Concept analysis of family homeostasis

Heejung Kim; Karen M. Rose

doi:10.1111/jan.12496

journal article Aug 11, 2014

Concept analysis of family homeostasis

Heejung Kim

Karen M. Rose

Journal of Advanced Nursing Vol. 70 No. 11 pp. 2450-2468 · Wiley

View at Publisher Save 10.1111/jan.12496

Abstract

AbstractAimTo report a concept analysis of family homeostasis.BackgroundAs family members are a majority of informal caregivers, negative consequences from caregiving duty create a vicious cycle in the family unit resulting in ongoing health crises and care challenges.DesignConcept analysis.Data SourcesForty empirical studies published from 1956–2012 were selected by searching five electronic bibliographical databases and by a manual search conducted from 2012–2013. Search terms included ‘family homeostasis’, ‘homeostasis in family’, ‘homeostatic care’ and ‘family equilibrium’. Clinical experiences in nursing practice were used for constructing cases and clinical implications.MethodsWalker and Avant's method guided this analysis.ResultsFamily homeostasis is defined as the capacity and mechanisms by which equilibrium is re‐established in the family after a change occurs. Five critical attributes are identified: (1) predetermined setpoint; (2) self‐appraised antecedents; (3) interdependence; (4) tendency to stability; and (5) feedback mechanisms. Antecedents include any type of causative change beyond the tolerable limit, while consequences encompass intermediate and long‐term outcomes as well as equilibrium itself.ConclusionFamily homeostasis provides a conceptual rationale of family caregiving. While care recipients remain the primary beneficiaries of healthcare provision, homeostatic mechanisms are required to support the family caregiver's valuable contribution in the caring process to enhance family well‐being. Further study should expand the definition and settings of family to reflect healthcare needs of diverse types of families and from the perspectives of different healthcare providers.

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Details

Published: Aug 11, 2014
Vol/Issue: 70(11)
Pages: 2450-2468
License: View

Authors

H

Heejung Kim

University of Kansas School of Nursing Kansas USA

K

Karen M. Rose

University of Virginia School of Nursing Charlottesville Virginia USA

Cite This Article

Heejung Kim, Karen M. Rose (2014). Concept analysis of family homeostasis. Journal of Advanced Nursing, 70(11), 2450-2468. https://doi.org/10.1111/jan.12496

Concept analysis of family homeostasis

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