{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:50:31Z","timestamp":1791582631200,"version":"4.3.4"},"reference-count":43,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>How parents sustain care for children with complex chronic conditions remains undertheorized. Using Rodgers\u2019 evolutionary method, we analyzed parental adaptability across 25 articles. Our analysis conceptualized parental adaptability as a parent-enacted, bivalent caregiving process in which responsiveness, balancing, and care management operate iteratively across parent, family, and social system levels as child needs change. Adaptability may support child functioning, family adjustment, and care continuity, yet coincide with unrelieved psychological, physical, and relational strain for parents\u2014adaptive exhaustion, in which caregiving nonetheless remains effective. This conceptualization offers attribute-specific targets for nursing assessment and measurement while directing interventions toward conditions that sustain caregiving.<\/jats:p>","DOI":"10.1097\/ans.0000000000000708","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:00:12Z","timestamp":1791579612000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Parental Adaptability in Families of Children With Complex Chronic Conditions"],"prefix":"10.1097","author":[{"given":"Eunji","family":"Lee","sequence":"first","affiliation":[{"name":"Author Affiliations:University of Maryland School of Nursing, Baltimore, MD (Ms Lee and Dr Mooney-Doyle); University of Pennsylvania School of Nursing, Philadelphia, PA (Dr Deatrick); and University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC (Dr Knafl)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Mooney-Doyle","sequence":"additional","affiliation":[{"name":"Author Affiliations:University of Maryland School of Nursing, Baltimore, MD (Ms Lee and Dr Mooney-Doyle); University of Pennsylvania School of Nursing, Philadelphia, PA (Dr Deatrick); and University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC (Dr Knafl)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Deatrick","sequence":"additional","affiliation":[{"name":"Author Affiliations:University of Maryland School of Nursing, Baltimore, MD (Ms Lee and Dr Mooney-Doyle); University of Pennsylvania School of Nursing, Philadelphia, PA (Dr Deatrick); and University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC (Dr Knafl)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Knafl","sequence":"additional","affiliation":[{"name":"Author Affiliations:University of Maryland School of Nursing, Baltimore, MD (Ms Lee and Dr Mooney-Doyle); University of Pennsylvania School of Nursing, Philadelphia, PA (Dr Deatrick); and University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC (Dr Knafl)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"issue":"11","key":"R1-20261009","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1007\/s00431-018-3216-9","article-title":"Children's complex care needs: a systematic concept analysis of multidisciplinary language.","volume":"177","author":"Brenner","year":"2018","journal-title":"Eur J Pediatr"},{"issue":"1-2","key":"R3-20261009","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1300\/J002v06n01_02","article-title":"The family stress process: the double ABCX model of adjustment and adaptation.","volume":"6","author":"McCubbin","year":"1983","journal-title":"Marriage Fam 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