1 University of Navarra, Pamplona, Spain.
J Fam Nurs. 2019 May;25(2):170-189. doi: 10.1177/1074840719841404. Epub 2019 Apr 19.
Understanding the family experience of health and illness within the family's social and cultural context helps health professionals understand a family's stories. The purpose of this article is to present salient characteristics of the Western European family to extend understanding about family structure and values in relation to caring and intergenerational solidarity. The goal is to provide nurses and other health professionals with culturally competent knowledge that can inform practice with families. Evidence suggests that a family model, characterized by strong-family type societies consisting of coresidence, solidarity, and intergenerational relationships, stalwartly continues in Mediterranean countries. However, due to the recent economic crisis in Spain and other European countries, there is a trend toward the withdrawal of state responsibility toward the family, and an increasing weight on families' responsibility, particularly for women, toward the care of their old and chronically ill relative. Therefore, there is a need to make health and social systems more effective, sustainable, and focused on family care.
了解家庭在社会和文化背景下的健康和疾病体验，可以帮助卫生专业人员理解一个家庭的故事。本文旨在介绍西欧家庭的显著特征，以扩展对家庭结构和价值观与照顾和代际团结的关系的理解。目的是为护士和其他卫生专业人员提供具有文化能力的知识，以指导与家庭的实践。有证据表明，以核心家庭居住、团结和代际关系为特征的强大家庭类型社会的家庭模式在地中海国家仍然存在。然而，由于西班牙和其他欧洲国家最近的经济危机，国家对家庭的责任有退缩的趋势，家庭的责任，特别是妇女对照顾年老和慢性病亲属的责任越来越重。因此，需要使卫生和社会系统更加有效、可持续，并注重家庭护理。
