Professional Documents
Culture Documents
Melissa Diebel
Ferris State University
diebelm1@ferris.edu
Objectives
Overview of the Theory of Family Stress and Adaptation
Metaparadigm concepts of the Family Stress and Adaptation
Accuracy
Simplicity / complexity
Scope
Acceptance
Socio-cultural utility
Objectives
(continued)
Overview
Theory of Family Stress and Adaptation
Middle range theory
As Smith and Liehr (2003), explains that Defining family for the purpose of
nursing research and practice is as complex as the range of families seen in society
today (p. 91).
o Interactive Integrative paradigm
o Grand theory
o Middle range theory
o Research tradition
o Practice tradition
This theory is complex, although the level of thinking is not at a clinical thinking
level. It is viewed on the lower end of thinking known as inductive and deductive
thinking. It is also complex based on the number of concepts involved with this
theory
Metaparadigm Concepts
Family Stress and Adaptation
Metaparadigm defined
o Fawcett (2005), Metaparadigm is explained, as the global
concepts that identify the phenomenon of central interest to a
discipline, the global propositions that the concepts, and the
global propositions that state the relations between or among
the concepts (p. 3).
Metaparadigm Concepts
Family Stress and Adaptation
(continued)
Health
o The crisis being the concern of a loved one dying at war and the resilience they may
have working through this individually (The Double ABCX Model)
o The child in need of a liver transplant and stressors involved
Nursing
o Interventions used to care for and provide education using existing and new resource
for the patient and their families throughout the liver transplant process
Abbreviated analysis
Family Stress and Adaptation.
Demonstrates the adjustment of family stress and the need to adapt
o Adjustment
o Adaptation
o Bonadaptation
o Maladaptation
The families are nonlinear as they do not move from crisis to adaption. A number
of steps are followed
Abbreviated analysis
Family Stress and Adaptation.
The double ABCX Theory evaluated families coping skills and adaption abilities with resilience
to stressor pile-up conditions
o Positive or negative impact
o Ability to adjust and adapt
Accuracy
o
o
This theory is relevant to nursing today. The interventions and caring strategies can be applied to educate and
support families throughout this long term process.
Accuracy would also express a world view. Any family would experience these common stressors and pile-up
demands.
Scope
o
This is a general theory of nursing that particularly focuses on family stress coping resiliency balance
Acceptance
o
Theory of Family Stress and Adaptation is accepted into the nursing practice.
Socio-Cultural Utility
o
This theory can be used with individuals, groups and communities as well as the global society. All people
experience stressors through environmental changes requiring coping and adaptation
Supportive Research on
Family Stress and Adaptation.
Research article chosen
The Double ABCX Model of Family Stress
and Adaptation: An Empirical Test by
Analysis of Structural Equations with
Latent Variables.
Yoav Lavee, Hamilton I. McCubbin and Joan M. Patterson,
National Council on Family Relations, Journal of Marriage and
Family, Vol. 47, No. 4 (Nov., 1985), p. 811-825
friends.
Family adaptation
(xX Factor)
Assess
Planning
Evaluation
Post evaluation
References
Bavolek, S. J. (2010). Nurturing Parenting Programs, Facilitator Training Workbook and Program Implementation guide,
(11th ed). Family Development Resources Inc., Asheville, NC
Carper, B. A. (1978). Fundamental patterns of knowing in nursing. ANS Advances in Nursing Science, 1(1), 13-23.
Retrieved from http://ferris.libguides.com
Dudley-Brown, S., (1997). The evaluation of nursing: a method for our madness. International Journal of Nursing
Retrieved from
http://140.131.87.87/nursingnew/eng/data/files/201011/1290754108718416303.pdf
Fawcett, J. (2005). Criteria for Evaluation of Theory. Nursing Science Quarterly, 18(2), 131135.
doi:10.1177/0894318405274823
Froma Walsh (2002). A Family Resilience Framework: Innovative Practice Applications Family Relations, Vol. 51,
No. 2. p. 130-137
Marshall, E. (2011). Transformational leadership in nursing: From expert clinician to influential leader. (1st ed.).
New York: Springer Publishing Company, LLC
Selanders L. C. (1998). The Power of Environmental Adaption: Florence Nightingales Original Theory for Nursing
References
Smith, M. J. and Liehr, P. R. (2003) the theory of Family Stress Middle Range Theory for Nursing. 91- 109. New
York: Springer Publishing Company, Inc
Yoav Lavee, Hamilton I. McCubbin and Joan M. Patterson (1985). The Double ABCX Model of Family Stress and Adaptation: An
Empirical Test by Analysis of Structural Equation with Latent Variables Journal of Marriage and Family, Vol. 47, No.
4. p. 811-825
Tourville, C., & Ingalls, K. (2003). The living tree of nursing theories. Nursing Forum, 38(3), 21-36.