Associations between dyadic relationship quality and stepfamily functioning: A common fate modeling approach.

Clinical and empirical literatures have highlighted the value of attending to distinct dyads within stepfamilies to ensure the needs of various relationships are being met. From a family systems perspective, the growth and maintenance of positive dynamics within one dyadic relationship can yield gains in other relationships and shape the larger stepfamily environment. Research seeking to link information about dyads and larger stepfamily systems is often marked by single-informant data or measures that represent individual-level constructs. Methods intended to leverage multi-informant data as indicators of dyad- or family-level constructs (i.e., common fate modeling; CFM) offer valuable opportunities to expand our understanding of stepfamily experiences. Using a sample of 291 stepparent-parent dyads, our study uses multi-informant data and CFM to assess three dyad-level constructs (i.e., marital quality, marital confidence, and stepparent-child relationship quality) as correlates of three stepfamily-level constructs (i.e., cohesion, expressiveness, and harmony). Our findings illustrate meaningful linkages among dyadic relationships and broader stepfamily-level dynamics, specifically emphasizing the role of stepparent-child relationship quality and marital confidence in shaping stepfamily cohesion, expressiveness, and harmony. The results also signal the potential for substantive findings to vary with respect to the selected unit of analysis.

Attitudes About Intimate Partner Violence and Alcohol Consumption.

This mixed methods study analyzed individual attitudes regarding how the gender of an aggressor, levels of aggression (i.e., slapping, punching, or threatening with a weapon), and alcohol consumption (i.e., one beer, three beers, or six beers) are associated with attitudes about (a) the use of violence in intimate partner violence (IPV) in a romantic relationship and (b) the influence of alcohol on the violent act. Individuals (n = 546) participated in an online survey using multiple segment factorial vignettes, which allowed participants to respond to the actions of characters in a hypothetical scenario rather than how they might have reacted in a similar scenario. Regarding the use of IPV, 512 believed the violent act should not have occurred. Logistic regressions revealed participants (a) were significantly less likely to say alcohol influenced a male in comparison to a female, (b) were significantly more likely to respond that the perpetrator's behavior was influenced by having drunk three or six beers compared with just one, and (c) were not significantly more or less likely to say the alcohol influenced the type of violence used. Analyses of qualitative responses (a) reinforced beliefs that violence (generally) and IPV (specifically) were not acceptable and (b) showed that beliefs about the influence of alcohol included attitudes regarding alcohol enhancing emotions and/or clouding judgment, perpetrators being in control regardless of alcohol intake, alcohol not being used as an excuse for violence, alcohol affecting people differently, and alcohol results in people showing their true selves. In addition, participants tended to downplay alcohol-related female-perpetrated aggressions. The results of this study help to better understand attitudes about IPV and the role that alcohol plays in violent relationships. Information derived from this study can be used in informational and intervention workshops which address IPV.

Attitudes About Forgiveness and Leaving a Relationship: The Context of Relationship Aggression.

The present study examines participant attitudes regarding whether a victim of IPV should forgive an offending partner and whether they should stay or leave a violent relationship. A total of 562 participants completed the study, which entailed responding to factorial vignettes online. Participants were primarily heterosexual, female, non-Latino, and White, with an average age of 21.75. Using logistic regressions, participants were significantly more likely to think the victim should forgive the perpetrator if the perpetrator was female and for less severe acts of aggression. Multinomial logistic regressions found that respondents were significantly less likely to state "yes" or "it depends," compared to "no," as to whether the victim should leave the relationship when the aggression was more severe and were more likely to say a male victim should stay in a violent relationship than a female victim. Qualitative analyses found three main themes regarding whether a victim should forgive: (1) context matters; (2) forgiveness is best … with caveats; and (3) questioning how often violence had occurred. With regard to whether a victim should leave an aggressive relationship, two main themes emerged: (1) situation matters … especially the relationship context and (2) questioning whether the violence had occurred before. This study provides insight into attitudes, by those external to a couple, regarding forgiveness and leaving a relationship after an instance of relationship aggression and has implications for both practitioners and policymakers. The constructed views about leaving a relationship may spill over into decisions regarding whether to implement policy surrounding IPV. Practitioners should also be cognizant of the varying definitions of forgiveness when working with clients who have experienced IPV as a practitioner's definition of forgiveness may not necessarily align with a client's definition.

Uncovering Family Treatment Decision-Making Processes: The Value and Application of Case Study Methods to Family Research.

Research on how and why family processes influence phenomena is essential to advancing many areas of science. Case study methods offer an approach that overcomes some of the sampling and analysis obstacles researchers face when studying families. This article aims to illustrate the benefits of case study methods for studying complex family processes using an example from treatment decision-making in sickle cell disease. Using survey, observation, and interview data from various family members within multiple family units, we detail our application of the following analytic strategies: (a) proposition-building, (b) pattern-matching, and (c) cross-case synthesis. Incorporating propositions from a conceptual framework assisted us in study development, data collection, and analysis. Development of graphs and matrices to create thematic family profiles uncovered how and why treatment decision-making occurred as a family process in a pediatric chronic illness. Case study methods are an established, but innovative approach to investigating various phenomena in families.

Deconstructing Attitudes About Intimate Partner Violence and Bystander Intervention: The Roles of Perpetrator Gender and Severity of Aggression.

In this mixed methods study, we explored how gender of an aggressor and the levels of aggression (i.e., yelling, throwing a drink, slapping, and punching) influenced attitudes about (a) public displays of intimate partner violence (IPV) and (b) bystander intervention. A feminist-informed, social constructionist perspective guided the study. Participants (N = 562) responded online to randomly assigned factorial vignettes. Participants ranged in age between 18 and 70 years. The majority were female, self-identified as heterosexual, and identified as White. Logistic regressions revealed that participants significantly viewed aggression as unacceptable, especially in cases of more severe and male-perpetrated aggressions. Multinomial logistic regressions revealed that participants significantly thought bystanders or friends of the couple should intervene, especially in cases of male-perpetrated and/or more severe aggression. Analyses of qualitative responses indicated that participants viewed aggression as never okay, as poor communication, as justified if provoked, and discussed the gendered double standard of aggression (i.e., men should not be aggressive because they could cause more harm than females and female-perpetrated aggression is minor, in comparison). Regarding attitudes about bystander intervention, analyses of qualitative responses indicated that aggression severity, issues surrounding relationship privacy, factors relevant to the situation (e.g., if the event occurred once or repeatedly), perceptions that help was needed (e.g., if the victim was hurt), and the bystander's relationship with the victim (i.e., friend or not) were important to consider when thinking about the decision to intervene in public acts of violence. These findings have implications for bystander intervention programs and for how individuals view public acts of IPV.

Stepparents' Attachment Orientation, Parental Gatekeeping, and Stepparents' Affinity-Seeking with Stepchildren.

Remarried stepfamilies are a sizable portion of American families; in a 2011 Pew Center survey, 42% of respondents reported at least one stepfamily member. Family clinicians and researchers suggest that stepparents' ability to develop close bonds with stepchildren may be critical to the well-being of couple and family relationships. Using actor-partner interdependence models to analyze dyadic data from 291 heterosexual remarried stepfamily couples, we explored factors related to stepparents' efforts to befriend their stepchildren. Specifically, we evaluated how remarried parents' gatekeeping and stepparents' perceptions of their attachment orientations were associated with their own and their spouse's perceptions of stepparents' affinity-seeking behaviors. Securely attached stepparents and stepparents with anxious attachment orientations engaged more frequently in affinity behaviors than did stepparents with avoidant attachment orientations; there was no difference between securely attached and anxious stepparents. Stepparents' reports of parents' restrictive gatekeeping were strongly and negatively associated with both stepparents' and parents' reports of stepparent affinity-seeking (actor and partner effects). Parents' reports of their own restrictive gatekeeping were also negatively (but more weakly) associated with parents' reports of stepparent affinity-seeking. Implications for families, clinicians, and relationship researchers and theorists are discussed.

Las familias ensambladas con parejas que se vuelven a casar constituyen una parte considerable de las familias estadounidenses; en una encuesta del Pew de 2011, el 42% de los encuestados informaron tener por lo menos un familiar con familia ensamblada. Los especialistas en familia y los investigadores sugieren que la capacidad de los padrastros de desarrollar vínculos estrechos con los hijastros puede ser fundamental para el bienestar de las relaciones de pareja y familiares (Browning & Artlelt, 2012; Ganong, Coleman, Fine, & Martin, 1999). Mediante el uso de modelos de interdependencia actor-pareja para analizar los datos diádicos de 291 parejas heterosexuales de familias ensambladas con parejas que se volvieron a casar, analizamos los factores relacionados con los esfuerzos de los padrastros para hacerse amigos de sus hijastros. Específicamente, evaluamos cómo la vigilancia de los padres que volvieron a casarse y las percepciones de los padrastros de sus orientaciones de apego estuvieron asociados con sus propias percepciones y las de su cónyuge de las conductas de búsqueda de afinidad de los padrastros. Los padrastros con un vínculo de apego seguro y los padrastros con orientaciones de apego ansioso participaron con más frecuencia en conductas de afinidad que los padrastros con orientaciones de apego evasivo; no hubo diferencia entre los padrastros con vínculo de apego seguro y los de apego ansioso. Los informes de los padrastros de la vigilancia restrictiva de los padres estuvieron asociados estrechamente y negativamente con los informes de los padrastros y de los padres sobre la búsqueda de afinidad de los padrastros (efectos de la pareja y del actor). Los informes de los padres de su propia vigilancia restrictiva también estuvieron asociados negativamente (pero más levemente) con los informes de los padres sobre la búsqueda de afinidad de los padrastros. Se debaten las consecuencias para las familias, los médicos y los investigadores y teóricos de las relaciones.

Stepfathers' affinity-seeking with stepchildren, stepfather-stepchild relationship quality, marital quality, and stepfamily cohesion among stepfathers and mothers.

Because of the potential stepparent-stepchild relationships have for tension and conflict, clinicians have identified the development of a positive stepparent-stepchild connection as one of the major tasks of stepfamily life. Stepparents often are advised to focus initially on developing friendships with stepchildren, or seeking affinity with them, particularly early in the life of the relationship. Both family systems theory and evolutionary theory suggest that stepparents' affinity-seeking behaviors are related to the quality and functioning of other stepfamily dyads, such as couple relationships, and the whole stepfamily. We extend prior work on stepparents' affinity seeking by including perceptions of both members of the stepcouple about affinity seeking, stepfather-stepchild conflicts, couple relationship quality, and stepfamily cohesion. Stepfathers and mothers from 234 stepcouples independently completed online surveys. After accounting for covariates (i.e., duration of mothers' previous relationships, duration of the stepcouple relationship, focal child's biological sex and age, number of children in the household, and mothers' report of household income), stepfathers' perceptions of affinity-seeking with the focal child significantly predicted both partners' perceptions of stepfather-stepchild conflict, marital quality, marital confidence, and stepfamily cohesion. Mothers' perceptions of stepfathers' affinity-seeking were significantly related to her marital confidence and perceptions of stepfamily cohesion. Stepfathers' perceptions of their affinity-seeking explained more variance in stepfathers' and mothers' outcomes than did mothers' perceptions. The results suggest benefits associated with stepfather affinity-seeking-less conflict with stepchildren, better couple relationships, and closer stepfamily ties. Our findings provide evidence for encouraging stepparents to focus on building affinity with stepchildren. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

A comparison of stepgrandchildren's perceptions of long-term and later-life stepgrandparents.

BACKGROUND: Multi-generational steprelationships are relatively common, and yet little is known about stepgrandparent-stepgrandchild relationships. The quality of steprelationships is relevant to understanding intergenerational support for older divorced and remarried adults. OBJECTIVES: The purpose of this study is to examine and compare stepgrandchildren's perceptions of two types of intergenerational step-relationships - long-term stepgrandparents who joined the stepfamily before stepgrandchildren were born and later-life stepgrandparents who joined stepfamilies when they were older. RESEARCH DESIGN AND METHODS: Grounded theory methods were used to interview 48 adult stepgrandchildren who had 44 long-term stepgrandparents and 28 later-life stepgrandparents. RESULTS: Long-term stepgrandparents more closely resembled biological grandparents' relationships with stepgrandchildren than did later-life stepgrandparents, largely because of conditions attributable to intergenerational dynamics associated with remarriage timing, shared histories, and linked lives with other kin. Middle-generation parents gatekept more in long-term stepfamilies - later-life stepgrandchildren had greater autonomy in relationships with new stepgrandparents and everyone in later-life stepfamilies experienced family structural changes concurrently. Long-term stepgrandparents were defined as kin more often than later-life stepgrandparents. Long-term relationships were often perceived as positive and emotionally close. DISCUSSION AND IMPLICATIONS: Later-life stepgrandchildren experience more intergenerational transitions than long-term stepgrandchildren. Appreciating and understanding the implications of different pathways to stepgrandparenthood will enhance science and practice with older stepfamily couples and intergenerational stepfamilies.

Relationships with former stepgrandparents after remarriage dissolution.

Increases in stepfamily formation and longevity suggest that more children have stepgrandparent relationships than ever before. Because remarriages end in divorce more often than first marriages, many children experience the involuntary dissolution of stepgrandparent ties. Little is known about stepgrandparent relationships in general, and even less is known about how these relationships are affected by remarriage dissolution. Guided by symbolic interaction theory, the purpose of this study was to understand how stepgrandchildren make sense of their relationships with former stepgrandparents. We explored their perceptions of why relationships were or were not maintained and the impact of continued or dissolved ties on their personal well-being. Former stepgrandchildren (N = 29) aged 18 to 37 were interviewed about their former stepgrandparents. The quality and continuity of these relationships were contingent on stepgrandchildren's relationships with former stepparents, biological parents' relationships with former stepgrandparents, and efforts by former stepgrandparents to remain involved. Losing ties with former stepgrandparents was upsetting, especially when relationships with biological grandparents were not close. Individuals who maintained relationships with former stepgrandparents benefitted from continued access to valuable resources (e.g., positive role models, additional sources of love and support). Our findings have important implications for clinicians' and researchers' understanding of the effects of remarriage dissolution on children as well as the intergenerational efforts that may be critical for preserving meaningful stepfamily ties. (PsycINFO Database Record

Studying Stepfamilies: Four Eras of Family Scholarship.

Historically, there have always been stepfamilies, but until the early 1970s, they remained largely unnoticed by social scientists. Research interest in stepfamilies followed shortly after divorce became the primary precursor to stepfamily formation. Because stepfamilies are structurally diverse and much more complex than nuclear families, they have created considerable challenges for both researchers and clinicians. This article examines four eras of stepfamily scholarship, tracing the development of research questions, study designs and methods, and conceptual frameworks from the mid-1970s to the present and drawing implications for the current state of the field.

A qualitative study describing nursing home nurses sensemaking to detect medication order discrepancies.

BACKGROUND: Medication reconciliation is a safety practice to identify medication order discrepancies when patients' transitions between settings. In nursing homes, registered nurses (RNs) and licensed practical nurses (LPNs), each group with different education preparation and scope of practice responsibilities, perform medication reconciliation. However, little is known about how they differ in practice when making sense of medication orders to detect discrepancies. Therefore, the purpose of this study was to describe differences in RN and LPN sensemaking when detecting discrepancies. METHOD: We used a qualitative methodology in a study of 13 RNs and 13 LPNs working in 12 Midwestern United States nursing homes. We used both conventional content analysis and directed content analysis methods to analyze semi-structured interviews. Four resident transfer vignettes embedded with medication order discrepancies guided the interviews. Participants were asked to describe their roles with medication reconciliation and their rationale for identifying medication order discrepancies within the vignettes as well as to share their experiences of performing medication reconciliation. The analysis approach was guided by Weick's Sensemaking theory. RESULTS: RNs provided explicit stories of identifying medication order discrepancies as well as examples of clinical reasoning to assure medication order appropriateness whereas LPNs described comparing medication lists. RNs and LPNs both acknowledged competing demands, but when performing medication reconciliation, RNs were more concerned about accuracy and safety, whereas LPNs were more concerned about time. CONCLUSIONS: Nursing home nurses, particularly RNs, are in an important position to identify discrepancies that could cause resident harm. Both RNs and LPNs are valuable assets to nursing home care and keeping residents safe, yet RNs offer a unique contribution to complex processes such as medication reconciliation. Nursing home leaders must acknowledge the differences in RN and LPN contributions and make certain nurses in the most qualified role are assigned to ensure residents remain safe.

Negotiating a Place in the Family-A Grounded Theory Exploration of Stepgrandmothers' Enactment of Roles.

Purpose: Stepgrandparents are becoming more common, and they can, and often do, provide affective and instrumental support to families. Little is known, however, about how they negotiate and enact their roles within families, especially with stepgrandchildren. Stepgrandmothers warrant special attention because researchers have found that women experience more challenges than men in stepfamilies. Guided by symbolic interactionism, the purposes of our study were: (a) to explore stepgrandmothers' role enactment and (b) to explore the intrapersonal, interpersonal, and contextual factors that contribute to role enactment in intergenerational steprelationships. Design and Methods: Eighteen stepgrandmothers participated in semi-structured interviews, discussing their relationships with 94 stepgrandchildren. Consistent with grounded theory methods, data collection and analysis occurred simultaneously. Results: Interviews with stepgrandmothers revealed that they spend considerable time and energy defining their roles with stepgrandchildren. Stepgrandmothers' role enactment is a complex, reflexive process. A few perceived that their roles were shaped by their own dispositions, desires, and expectations (evidence for role-making), but most stepgrandmothers described their roles as reflecting the dispositions, desires, and expectations of others (evidence for role-taking). Stepgrandmothers reflected on their roles as a delicate balance of intra- and inter-personal negotiations, operating within cultural expectations. Implications: Findings draw attention to the complex nature of role-taking, role-making, and gendered, relational processes in multigenerational stepfamilies. We discuss implications for research and theory related to stepgrandmotherhood as an incomplete institution.

Divorce and Childhood Chronic Illness: A Grounded Theory of Trust, Gender, and Third-Party Care Providers.

Divorced parents face distinct challenges in providing care for chronically ill children. Children's residence in two households necessitates the development of family-specific strategies to ensure coparents' supervision of regimen adherence and the management of children's health care. Utilizing a risk and resilience perspective, a grounded theory study was conducted with 14 divorced parents of children with chronic illnesses. The importance of trust, gender, and relationships with third-party care providers emerged as key themes related to the development of effective coparenting relationships for maintaining children's health. Divorced parents were best able to support the management of their children's chronic conditions when care providers operated as neutral third parties and intermediaries. Collaborative family care may require health care practitioners to avoid being drawn into contentious inter-parental conflicts.

Divorced mothers' coparental boundary maintenance after parents repartner.

When divorced parents remarry or cohabit with new partners, it is challenging to maintain functional postdivorce coparenting systems. In this grounded theory study of 19 divorced mothers, we examined the processes by which they maintained boundaries around coparental relationships after 1 or both coparents had repartnered. Mothers saw themselves as captains of the coparenting team, making decisions about who should play what roles in parenting their children. They viewed themselves as having primary responsibility for their children, and they saw their children's fathers as important coparenting partners. Mothers used a variety of strategies to preserve boundaries around the coparental subsystem when either they or their ex-husbands repartnered. Stepparents became more active participants in coparenting when: (a) mothers perceived them to be adequate caregivers, (b) biological parents were able to cooperatively coparent, (c) mothers perceived the fathers as good parents and responsible fathers, and (d) mothers felt secure as the primary parents. When all 4 conditions were present, mothers were likely to expand the coparental subsystem to include new partners. If any of these conditions were not present, mothers resisted including stepparents as part of the child rearing team. The findings from this study highlight how coparental roles in a nonclinical sample of families develop and change; mothers often modify coparenting boundaries over time to include stepparents.

An intervention to help older adults maintain independence safely.

Older adults who live alone are at risk for problems (e.g., falling, sudden illness). To maintain themselves safely at home they may benefit from planning to prevent problems. The purpose of this study was to evaluate an intervention designed to train family members or friends as to how to help older adults who were living alone make plans to maintain independence safely in their homes and to make behavioral and household changes to enhance safety. Support network members of 19 older adults randomly assigned to the intervention group were taught to use multiple segment vignettes to assist the older adults in creating plans for living safely. Older adults in the control group (n = 21) were asked to engage in an unstructured discussion about home safety with their network members. Older adults in the intervention group developed safer plans and made more household and behavioral changes than did control group adults.

Intentions of older homebound women with regard to reaching help quickly.

The purposes of this longitudinal phenomenological study were to describe intentions of older women relative to reaching help quickly (RHQ), to place those intentions in personal-social context, and to compare intentions of subscribers to a personal emergency response system (PERS) and nonsubscribers. The 40 participants were aged 85 or older, resided alone, and needed help to leave home. Two contextual features ("recognizing my risk of being unable to RHQ" and "recognizing my need for a RHQ device to sustain myself") were basic to two phenomena ("negotiating reliance on people to reach quickly if I need help" and "reducing my risk of being unable to RHQ"). There was greater variation in intentions and context within each of the two naturally occurring groups (subscribers and nonsubscribers) than between them. Practitioners cannot assume that women intend to use available RHQ devices in specific situations; preventive nursing involves proactive exploration of intentions relative to RHQ.

Incidents when older homebound women tried to reach help quickly.

During a longitudinal study of the experience of reaching help quickly, 34 homebound women (ages 85 to 97) who lived alone reported 106 reach-help-quickly incidents (RHQIs). The purpose of this study was to expand knowledge about RHQIs and intentions relative to them and to compare those facets of experience for subscribers to a personal emergency response system (PERS) and non-subscribers. We used a descriptive phenomenological method to analyze interview data, discerning six types of RHQIs, including finding myself down right here, realizing that I might not be alright after falling and getting up on my own, and realizing that something I cannot explain is or could be wrong with me. Intentions were focused on self-help before help seeking. The overall phenomenon was Handling a Situation When I Am Alone at Home and Probably Need Help Quickly. Practitioners should explore intentions about handling specific types of RHQIs and offer appropriate anticipatory guidance.

Return of the "intimate outsider": current trends and issues in family nursing research revisited.

This article reviews family nursing research published from 1996 to 2011. This is a follow-up to a review published in the Journal of Family Nursing in 1995. Findings from the first review are compared with this one, trends in family nursing scholarship are identified, and predictions and suggestions for future directions are offered. The latest generation of family nursing scholarship is conceptually and methodologically sound, and there is evidence of more multidisciplinary and interdisciplinary research conducted by family nursing researchers. Scholars are paying more attention to issues of diversity and family context at present than in the past, although there are still aspects of diversity that need more attention. Strong research programs in family nursing exist worldwide; an international synergism has helped promote rapid expansion of family nursing research and theory development. A vigorous movement to promote research to practice initiatives and greater attention to family interventions are exciting developments.

"Shifting family boundaries" after the diagnosis of childhood cancer in stepfamilies.

The childhood cancer experiences of stepfamilies have not been described despite the fact that nearly one third of U.S. children will live in a stepfamily household. To describe the impact of diagnosis on parental relationships in stepfamilies, we undertook a secondary analysis of data from a study of parental decision making in structurally diverse families. As described by 13 parents of six stepfamilies, the crisis of a childhood cancer diagnosis immediately changed family dynamics. Parental relationships changed, which shifted family boundaries, creating instability in families who were trying to cope with a very stressful life experience. Through increased understanding of parental relationship changes that occur after the diagnosis of childhood cancer in stepfamilies, clinicians can anticipate these changes and provide supportive interventions to reduce overall family conflict and distress. These distinctive stepfamily responses underscore the need to include structurally diverse families in future trials targeting parental coping in childhood cancer.