Systems Approach to a Family
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This research applies a theory of the family to a chronically ill family in a nursing context. The systems approach to the family provides the theoretical context for the application of family theory to the chronically ill family (Broderick and Smith, 1979). Johnson's (1980) behavioral system model of nursing provided the framework for applying the theory in a nursing context. The family which is the subject of this application consists of a father, mother, son (age 21), and two daughters (ages 18 and 14). Each of the daughters is afflicted with cystic fibrosis. Their conditions provide the basis for classifying the family as chronically ill. At the time the data were collected for this research, the son was away from home, serving in the armed forces. Thus, the family, for purposes of this research, was defined as the father, mother, and two daughters.The family to which theory is applied in this research is the Lee family, which lives in Orange County, California. The parents father Michael and mother Jenny are in their early forties. He is a firefighter, while she is a full time housewife. The daughters are both full time students. Renee, 18 years old, is a high school senior, while Rebecca, 14 years old, is in eighth grade. Data pertaining to the family were collected by the researcher during six visits with the family during April and May 1991. The common definition of a system is "an aggregate of
. . .
was that it is "a service that is complementary to that of medicine . . . , but which makes its own distinctive contribution to the health . . . of people." Extending this view, she described nursing as "an external regulatory force which acts to preserve the organization and integration of the patient's behavior at an optimal levels under those conditions in which the behavior constitutes a threat to physical or social health, or in which illness is found" (Johnson, 1980, p. 214).
As a behavioral system, the family (patient) is viewed holistically. The holistic view demands an interdisciplinary approach to the development of a model for nursing (Johnson, 1980). Within this context, Johnson (1980) identified 12 assumptions relative to the family (patient) as a behavioral system. These assumptions, upon which her behavioral system model for nursing was based, are as follows: (1) a system is a whole which functions as a whole; (2) parts or elements of a system are organized, interactive, interdependent, and integrated; (3) a system tends to attain balance among the forces acting within and upon it; (4) the family (patient) strives continually to maintain behavioral system balance through more or less automatic adjustments
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Some common words found in the essay are:
Broderick Smith, Nowlin Siegler, Nursing Johnson's, Environment Johnson, Kaplan Sadock, APPROACH FAMILY, FAMILY Johnson, Busse Blazer, Person Johnson, County California, behavioral system, family system, johnson 1980, fawcett 1989, broderick smith 1979, broderick smith, smith 1979, system balance, lee family, behavioral system balance, family patient, model nursing, kaplan sadock 1985, systems approach family, family chronically ill,
Approximate Word count = 3166
Approximate Pages = 13 (250 words per page)
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