The Divorced Family Focused Care Model

A nursing model to enhance child and family mental health and well-being of bereaved children following parental divorce and subsequent parental cancer and death

J. Marcussen, Lise Hounsgaard, P. Bruun, Merete Golles Laursen, F. Thuen, Rhonda WILSON

Research output: Contribution to journalArticle

Abstract

The experience of parental death concomitant with parental divorce occurs for 46% of Danish children and 50% of American children who lose a parent to death. This experience of loss and double bereavement compounds increased risk of mental health problems. The aim of this study was to explore nursing interventions for double bereaved children that promoted their well-being. A phenomenological–hermeneutic approach was used to conduct 20 interviews with nurses in family cancer care. Ricoeur’s theoretical framework was followed with naïve reading, structural analysis, and critical interpretation, resulting in the formulation of a new model of nursing care for these children: the Divorced Family–Focused Care Model. Four themes were apparent: (a) collection of information about family structure, (b) assessment of support needs, (c) initiation of well-being support, and (d) coordination and follow-up focused on the child’s well-being. The new intervention model has implications for health care education and implementation of health care policies.
Original languageEnglish
Pages (from-to)419-446
Number of pages28
JournalJournal of Family Nursing
Volume25
Issue number3
DOIs
Publication statusPublished - 7 Aug 2019

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Parental Death
Nursing Models
Divorce
Family Health
Mental Health
Neoplasms
Delivery of Health Care
Bereavement
Needs Assessment
Nursing Care
Health Policy
Health Education
Reading
Nursing
Nurses
Interviews

Cite this

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abstract = "The experience of parental death concomitant with parental divorce occurs for 46{\%} of Danish children and 50{\%} of American children who lose a parent to death. This experience of loss and double bereavement compounds increased risk of mental health problems. The aim of this study was to explore nursing interventions for double bereaved children that promoted their well-being. A phenomenological–hermeneutic approach was used to conduct 20 interviews with nurses in family cancer care. Ricoeur’s theoretical framework was followed with na{\"i}ve reading, structural analysis, and critical interpretation, resulting in the formulation of a new model of nursing care for these children: the Divorced Family–Focused Care Model. Four themes were apparent: (a) collection of information about family structure, (b) assessment of support needs, (c) initiation of well-being support, and (d) coordination and follow-up focused on the child’s well-being. The new intervention model has implications for health care education and implementation of health care policies.",
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The Divorced Family Focused Care Model : A nursing model to enhance child and family mental health and well-being of bereaved children following parental divorce and subsequent parental cancer and death. / Marcussen, J.; Hounsgaard, Lise; Bruun, P.; Laursen, Merete Golles; Thuen, F.; WILSON, Rhonda.

In: Journal of Family Nursing, Vol. 25, No. 3, 07.08.2019, p. 419-446.

Research output: Contribution to journalArticle

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