Journal of Family Nursing最新文献

{"title":"Exploring the Impacts of COVID-19 Public Health Measures on Community-Dwelling People Living With Dementia and Their Family Caregivers: A Longitudinal, Qualitative Study","authors":"J. Baumbusch, H. Cooke, K. Seetharaman, Aneesa Khan, K. Khan","doi":"10.1177/10748407221100284","DOIUrl":"https://doi.org/10.1177/10748407221100284","url":null,"abstract":"Since the onset of the COVID-19 pandemic, community-dwelling people living with dementia and their family caregivers have experienced many challenges. The unanticipated consequences of public health measures have impacted these families in a myriad of ways. In this interpretive policy analysis, which used a longitudinal, qualitative methodology, we purposively recruited 12 families in British Columbia, Canada, to explore the impacts of pandemic public health measures over time. Semi-structured interviews were conducted every 3 months and participants completed diary entries. Twenty-eight interviews and 34 diary entries were thematically analyzed. The findings explore ways that families adopted and adapted to public health measures, loss of supports, both formal and informal, and the subsequent consequences for their mental and physical well-being. Within the ongoing context of the pandemic, as well as potential future wide-spread emergencies, it is imperative that programs and supports are restarted and maintained to avoid further harm to these families.","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"28 1","pages":"183 - 194"},"PeriodicalIF":3.1,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42167290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stepparent–Child Relationships and Child Outcomes: A Systematic Review and Meta-Analysis","authors":"Todd M. Jensen","doi":"10.1177/10748407221097460","DOIUrl":"https://doi.org/10.1177/10748407221097460","url":null,"abstract":"An inclusive conceptualization of “family” can enable family-serving systems and professionals to leverage high-quality family relationships, wherever they are found, to support the health and well-being of individuals. Stepfamilies are an especially common family form with distinct needs and experiences, and stepparent–child relationships can take on a variety of functions with implications for family stability and individual well-being. The purpose of this systematic review and meta-analysis was to synthesize empirical associations between stepparent–child relationships and child outcomes. General findings from 56 studies highlighted significant associations between several dimensions of stepparent–child relationships and children’s psychological, behavioral, social, academic, and physical well-being. Meta-analytic findings from 68 effect-size estimates further substantiated significant and positive associations between stepparent–child relationship quality and child psychological well-being (mean r = .25) and academic well-being (mean r = .23), as well as significant and negative associations between stepparent–child relationship quality and child psychological problems (mean r = −.23) and behavioral problems (mean r = −.19).","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"28 1","pages":"321 - 340"},"PeriodicalIF":3.1,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46341214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Sex Communication Among Arab American Young Adults: A Mixed-Methods Study.","authors":"Sarah Abboud, Dalmacio D Flores, Keosha Bond, Perla Chebli, Bridgette M Brawner, Marilyn S Sommers","doi":"10.1177/10748407211053931","DOIUrl":"10.1177/10748407211053931","url":null,"abstract":"<p><p>There is a significant gap in understanding the sexual health of Arab Americans. The purpose of this study is to explore family sex communication among Arab American young adults and its association with gender and sexual attitudes. We used a parallel mixed methods design and administered an electronic survey (<i>N</i> = 100); a subsample of 24 participants participated in five focus groups. We observed convergence in the findings. Participants reported rare occurrences of family sex communication, with women reporting less comfort than men. Family sex communication was often \"unspoken,\" and reinforced prevailing social norms. Gender differences were reported based on sex communication topics. The most common source of sex information was peers/friends. Focus group participants perceived their parents to be more conservative and less knowledgeable about sex than they were. Future research on strategies to bridge generational differences is needed to promote family-based sex communication, given the multiple teachable moments at home.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"28 2","pages":"115-128"},"PeriodicalIF":2.6,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795851/pdf/nihms-1802198.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10445363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Failed” Matches, Child Removals, and Disrupted Placements: Devastating and Invisible Losses During the Family-Building Journey for LGBTQ Adoptive Parents","authors":"A. Goldberg, K. Allen","doi":"10.1177/10748407221090274","DOIUrl":"https://doi.org/10.1177/10748407221090274","url":null,"abstract":"Reproductive loss, which includes miscarriage and nongestational loss, such as adoption loss, is rarely recognized as part of the family-building journey. Such loss tends to be even more invisible among LGBTQ individuals. The current study examines the experiences of 80 LGBTQ individuals who experienced adoption-related losses (i.e., failed adoption matches, child removals, disrupted child placements), with attention to how these losses impacted them and what enabled them to move forward. Participants who pursued private domestic adoption experienced failed matches (i.e., birth parents deciding to parent or choosing another family) both before (n = 21) and/or after (n = 24) a child was born. Participants who pursued public domestic adoption experienced child removals involving reunification with birth parents (n = 14) and other birth relatives (n = 18), as well as disrupted placements initiated by parents (n = 10) and children (n = 7). Failed matches, child removals, and disrupted placements were typically experienced as “crushing” and invisible losses. They were often followed by a period of grieving, and sometimes prompted adjustments to the type of matches or placements participants would consider (e.g., to mitigate the likelihood of future similar losses). Moving forward from adoption losses was facilitated by support from partners and those who experienced similar losses, knowledge or hope regarding the children once in their care, and finally being placed with the child(ren) whom they ultimately legally adopted.","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"28 1","pages":"368 - 380"},"PeriodicalIF":3.1,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43928329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personal and Contextual Factors to the Successful Implementation of a Family Nursing Approach in Oncology Care","authors":"C. Alfaro-Díaz, N. Esandi, N. Canga-Armayor, Miren Idoia Pardavila-Belio, M. Pueyo-Garrigues, A. Canga-Armayor","doi":"10.1177/10748407221083071","DOIUrl":"https://doi.org/10.1177/10748407221083071","url":null,"abstract":"The aim of this study was to explore nurses’ attitudes and beliefs about the importance of families in nursing care, as well as the barriers and facilitators within the clinical context that influence the implementation offamily nursing in an in-patient oncology service. A cross-sectional study design, incorporating quantitative and qualitative measurements, was used with a sample of nurses in Spain from an oncology service (N = 39). In general, oncology nurses reported positive attitudes and beliefs about the importance of family in nursing care. However, they did not effectively involve the family in their daily clinical practice. This was due to the nurses’ lack of clinical skills and competence to work with families as well as contextual factors such as the lack of time and workload that acted as barriers to the implementation of family-oriented care. This study identified areas of improvement that are needed to promote the effective and sustainable implementation of family nursing knowledge in clinical practice settings.","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"28 1","pages":"277 - 291"},"PeriodicalIF":3.1,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46144783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Nursing Network","authors":"","doi":"10.1177/10748407221090058","DOIUrl":"https://doi.org/10.1177/10748407221090058","url":null,"abstract":"","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"28 1","pages":"172 - 172"},"PeriodicalIF":3.1,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49601697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Narratives About Providing End-of-Life Care at Home.","authors":"Jesús Martín-Martín,&nbsp;Mercedes Pérez-Díez-Del-Corral,&nbsp;Maddi Olano-Lizarraga,&nbsp;Socorro Valencia-Gil,&nbsp;María Isabel Saracíbar-Razquin","doi":"10.1177/10748407211025579","DOIUrl":"https://doi.org/10.1177/10748407211025579","url":null,"abstract":"<p><p>Currently, the dying process in Spain is moving to the home environment where responsibility for care falls largely on the family, thereby challenging and testing the stability of the family. Previous research has focused on the impact of illness on the primary caregiver; therefore, a knowledge gap exists. This study aimed to understand families' unitary experiences of providing home care to terminally ill family member. Using the \"<i>Model of Interpersonal Relationship Between the Nurse and the Person/Family Cared For</i>,\" narrative research included family and individual interviews with nine families (9 groups/23 individuals). Thematic narrative analysis was used to interpret the interviews. The results highlight the impact of illness on family well-being as a whole. Family members often felt abandoned while caring for an ill family member and wished to be cared for themselves. However, their immediate community and the nurses caring for their ill family member neglected them. A paradigm shift is required by society and in home care at the end of life to better support the family.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"28 1","pages":"17-30"},"PeriodicalIF":3.1,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10748407211025579","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39103486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient, Family Caregiver, and Nurse Involvement in End-of-Life Discussions During Palliative Chemotherapy: A Phenomenological Hermeneutic Study.","authors":"Tine Ikander,&nbsp;Karin B Dieperink,&nbsp;Olfred Hansen,&nbsp;Mette Raunkiær","doi":"10.1177/10748407211046308","DOIUrl":"https://doi.org/10.1177/10748407211046308","url":null,"abstract":"<p><p>The aim of this study was to investigate current nursing practice related to end-of-life discussions with incurable lung cancer patients and their family caregivers from the perspectives of patients, family caregivers, and nurses in an oncology outpatient clinic. This phenomenological hermeneutic study included nine patients, eight family caregivers, and 11 nurses. Data were collected using participant observation, informal and semi-structured individual or joint interviews with patients and family caregivers, and focus group interviews with nurses. A Ricoeur-inspired approach was used to analyze the data. Three themes were identified: (a) content of end-of-life discussions, (b) timing of end-of-life discussions, and (c) challenges in end-of-life discussions. End-of-life discussions were seldom initiated; when they were, it was often too late. Discussions addressed treatment, place of care, practical/economic concerns, and existential matters. The physical environment at the outpatient clinic, lack of continuity, and nurses' instrumental task workloads and time pressure posed challenges to initiating end-of-life discussions.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"28 1","pages":"31-42"},"PeriodicalIF":3.1,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39438695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Climate Change and News of Difference: Collective Action for Planetary Health and Family Health.","authors":"","doi":"10.1177/10748407211070079","DOIUrl":"https://doi.org/10.1177/10748407211070079","url":null,"abstract":"Sir David Attenborough was the People’s Advocate for the 2021 United Nations Climate Change Conference (COP26) in Glasgow, Scotland. During the opening ceremony, he delivered an inspiring address and call to action for heads of state and listeners around the globe. The data on climate change reflect an undeniably urgent state of the planet and the living creatures that depend on it. Sir Attenborough (2021) called on leaders to recognize that the data on climate change “defines our relationship with our world,” encouraging us all to chart our own story for this relationship moving forward. The people most affected by climate change, he reminded us, are not generations of the future, but young people alive today; this fact alone should inspire hope and a sense of urgency by those in positions of leadership. In an International Family Nursing Association (IFNA, 2020) Position Statement on Planetary Health and Family Health and a series of blogs about planetary health and family health over the past year, we have tried to answer the question: is the health of the planet really relevant to family nursing? For this guest editorial, we reflected on the history of the Journal of Family Nursing and the call to action that it represented to family nursing leaders at its inception. In the journal’s inaugural issue published in February 1995, Janice Bell’s impassioned and generative editorial called for “news of difference” in our views on what matters in family nursing. Bell reflected on the notion of isomorphism, “the suction we fight when it is easiest to simply repeat the pattern of dialogue that maintains more of the same in family nursing” (p. 6). In the second issue of the journal in 1995, Lawrence Ganong’s review of current trends and predictions for family nursing was both honest and hopeful about the direction of our field. At the time, Ganong observed that family nursing was about a decade behind other disciplines in terms of methodology and conceptual concerns. Importantly, Ganong called on family nurses to start recognizing the contexts within which families live, which had largely been ignored. “More attention should be given,” wrote Ganong (1995), “to the impact of natural disasters, such as floods, earthquakes, and hurricanes, on families” (p. 197). Both Bell and Ganong, on a theme resounded by Attenborough, warn of the threat of isomorphism: more of the same is not sustainable. Climate scientists and family nursing leaders have been making this “news of difference” plea for decades, and it is now time that we chart our story as family nurses. Our playbook of the past is no longer acceptable: the future of young families and our children depends on our leadership.","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"28 1","pages":"3-5"},"PeriodicalIF":3.1,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39812801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuro-Oncological Symptoms: A Longitudinal Quantitative Study of Family Function, Perceived Support, and Caregiver Burden.","authors":"Karin Piil,&nbsp;Stine Laegaard Skovhus,&nbsp;Anders Tolver,&nbsp;Mary Jarden","doi":"10.1177/10748407211029986","DOIUrl":"https://doi.org/10.1177/10748407211029986","url":null,"abstract":"<p><p>The aim of this study was to establish preliminary quantitative evidence for the longitudinal change in family function, perceived support, and caregiver burden, acknowledging that physical and emotional symptoms are important variables for quality of life in families affected by a brain cancer diagnosis. This longitudinal quantitative study measured patient-reported and family member-reported outcomes at four different time points in 1 year. The patients reported that the symptom burden hindered their relationships with other people. Furthermore, the generally high level of strain due to the caregiver burden had an especially negative impact on close social relationships. Data indicate that family functioning was continually negatively affected as perceived by both patients and family caregivers. No significant changes over time were identified. The results underline the importance of providing systematic and ongoing support to the whole family that acknowledges their contribution as a valuable social support system for the individual experiencing high-grade glioma.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"28 1","pages":"43-56"},"PeriodicalIF":3.1,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10748407211029986","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39205030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}