Problem statement: Family adjustment to the experience of coping with a handicapped child, who once was well, is a major problem. This study evaluates the progress of the well sibling/s and family after interventions were utilized.

Method: The original research design was a qualitative, exploratory, descriptive study using the phenomenological methods of Merleau Ponty and van Manen, to identify similarities and trends as well as differences in behaviors of well siblings of handicapped children to explore the needs of this population, as well as their families. The data were collected through direct observations, using the Aschenbach  and Direct Observation Checklists and structured interviews of 50 well siblings and 15 parents.  Data were generated, etymological sources were found and existential descriptions from participants were obtained.  The needs of the well siblings and those of the family were categorized and then clustered.   The results were reviewed and interventions were given to the families that they might better interact with each other and others including, their handicapped siblings.

Results and implications:  Based on family and developmental theory, the needs of the members of the family were examined.  Resources, both internal and external, were used to develop strategies to assist them.  These strategies could be used with many families who are confronted with what seems to be insurmountable difficulties in coping with adversity.

Significance to nursing:  A model was developed to provide the basis for effective interventions for families.  This model can be used by nurses as they work with families so that they can develop better coping strategies and more productive lives.

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See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)