Factors Affecting the Perception of Family Functioning among Couples in Child-Rearing Japanese Families
For patients who suffer from a chronic
condition or disability, the family plays a major role.
In recent decades, various theories and models for family nursing have been
developed around the world. Family nursing
practices and studies that focus not only on patients but also on their
families have been increasing. It is essential to accumulate evidence about
family nursing care toward developing family nursing skills and building family
nursing expertise. Previous evaluation methods have generally focused on
individual family members; however, such approaches are insufficient in
examining the effectiveness of overall family intervention since they do not
assess the family as a whole.
To develop
evaluation methods that address the whole family, it is necessary to explore
the reasons for any discrepancies that may occur among the various family
members. The purpose of the present study was to examine the factors that
affect a couple’s evaluation of family functioning and to contribute toward the
development of an evaluation method for assessing a family as a whole (family
system unit).
Semi-structured
interviews were conducted with 10 child-rearing families (couples) using the
Survey of Family Environment (SFE) as a family functioning scale. The
participants of this study were families with children at the elementary to
high school level. The data from the semi-structured interviews were analyzed
using inductive content analysis methods; that process included open coding,
the creation of subcategories and categories, and abstraction.
Content analysis
identified 12 factors that affected discrepancies in the couples’ evaluations
and eight factors that affected agreement in those evaluations. These factors
were classified into three categories: factors concerning family or family members;
factors concerning questions related to the SFE; and factors concerning the
view of the family as a whole. The results of this study should contribute to
the development of family assessment tools and effective methods for evaluation
of family care.
Article by Junko
Honda, et al, from Kobe University, Hyogo, Japan.
Full access: http://t.cn/EcHJ0Bm
Image by Weerasak Sae-ku, from
Flickr-cc.
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