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Application of the Integrative Harmony paradigm and Model
1Hawaii Pacific University, Kailua, Hawaii 96734, USA. rhaley@hawaii.rr.com
Issues in Comprehensive Pediatric Nursing
|March 16, 2006
Summary
Caring for medically-fragile children at home presents unique challenges for parents. This study introduces the Integrative Harmony Model, a nursing approach to help parents balance the strengths and stressors of caregiving.
Area of Science:
- Nursing
- Family Caregiving
- Medical Sociology
Background:
- Medically-fragile children requiring technological support at home place significant demands on parent caregivers.
- Pacific Island families face unique cultural and logistical challenges in providing home-based care for these children.
Purpose of the Study:
- To explore the strengths and stressors experienced by Pacific Island families caring for medically-fragile children.
- To introduce and demonstrate the application of the Integrative Harmony Model as a nursing framework for supporting these families.
Main Methods:
- An ethnographic study was conducted over two and a half years with 12 Pacific Island families.
- Data collection involved in-home observations and likely interviews (implied by ethnographic approach).
Main Results:
- Identified key strengths utilized by parents and significant stressors encountered during home care.
- The Integrative Harmony Model was developed based on these findings to promote balance.
Conclusions:
- The Integrative Harmony Model offers a novel, inclusive nursing perspective for supporting families of medically-fragile children.
- This model emphasizes integrating strengths and stressors to achieve a sense of harmony and shared experience between caregivers and nurses.
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