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Nursing and Family Stress Theory

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Nursing and Family Stress Theory
Critique and Analysis of Family Stress Theory Nursing theory explains the relationship between concepts to enhance understanding and knowledge about a phenomenon (Walker & Advant, 2005). Theoretical frameworks for nursing of families provide a foundation for guiding the development of family centered care and research (Friedman, Bowden, & Jones, 2003).The application of theory helps to guide nursing practice, education, and research and supports the development of evidence-based nursing strategies and interventions for both the individual and the family as the client.

This paper will critique and provide an analysis of the family stress theory. A brief introduction of the history and author of this theory will be provided and the major concepts and assumptions of the theory described. The rationale for selecting this theoretical model as it relates to family nursing practice will be provided and its strengths and weaknesses identified. In addition, a discussion of the application of the Family Stress Theory in current nursing research will be presented. Finally, ideas for future research needed to continue to develop this theory for its application in family nursing practice will be explored.

Family Stress Theory

The family stress theory was introduced by Professor Reuben Hill in the late1940s after the Great Depression (McDonald, n.d.). McDonald (n.d) explains that Hill based his observations on families who survived the economic challenges of the Great Depression and those families who did not. Friedman, Bowden, and Jones (2003), explain that Hill based his research on the effects of separation and reunions as a result of war time on families. In both cases, the Family Stress Theory helps to explain why some families are able to adapt and survive when faced with stressors while other families encounter crisis. Hill’s Family Stress Theory has served as a framework for the development of more contemporary family stress models, such as the



References: Beckett, C. (2000). Family theory as a framework for assessment. Unpublished manuscript, Northern Arizona University, Flagstaff, Arizona. Retrieved from http://jan.ucc.nau.edu/~nur350-c/class/2_family/theory/lesson2-1-3.html Crawford, D. (2002). Keep the focus on the family. Journal of Child Health Care, 6, 133-146. doi: 10.1177/136749350200600201 Crosbie-Burnett, M. (1989, July). Application of Family Stress Theory to remarriage: A Model for assessing and helping stepfamilies. Family Relations, 38, 323-331. Retrieved from http://www.jstor.org/pss/585060 Friedman, M. M., Bowden, V. R., & Jones, E. G. (2003). Family Nursing: Research, Theory and Practice (5th Ed.). Upper Saddle, NJ: Prentice-Hall. Knafl, K., Deatrick, J., Gallo, A., Dixon, J., Grey, M., Knafl, G., & O’Malley, J. (2007). Family management measure (FaMM). Retrieved December 5, 2009, from http://nursing.unc.edu/research/famm/ McDonald, L. (n.d.). _Hill’s theory of family stress and buffer factors: Build the protective factor of social relationships and positive perception with multi-family groups_. Retrieved December 5, 2009, from http://cecp.air.org/vc/presentations/2selective/31mcdon/HILL’S_FAMILY_STRESS_THEORY_AND_FAST.htm Smith, M., & Liehr, P. (2008). Middle range theory for nursing (2nd ed.). New York, NY: Springer Publishing Company, LLC. Walker, L. O., & Avant, K. C. (2005). Strategies for theory construction in nursing (4th ed.). Upper Saddle River, NJ: Pearson Prentice-Hall.

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