This article describes the development and application of a theoretical framework that can be used to guide pediatric oncology nursing practice and research. The framework's six dimensions provide the nurse with an approach to comprehensive assessment and intervention with families of children with cancer. These dimensions are: systems (individual, family, community, society); mediating variables (identifying characteristics, orientation to life); time; adaptation variables (stressors, coping strategies); level of functioning (tasks, capabilities, needs); and intervention.
Get full access to this article
View all access options for this article.
References
1.
Glaser BG, Strauss AL: The Discovery of Grounded Theory: Strategies for Qualitative Research . Chicago,IL, Aldine, 1967, pp 45-77
2.
Hymovich DP: Assessing the impact of chronic childhood illness on the family and parent coping. Image13:71-74, 1981
3.
Lazarus RS, Folkman S.: Stress, Appraisal, and Coping. New York, NY, Springer, 1984
4.
Duvall EM: Marriage and Family DevelopmentPhiladelphia, PA , Lippincott, 1977, p 177
5.
Hymovich DP: Child and family teaching: Special needs and approaches. Hospice J2:103-120, 1986
6.
Hymovich DP: Parents of sick children: Their needs and tasks. Pediatr Nurs2:9-13, 1976
7.
Pless IB, Pinkerton P.: Chronic Childhood Disorder-Promoting Patterns of Adjustment Chicago, IL, Year Book Medical, 1975
8.
Sciarillo WC : Using Hymovich's framework in the family-oriented approach to nursing care. MCN5:242-248, 1980
9.
Lipman TH: Assessing family strengths to guide plan of care using Hymovich's frameworkJ Pediatr Nurs4:186-196, 1989
