Grp. Theory Pwrpt. Part I
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Transcript Grp. Theory Pwrpt. Part I
GROUP THEORY
PRESENTATION
Family Stress and Adaptation Theory
By Geri Lobiondo-Wood
Kathy Bowers, Erin Kibbey, Stephanie Monroe, and Erin Roberts
Ferris State University
Objectives
Overview of the theory
Metaparadigm definitions
Critique of the theory
Description of research article
Theory reflection in research
Theoretical framework
Theory in practice
Tie between theory and practice
How research article contributes to nursing
Overview of the theory
Lobiondo-Wood’s (2008) Theory of Family Stress and
Adaptation
Children
undergoing liver transplantation
Theoretical framework:
McCubbin’s
Double ABCX Model
Pre-crisis
Stressor and resources
Post-crisis
Pile up, existing and new resources, perception, and coping
Time
Maladaptation and bonadaptation
Theory picture
Metaparadigm definitions
A metaparadigm is defined as a universal idea that
classifies the essential concentration of a discipline
(Fawcett, 2005).
The four main metaparadigms of nursing are:
Person
Environment
Health
Nurse
Metaparadigm definitions cont’d
In Lobiondo-Woods’ (2008) theory the
metaparadigms are defined as:
Person-
the child
Health- the state of the child’s health and need for
transplant (Peterson & Bredow, 2009)
Environment- Family and resources
Nurse- teaching and intervention pre and post
transplant (Smith & Liehr, 2003)
Theory Critique
Origins
Double
ABCX Model- McCubbin
Unique Focus
Pre-Crisis,
Clarity
A,
Post-Crisis, Time
B, C, X
Simplicity
Designs
and methods
Theory Critique cont’d
Further generation
Limitations
Family
Structure definition
Cultural viewpoints
Generality
Well
tested
Empirical use and derivable consequences
FILE,
FIRM, CHIP, FAD (Lobiondo-Wood, 2008)
Description of research article
Article: Liver Transplantation in Children: Maternal and
Family Stress, Coping, and Adaptation
By: Geri Lobiondo-Wood, Laurel Williams, and Charles
McGhee
Purpose: To study the adaptation processes of families
whose children underwent a liver transplant
15 mothers whose children had received a liver transplant
Focused on the relationship between the stressor and the ability to
adapt
Focused on mothers perception
Results- maternal stress changed, but family stress remained
unchanged.