School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin.
J Clin Nurs. 2018 Aug;27(15-16):3205-3224. doi: 10.1111/jocn.14500.
To describe and explain how the concept of family functioning has been used in the targeted sample of health literature on adult family members with illness.
Understanding the influence of illness on family functioning is central to the provision of patient- and family-centred care. There is lack of consistency in utilising family functioning which creates confusion about the concept and can interfere with theory development in nursing science. A clear conceptual definition of attributes of family functioning based on concept analysis could act as a guide in the development of instruments to assess family functioning, the design of family-based interventions and their application in clinical practice.
Concept analysis.
Academic Search Premier, ProQuest Research Library, Family & Society Studies Worldwide, PsycINFO, SocINDEX, PubMed and CINAHL databases were searched within the last 20 years (1997-Dec. 2016) using the terms "family function*" and "patient." Studies of paediatric patients and non-English articles were excluded.
Rodgers' evolutionary perspective.
The findings suggest that family functioning in the context of illness is defined as family members' ability to maintain cohesive relationships with one another, fulfil family roles, cope with family problems, adjust to new family routines and procedures and effectively communicate with each other.
Further research is needed to inform nurses' practice when assessing families or providing patient- and family-centred interventions to support family functioning across different sociocultural and political contexts, and further identification and evaluation of antecedents and consequences regarding family functioning from a nursing perspective.
Having a comprehensive understanding of the attributes, antecedents and consequences of ineffective family functioning can facilitate healthcare providers' ability to identify strengths and potential targets to improve family functioning among their clients.
描述并解释在针对成年患病家庭成员的健康文献目标样本中，家庭功能的概念是如何被使用的。
了解疾病对家庭功能的影响是提供以患者和家庭为中心的护理的核心。在利用家庭功能方面缺乏一致性，这造成了概念上的混淆，并可能干扰护理科学中的理论发展。基于概念分析的家庭功能属性的明确概念定义可以作为指导，用于开发评估家庭功能的工具、设计基于家庭的干预措施，并将其应用于临床实践。
概念分析。
在过去 20 年内（1997 年-2016 年 12 月），使用“家庭功能”和“患者”这两个术语，在 Academic Search Premier、ProQuest Research Library、Family & Society Studies Worldwide、PsycINFO、SocINDEX、PubMed 和 CINAHL 数据库中进行了检索。排除了儿科患者和非英语文章的研究。
罗德斯的进化视角。
研究结果表明，患病背景下的家庭功能被定义为家庭成员彼此保持凝聚力、履行家庭角色、应对家庭问题、适应新的家庭常规和程序以及有效沟通的能力。
需要进一步研究，以便在评估家庭或提供以患者和家庭为中心的干预措施以支持不同社会文化和政治背景下的家庭功能时，为护士的实践提供信息，并进一步从护理角度确定和评估家庭功能的前因和后果。
全面了解无效家庭功能的属性、前因和后果，可以提高医疗保健提供者识别优势和潜在目标的能力，从而改善其客户的家庭功能。
