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Family Stress and Adaptation Theory By Geri Lobiondo -Wood. Group Theory Presentation. Kathy Bowers, Erin Kibbey , Stephanie Monroe, and Erin Roberts Ferris State University. Objectives. Overview of the theory Metaparadigm definitions Critique of the theory
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Family Stress and Adaptation Theory By Geri Lobiondo-Wood Group Theory Presentation 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
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, Post-Crisis, Time • Clarity • A, 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.