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Family Management Styles Related to Withdrawal of Life-Sustaining Therapy From Adults Who Are Acutely Ill or Injured

Family Management Styles Related to Withdrawal of Life-Sustaining Therapy From Adults Who Are... The purpose of this study is to define family management styles (FMSs) and determine distinctive characteristics of each FMS used by families participating in the process of withdrawal of life-sustaining therapy from a family member with an unexpected, life-threatening illness or injury. A total of 56 family members of 19 families participated in interviews and observations. Data were managed and analyzed maintaining a family focus, and each family was first examined for within family patterns of management, then compared to other families to identify differing patterns. A typology of five FMSs emerged: progressing, accommodating, maintaining, struggling, and floundering. Within this typology, dimensions emerged describing the families' varying definitions of the situations, management behaviors, and consequences. FMSs were constructed through typifying how these dimensions differed across families. Understanding FMSs can aid health care providers as families are assessed and interventions are planned. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Family Nursing SAGE

Family Management Styles Related to Withdrawal of Life-Sustaining Therapy From Adults Who Are Acutely Ill or Injured

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References (31)

Publisher
SAGE
Copyright
Copyright © by SAGE Publications
ISSN
1074-8407
eISSN
1552-549X
DOI
10.1177/1074840707313338
pmid
18281641
Publisher site
See Article on Publisher Site

Abstract

The purpose of this study is to define family management styles (FMSs) and determine distinctive characteristics of each FMS used by families participating in the process of withdrawal of life-sustaining therapy from a family member with an unexpected, life-threatening illness or injury. A total of 56 family members of 19 families participated in interviews and observations. Data were managed and analyzed maintaining a family focus, and each family was first examined for within family patterns of management, then compared to other families to identify differing patterns. A typology of five FMSs emerged: progressing, accommodating, maintaining, struggling, and floundering. Within this typology, dimensions emerged describing the families' varying definitions of the situations, management behaviors, and consequences. FMSs were constructed through typifying how these dimensions differed across families. Understanding FMSs can aid health care providers as families are assessed and interventions are planned.

Journal

Journal of Family NursingSAGE

Published: Feb 1, 2008

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