http://jfn.sagepub.com Journal of Family Nursing RSS feed -- current issue November 2009 Journal of Family Nursing 1074-8407 http://jfn.sagepub.com:80/icons/banner/title.gif http://jfn.sagepub.com http://jfn.sagepub.com/cgi/reprint/15/4/407?rss=1 Mon, 26 Oct 2009 08:40:15 PDT info:doi/10.1177/1074840709351670 4 15 411 2009-11-01 407 Articles http://jfn.sagepub.com/cgi/reprint/15/4/412?rss=1 Mon, 26 Oct 2009 08:40:15 PDT info:doi/10.1177/1074840709349039 4 15 416 2009-11-01 412 Articles http://jfn.sagepub.com/cgi/content/abstract/15/4/417?rss=1 This study tested the hypothesis that various components of the stress process model were related to negative outcomes (depression, guilt, negative health) in cancer caregivers. This study also tested the hypothesis that psychosocial resources (mastery, socioemotional support) mediated the relationship between the various domains of the stress process model and negative outcomes. A total of 238 cancer caregivers were recruited from radiation medicine clinics at the University of Maryland Greenebaum Cancer Center (n = 186) and the University of Minnesota Cancer Center (n = 52). A comprehensive interview battery was administered. A multivariate regression found that primary subjective stressors were the strongest predictors of depression and negative health impact. A path analysis indicated that mastery mediated the relationship between role captivity and negative health impact. These results emphasize the importance of multidimensional assessment in cancer caregiving. The findings also suggest refinements to the stress process model when examining family cancer care.

]]> Mon, 26 Oct 2009 08:40:15 PDT info:doi/10.1177/1074840709347111 4 15 444 2009-11-01 417 Articles http://jfn.sagepub.com/cgi/content/abstract/15/4/445?rss=1 Health care systems worldwide are faced with the challenge of improving the quality of care, closing the knowledge-to-practice gap, and identifying the facilitators in these processes. Knowledge translation that promotes circularity between knowledge and practice is often overlooked. Knowledge transfer and translation are defined and briefly discussed in this article. Examples of knowledge translation in family nursing are provided, including knowledge creation research in pediatrics and adult pulmonary health at a University Hospital in Iceland. A second example focuses on the application of knowledge in mental health urgent care in a community health center in Calgary, Canada. Improving and speeding the circularity between knowledge translation and clinical practice reaps benefits for patients, families, health care providers, and the health care system. Conclusions about facilitating the implementation of family nursing knowledge into clinical practice are offered. The circularity between knowledge translation and practice is emphasized.

]]> Mon, 26 Oct 2009 08:40:15 PDT info:doi/10.1177/1074840709349070 4 15 460 2009-11-01 445 Articles http://jfn.sagepub.com/cgi/content/abstract/15/4/461?rss=1 The "One Question Question," first coined by Dr. Lorraine M. Wright in 1989, is an interventive question designed to elicit family members’ most pressing needs or concerns within the context of a therapeutic conversation. In this article, two clinical projects analyzed the responses to this unique interventive question. The first project analyzed the responses of 192 family members experiencing illness who were asked the question in the context of a therapeutic conversation; families focused on their need to deal with the impact of the illness on the family. The second project examined responses of 297 nurses who were asked the question prior to a 1-week Family Systems Nursing training program; nurses wanted to know how to deal with conflictual relationships between families and health care professionals and how to offer families time-efficient interventions. The responses from both groups, which were markedly different, triggered reflections about teaching, research, and practice in family nursing.

]]> Mon, 26 Oct 2009 08:40:15 PDT info:doi/10.1177/1074840709350606 4 15 485 2009-11-01 461 Articles http://jfn.sagepub.com/cgi/content/abstract/15/4/486?rss=1 Outcomes for maternal well-being and behavior as well as difficult child behavior following participation in a 5-day early parenting center residential parenting program were explored. Participants were 44 mothers and their children, the majority presenting with child sleeping difficulties. Data were collected at four stages: intake (2-4 weeks prior to the program), the first day of the program, the last day of the program, and 4 weeks after the program. Measures included questionnaires, monitoring sheets, and videotaped observations of parent— child interactions. Improvements were seen in mothers’ behavior during parent—child interaction over the week they attended the program. Maternal symptoms of depression, anxiety, and stress were lower after the program. The perceived frequency and seriousness of maternal reported difficult child behavior decreased over the measurement period, and 52% of parents had achieved 80% or more of their behavioral goal for their children. Implications for future research in early parenting centers are discussed.

]]> Mon, 26 Oct 2009 08:40:15 PDT info:doi/10.1177/1074840709350878 4 15 501 2009-11-01 486 Articles http://jfn.sagepub.com/cgi/reprint/15/4/502?rss=1 Mon, 26 Oct 2009 08:40:15 PDT info:doi/10.1177/1074840709350562 4 15 503 2009-11-01 502 Articles http://jfn.sagepub.com/cgi/reprint/15/4/504?rss=1 Mon, 26 Oct 2009 08:40:15 PDT info:doi/10.1177/1074840709349221 4 15 505 2009-11-01 504 Articles http://jfn.sagepub.com/cgi/reprint/15/4/506?rss=1 Mon, 26 Oct 2009 08:40:15 PDT info:doi/10.1177/1074840709350089 4 15 507 2009-11-01 506 Articles