Purdue University School of Nursing, Johnson Hall of Nursing, West Lafayette, Indiana, USA.
Johns Hopkins School of Nursing, Baltimore, Maryland, USA.
J Spec Pediatr Nurs. 2022 Jul;27(3):e12388. doi: 10.1111/jspn.12388. Epub 2022 Jun 14.
Information about nontraditional (kinship, foster, and adoptive) families is typically scattered or overlooked both in nursing education and nursing practice settings. Using a nursing-centric, population-focused lens, the current state of nontraditional families in the United States is briefly described. An overview of the challenges and psychological dynamics involved when a nonbiological parent assumes the role of caregiver is provided.
Based on the 2010 Census findings and other indicators, we now understand that nontraditional families and their children make up a considerable portion of the population. Nurses, regardless of level of practice, have the potential to positively impact health outcomes of nontraditional parents and their children. Knowledge of the formation and needs of nontraditional families can inform, and improve, culturally safe, trauma-informed nursing care.
This discussion is a first step in appreciating the formation of nontraditional families and the importance of trauma-informed, unbiased, nonstereotypic discourse in nursing care. By describing the heterogeneity of how families are built through kinship care, foster placements, and adoptive homes, nurses' assessments and interventions will be informed and through a lens of the high potential for past traumas. With this foundational knowledge, nurses interfacing with nontraditional families are better prepared to provide much needed support and relevant care for this unique population.
在护理教育和护理实践环境中,有关非传统(亲属、寄养和收养)家庭的信息通常较为分散或被忽视。本研究采用以护理为中心、以人群为重点的视角,简要描述了美国非传统家庭的现状。概述了非亲生父母承担照顾者角色时所涉及的挑战和心理动态。
基于 2010 年人口普查结果和其他指标,我们现在了解到,非传统家庭及其子女在人口中占相当大的比例。无论实践水平如何,护士都有可能对非传统父母及其子女的健康结果产生积极影响。了解非传统家庭的形成和需求,可以为文化安全、注重创伤的护理提供信息,并加以改进。
本讨论是认识非传统家庭的形成以及在护理中进行注重创伤、公正、无刻板印象的对话的重要性的第一步。通过描述亲属照顾、寄养安置和收养家庭建立家庭的多样性,护士的评估和干预将通过关注过去创伤的高可能性来得到启发。有了这些基础知识,与非传统家庭打交道的护士就能更好地为这一独特群体提供急需的支持和相关护理。