GROUP THEORY
PRESENTATION
Family Stress and Adaptation Theory
By Geri Lobiondo-Wood
Kathy Bowers, Erin Kibbey, Stephanie Monroe, and Erin Roberts
Ferris State University
Objectives
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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
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Double ABCX Model
Pre-crisis
 Stressor and resources
Post-crisis
 Pile up, existing and new resources, perception, and coping
Time
 Maladaptation and bonadaptation
Theory picture
Metaparadigm definitions
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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
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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
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Origins
 Double
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ABCX Model- McCubbin
Unique Focus
 Pre-Crisis,
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Clarity
 A,
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Post-Crisis, Time
B, C, X
Simplicity
 Designs
and methods
Theory Critique cont’d
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Further generation
 Limitations
 Family
Structure definition
 Cultural viewpoints
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Generality
 Well
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tested
Empirical use and derivable consequences
 FILE,
FIRM, CHIP, FAD (Lobiondo-Wood, 2008)
Description of research article
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Article: Liver Transplantation in Children: Maternal and
Family Stress, Coping, and Adaptation
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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.
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