The purpose of this descriptive comparative survey was to examine differences in family resiliency between hemo-dialysis patients and caregivers across three ethnically diverse samples that included Anglo-Americans, Mexican Americans, and South Koreans. The study was based on the Family Resiliency Model developed by McCubbin, Thompson, and McCubbin. The patients were in end-stage renal disease and were receiving hemodialysis treatments at either a freestanding hemodialysis unit or a 30-bed dialysis hospital unit. South Korean patients on hemodialysis and their caregivers perceived the stressors imposed by their illness to be significantly greater than either of the other ethnic groups, and they also scored lower on the resiliency measure than the other two groups. Findings of the study support the need to understand the dynamics of family resiliency from a cultural perspective.
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References
1.
Andrews, M. M. , & Boyle, J. S. (1999). Transcultural concepts in nursing care. New York: J. B. Lippincott.
2.
Baca-y-Rita, G. (1982). The Mexican American: Religious and cultural influences. In R. Becerra, M. Karno, & J. Escobar (Eds.), Mental health and Hispanic Americans: Clinical perspectives (pp. 29-40). New York: Grune & Stratton.
3.
Blake, C. W. , & Courts, N. F. (1996). Coping strategies and styles of hemodialysis patients by gender. ANNA Journal, 23(5), 477-486.
4.
Browning, F. (Reporter). (2001, August 28). NPR morning edition. Washington, DC: National Public Radio.
5.
Brunier, G. , & McKeever, P. (1993). The impact of home dialysis on the family: Literature review. ANNA Journal, 20(6), 653-659.
6.
Caress, A. L. , Luker, K. A., & Ackrill, P. (1999). Exploring the effect of renal disease and its treatment on patients’well-being: Across sectional study of anxiety and depression in a sample of renal patients. Clinical Effectiveness in Nursing, 2(4), 185-196.
7.
Chesla, C. A. , & Rungreangkulkij, S. (2001). Nursing research on family processes in chronic illness in ethnically diverse families: A decade review. Journal of Family Nursing, 7(3), 230-243.
8.
Corbin, J. M. , & Strauss, A. L. (1984). Couples working together to manage chronic illness. Image, 18(4), 109-115.
9.
Cox, C. , & Monk, A. (1993). Hispanic culture and family care of Alzheimer’s patients. Health and Social Work, 18(2), 92-100.
10.
Cromwell, S. L. , Russell, C. K., Lim, Y. M., Luna, I., Torres de Ardon, E., & Phillips, L. R. (1996). Uncovering the cultural context for quality caregiving for elders. Western Journal of Nursing Research, 18(3), 284-298.
11.
Flaherty, M. J. , & O’Brien, M. E. (1992). Family styles of coping in end-stage renal disease. ANNA Journal, 19(4), 345-366.
12.
Giger, J. , & Davidhizar, R. (1995). Transcultural nursing: Assessment and intervention. New York: C. V. Mosby.
13.
Haberman, M. , Woods, N., & Packard, N. (1990). Demands of chronic illness: Reliability and validity assessment of a Demands of Illness Inventory. Holistic Nursing Practice, 5(1), 25-35.
14.
Horsburgh, M. E. , Rice, V. H., & Matuk, L. (1998). Sense of coherence and life satisfaction: Patient and spousal adaptation to home dialysis. ANNA Journal, 25(2), 219-229.
15.
Hymovich, D. P. , & Hagopian, G. A. (1992). Chronic illness in children and adults: A psychosocial approach. Philadelphia: W. B. Saunders.
16.
Johnson, A. C. (1995). Resiliency mechanisms in culturally diverse families. The Family Journal: Counseling and Therapy for Couples and Families, 3(4), 316-324.
17.
Kemler, B. (1995). Family treatment in the health setting: The need for innovation. Social Work in Health Care, 10(4), 45-53.
18.
Kim, M. (1995). Cultural influences on depression in Korean Americans. Journal of Psychosocial Nursing, 33(2), 13-18.
19.
Kim, S. , & Rew, L. (1994). Ethnic identity, role integration, quality of life, and depression in Korean-American women. Archives of Psychiatric Nursing, 7(6), 348-356.
20.
Klang, B. , Bjorvell, H., & Cronqvist, A. (1996). Patients with chronic renal failure and their ability to cope. Scandinavian Journal of Caring Science, 10(2), 89-95.
21.
Kutner, N. G. , Brogan, D., Hall, W. D., Haber, M., & Daniels, D. S. (2000). Functional impairment, depression, and life satisfaction among older hemodialysis patients and age-matched controls: A prospective study. Archives of Physical Medication and Rehabilitation, 81, 453-459.
22.
Leininger, M. (1995) Transcultural nursing: Concepts, theories, research, and practices. New York: McGraw-Hill.
23.
Leung, P. (1993). A changing demography and its challenge. Journal of Vocational Rehabilitation, 3(1), 3-11.
24.
Lev, E. L. , & Owen, S. V. (1998). A prospective study of adjustment to hemodialysis. ANNA Journal, 25(5), 495-506.
25.
Lim, Y. M. , Luna, I., Cromwell, S. L., Phillips, L. R., Russell, C. K., & Torres de Ardon, E. (1996). Toward a cross-cultural understanding of family caregiving burden. Western Journal of Nursing Research, 18(3), 253-265.
26.
Lindqvist, R. , Carlsson, M., & Sjoden, P. (2000). Perceived consequences of being a renal failure patient. Nephrology Nursing Journal, 27(3), 291-298.
27.
Lok, P. (1996). Stressors, coping mechanisms, and quality of life among dialysis patients in Australia. Journal of Advanced Nursing, 23, 873-881.
28.
Luna, I. , de Ardon, E. T., Lim, Y. M., Cromwell, S. L., Phillips, L. R., & Russell, C. K. (1996). The relevance of familism in cross-cultural studies of family caregiving. Western Journal of Nursing Research, 18(3), 267-283.
29.
Maestas, A. G. , & Erickson, J. G. (1992, September). Mexican immigrant mothers’beliefs about disabilities. American Journal of Speech and Language Pathology, pp. 5-10.
30.
McCubbin, H. I. , Futrell, J. A., Thompson, E. A., & Thompson, A. I. (1998). Resilient families in an ethnic and cultural context. In H. I. McCubbin, J. A. Futrell, E. A. Thompson, & A. I. Thompson (Eds.), Resiliency in African-American families. Thousand Oaks, CA: Sage.
31.
McCubbin, M. A. , & McCubbin, H. I. (1996). Resiliency in families: A conceptual model of family adjustment and adaptation in response to stress and crises. In H. I. McCubbin, A. I. Thompson, & M. A. McCubbin, Family assessment: Resiliency, coping, and adaptation—Inventories for research and practice (pp. 1-64). Madison: University of Wisconsin Press.
32.
Meleis, A. I. , Lipson, J. G., & Paul, S. M. (1992). Ethnicity and health among five middle eastern immigrant groups. Nursing Research, 41(2), 98-103.
33.
Mui, A. C. (1992). Caregiver strain among Black and White daughter caregivers: A role theory perspective. The Gerontologist, 32, 203-212.
34.
Nyamathi, A. (1987). Coping responses of spouses of Ml patients and of hemodialysis patients as measured by the Jalowiec Coping Scale. Journal of Cardiovascular Nursing, 2(1), 67-74.
35.
Phillips, L. R. , Luna, I., Russell, C. K., Baca, G., Young, M. L., Cromwell, S. L., & Torres de Ardon, E. (1996). Toward a cross-cultural perspective of family caregiving. Western Journal of Nursing Research, 18(3), 236-251.
36.
Spector, R. (2000). Cultural diversity in health and illness. Englewood Cliffs, NJ: Prentice Hall.
37.
Srivastava, R. (1998). Coping strategies used by spouses of COPD patients. ANNA Journal, 15(3), 174-178.
38.
Thompson, J. M. , & Wilson, S. F. (1996). Health assessment for nursing practice. New York: C. V. Mosby.
39.
Turner, D. C. (1996). The role of culture in chronic illness. American Behavioral Scientist, 39(6), 717-728.
40.
U.S. Census Bureau . (2000). Profile of general demographic characteristics: 2000. Retrieved December 12, 2001 from the World Wide Web: factfinder.census.gov/servlet/BasicFactsServlet
41.
U.S. Renal Data System . (1998). USRDS 1998 annual data report. Bethesda, MD: NIH, National Institutes of Diabetes and Digestive Kidney Disease.
42.
U.S. Renal Data System . (1999). USRDS 1999 annual data report. Bethesda, MD: NIH, National Institutes of Diabetes and Digestive Kidney Disease.
43.
Wagner, C. D. (1996). Family needs of chronic hemodialysis patients: A comparison of perceptions of nurses and families. ANNA Journal, 23(1), 19-26.
44.
Weil, C. M. (2000). Exploring hope in patients with end-stage renal disease on chronic hemodialysis. Nephrology Nursing Journal, 27(2), 20.
45.
Welch, J. L. , & Austin, J. K. (1999). Factors associated with treatment-related stressors in hemodialysis patients. ANNA Journal, 26(3), 318-326.
46.
Wicks, M. N. , Milstead, E. J., Centingok, M., & Hathaway, D. K. (1997). Subjective burden and quality of life in family caregivers of patients with end-stage renal disease. ANNA Journal, 24, 527-540.
47.
Wicks, M. N. , Milstead, E. J., Hathaway, D. K., & Centingok, M. (1998). Family caregivers’ burden, quality of life, and health following renal transplantation. Journal of Transplant Coordination, 8, 170-176.
