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Family theoretical perspectives and implications for nursing practice.

AACN Clinical Issues in Critical Care Nursing

|May 1, 1991

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This article introduces four key theoretical frameworks—symbolic interactionism, systems, developmental, and social exchange theories—to guide health care professionals in viewing families as a unit. These theories enhance family practice and research in nursing.

Area of Science:

Nursing
Family Health
Social Sciences

Background:

Healthcare professionals traditionally focus on individuals, not families as a unit, in acute care settings.
A lack of theoretical frameworks hinders observing families holistically.
This limits comprehensive family-centered care and research.

Purpose of the Study:

To present an overview of trends in family practice and research.
To introduce four theoretical frameworks applicable to family nursing.
To discuss the purpose, concepts, and nursing implications of each theory.

Main Methods:

Literature review of trends in family practice and research.
Overview of four major theoretical frameworks: symbolic interactionism, systems, developmental, and social exchange.

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Analysis of each theory's purpose, core concepts, and implications for nursing.

Main Results:

Identified symbolic interactionism, systems, developmental, and social exchange theories as valuable frameworks.
Demonstrated how these theories enable viewing the family as an interacting unit.
Highlighted the relevance of these frameworks for current and future family nursing practice.

Conclusions:

Theoretical frameworks are essential for advancing family nursing practice and research.
Symbolic interactionism, systems, developmental, and social exchange theories offer robust perspectives for family-centered care.
Adoption of these theories can improve the holistic care of families in acute settings.