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Concept development of family resilience: a study of Korean families with a chronically ill child.

机译:家族复原力的概念发展:历史悠久的儿童韩国家庭研究。

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AIMS: To clarify and delineate the concept of family resilience in the context of the chronic illness of a child. This study also investigated the concept of family resilience in relation to family functioning in order to compare and contrast family resilience and family functioning. DESIGN AND METHOD: Three phases of the hybrid model of concept development were applied: theoretical, fieldwork and final analytical. In the theoretical phase, a working definition of family resilience was developed by a literature review. The fieldwork phase comprised in-depth interviews with 11 parents with a chronically ill child, in the paediatric oncology unit of a university hospital in South Korea. The qualitative data obtained from the interviews were analysed to find attributes of family resilience. The final analytical phase compared and interpreted the findings from the theoretical and fieldwork phases in order to clarify and refine the concept of resilience. RESULTS: The definition of family resilience was of an enduring force that leads a family to change its functioning dynamics in order to solve problems encountered. Twenty-one conceptual attributes of family resilience emerging from this study were differentiated into four dimensions: (i) intrinsic family characteristics, (ii) family member orientation related to family characteristics, (iii) responsiveness to stress and (iv) external orientation. CONCLUSIONS: Family resilience is an enduring force that leads a family to change its dynamics of functioning in order to solve problems associated with stresses encountered. This conceptualization led to the development of a model of family coping that incorporates both family resilience and family functioning, as the property and as the process of change, respectively. RELEVANCE TO CLINICAL PRACTICE: In order to build a family that functions better under stress, it is necessary for nurses to focus more attention on family resilience, especially in terms of the development of intervention strategies to strengthen family resilience.
机译:目的:澄清和描绘儿童慢性疾病的背景下的家族复原力的概念。本研究还研究了与家庭功能相关的家族恢复能的概念,以便比较和对比家庭弹性和家庭功能。设计与方法:应用了概念开发混合模型的三个阶段:理论,实地,最终分析。在理论阶段,由文献综述开发了家庭恢复力的工作定义。麦田阶段在韩国大学医院的大学医院小儿科肿瘤单元中,与11名父母进行了深入的访谈。分析了从面试获得的定性数据,以找到家庭弹性的属性。最终分析阶段比较和解释了理论和实地工作阶段的调查结果,以澄清和改进弹性的概念。结果:家庭弹性的定义是一种持久的力量,导致一个家庭改变其功能动态,以解决遇到的问题。从本研究中出现的家族复合性的二十一概念属性分为四个维度:(i)内在家庭特征,(ii)与家庭特征有关的家庭成员定位,(iii)对压力和(iv)外部方向的反应性。结论:家庭弹性是一种持久的力量,导致一个家庭改变其功能的动态,以解决与遇到的压力相关的问题。这种概念化导致开发家庭应对的模型,其中包括家族弹性和家族,分别作为财产和变化过程。与临床实践的相关性:为了建立一个在压力下发挥更好的家庭,护士需要更加关注家庭恢复力,特别是在制定干预策略以加强家庭弹性方面。

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