Division of Family Health Care Nursing, Kobe University, Hyogo, Japan.
J Transcult Nurs. 2011 Oct;22(4):350-61. doi: 10.1177/1043659611414200.
The article presents development of a nursing model for holistically understanding the family environment that acts on family well-being as well as of tools based on this model to assess family well-being. These were constructed by using qualitative, quantitative, and literary approaches, such as the Delphi technique, a literature review, semistructured interviews with families, and ethnographic studies in Japan, Hong Kong, and the United States. In the "Concentric Sphere Family Environment Model," a three-dimensional logical space is formed by the three assessment axes of relationships (structural distance, functional distance, and temporal distance) and five systems (supra system, macro system, micro system, family internal environment system, and chrono system) located therein. The "Family Environment Assessment Index" comprises 37 items for assessing the family well-being, and for each of their specifications useful sample questions are provided to conduct the culturally congruent family assessment.
本文提出了一种护理模式的发展，旨在全面理解家庭环境对家庭幸福的影响，并基于该模型开发了一些工具，用以评估家庭幸福。这些工具是通过使用定性、定量和文献方法构建的，例如德尔菲技术、文献回顾、与家庭进行的半结构化访谈以及在日本、中国香港和美国进行的民族志研究。在“同心球家庭环境模型”中，由关系（结构距离、功能距离和时间距离）的三个评估轴和位于其中的五个系统（超系统、宏系统、微系统、家庭内部环境系统和时间系统）形成一个三维逻辑空间。“家庭环境评估指数”包括 37 个评估家庭幸福的项目，并且针对每个项目的具体情况，提供了有用的示例问题，以便进行文化上合适的家庭评估。
