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Chapterf3
TheoreticalfFoundationsfforfthefNursingfoffFamilies
TheoreticalfFoundationsfforfthefNursingfoffFamiliesfreviewsfhowftheoriesfarefusedfinffamilyfnursing,fhighl
ightingffiveffoundationalftheoriesfdrawnffromfsociology,ffamilyftherapy,fandfnursing.fThisfchapterffocuse
sfonfusingftheoryftofdevelopfcriticalfandfcreativefthinkingftofsupportfandfimplementffamilyfinterventionsfinf
afhealthfevent.fThisfchapterfalsofdescribesfhowftofselectfandfevaluatefaffamilyftheoryfforfusefandfhowftofi
ntegratefmorefthanfoneftheoryfintofnursingfpractice.fItfprovidesfmodelsfandftoolsfforfassessmentfofffamili
esfandfforfdevelopingffamilyfcarefplans.fChapterf3flaysfthefgroundworkfforftheory-guided,fevidence-
basedffamilyfnursingfpractice.
CriticalfConcepts
,• Theoriesfinformfthefpracticefoffnursing.fPracticefinformsftheoryfandfresearch.fTheory,fpracti
ce,fandfresearchfarefinteractive,fandfallfthreefarefcriticalftofthefprofessionfoffnursingfandffamilyfcare
.
• Thefmajorfpurposefofftheoryfinffamilyfnursingfisftofprovidefknowledgefandfunderstandingfthatf
improvefthefqualityfoffnursingfcarefofffamilies.
• Byfunderstandingftheoriesfandfmodels,fnursesfarefpreparedftofthinkfmorefcreativelyfandfcriticall
yfaboutfhowfhealthfeventsfaffectffamilyfclients.fTheoriesfandfmodelsfprovidefdifferentfwaysfoffcompreh
endingfissuesfthatfmayfbefaffectingffamiliesfandfofferfchoicesfforfaction.
• Theftheoreticalfandfconceptualfframeworksfandfmodelsfthatfprovideftheffoundationsfforfnur
singfofffamiliesfhavefevolvedffromfthreefmajorftraditionsfandfdisciplines:ffamilyfsocial
Copyrightf©f2015.fF.A.fDavisfCompany
RowefKaakinen,fFamilyfHealthfCarefNursing,f5e 32
Instructor’sfGuide
science,ffamilyftherapy,fandfnursing.
• Nofsingleftheory,fmodel,forfconceptualfframeworkfadequatelyfdescribesfthefcomplexfrel
ationshipsfoffhealthfeventsfonffamilyfstructure,ffunction,fandfprocess.
• Nursesfwhofusefanfintegratedftheoreticalfapproachfbuildfonfthefstrengthsfofffamiliesfinfcreativef
ways.fNursesfwhofusefafsingularftheoreticalfapproachftofworkingfwithffamiliesflimitfthefpossibilitiesffo
rffamiliesftheyfserve.fByfintegratingfseveralftheories,fnursesfacquirefdifferentfwaysftofconceptualizefp
roblems,fthusfenhancingfthinkingfaboutfinterventions.
, ReviewfoffKeyfTerms
Bioecologicalfsystemsftheory:fDevelopmentalfpsychologistfUriefBronfenbrennerfadvancedfthisftheor
y,fwhichffocusesfonfthefinteractionfandfinterdependencefoffhumansf(asfbothfbiologicalfandfsocialfentities
)fwithfthefenvironment.fItfcombinesfsystemsfandfdevelopmentalftheoryftofunderstandfindividualfandffamil
yfgrowthfbetterfinfthefcontextfofftheflargerfenvironmentfoffsociety,fwhichfisfdividedfintoflevels.
Chronicfillnessfframework:fRolland’sfconceptualfframeworkfinvolvingfmultipleffactorsfoffchronicfillness
,fwhichfhavefimplicationsfforfbothfthefaffectedfindividualfandffamilyffunctioningfoverftime.
Concepts:fConcepts,fmentalfimages,forfabstractfrepresentationsfoffphenomenafarefbuildingfblocksfoffth
eoryfthatfrepresentfthefmainfideasftheftheoryfexpresses,fsometimesftermedfvariables.fTheyfexistfonfafco
ntinuumffromfempiricalf(concrete)ftofabstract.fExamplesfoffconcretefconceptsfarefsexfandfage;fexample
sfoffabstractfconceptsfareffamilyfandfhealth.
Copyrightf©f2015.fF.A.fDavisfCompany
RowefKaakinen,fFamilyfHealthfCarefNursing,f5e 33