Institutional members access full text with Ovid®

Share this article on:

Double ABCX Model of Stress and Adaptation in the Context of Families That Care for Children With a Tracheostomy at Home: Application of a Theory

Joseph, Rachel A. PhD, CCRN; Goodfellow, Linda M. PhD, RN; Simko, Lynn C. PhD, RN

Section Editor(s): Catlin, Anita

doi: 10.1097/ANC.0000000000000062
Ethical Issues in Newborn Care

Theories provide a roadmap for scientific inquiry, help organize knowledge, and establish the foundation for knowledge development. The Double ABCX Model of Family Stress and Adaptation is a middle-range theory developed in social science and widely used by researchers of various disciplines. This model encompasses the major variables of interest in this study, including stress, coping, duration of tracheostomy, and quality-of-life, and forms an excellent framework for this specific research study. The purpose of this article was to discuss relationships between various individual and environmental factors that can impact health and well-being in families. In addition, this article illustrates how the application of the model helps nurses and healthcare providers understand the significance of the family context on positive well-being and promote optimal caring practices to achieve a balance in the midst of illness and suffering.

Department of Nursing, West Chester University of Pennsylvania (Dr Joseph), and Schoool of Nursing (Drs Goodfellow and Simko) and Institutional Review Board (Dr Goodfellow), Duquesne University, Pittsburgh, Pennsylvania (Drs Goodfellow and Simko).

Correspondence: Rachel A. Joseph, PhD, CCRN, Christiana Care Health System, Newark, DE 19707 (

The study was partially funded by the American Association of Critical Care Nurses (AACN–Philips Medical Systems Clinical Outcomes Grant), Epsilon Phi Chapter of Sigma Theta Tau, and South Eastern Pennsylvania (SEPA) Chapter of AACN.

This article was prepared as an adjunct to the dissertation using this theory.

The authors declare no conflict of interest.

© 2014 by The National Association of Neonatal Nurses