providers and attending doctors' appointments. Some described emotional distress, and many provided care knowing they had the potential to develop HD.... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2623872 Mon, 20 Jul 2009 23:00:00 +0100 2623872 http://www.medworm.com/index.php?rid=2623871&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F3%2F267%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2623871 Mon, 20 Jul 2009 23:00:00 +0100 2623871 http://www.medworm.com/index.php?rid=2400960&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F237%3Frss%3D1 Swedish couples' perceptions of their marital quality when their firstborn was 6 months old and then 4 years later were studied in 2002 and 2006, respectively. The results show that almost half of the 368 responding parents were satisfied with their marital relationship both in 2002 and 2006 as assessed by a modified Dyadic Adjustment Scale. However, a study of the various dimensions showed a significant decrease in marital quality. Housework and child care were perceived as having a greater strain on the relationship between couples who had had additional children during this period. Dyadic Sexuality and Dyadic Cohesion were the most significant predictors of marital quality. Covariates of marital quality in the group with additional children were "partner relation and parenthood perceive... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2400960 Thu, 07 May 2009 04:00:00 +0100 2400960 http://www.medworm.com/index.php?rid=2400959&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F220%3Frss%3D1 Electronic mail (e-mail) is being investigated as a health care intervention for mothers caring for their infants. The purpose of this study is to describe themes representing the content of e-mail messages written by 12 single, low-income, African American mothers to nurses participating in the New Mothers Network Study. Three themes that emerged were (a) life's logistics: day-to-day concerns; (b) relationships of support; and (c) personal reflections about being a new mother. Reported themes support the social support theory based on works by House and Revenson, Schiaffano, Majerovitz, and Gibofski used to develop the nursing intervention. Nurses are in key positions to offer social support to African American mothers adjusting to single parenting. Nurses can provide social support to si... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2400959 Thu, 07 May 2009 04:00:00 +0100 2400959 http://www.medworm.com/index.php?rid=2400958&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F198%3Frss%3D1 This article presents the results of a qualitative study aimed at explaining how this advocacy role evolves following institutionalization. In-depth interviews were conducted with daughters (N = 14) of an institutionalized parent with dementia and selected using a theoretical sampling procedure. Data analysis using grounded theory revealed three interrelated processes that explain role transformation of the daughters: integration in the care setting, evaluation of quality of care, and development of trust. Implications for involving daughters as care partners in long-term care settings are offered. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2400958 Thu, 07 May 2009 04:00:00 +0100 2400958 http://www.medworm.com/index.php?rid=2400957&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F171%3Frss%3D1 Men's involvement as family caregivers has grown as the prevalence of dementia has increased. Men rely on support from others for caregiving but also experience nonsupportive interactions. The purpose of this ethnographic study of 34 men (24 spouses and 10 sons) caring for a relative with dementia, 5 assisting caregivers, and 15 professionals was to identify primary caregivers' perceptions of nonsupportive and supportive interactions in relationships with kin and friends as well as professionals. Thematic analysis of transcribed data generated from interviews, diaries, and focus group discussions revealed the nature of men's caregiving journeys, the characteristics of their social networks, and their expectations of supportive interactions. The nonsupportive interactions men caregivers exp... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2400957 Thu, 07 May 2009 04:00:00 +0100 2400957 http://www.medworm.com/index.php?rid=2400956&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F152%3Frss%3D1 This study describes the relationship between adolescent risk/protective factors, parent-adolescent communication, and their effects on alcohol use of 14- to 17-year-old adolescents living in Mexico (N = 829; 458 girls, 371 boys). In this study, adolescents reported that 55% ever used alcohol, 24% used alcohol in the past 30 days, and 10% reported binge drinking. Adolescents with high family intimacy were less likely to report ever using alcohol and binge drinking. Regression analysis revealed that parent-adolescent communication mediated the effect of family intimacy on overall and binge drinking. Alcohol use prevention with Mexican adolescents should focus on family intimacy and parent-adolescent communication. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2400956 Thu, 07 May 2009 04:00:00 +0100 2400956 http://www.medworm.com/index.php?rid=2400955&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F2%2F130%3Frss%3D1 This article demonstrates the use of linear mixed modeling to account for IFC in the important special case of univariate measurements for family dyads collected at a single point in time. Example analyses of data from partnered parents having a child with a chronic condition on their child's adaptation to the condition and on the family's general functioning and management of the condition are provided. Analyses of this kind are reasonably straightforward to generate with popular statistical tools. Thus, it is recommended that IFC be reported as standard practice reflecting the fact that a family dyad is more than just the aggregate of two individuals. Moreover, not accounting for IFC can affect the conclusions. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2400955 Thu, 07 May 2009 04:00:00 +0100 2400955 http://www.medworm.com/index.php?rid=2400954&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F2%2F123%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2400954 Thu, 07 May 2009 04:00:00 +0100 2400954 http://www.medworm.com/index.php?rid=2265275&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F1%2F117%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2265275 Fri, 13 Mar 2009 04:00:00 +0100 2265275 http://www.medworm.com/index.php?rid=2265274&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F1%2F112%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2265274 Fri, 13 Mar 2009 04:00:00 +0100 2265274 http://www.medworm.com/index.php?rid=2265273&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F102%3Frss%3D1 This article explores the technological implications of the translation of therapeutic letters to therapeutic e-mail communication. The history of letters is juxtaposed with the currency with which the written language locates itself in today's methods and patterns of communication. Implications of such a translation, inherent with gifts and limitations, all deeply embedded in a historical context, are explored. The future of therapeutic letters continues to be located in their utility and ultimately their capacity to offer healing and helpful words to families in suffering. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2265273 Fri, 13 Mar 2009 04:00:00 +0100 2265273 http://www.medworm.com/index.php?rid=2265272&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F83%3Frss%3D1 This article describes (a) the examination process, which was the context for writing therapeutic letters, (b) results of analyses of the letters, and (c) student's post-examination evaluation comments. Results indicate that most students needed encouragement to focus on the family's strengths and resources instead of focusing on own feelings or problems they perceived the family as having. Students also needed support in relinquishing their hierarchical role of "expert nurse." Students' evaluation comments showed that writing therapeutic letters provided students with opportunities to reflect about the connections between family nursing theory and the family itself. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2265272 Fri, 13 Mar 2009 04:00:00 +0100 2265272 http://www.medworm.com/index.php?rid=2265271&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F65%3Frss%3D1 This article presents selected findings from a larger study that examined both the letter-writing practices of nine clinicians as well as the experiences of seven adult clients who received a therapeutic letter or letters during the course of individual or family therapy. A novel aspect of this study is that data from clients were gathered in the form of letters—eight letters written by the clients to the researcher about their experience of receiving a therapeutic letter or letters from their clinician. Thematic analysis guided the analysis of the data. Findings are placed within the context of relationally responsive (or relationally engaged) practice. An invitation is extended to conceptualize letters not as monologic documents but as a means of dialogically relating to clients an... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2265271 Fri, 13 Mar 2009 04:00:00 +0100 2265271 http://www.medworm.com/index.php?rid=2265270&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F50%3Frss%3D1 This article explores the impact of letter writing on therapeutic boundaries. Letters challenged and extended the spatial and temporal boundaries of the therapeutic relationship, and especially the boundary between the personal and the professional, resulting in greater relational connectedness and therapeutic intimacy between the author as therapist and his client participants. By crossing boundaries traditionally posited to keep clients safe, letter writing evoked a carefully considered use of boundary that, perhaps paradoxically, brought the author and the participants into a fuller relationship with self and with each other. A revisioning of therapeutic boundary that challenges "professionalism" and patriarchal constructions of boundary is followed by an exploration of how letters cont... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2265270 Fri, 13 Mar 2009 04:00:00 +0100 2265270 http://www.medworm.com/index.php?rid=2265269&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F31%3Frss%3D1 This article summarizes the first research to be completed on the Family Systems Nursing intervention of therapeutic letters. In the Family Nursing Unit (FNU) at the University of Calgary, therapeutic letters have been used for more than 22 years in work with families experiencing illness and suffering. Using Gadamerian philosophical hermeneutic inquiry, the research explores 11 therapeutic letters sent and received in the work with three families (four participants) seen in the FNU. Textual interpretation of the 11 letters was complemented by research interviews with the families and nurses who wrote the letters as well as in-session, presession, and postsession transcriptions. Interpretations suggest that letters have an influence related to the tone of the individuals and the relationsh... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2265269 Fri, 13 Mar 2009 04:00:00 +0100 2265269 http://www.medworm.com/index.php?rid=2265268&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F1%2F6%3Frss%3D1 This article focuses on the history of the use of therapeutic letters in the clinical scholarship of the Family Nursing Unit at the University of Calgary and offers examples of a variety of therapeutic letters written to families experiencing illness suffering. A case study from the research of Moules (2000, 2002) is offered to further illustrate the usefulness of therapeutic letters as a family nursing intervention. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2265268 Fri, 13 Mar 2009 04:00:00 +0100 2265268 http://www.medworm.com/index.php?rid=2265267&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F15%2F1%2F3%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2265267 Fri, 13 Mar 2009 04:00:00 +0100 2265267 http://www.medworm.com/index.php?rid=2096855&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F4%2F488%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2096855 Mon, 12 Jan 2009 05:00:00 +0100 2096855 http://www.medworm.com/index.php?rid=2096854&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F4%2F486%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2096854 Mon, 12 Jan 2009 05:00:00 +0100 2096854 http://www.medworm.com/index.php?rid=2096853&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F469%3Frss%3D1 This article outlines the delivery of the Family Health Nurse Education Programme of the World Health Organization (WHO) at the University of Stirling, Scotland, from 2001 to 2005. The program was part of the WHO European Family Health Nurse pilot project. The curriculum outlined by the WHO Curriculum Planning Group detailed the broad thrust of the Family Health Nurse Education Programme and was modified to be responsive to the context in which it was delivered, while staying faithful to general principles and precepts. The Family Health Nurse Education Programme is described in its evolving format over the two phases of the project; the remote and rural context occurred from 2001 to 2003, and the modification of the program for the urban phase of the project occurred during 2004 and 2005.... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2096853 Mon, 12 Jan 2009 05:00:00 +0100 2096853 http://www.medworm.com/index.php?rid=2096852&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F456%3Frss%3D1 This article describes the phases of the implementation model for knowledge translation that will be operationalized over four years. The goals of implementing Family Systems Nursing at the Landspitali University Hospital are to (a) educate all practicing nurses in Family Systems Nursing and, in particular, the Calgary family assessment and intervention models; (b) strengthen practicing nurses' clinical skills for intervening with families by offering specific clinical training courses to all nurses using family skills labs; and (c) explore and assess the difference that the theoretical and clinical programs make for the nurses, the patients and their families, and the nurses' practice (the family—nurse relationship). (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2096852 Mon, 12 Jan 2009 05:00:00 +0100 2096852 http://www.medworm.com/index.php?rid=2096851&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F442%3Frss%3D1 Significant developments in family nursing in Japan are described and analyzed beginning with the political and health care legislation in the country that stimulated a need for family nursing and the early adoption of family nursing theories and models by visionary leaders in nursing education. In 1994, Japan was the first country in the world to establish a national family nursing association, the Japanese Association for Research in Family Nursing, that provided the necessary infrastructure and leadership for family nursing in Japan to flourish. The strengths and challenges of family nursing in Japan are identified and a call is made for innovations in nursing curricula as well as global networking of family nurses around the world. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2096851 Mon, 12 Jan 2009 05:00:00 +0100 2096851 http://www.medworm.com/index.php?rid=2096850&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F436%3Frss%3D1 A family perspective has been influencing Brazilian nursing practice and research, in particular in the past decade. Despite this development, there is evidence from research and from nurses' narratives that nurses still experience serious challenges in providing nursing care to families in Brazil. These challenges are analyzed and strategies are offered to support nurses in Brazil to "think family" and stimulate advanced practice in family nursing. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2096850 Mon, 12 Jan 2009 05:00:00 +0100 2096850 http://www.medworm.com/index.php?rid=2096849&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F429%3Frss%3D1 This article highlights 20 years of family nursing development and evolution in Thailand in the areas of education, practice, and research. The progress of family nursing in Thailand has been impressive and steady despite the challenges of nursing policy, conceptualization controversies, and knowledge transfer. One of the most unique and hopeful developments has been the establishment of health centers that have a designated family nurse responsible for approximately 300 households. Future dreams for family nursing in Thailand are also offered. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2096849 Mon, 12 Jan 2009 05:00:00 +0100 2096849 http://www.medworm.com/index.php?rid=2096848&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F412%3Frss%3D1 This article describes the process of development of the Family Management Style Framework. The FMSF is a conceptual representation of family response to a child's condition that takes into account the views of individual family members to conceptualize overall patterns of family response. The FMSF provides a more complete understanding of family life in the context of a child's chronic condition and directs researchers' and clinicians' efforts to assess family response, especially with regard to how condition management is incorporated into everyday family life. Framework development has included conceptual analyses of the literature, empirical studies of family management of childhood illness, and methodological work directed to treating the family as a unit of study and analysis. This a... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2096848 Mon, 12 Jan 2009 05:00:00 +0100 2096848 http://www.medworm.com/index.php?rid=2096847&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F4%2F394%3Frss%3D1 Nurses are engaged and encounter suffering routinely and commonly in their everyday practice. It is therefore a moral and ethical obligation for nurses to soften the emotional, physical, and spiritual suffering of the individuals and families in their care. Softening suffering is the heart of nursing. However, this article ponders the question, "What happened to suffering in nursing care?" A discussion of suffering is explored from many aspects, such as what invites suffering and the connection of suffering to spirituality. Lessons learned from the author's clinical practice and research are described, such as acknowledging suffering, social support, hope and prayer, and individual and family counseling. Finally, seven spiritual care practices within the Trinity Model that have shown to be... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2096847 Mon, 12 Jan 2009 05:00:00 +0100 2096847 http://www.medworm.com/index.php?rid=2096846&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F4%2F391%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=2096846 Mon, 12 Jan 2009 05:00:00 +0100 2096846 http://www.medworm.com/index.php?rid=1777667&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F3%2F385%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1777667 Tue, 09 Sep 2008 04:00:00 +0100 1777667 http://www.medworm.com/index.php?rid=1777666&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F3%2F383%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1777666 Tue, 09 Sep 2008 04:00:00 +0100 1777666 http://www.medworm.com/index.php?rid=1777665&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F363%3Frss%3D1 This report is part of a larger study that investigated the relationships between illness demands, marital support, and psychological adjustment in the context of diabetes mellitus in rural and urban middle-aged marital couples in Botswana. Ninety-six persons experiencing diabetes and 87 of their spouses participated in the study. This report is based on data from 87 diabetic patients and their spouses. Data were collected through face-to-face interviews. Patients and their spouses were interviewed separately. Three open-ended questions elicited participants' personal experiences of illness demands. The couple participants reported many challenging illness experiences associated with the illness and contextual factors that influenced their perception about the burden of illness and reporte... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1777665 Tue, 09 Sep 2008 04:00:00 +0100 1777665 http://www.medworm.com/index.php?rid=1777664&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F347%3Frss%3D1 Implementation of the Patient Self-Determination Act (PSDA) in the United States has transferred decision making from the responsibility of health care professionals to the responsibility of family members. Dilemmas occurring as a result of this responsibility may cause stress and conflict among family members. The purpose of this study is to describe the patterns of decision making by family members of patients with life-threatening cardiac disease. Purposive sampling is used to select 10 wives of patients with life-threatening cardiovascular disease. Data are gathered through unstructured interviews and are analyzed using grounded theory and theory triangulation. Analysis of the data reveal three patterns of decision making: advocacy, acquiescence, and abdication. (Source: Journal of Fam... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1777664 Tue, 09 Sep 2008 04:00:00 +0100 1777664 http://www.medworm.com/index.php?rid=1777663&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F333%3Frss%3D1 This exploratory study uses survey methodology to generate data on grandparent—grandchild sexuality communications and attitudes and feelings about these processes. The sample includes 40 African American grandparent— grandchild dyads for a total of 80 participants recruited from five churches. One open-ended question asks the participants about their willingness to use churches as venues in HIV prevention. Grandparents have more positive attitudes and feelings about sexuality communications than their adolescent grandchildren. Both grandparents and their adolescent grandchildren are receptive to the idea of using churches as venues in HIV prevention and provide recommendations about how a church-based sexuality program could be developed. The role of grandparents is constantly... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1777663 Tue, 09 Sep 2008 04:00:00 +0100 1777663 http://www.medworm.com/index.php?rid=1777662&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F314%3Frss%3D1 Little is known about changes in family life perceived by mothers of young adult survivors of a traumatic brain injury (TBI). A phenomenological method was used to describe the changes that seven mothers of TBI survivors perceived in family life 6 months or more after the TBI. The five basic changes in family life reported by mothers were: getting attention from each other for different reasons now, getting along with each other since the injury, facing new financial hurdles, going our separate ways down this new path, and splitting the family apart against our will. Compared to literature on stress and coping, the findings offered a unique perspective on changes in family life. Nurses can use the findings to initiate therapeutic conversations with mothers about changes in family life afte... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1777662 Tue, 09 Sep 2008 04:00:00 +0100 1777662 http://www.medworm.com/index.php?rid=1777661&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F3%2F289%3Frss%3D1 This study examines the effectiveness of therapeutic conversations with families (through family sessions) in alleviating health complaints among adolescent girls in a school setting. Four girls with recurrent, subjective health complaints and their families were included in the study. Three sessions were held with each family, using genograms, ecomaps, interventive questions, and other family nursing interventions; practicing school nurses were also present. A therapeutic letter was sent to each family at the end of the sessions. The Strengths and Difficulties Questionnaire was used as a pre- and posttest measure. Evaluative interviews were carried out with the families and with school nurses. The families reported feeling relief and described positive affective, behavioral, and cognitive... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1777661 Tue, 09 Sep 2008 04:00:00 +0100 1777661 http://www.medworm.com/index.php?rid=1777660&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F3%2F275%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1777660 Tue, 09 Sep 2008 04:00:00 +0100 1777660 http://www.medworm.com/index.php?rid=1441123&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F2%2F270%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1441123 Tue, 13 May 2008 04:00:00 +0100 1441123 http://www.medworm.com/index.php?rid=1441122&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F2%2F268%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1441122 Tue, 13 May 2008 04:00:00 +0100 1441122 http://www.medworm.com/index.php?rid=1441121&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F242%3Frss%3D1 This exploratory case study of the role of the clinical laboratory in teaching and learning family nursing skills was undertaken at the Family Nursing Unit (FNU), University of Calgary. Qualitative data were gathered from current graduate students, graduates of the Master of Nursing program, faculty members, and clients of the FNU using participant observation, in-depth interviews, and review of documents. Content analysis was used to identify key themes. The study found that the family nursing clinical laboratory provided a safe, structured learning environment where students had the opportunity to observe expert clinical practice in family nursing and undertake closely supervised practice. Graduates felt well prepared and confident in their advanced nursing practice with families. Key to... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1441121 Tue, 13 May 2008 04:00:00 +0100 1441121 http://www.medworm.com/index.php?rid=1441120&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F224%3Frss%3D1 This study demonstrates the preliminary reliability and validity of the grandparent version of the Grandparent Support Scale for Teenage Mothers (GSSTM-G), a measure designed to assess grandparents' perceptions of triadic relationships that support or imperil the teen mother's care of her baby. Grandparents (N = 61) who participated in this study were parents and parent surrogates of teen mothers who completed a teen version of the scale (GSSTM-T). Principal axis factoring with oblique rotation resulted in a reduction of the GSSTM-G scale from 19 to 14 items. A two-factor solution was supported by item factor loadings and conceptual clarity. The GSSTM-G factors revealed two different patterns of family relationships, Responsive Family Relationships ( = .82) and Adversarial Family Relations... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1441120 Tue, 13 May 2008 04:00:00 +0100 1441120 http://www.medworm.com/index.php?rid=1441119&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F201%3Frss%3D1 A Chinese version of the Feetham Family Functioning Survey (Chinese FFFS) was developed and psychometrically tested using a sample of 317 child-rearing mothers in Hong Kong. The Chinese FFFS is a self-administered questionnaire consisting of 25 items from which an instrument discrepant score (d score) can be extracted. The results from the confirmatory factor analysis and exploratory factor analysis confirm that the Chinese FFFS has a five-factor structure based on the family ecological model, thereby affirming its construct validity. Cronbach's alpha for d scores was .91, indicating a high internal consistency. In the test—retest study of 39 mothers, the correlation coefficient for "total d score" over a 2-week period was .82, which showed high test—retest reliability. The hig... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1441119 Tue, 13 May 2008 04:00:00 +0100 1441119 http://www.medworm.com/index.php?rid=1441118&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F181%3Frss%3D1 A previous study identified four family management styles (FMSs) exhibited in families with children with attention-deficit/hyperactivity disorder (ADHD) and suggested that understanding how families deal with a child's ADHD would provide additional information from which to create effective interventions. The present study used the FMS typology with a sample of children and adolescents with ADHD with the aims of demonstrating that FMSs could be reliably identified in a different clinical sample and clarifying changes in FMS that occur with treatment. All four FMSs were reliably identified in the sample and more than half of the families (56.3%) improved to a higher functioning FMS with treatment. The findings suggest that FMSs can elicit important information about family functioning and ... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1441118 Tue, 13 May 2008 04:00:00 +0100 1441118 http://www.medworm.com/index.php?rid=1441117&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F2%2F162%3Frss%3D1 The purpose of this study was to investigate the attitudes of registered nurses (RNs) about the importance of involving families in nursing care. A sample of 634 randomly selected Swedish RNs completed the instrument, Families' Importance in Nursing Care—Nurses' Attitudes (FINC-NA), and reported holding supportive attitudes about families. High scores were found for the subscales: family as a resource in nursing care, family as a conversational partner, family as a burden, and family as its own resource. Variables that predicted a less supportive attitude about involving families in nursing care included being a newly graduated nurse, having no general approach to the care of families at the place of work, and being a male nurse. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1441117 Tue, 13 May 2008 04:00:00 +0100 1441117 http://www.medworm.com/index.php?rid=1441116&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F2%2F157%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1441116 Tue, 13 May 2008 04:00:00 +0100 1441116 http://www.medworm.com/index.php?rid=1441115&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F2%2F151%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1441115 Tue, 13 May 2008 04:00:00 +0100 1441115 http://www.medworm.com/index.php?rid=1441114&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F2%2F147%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1441114 Tue, 13 May 2008 04:00:00 +0100 1441114 http://www.medworm.com/index.php?rid=1235269&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F1%2F143%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1235269 Fri, 15 Feb 2008 05:00:00 +0100 1235269 http://www.medworm.com/index.php?rid=1235268&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F1%2F142%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1235268 Fri, 15 Feb 2008 05:00:00 +0100 1235268 http://www.medworm.com/index.php?rid=1235267&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F118%3Frss%3D1 A serious illness often creates suffering and precipitates a search for spiritual meaning. The purpose of this hermeneutic inquiry was to explore the meaning of spirituality and spiritual care practices in family systems nursing. The videotapes of 12 therapeutic conversations with three families living with serious illness were the primary data for the inquiry. Findings suggest that suffering embodies an invitation to respond to the spiritual. Identified spiritual care practices included gathering stories of illness and faith, opening space to reinterpret experiences from a spiritual perspective, drawing on imagination and metaphor, and listening with an opening silence. The therapeutic work with one family is highlighted. This inquiry revealed that spiritual care requires literacy in read... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1235267 Fri, 15 Feb 2008 05:00:00 +0100 1235267 http://www.medworm.com/index.php?rid=1235266&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F97%3Frss%3D1 This article describes the development and testing of a research instrument, Families' Importance in Nursing Care—Nurses' Attitudes (FINC-NA), designed to measure nurses' attitudes about the importance of involving families in nursing care. The instrument was inductively developed from a literature review and tested with a sample of Swedish nurses. An item-total correlation and a first principal component analysis were used to validate the final instrument, including a second principal component analysis to analyze dimensionality, and Cronbach's alpha was used to estimate internal consistency. The instrument consists of 26 items and reveals four factors: families as a resource in nursing care, family as a conversational partner, family as a burden, and family as its own resource. Cro... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1235266 Fri, 15 Feb 2008 05:00:00 +0100 1235266 http://www.medworm.com/index.php?rid=1235265&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F74%3Frss%3D1 The experience of parenting foster children with chronic illness and complex medical needs was explored in a phenomenological inquiry with 10 foster families. Thirteen participants currently fostering chronically ill children with complex medical needs were interviewed. Recorded interviews were transcribed and analyzed using van Manen's method. Data analysis yielded five essential themes: Foster parents described being committed to the child in their care, coming to know the needs of a medically complex foster child, and identifying effective and ineffective interventions encountered through day-to-day living with a medically complex child. Furthermore, they shared what it was like to experience loss of a child through relinquishment and death. Last, for these parents, fostering children w... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1235265 Fri, 15 Feb 2008 05:00:00 +0100 1235265 http://www.medworm.com/index.php?rid=1235264&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F56%3Frss%3D1 Like a pebble that creates ripples when dropped into still water, depression is a health problem with an impact that reaches beyond the individual to touch family members. This health problem can limit the individual's ability to function and can create distress for loved ones. In this article, the authors present a clinical vignette about maternal depression to highlight the reciprocal nature of depression and family functioning. Family focused interventions based on the Calgary Family Intervention Model and the Illness Beliefs Model are presented and include psychoeducation, circular pattern diagrams, and therapeutic letters. The authors conclude the article with a discussion of implications for nursing practice. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1235264 Fri, 15 Feb 2008 05:00:00 +0100 1235264 http://www.medworm.com/index.php?rid=1235263&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F33%3Frss%3D1 Family resilience is the successful coping of family members under adversity that enables them to flourish with warmth, support, and cohesion. An increasingly important realm of family nursing practice is to identify, enhance, and promote family resiliency. Based on a review of family research and conceptual literature, prominent factors of resilient families include: positive outlook, spirituality, family member accord, flexibility, family communication, financial management, family time, shared recreation, routines and rituals, and support networks. A family resilience orientation, based on the conviction that all families have inherent strengths and the potential for growth, provides the family nurse with an opportunity to facilitate family protective and recovery factors and to secure ... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1235263 Fri, 15 Feb 2008 05:00:00 +0100 1235263 http://www.medworm.com/index.php?rid=1235262&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F14%2F1%2F16%3Frss%3D1 The purpose of this study is to define family management styles (FMSs) and determine distinctive characteristics of each FMS used by families participating in the process of withdrawal of life-sustaining therapy from a family member with an unexpected, life-threatening illness or injury. A total of 56 family members of 19 families participated in interviews and observations. Data were managed and analyzed maintaining a family focus, and each family was first examined for within family patterns of management, then compared to other families to identify differing patterns. A typology of five FMSs emerged: progressing, accommodating, maintaining, struggling, and floundering. Within this typology, dimensions emerged describing the families' varying definitions of the situations, management beh... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1235262 Fri, 15 Feb 2008 05:00:00 +0100 1235262 http://www.medworm.com/index.php?rid=1235261&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F1%2F11%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1235261 Fri, 15 Feb 2008 05:00:00 +0100 1235261 http://www.medworm.com/index.php?rid=1235260&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F14%2F1%2F3%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1235260 Fri, 15 Feb 2008 05:00:00 +0100 1235260 http://www.medworm.com/index.php?rid=1133065&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F4%2F509%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1133065 Mon, 07 Jan 2008 05:00:00 +0100 1133065 http://www.medworm.com/index.php?rid=1133064&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F4%2F503%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1133064 Mon, 07 Jan 2008 05:00:00 +0100 1133064 http://www.medworm.com/index.php?rid=1133063&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F484%3Frss%3D1 This study develops a new instrument, Family Nursing Caring Belief Scale (FNCBS), that measures nurse attitudes regarding provision of family-sensitive care to families in crisis and establishes initial psychometric properties. Classical test theory was used to construct a discriminative, summative instrument for measuring nurse attitudes. Internal consistency reliability in a randomly selected sample (N = 163) of pediatric intensive care unit and neonatal intensive care unit nurses was estimated at .81 (Cronbach's ) and .78 (Guttman split half). A four-factor structure was revealed: ethical caring practices, systems orientation to family, child advocacy, and normalizing milieu. The FNCBS demonstrated concurrent (r = .57) and criterion-related validities. The FNCBS demonstrated sound psych... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1133063 Mon, 07 Jan 2008 05:00:00 +0100 1133063 http://www.medworm.com/index.php?rid=1133062&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F461%3Frss%3D1 The study aim was to describe displaced Bosnian mothers' experiences caring for their children during and immediately after the war (1992-1995). Mothers described their progression into war, through war, and into vastly changed lives. Using ethnographic methods, narrative data were collected near Sarajevo, Bosnia, from 14 displaced women who participated in one to three interviews each between 1996 and 1999. Data from the semistructured interviews were analyzed to determine patterns in participants' descriptions of mothering during war. Four common themes of mothering were identified in the data: "on the move," "I have to feed them," "living somewhere in between," and "still living the war inside." As care providers and policy makers develop initiatives to improve the health of women and c... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1133062 Mon, 07 Jan 2008 05:00:00 +0100 1133062 http://www.medworm.com/index.php?rid=1133061&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F443%3Frss%3D1 This study describes a distinct approach to family nursing practice named partnership, which is based on a participatory worldview. Five couples in which the wife had severe breathing difficulties participated in the study. The research process is described as as-if-practice. The partnership process was illustrated in the theme "finding coherence in life with symptoms and treatment regimens." The outcome of the process was illustrated in the interrelated themes of "living life fully and taking things as they come" and "efficient use of health care." The study shows how the meaning that unfolded in the process reveals the insights of all participants into the families' health predicaments and what can be done with that insight. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1133061 Mon, 07 Jan 2008 05:00:00 +0100 1133061 http://www.medworm.com/index.php?rid=1133060&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F420%3Frss%3D1 This qualitative, descriptive study used photography to capture important symbols in the lives of 16 siblings living in families raising a child with Down syndrome (CWDS). Content analysis revealed two categories: people/nonpeople. The people category included family members and friends, whereas the non-people category included objects, animals, and buildings. Similarities/differences also were noted according to age and gender. Seven- to 9-year-olds took more snapshots of themselves and their parents than did the other age groups; the 10-to 12-year-olds and 13- to 15-year-olds took more photographs of the CWDS than did the younger age group. Female siblings took more snapshots of their typically developing brothers/sisters, family members in mixed groups, and people not in their family th... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1133060 Mon, 07 Jan 2008 05:00:00 +0100 1133060 http://www.medworm.com/index.php?rid=1133059&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F403%3Frss%3D1 This article argues for the concurrent and comparative use of genograms and ecomaps in family caregiving research. A genogram is a graphic portrayal of the composition and structure of one's family and an ecomap is a graphic portrayal of personal and family social relationships. Although development and utilization of genograms and ecomaps is rooted in clinical practice with families, as research tools they provide data that can enhance the researcher's understanding of family member experiences. In qualitative research of the supportive and nonsupportive interactions experienced by male family caregivers, the interactive use of genograms and ecomaps (a) facilitated increased understanding of social networks as a context for caregiving, (b) promoted a relational process between researcher ... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1133059 Mon, 07 Jan 2008 05:00:00 +0100 1133059 http://www.medworm.com/index.php?rid=1133058&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F4%2F395%3Frss%3D1 Conclusions provide summative questions related to development of a formal international professional nursing organization that family nurses must address. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=1133058 Mon, 07 Jan 2008 05:00:00 +0100 1133058 http://www.medworm.com/index.php?rid=743846&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F3%2F391%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=743846 Thu, 19 Jul 2007 04:00:00 +0100 743846 http://www.medworm.com/index.php?rid=743845&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F3%2F388%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=743845 Thu, 19 Jul 2007 04:00:00 +0100 743845 http://www.medworm.com/index.php?rid=743844&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F3%2F385%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=743844 Thu, 19 Jul 2007 04:00:00 +0100 743844 http://www.medworm.com/index.php?rid=743843&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F370%3Frss%3D1 This study examines whether structured writing about receiving a diagnosis and treatment for pediatric cancer reduces distress among highly distressed parents of children with cancer (PCWC). Eight PCWC completed measures of posttraumatic stress symptoms (PTSS) and depressive symptoms at two baselines, and again after writing, with 1-month gaps between assessments. Using a guided disclosure protocol (GDP), parents were asked to write about receiving the diagnosis first in a chronological manner, then to explicitly label their emotions at the time of diagnosis and explain the impact of the child's illness on their life. Finally, they were asked to reflect on current feelings, future coping ability, and personal growth. Although symptoms of distress did not change between baselines, significa... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=743843 Thu, 19 Jul 2007 04:00:00 +0100 743843 http://www.medworm.com/index.php?rid=743842&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F353%3Frss%3D1 Traumatic brain injury (TBI) has long-lasting consequences not only for the individual with the injury but also for family members. The aim of this study is to elucidate the meaning of family members' experiences of living with an individual with moderate or severe TBI. The data have been collected by means of qualitative research interviews with 8 family member participants. A phenomenological hermeneutic interpretation (Ricouer, 1976) of the data reveal that family members struggle with their own suffering while showing compassion for the injured person. Their willingness to assume care for the injured person is derived from their feeling of natural love and the ethical demand to be responsible for the other. Hope and natural love from close relatives, the afflicted person, and other fam... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=743842 Thu, 19 Jul 2007 04:00:00 +0100 743842 http://www.medworm.com/index.php?rid=743841&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F333%3Frss%3D1 The major purpose of this study was to identify predictors of grandparent caregiver health status. Additional purposes were to describe the physical and emotional health of grandparent caregivers and the perceived benefits of support group attendance. A convenience sample of 42 grandparents was recruited from support groups. Data were collected through telephone interviews. Grandparents who had higher parenting stress reported lower levels of physical, social, and mental health. Inverse correlations were present between life stress and mental health. Positive correlations were found between social support and physical health. No pattern emerged in a comparison of the health of caregiving grandparents and a normative sample. Emotional support was the primary benefit derived from support gro... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=743841 Thu, 19 Jul 2007 04:00:00 +0100 743841 http://www.medworm.com/index.php?rid=743840&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F312%3Frss%3D1 Taiwan-born mothers' perceptions of sexual health affect their Taiwanese American girls' sexual perceptions. Taiwanese American girls grow up balancing two different cultural influences (Taiwanese and American) while living in the majority society. The process of balancing two different cultures is called bicultural straddling. Four separate focus group interviews with two sets of mothers and daughters ( N = 20) were conducted to understand intergenerational transmission of thoughts, perceptions, values, and attitudes associated with sex-related taboos and their impact on sexual communication, safety, and sexual health of second-generation Taiwanese American girls. The findings suggest that mother—daughter relationships, particularly mothers' traditional cultural values, influence th... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=743840 Thu, 19 Jul 2007 04:00:00 +0100 743840 http://www.medworm.com/index.php?rid=743839&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F3%2F293%3Frss%3D1 Confucianism is the central philosophic background for much of the culture in East Asia (EA), particularly for understanding family and social context. The purpose of this article is to examine more fully Confucianism as a conceptual framework for understanding EA family processes and health practices. Confucianism stresses the traditional boundaries of ethical responsibility and the ideal of good human life as a whole. Embedded within Confucian values are five principal relationships, through which each person defines a sense of identity, duty, and responsibility. Current studies of EA families that consider Confucianism as a theoretical base focus almost exclusively on filial piety and collectivism. Focusing only on these two aspects prevents scholars from exploring more complex interpre... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=743839 Thu, 19 Jul 2007 04:00:00 +0100 743839 http://www.medworm.com/index.php?rid=743838&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F3%2F290%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=743838 Thu, 19 Jul 2007 04:00:00 +0100 743838 http://www.medworm.com/index.php?rid=743837&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F3%2F287%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=743837 Thu, 19 Jul 2007 04:00:00 +0100 743837 http://www.medworm.com/index.php?rid=575801&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F2%2F281%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=575801 Mon, 23 Apr 2007 04:00:00 +0100 575801 http://www.medworm.com/index.php?rid=575800&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F2%2F278%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=575800 Mon, 23 Apr 2007 04:00:00 +0100 575800 http://www.medworm.com/index.php?rid=575799&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F253%3Frss%3D1 The decision to place an individual with dementia in an institutional care facility is often one of the most difficult judgments made in families. The purpose of this study was to determine the key variables that affect the occurrence and timing of institutional placement for families caring for an individual with dementia. The results of this study indicated that the most salient variables affecting the occurrence and timing of institutional placement for persons with dementia were the caregivers' depression scores and the care recipients' behavior change scores over time. These results indicate the need to screen for behavior change in the person with dementia and symptoms of depression in the caregivers to help families predict the need for institutional placement. (Source: Journal of F... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=575799 Mon, 23 Apr 2007 04:00:00 +0100 575799 http://www.medworm.com/index.php?rid=575798&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F226%3Frss%3D1 The purpose of this case study was to describe the beliefs over time of a Swedish family and individual family members about cancer and death and how these beliefs affected their daily lives. Data were collected over 10 months using interviews, conversations, and diary notations. The beliefs were aggregated into eight main beliefs and four themes: Cancer is a deadly threat/death is a liberator, death can be held at bay/death can be lived near, dying is done alone/dying should not be done alone, and life has an end/life is endless. These beliefs appear to oscillate between seemingly contrasting poles. Some beliefs were shared by all family members, whereas others were described by only one or more members of the family. The complexity of daily life in families experiencing life-shortening i... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=575798 Mon, 23 Apr 2007 04:00:00 +0100 575798 http://www.medworm.com/index.php?rid=575797&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F201%3Frss%3D1 This exploratory study describes decision making at end of life among Japanese American families. Using qualitative methods including a one-time, semistructured interview, 16 Japanese American family participants described their experiences with the death of 22 family members. A grounded theory analysis led to the development of a model of a process that reflected the influence of age-cohort generational differences and health care providers' involvement. The model also included four dimensions of family understanding. The four dimensions were awareness of the seriousness of the family members' condition, decision making about life-sustaining treatment, readiness for impending death, and experience of the dying process. Each dimension reflected a continuum from low to high understanding. T... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=575797 Mon, 23 Apr 2007 04:00:00 +0100 575797 http://www.medworm.com/index.php?rid=575796&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F179%3Frss%3D1 This study examined the interrelatedness of mother-infant and father-infant relationships as they develop over the first 4 months postpartum as well as the dynamics used by the couple to balance these relationships. First-time mother-father couples (n = 18) were interviewed separately at 1, 6, and 16 weeks postpartum using the Parent-Infant Relationship Interview. The data were analyzed using in-depth qualitative strategies. The parents' core themes of their early family relationships ranged from an undifferentiated unit at 1 week, to being a highly disorganized unit at 6 weeks, to a more integrated unit at 16 weeks. These results suggest that one should be thinking of early family relationships and parenting in terms of "messy processes" out of which new ways of being together are created... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=575796 Mon, 23 Apr 2007 04:00:00 +0100 575796 http://www.medworm.com/index.php?rid=575795&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F2%2F157%3Frss%3D1 A quasi-experimental, pretest/posttest study was conducted to explore nurses' perceptions of the impact of the 15-minute family interview on the pediatric hospital admission process. The intervention consisted of two in-depth teaching sessions, and hands-on coaching in the use of the 15-minute family interview. Each of the 6 nurses was interviewed twice using a semi-structured questionnaire: once before receiving the intervention and once after they had completed 6 family interviews. In addition, nurses kept field notes on their impressions of the family interviewing process. A thematic analysis of the data was conducted. Findings revealed that the nurses perceived the genogram, therapeutic questions, and commendations as having a positive impact on their ability to conduct family assessme... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=575795 Mon, 23 Apr 2007 04:00:00 +0100 575795 http://www.medworm.com/index.php?rid=575794&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F2%2F151%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=575794 Mon, 23 Apr 2007 04:00:00 +0100 575794 http://www.medworm.com/index.php?rid=353540&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F1%2F143%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=353540 Fri, 12 Jan 2007 07:00:00 +0100 353540 http://www.medworm.com/index.php?rid=353539&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F117%3Frss%3D1 The courage and willingness to walk alongside families in grief calls forth particular beliefs and practices in nurses and other health care professionals. In this second phase of a study on grief and grief interventions, the researchers examine experiences of bereaved family members who received care in a grief support program and explore program clinicians'explanations of the work that they do with the bereaved. Findings of this interpretive study suggest that it is not so much models of grief intervention but maps that most guide the clinicians—maps that are drawn out of experience and with awareness of their limitations. The family members and the clinicians bring us to an understanding that, often, it is the willingness to step off of the map that makes for the best traveling co... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=353539 Fri, 12 Jan 2007 07:00:00 +0100 353539 http://www.medworm.com/index.php?rid=353538&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F99%3Frss%3D1 Family caregivers of stroke survivors who are just beginning their role must learn new skills and incorporate new knowledge into their daily activities. This can be a time of increased anxiety and stress for them. Nurses and other health professionals need more knowledge about this transition from the perspective of the caregivers. The purpose of this grounded theory study was to describe the process associated with preparing for and beginning a new caregiving role following a family member's stroke. Caregivers who were new to the role were interviewed prior to the stroke survivor's discharge and 4 weeks after discharge. The grounded theory, Restructuring Life for Caregiving, was associated with five dimensions of participants' lives: daily life, managing multiple roles, relationship with ... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=353538 Fri, 12 Jan 2007 07:00:00 +0100 353538 http://www.medworm.com/index.php?rid=353537&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F83%3Frss%3D1 Improved disease management in children has resulted in an increased interest in the quality of life in children. Quality of life research in children may enlist either the substitute or complementary perspective. Much of the quality of life literature has been guided by the substitute perspective, which infers that parents may best report their child's quality of life. However, the complementary perspective values both parent and child perspectives equally. The purpose of this article was to critically review the quality of life literature with respect to children with diabetes. Limitations in the literature were addressed as conceptual and methodological, demographic, and underlying proxy perspectives. Benefits and limitations of quality of life measurements and perspectives were also di... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=353537 Fri, 12 Jan 2007 07:00:00 +0100 353537 http://www.medworm.com/index.php?rid=353536&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F56%3Frss%3D1 This study investigated how English and Canadian families with preschool children used strategies to impose varying levels of order to manage day-to-day activities. This grounded theory study is a secondary analysis of 55 hours of participant observation and interviews with 58 individuals and 29 couples. Constant comparative analysis and theoretical sampling were used to construct categories. To attempt to impose order, strategies used by families included organizing and planning, establishing routines, setting limits, setting standards, purchasing services and technology, and delegating tasks. Most families used these strategies successfully; costs outweighed benefits where families concentrated inflexibly on a few strategies in particular spheres of activity or had difficulty using strat... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=353536 Fri, 12 Jan 2007 07:00:00 +0100 353536 http://www.medworm.com/index.php?rid=353535&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F33%3Frss%3D1 The purpose of this critical feminist study was to examine employed mothers' meanings of family and personal health as they frame the context of daily experience in caring for their families' and their own health. Twenty mothers employed in support staff positions with a large institution in Western Canada participated in repeat interviews over 2 years. Women considered individual family members and the family group as they emphasized everyday function and satisfaction, and the presence or absence of various attributes of health as a multifaceted and dynamic experience. Women's health work included keeping track, constructing routines, facing challenges, setting priorities, being there for each other, finding joy and fulfillment, and fostering personal development. A preliminary typology o... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=353535 Fri, 12 Jan 2007 07:00:00 +0100 353535 http://www.medworm.com/index.php?rid=353534&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F13%2F1%2F13%3Frss%3D1 Evidence suggests that intergenerational caregiving between mothers and daughters will become increasingly common, and yet, we know very little about the specific relationships between adult daughters and their mothers with dementia. Guided by socialist-feminist theory and a life-course perspective, 15 mother-adult daughter dyads participated in two individual, semistructured interviews. Data analysis revealed four dynamic types of mother-daughter relationships: custodial, combative, cooperative, and cohesive. Custodial and cooperative relationships mainly focused on the provision of and receipt of tasks, whereas combative and cohesive are emotion focused. At the same time, custodial and combative relationships are based on deficits compared with strength based cohesive and cooperative rel... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=353534 Fri, 12 Jan 2007 07:00:00 +0100 353534 http://www.medworm.com/index.php?rid=353533&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F1%2F9%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=353533 Fri, 12 Jan 2007 07:00:00 +0100 353533 http://www.medworm.com/index.php?rid=353532&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F13%2F1%2F3%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=353532 Fri, 12 Jan 2007 07:00:00 +0100 353532 http://www.medworm.com/index.php?rid=270780&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F4%2F452%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270780 Fri, 10 Nov 2006 07:00:00 +0100 270780 http://www.medworm.com/index.php?rid=270779&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F4%2F450%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270779 Fri, 10 Nov 2006 07:00:00 +0100 270779 http://www.medworm.com/index.php?rid=270778&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F4%2F448%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270778 Fri, 10 Nov 2006 07:00:00 +0100 270778 http://www.medworm.com/index.php?rid=270777&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F442%3Frss%3D1 A survey of six Nigerian nursing program curricula was conducted to determine the extent to which family nursing theory was used as a reference for conceptualizing nursing care in Nigeria. In addition, 25 nurse clinicians were purposively selected from three levels of primary, secondary, and tertiary health care units in Ile-Ife, Nigeria, and were interviewed to determine the extent to which nurses in practice reported using family assessment tools in their practice. The survey of the postgraduate curricula showed that master’s and doctorally prepared nurses specializing in community health nursing have a theoretical base in family nursing theory. The limited focus on family nursing theory in basic, postbasic, and first-degree nursing curricula was deemed inadequate to develop the kn... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270777 Fri, 10 Nov 2006 07:00:00 +0100 270777 http://www.medworm.com/index.php?rid=270776&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F426%3Frss%3D1 This article describes an exemplar of clinical work with a family who sought services in the Family Nursing Unit at the University of Calgary, with the presenting concern of unresolved grief. This analysis describes the therapeutic conversation that occurred between the family and a team of nurse clinicians, where the young woman’s beliefs about grief and mothering were distinguished as beliefs that were contributing to her emotional pain and her belief in her mothering capabilities. The nursing team offered alternative beliefs of which the family rapidly embraced and, subsequently, experienced diminishment of the suffering previously experienced. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270776 Fri, 10 Nov 2006 07:00:00 +0100 270776 http://www.medworm.com/index.php?rid=270775&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F413%3Frss%3D1 This article describes the development and testing of the Family Nursing Practice Scale (FNPS). This self-report questionnaire is designed to measure perceived changes in family nursing practice including attitudes toward working with families, critical appraisal of their family nursing practice and reciprocity in the nurse-family relationship. Categories were derived from a needs assessment, competence as effective application of knowledge and skill and theoretical foundations for family assessment and intervention. Psychometric testing (content, construct validity, internal consistency, and test-retest reliability) was undertaken with 140 psychiatric nurses in Hong Kong. Practice appraisal and nurse-family relationships accounted for 56.4% of the variance. Cronbach’s alpha reliabil... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270775 Fri, 10 Nov 2006 07:00:00 +0100 270775 http://www.medworm.com/index.php?rid=270774&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F390%3Frss%3D1 The purpose of this investigation is to examine differences in the experiences of mothers of children with cystic fibrosis who are in diverse family structures (first-marriage families, stepfamily households, single-parent households). In particular, mothers’ perceptions of children’s health, adherence to prescribed treatments, and help received from others were compared and predictors of treatment adherence were examined. Children’s health and adherence to treatment regimens were not related to family structure. Mothers had the major responsibility for seeing that cystic fibrosis treatments were followed, regardless of family structure. Single mothers received less help than married and repartnered mothers. Married fathers helped with treatments more than nonresidential ... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270774 Fri, 10 Nov 2006 07:00:00 +0100 270774 http://www.medworm.com/index.php?rid=270773&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F368%3Frss%3D1 This article derives from the first interview. All invited families agreed to participate and were interviewed 1 to 3 months after diagnosis using a hermeneutic phenomenological approach. The family’s lived experience was identified as an ongoing learning process including learning about the inevitable and learning about the extent. The learning process was experienced as a recurrent phenomenon when the family was exposed to new situations or contexts. Therefore, individualized treatment may reduce the difficulties experienced in coping with the diabetic management regimen after discharge, thus making the transition smoother. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270773 Fri, 10 Nov 2006 07:00:00 +0100 270773 http://www.medworm.com/index.php?rid=270772&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F4%2F346%3Frss%3D1 Clinical nurses, teachers, and researchers in the Nordic countries are faced with increasing expectations in identifying their contribution to knowledge development in family nursing at national and international levels. In this paper, I provide an insight into the contribution of Nordic nurses to family centred care (family system nursing), present findings from an integrative review on family nursing in the Nordic countries, share with you examples of family level interventions, and offer some ideas regarding where we might want to direct our focus in family system nursing in the future. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270772 Fri, 10 Nov 2006 07:00:00 +0100 270772 http://www.medworm.com/index.php?rid=270771&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F4%2F344%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270771 Fri, 10 Nov 2006 07:00:00 +0100 270771 http://www.medworm.com/index.php?rid=270770&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F4%2F343%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=270770 Fri, 10 Nov 2006 07:00:00 +0100 270770 http://www.medworm.com/index.php?rid=109231&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F3%2F338%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=109231 Wed, 12 Jul 2006 06:00:00 +0100 109231 http://www.medworm.com/index.php?rid=100003&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F3%2F335%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=100003 Wed, 12 Jul 2006 06:00:00 +0100 100003 http://www.medworm.com/index.php?rid=100002&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F3%2F332%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=100002 Wed, 12 Jul 2006 06:00:00 +0100 100002 http://www.medworm.com/index.php?rid=100001&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F307%3Frss%3D1 This study illuminates the complex, contextual nature of commending practice and suggests that the noticing of strengths and resources contains much more than the spoken word. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=100001 Wed, 12 Jul 2006 06:00:00 +0100 100001 http://www.medworm.com/index.php?rid=100000&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F292%3Frss%3D1 A pilot study was conducted to examine the impact of a Family Systems Nursing educational program on the practice of psychiatric nurses and to explore the nurses' perceptions of the educational program. One year after the program, six nurses were asked to complete logbooks and to participate in an individual semistructured interview based on open-ended questions and on the critical incident approach to describe their family nursing interventions and to explore their perceptions on how the educational program influenced their practice of family nursing care. Content analyses indicated that participant nurses integrated systemic family interventions in their practice and were satisfied with the program. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=100000 Wed, 12 Jul 2006 06:00:00 +0100 100000 http://www.medworm.com/index.php?rid=99999&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F276%3Frss%3D1 In Hong Kong, mental health care has traditionally focused on the individual and the concept of considering the family as the unit of care is relatively new. The purpose of this article is to describe the process of planning, implementing, and evaluating a family systems nursing project in a psychiatric setting in Hong Kong. Psychiatric nurses (N = 110) participated in seminars focusing on family systems nursing concepts and individuals and families suffering from mental illness. The Calgary Family Assessment Model and the Calgary Family Intervention Model formed the framework for practice. Significant changes were found both in the nurses' critical appraisal of their clinical practice related to family systems nursing and in their reflections on the reciprocity in their nurse/family relat... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=99999 Wed, 12 Jul 2006 06:00:00 +0100 99999 http://www.medworm.com/index.php?rid=99998&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F251%3Frss%3D1 This study was a secondary analysis of data from PREP: Family-based Care for Frail Older Persons. Care receiver mutuality was the variable most highly correlated with caregiver role enactment. Other variables related to good quality care were higher care receiver positive affect, better caregiver physical health, and lower caregiver role strain; husband caregivers were rated as giving poorer quality care. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=99998 Wed, 12 Jul 2006 06:00:00 +0100 99998 http://www.medworm.com/index.php?rid=99997&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F3%2F234%3Frss%3D1 As part of a grounded-theory study exploring the social processes of hospitalized older adults, family members were asked about their roles in relation to their hospitalized relative. Participants included five hospitalized older adults (aged ≥ 75 years), a family member, and a nurse for each older adult. Data saturation determined the number of participants. Data were analyzed using the constant comparative method to develop the substantive theory of managing personal integrity during hospitalization. Personal integrity is a concept encompassing the properties of health, dignity, and autonomy. Siblings, spouses, children, and grandchildren used a combination of supportive and directive behaviors to affect personal integrity and the hospitalization for their older relatives. In prior re... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=99997 Wed, 12 Jul 2006 06:00:00 +0100 99997 http://www.medworm.com/index.php?rid=99996&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F3%2F231%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=99996 Wed, 12 Jul 2006 06:00:00 +0100 99996 http://www.medworm.com/index.php?rid=109232&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F2%2F226%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=109232 Mon, 17 Apr 2006 06:00:00 +0100 109232 http://www.medworm.com/index.php?rid=15090&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F2%2F225%3Frss%3D1 (No abstract is available for this citation) (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15090 Mon, 17 Apr 2006 06:00:00 +0100 15090 http://www.medworm.com/index.php?rid=15089&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F201%3Frss%3D1 This article outlines some key aspects of their practice as nurse educators and researchers committed to the needs of their specific region in the central North Island of Aotearoa New Zealand. They begin by situating themselves within the region, its people, and influences before moving into a consideration of the wider political and policy environment. They consider the destabilizing effects of cultural safety education and the tension between biculturalism and multiculturalism in their context. Finally, they reflect on how these ideas inform their work with postgraduate child and family nurses. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15089 Mon, 17 Apr 2006 06:00:00 +0100 15089 http://www.medworm.com/index.php?rid=15088&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F185%3Frss%3D1 This article describes drug-use locations of rural African American women who use cocaine and construct their lives to conceal it from children. During 4 years, a 30-respondent ethnography was conducted. Data from in-depth interviews and field notes were analyzed for recurrent themes and patterns of drug-use location using NVivo. Most respondents with children used most often outside their households. One third (n = 10) used within their households when children were away or in designated spaces off limits to children. More respondents (n = 11) without children at home used in non-designated spaces; in contrast, few respondents (n = 2) with children at home used in non-designated spaces within the household. Most respondents thought they were successful at concealing their cocaine use. Imp... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15088 Mon, 17 Apr 2006 06:00:00 +0100 15088 http://www.medworm.com/index.php?rid=15087&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F165%3Frss%3D1 As the science progresses related to families participating in the process of withdrawal of life-sustaining therapy (LST), it is important to assess research accomplishments, identify gaps in the knowledge and ways to build on the science, and suggest new directions for future research. Research-based articles related to families participating in the process of withdrawal of LST were obtained by conducting computer-assisted searches and analyzing references lists. A grid was developed that included key variables from each of the studies. A second grid was developed and included the subthemes that evolved from the analysis. Eleven studies were reviewed and analyzed. Themes that evolved include illness context, family context, and family and health care provider interactions. Important infor... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15087 Mon, 17 Apr 2006 06:00:00 +0100 15087 http://www.medworm.com/index.php?rid=15086&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F143%3Frss%3D1 The goal of this interpretive phenomenological study is to describe and understand significant habits and practices developed by families bereaved from the sudden and unexpected loss of their children. Data were primarily collected through the interviewing of 15 family members in seven families. At least four interviews were conducted with each family. Family members were interviewed both together and separately. The analysis of the data illuminated the development of significant and meaningful family practices. These practices acknowledged the death of the children, integrated their loss into the everyday lives of these families, allowed for continuing connection, and were of utter importance as they contributed to family healing. (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15086 Mon, 17 Apr 2006 06:00:00 +0100 15086 http://www.medworm.com/index.php?rid=15085&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F2%2F119%3Frss%3D1 This study explored perceptions of family hardiness and information sharing by 18- to 21-year-olds about genetic risk. Semistructured interviews, the Family Hardiness Index (FHI), and a Family Information Sharing Analog Scale (FISAS) were used. Participants included 11 youths who had relatives with hemophilia and 4 with sickle cell anemia. Findings revealed seven themes: assimilating premature knowledge; caring for others, denying self; cautioning during development; experiencing continual sickness; feeling less than; magnifying transition experiences; and sustaining by faith. There was no significant correlation between total FHI and FISAS. However, there was a statistically significant difference in FISAS between genetic condition variance. Specifically, higher hardiness was found and in... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15085 Mon, 17 Apr 2006 06:00:00 +0100 15085 http://www.medworm.com/index.php?rid=15084&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F2%2F111%3Frss%3D1 (No abstract is available for this citation) (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15084 Mon, 17 Apr 2006 06:00:00 +0100 15084 http://www.medworm.com/index.php?rid=109234&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F1%2F105%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=109234 Thu, 05 Jan 2006 07:00:00 +0100 109234 http://www.medworm.com/index.php?rid=109233&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F1%2F103%3Frss%3D1 (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=109233 Thu, 05 Jan 2006 07:00:00 +0100 109233 http://www.medworm.com/index.php?rid=15098&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Freprint%2F12%2F1%2F102%3Frss%3D1 (No abstract is available for this citation) (Source: Journal of Family Nursing) Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15098 Thu, 05 Jan 2006 07:00:00 +0100 15098 http://www.medworm.com/index.php?rid=15097&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F1%2F80%3Frss%3D1 Involvement in meaningful activity may be helpful for those with dementia, although it is a poorly understood phenomenon among those living in the community with family members. An interpretive phenomenological study was conducted with eight families to determine how family members support involvement in activity of persons with dementia and what it means to families. Repeated individual interviews were conducted with the person with dementia and a family member; they were asked to tell stories about their usual activities, to consider the impact of the dementia on everyday life and what they did to cope with difficulties. They were also observed taking part in everyday activities. Analysis revealed three strategies used by families to support activity: (a) reducing demands, (b) guiding, a... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15097 Thu, 05 Jan 2006 07:00:00 +0100 15097 http://www.medworm.com/index.php?rid=15096&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F1%2F56%3Frss%3D1 Interpretive phenomenology was used to discover the earliest experiences of families of children younger than 4 years hospitalized for severe persistent asthma. The children who were African American or Latino and living in poverty were at highest risk of morbidity and mortality. Three families with distinctly varied responses to early symptoms were chosen from an investigation of 11 families for this study. Each gave three home interviews and participated in home observations. All families experienced life-changing responses to their children's distressed breathing. All had experienced asthma in themselves or others that shaped their beliefs and management patterns. Family experiences prior to and following diagnosis are discussed. Findings suggest that understanding these experiences and... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15096 Thu, 05 Jan 2006 07:00:00 +0100 15096 http://www.medworm.com/index.php?rid=15095&cid=s_32321_27_f&fid=32321&url=http%3A%2F%2Fjfn.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F12%2F1%2F38%3Frss%3D1 The goal of this study was to explore the cultural meaning of parent-child communication behaviors in inner-city children at risk for common behavioral problems. Following participation in a preventive intervention called Insights Into Children's Temperament, 40 parents of first and second-grade children were interviewed. The data were analyzed using a constant comparative method derived from grounded-theory techniques. Findings indicate that a complex communication process was used by parents with their at-risk innercity school-age children. The immediacy of safety concerns for the child, the child's temperament, and the current parental state informed the choice of communication behaviors chosen by the parent. The ultimate goal of communication for these participants was to equip their c... Journal of Family Nursing journals http://www.medworm.com/rss/comments.php?id=15095 Thu, 05 Jan 2006 07:00:00 +0100 15095