One strength of this theory is its flexibility to application across many fields. Researchers have applied D’Zurilla and Nezu’s Problem-Solving Model (PSM) to a wide variety of patient populations including caregivers. PSM has been tested and found effective when delivered to caregivers of older adults with both chronic and terminal illnesses. In 2007, D’Zurilla and Nezu expanded upon their original conceptual framework and developed a Problem-Solving theory has been applied with success for caregivers of hospice patients. D’Zurilla and Nezu conceptual framework focuses on four major behavioral change principles for effective problem-solving therapy (2007):
1. Problem definition and formulation. This involves attitude, assessment, and problem identification. D’Zurilla and Nezu, 2007).
2. Generation of alternative strategies. This involves reflection on past actions, resources, and considering alternative (D’Zurilla and Nezu, 2007).
3. Decision making. This making decisions based on problem-solving identiciation and consideration of alternative plans. (D’Zurilla and Nezu, 2007).
4. Solution implementation. This involves implementation of …show more content…
Other variables that influence the interaction are: the hospice patient, patient’s friends and family members, interdisciplinary care team providers (especially hospice nurse providing assistance and education), and the attitude/emotional stability of the caregiver (i.e., anxiety, emotional pain, fear). The outcomes of this protocol will be systematically measured using the following scales: caregiver Quality of Life (QOL) scale scores, State-Trait Anxiety Inventory (STAI) scores, and Problem Solving Inventory (PSI) Scale scores (D’Zurilla and Nezu,