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Oztas G, Akca SO. Levels of nursing support and satisfaction of parents with children having pediatric inpatient care. J Pediatr Nurs 2024; 77:e24-e30. [PMID: 38461118 DOI: 10.1016/j.pedn.2024.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 02/26/2024] [Accepted: 03/03/2024] [Indexed: 03/11/2024]
Abstract
OBJECTIVE This study aims to investigate the level of inpatient child-care satisfaction of parents. MATERIAL AND METHOD This descriptive, correlational and cross-sectional study consisted of 143 parents whose children were monitored as inpatients between December 2019 and February 2020 in the pediatric clinics. The data were collected with introductory information form, Nurse-Parent Support Tool (NPST) and Pediatric Quality of Life Healthcare Satisfaction Inventory (PedsQL-HCSS). In the analysis of the research, Cronbach's Alpha, independent groups t-test (student t-test), One-way analysis of variance (ANOVA), Mann-Whitney U test, Kruskall-Wallis and Spearman Correlation were used. RESULTS The average NPST score of the parents in the study is 64.16 ± 20.75, and the PedsQL-HCSS average score is 55.22 ± 24.22, which is at a moderate level. In parents' perception of nurse support level, the emotional support factor has the lowest score and the information and communication support factor has the highest score. Regarding the health care satisfaction levels of parents, the factor of emotional needs has the lowest score while the general satisfaction factor has the highest score. As parents' ages increase, their perception of nurse support in providing quality care also increases (p < 0.05). The NPST total score and PedsQL-HCSS information score of parents of children with chronic diseases are lower than those with acute diseases (p < 0.05). There is a high level positive correlation between the NPST total score and the PedsQL-HCSS general satisfaction score (r = 0.712, p < 0.001), and between the NPST total score and the PedsQL-HCSS total score (r = 0.755, p < 0.001). CONCLUSION Parents of hospitalized children reported a medium level of satisfaction with their health treatment and support from nurses. Emotional support scored lowest among parents' perceptions of nurse help, whereas information and communication support scored highest. The subscale measuring emotional needs had the lowest score among parents' satisfaction with healthcare, while general satisfaction factor had the highest score. Parents' satisfaction with health care was found to increase in parallel with their perception of nurse support. IMPLICATIONS FOR PRACTICE When parents of hospitalized children receive nursing assistance, their stress and anxiety levels are lowered, which in turn boosts their confidence in the nurses and their satisfaction with health services, which consequently has a favorable impact on the child's care and treatment.
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Affiliation(s)
- Gulay Oztas
- Yozgat Bozok University, Faculty of Health Sciences- Department of Pediatric Nursing
| | - Selen Ozakar Akca
- Hitit University, Faculty of Health Sciences- Department of Pediatric Nursing.
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Azcárate-Cenoz N, Canga-Armayor A, Alfaro-Díaz C, Canga-Armayor N, Pueyo-Garrigues M, Esandi N. Family-Oriented Therapeutic Conversations: A Systematic Scoping Review. JOURNAL OF FAMILY NURSING 2024; 30:145-173. [PMID: 38529615 DOI: 10.1177/10748407241235141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/27/2024]
Abstract
There is increasing evidence that highlights the benefits of Family-oriented Therapeutic Conversations (FAM-TC) for the patient and the family; however, studies show variability regarding the content and the way these interventions are offered. This may hamper its further development in clinical practice. This review systematically maps the available literature on nurse-led FAM-TC and offers a solid synthesis of the characteristic, effectiveness, and feasibility of these interventions. A systematic search in PubMed, CINAHL, Cochrane, Web of Science, PsycINFO, Trip (Turning Research Into Practice), BASE (Bielefeld Academic Search Engine), OATD (Open Access Theses and Dissertations), and ProQuest databases identified 37 studies. The interventions varied in interventionist nurses' profile, the intervention content, or the duration of the sessions offered. Most of the interventions showed beneficial effects on perceived family support and family functioning. This review offers suggestions for future studies, such as the inclusion of specific theoretical frameworks for intervention design, targeting both the patient and the family and offered by nurses with family nursing competency.
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Affiliation(s)
- Nerea Azcárate-Cenoz
- University of Navarra, Pamplona, Spain
- Navarra Institute for Health Research (IdiSNa), Pamplona, Spain
| | - Ana Canga-Armayor
- University of Navarra, Pamplona, Spain
- Navarra Institute for Health Research (IdiSNa), Pamplona, Spain
| | - Cristina Alfaro-Díaz
- University of Navarra, Pamplona, Spain
- Navarra Institute for Health Research (IdiSNa), Pamplona, Spain
| | - Navidad Canga-Armayor
- University of Navarra, Pamplona, Spain
- Navarra Institute for Health Research (IdiSNa), Pamplona, Spain
| | - María Pueyo-Garrigues
- University of Navarra, Pamplona, Spain
- Navarra Institute for Health Research (IdiSNa), Pamplona, Spain
| | - Nuria Esandi
- University of Navarra, Pamplona, Spain
- Navarra Institute for Health Research (IdiSNa), Pamplona, Spain
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Gouveia MDCLV, Sveinbjarnardottir EK, Rodrigues MJB, Silva RMLB, Baptista MS, Henriques MAP. Translation, Cultural Adaptation, and Psychometric Validation of the European Portuguese Version of the Iceland-Expressive Family Functioning Questionnaire (ICE-EFFQ). JOURNAL OF FAMILY NURSING 2024; 30:7-29. [PMID: 38041390 PMCID: PMC10788046 DOI: 10.1177/10748407231205038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/03/2023]
Abstract
A family's experience of mental illness can change the family's functioning. In clinical contexts, valid and reliable instruments that assess family functioning, therapeutic changes, and the effects of family nursing interventions are needed. This study focuses on the linguistic and cultural adaptation of the Iceland-Expressive Family Functioning Questionnaire (ICE-EFFQ) to European Portuguese and examines the psychometric properties of this instrument. A non-random sample of 121 Portuguese depressed patients and their relatives completed the questionnaire. Principal components analysis extracted 4 factors, explaining 55.58% of the total variance. Confirmatory factor analysis revealed acceptable adjustment quality indices. Cronbach's alpha coefficient was adequate for the global scale α = .86 and for the 4 subscales: communication α = .79, expression of emotions α = .68, problem-solving α = .71, and cooperation α = .61. The Portuguese version of ICE-EFFQ is a sensitive, valid, and reliable instrument for use with Portuguese families with adult members with depression and can be valuable in assessing these families' expressive functioning, before and after intervention.
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Affiliation(s)
- Maria do Carmo Lemos Vieira Gouveia
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, Portugal
- University of Madeira, Funchal, Portugal
| | | | | | | | | | - Maria Adriana Pereira Henriques
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, Portugal
- University of Lisbon, Portugal
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Piché‐Renaud P, Thibault L, Essouri S, Chainey A, Thériault C, Bernier G, Gaucher N. Parents' perspectives, information needs and healthcare preferences when consulting for their children with bronchiolitis: A qualitative study. Acta Paediatr 2021; 110:944-951. [PMID: 33006194 DOI: 10.1111/apa.15606] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2020] [Revised: 06/23/2020] [Accepted: 09/28/2020] [Indexed: 01/03/2023]
Abstract
AIM Bronchiolitis is the leading cause of hospitalisation in infants, but parental experiences have not been well described. This study explored parents' experiences and asked them how they wanted to receive information. METHODS A qualitative study was conducted in a tertiary paediatric hospital in Québec, Canada. It consisted of semi-structured interviews with 15 parents of 13 children with bronchiolitis. The interview guide was constructed by a multidisciplinary team that included a parent. The interviews, which were transcribed verbatim, were conducted until no new themes emerged. RESULTS We interviewed eight mothers, three fathers and two couples for 22-70 minutes: six were carried out in person during the bronchiolitis episode, and seven were phone interviews after a median interval time of 107 days. Parents were very worried about their child's health and their lack of knowledge about bronchiolitis contributed to their anxiety. They found education resources informative, but expressed a strong need for support and reassurance from healthcare teams. The two groups provided similar feedback, regardless of when they were interviewed or whether their child was admitted. CONCLUSION Although bronchiolitis is common in infancy, parental knowledge was low. Standardised educational tools were useful, but insufficient to meet all their needs.
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Affiliation(s)
| | | | - Sandrine Essouri
- Department of Paediatrics CHU Sainte‐Justine University of Montréal Montréal QC Canada
| | - Annik Chainey
- Parent Partner CHU Sainte‐Justine University of Montréal Montréal QC Canada
| | - Corinne Thériault
- Department of Paediatric Emergency Medicine CHU Sainte‐Justine University of Montréal Montréal QC Canada
| | - Gabrielle Bernier
- Department of Paediatric Emergency Medicine CHU Sainte‐Justine University of Montréal Montréal QC Canada
| | - Nathalie Gaucher
- Department of Paediatric Emergency Medicine CHU Sainte‐Justine University of Montréal Montréal QC Canada
- Clinical Ethics Unit CHU Sainte‐Justine Montréal QC Canada
- CHU Sainte‐Justine Research Center Montréal QC Canada
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Campbell A, Hartling L, Louie-Poon S, Scott SD. Parents' information needs and preferences related to bronchiolitis: a qualitative study. CMAJ Open 2019; 7:E640-E645. [PMID: 31690651 PMCID: PMC6944130 DOI: 10.9778/cmajo.20190092] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Bronchiolitis affects more than one-third of children less than age 2 years and can cause substantial anxiety for parents, leading them to seek information on how to care for their sick child. The aim of our qualitative study was to explore the information needs and preferences of parents caring for a child with bronchiolitis. METHODS We used a qualitative descriptive approach. Participants were recruited by means of purposive sampling from Oct. 1, 2017, to Mar. 15, 2018 from the Stollery Children's Hospital emergency department, a specialized pediatric emergency department in Edmonton. Individual semistructured interviews were conducted. RESULTS Fifty-three parents were recruited to participate, of whom 30 could not be reached after 4 contact attempts and 8 refused. Thus, 15 parents participated (16 children). Three major themes were identified: 1) parents' information needs about bronchiolitis, 2) parents' preferred information sources and 3) parents' preferred information delivery formats. Participants indicated that they want and require credible, easy-to-understand information about bronchiolitis in a variety of formats, and especially valued information obtained directly from a health care professional or an evidence-based website. INTERPRETATION This study provides important information about parents' information needs concerning bronchiolitis in children. Identifying the information that parents want and value in relation to acute pediatric illnesses is imperative to developing innovative educational approaches for parents that reflect patient-centred care.
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Affiliation(s)
- Alyson Campbell
- Evidence in Child Health to Advance Outcomes (Campbell, Louie-Poon, Scott), Faculty of Nursing, University of Alberta; Alberta Research Centre for Health Evidence (Hartling), Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta
| | - Lisa Hartling
- Evidence in Child Health to Advance Outcomes (Campbell, Louie-Poon, Scott), Faculty of Nursing, University of Alberta; Alberta Research Centre for Health Evidence (Hartling), Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta
| | - Samantha Louie-Poon
- Evidence in Child Health to Advance Outcomes (Campbell, Louie-Poon, Scott), Faculty of Nursing, University of Alberta; Alberta Research Centre for Health Evidence (Hartling), Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta
| | - Shannon D Scott
- Evidence in Child Health to Advance Outcomes (Campbell, Louie-Poon, Scott), Faculty of Nursing, University of Alberta; Alberta Research Centre for Health Evidence (Hartling), Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.
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Foster M, Shields L. Bridging the Child and Family Centered Care Gap: Therapeutic Conversations with Children and Families. Compr Child Adolesc Nurs 2019; 43:151-158. [DOI: 10.1080/24694193.2018.1559257] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Mandie Foster
- School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia
| | - Linda Shields
- Faculty of Science, Charles Sturt University, Bathurst, New South Wales, Australia
- School of Medicine, The University of Queensland, Brisbane, Queensland, Australia
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Konradsen H, Dieperink KB, Lauridsen J, Sorknaes AD, Ostergaard B. Validity and reliability of the Danish version of the Ice Expressive Family Functioning and Ice Family Perceived Support questionnaires. Scand J Caring Sci 2018; 32:1447-1457. [DOI: 10.1111/scs.12591] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Accepted: 05/29/2018] [Indexed: 11/28/2022]
Affiliation(s)
| | | | - Jørgen Lauridsen
- OPEN Odense Patient data Explorative Network; Odense University Hospital; Odense Denmark
| | | | - Birte Ostergaard
- Clinical Institute; Faculty of Health; University of Southern Denmark; Odense Denmark
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8
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Dieperink KB, Coyne E, Creedy DK, Østergaard B. Family functioning and perceived support from nurses during cancer treatment among Danish and Australian patients and their families. J Clin Nurs 2017; 27:e154-e161. [DOI: 10.1111/jocn.13894] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2017] [Indexed: 01/07/2023]
Affiliation(s)
- Karin B. Dieperink
- Department of Oncology and Danish Knowledge Centre of Rehabilitation and Palliation (REHPA); Odense University Hospital; Odense C Denmark
| | - Elisabeth Coyne
- School of Nursing and Midwifery; Menzies Health Institute; Griffith University; Meadowbrook Logan QLD Australia
| | - Debra K. Creedy
- School of Nursing and Midwifery; Menzies Health Institute; Griffith University; Meadowbrook Logan QLD Australia
| | - Birte Østergaard
- Department of Clinical Research; University of Southern Denmark; Odense C Denmark
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Sigurdardottir AO, Garwick AW, Svavarsdottir EK. The importance of family support in pediatrics and its impact on healthcare satisfaction. Scand J Caring Sci 2016; 31:241-252. [PMID: 27328458 DOI: 10.1111/scs.12336] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Accepted: 01/13/2016] [Indexed: 11/29/2022]
Abstract
AIMS To evaluate predictors of healthcare satisfaction for parents whose children received hospital-based healthcare services at the Children's hospital at Landspitali University Hospital. METHODS In this cross-sectional study, data on perceived family support, family quality of life, expressive family functioning, coping strategies and healthcare satisfaction were collected from 159 mothers and 60 fathers (N = 177 families) of children and adolescents from 2011 to 2012. RESULTS Logistic regression analysis revealed that, for mothers, 38.8% of the variance in satisfaction with healthcare services was predicted by perceived family support and their coping strategies, while for fathers, 59.9% of the variance of their satisfaction with healthcare service was predicted by perceived family support, family quality of life and whether the child had been hospitalised before. DISCUSSION Perceived family support was the one factor that was found to predict both the mothers' and the fathers' satisfaction with healthcare services. Knowing which factors predict satisfaction with health care among parents of hospitalised children with different chronic illnesses and health issues can inform the delivery of effective family-focused interventions and evidence-based practice to families.
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Affiliation(s)
- Anna Olafia Sigurdardottir
- Landspitali - The National University Hospital in Iceland, Reykjavik, Iceland.,Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland
| | - Ann W Garwick
- School of Nursing, University of Minnesota, Minneapolis, MN, USA
| | - Erla Kolbrun Svavarsdottir
- Landspitali - The National University Hospital in Iceland, Reykjavik, Iceland.,Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland
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Dorell Å, Östlund U, Sundin K. Nurses' perspective of conducting family conversation. Int J Qual Stud Health Well-being 2016; 11:30867. [PMID: 27104342 PMCID: PMC4841095 DOI: 10.3402/qhw.v11.30867] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/14/2016] [Indexed: 11/30/2022] Open
Abstract
Introduction Nurses are in a prime position to manage to support families that have a family member living in a residential home for older people. Nurses’ attitudes about meeting patients’ family members vary. Studies describe that some nurses consider family members as a burden. But some nurses consider family members a resource and think it is important to establish good relationships with them. Aim The aim of this study was to describe how registered nurses (RNs) experienced to participate in and conduct the intervention Family Health Conversations (FamHCs) with families in residential homes for older people. Methods The intervention FamHC was accomplished at three residential homes for older people. FamHC is a family systems nursing (FSN) intervention developed to support families facing the ill health of someone in the family. One RN from each residential home conducted the conversations. The RNs wrote diary notes directly after each conversation. The RNs were also interviewed 1 month after they had each conducted four FamHCs. The diary notes and the interviews were analysed separately by qualitative content analysis, and the findings were then summarized in one theme and further discussed together. Findings The main findings were that the RNs experience the conversations as a valuable professional tool involving the whole family. The RNs grasped that silence can be a valuable tool and had learned to attentively listen to what the families were saying without interrupting, allowing them and the families to reflect upon what the family members said. Conclusion The findings show that the FamHC can be helpful for RNs in their work, helping them to perceive and understand the needs and desires of the families.
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Affiliation(s)
- Åsa Dorell
- Department of Nursing, Umeå University, Örnsköldsvik, Sweden;
| | | | - Karin Sundin
- Department of Nursing, Umeå University, Örnsköldsvik, Sweden
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Svavarsdottir EK, Sigurdardottir AO, Konradsdottir E, Stefansdottir A, Sveinbjarnardottir EK, Ketilsdottir A, Blondal K, Jónsdóttir A, Bergs D, Guðmundsdottir H. The Process of Translating Family Nursing Knowledge Into Clinical Practice. J Nurs Scholarsh 2014; 47:5-15. [DOI: 10.1111/jnu.12108] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/10/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Erla Kolbrun Svavarsdottir
- Professor at the University of Iceland; Faculty of Nursing and Head of the Center of Excellence in Family Nursing Research and Development at Landspitali University Hospital; Reykjavik Iceland
| | - Anna Olafia Sigurdardottir
- Clinical Nurse Specialist at the Women and Children division at Landspitali University Hospital, and a doctoral student at the Faculty of Nursing; University of Iceland; Reykjavik Iceland
| | - Elisabet Konradsdottir
- Clinical Nurse Specialist at the Women and Children division at Landspitali University Hospital; Reykjavik Iceland
| | - Anna Stefansdottir
- Former Chief Nurse Executive at Landspitali University Hospital; Reykjavik Iceland
| | | | - Audur Ketilsdottir
- Clinical Nurse Specialist at the Internal Medicine division at Landspitali University Hospital; Reykjavik Iceland
| | - Katrin Blondal
- Clinical Nurse Specialist at the Surgical division at Landspitali University Hospital; Reykjavik Iceland
| | - Arndís Jónsdóttir
- Clinical Nurse Specialist at the Internal Medicine division at Landspitali University Hospital; Reykjavik Iceland
| | - Dorothea Bergs
- Clinical Nurse Specialist at the Internal Medicine division at Landspitali University Hospital; Reykjavik Iceland
| | - Hlíf Guðmundsdottir
- Clinical Nurse Specialist at the Internal Medicine division at Landspitali University Hospital; Reykjavik Iceland
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Dr. Erla K. Svavarsdottir: Honorary Scientist Award 2014. JOURNAL OF FAMILY NURSING 2014; 20:376-378. [PMID: 25074704 DOI: 10.1177/1074840714542717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Bell JM. Knowledge translation in family nursing: gazing into the promised land. JOURNAL OF FAMILY NURSING 2014; 20:3-12. [PMID: 24515331 DOI: 10.1177/1074840714521731] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
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Svavarsdottir EK, Sigurdardottir AO, Tryggvadottir GB. Strengths-oriented therapeutic conversations for families of children with chronic illnesses: findings from the Landspitali university hospital family nursing implementation project. JOURNAL OF FAMILY NURSING 2014; 20:13-50. [PMID: 24470558 DOI: 10.1177/1074840713520345] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Psychosocial services have been recommended for families of children with chronic illnesses to assist them in adjusting to the illness experience. However, little is known about the benefit of psychosocial interventions in clinical practice. This study aimed at evaluating the benefits of a two-session family therapeutic conversation intervention (FAM-TCIs) for families of children diagnosed with asthma, cancer, or diabetes. A secondary data analysis was conducted on intervention data from 37 families of children with chronic illnesses. Mothers of the children/teenagers perceived significantly higher family support after the FAM-TCI compared with before; mothers reported significantly higher collaboration and problem-solving abilities on the expressive family functioning scale after the FAM-TCI. However, no significant differences were found on the fathers' perceived family support nor on their expressive family functioning after the FAM-TCI compared with that before the intervention. It is promising that mothers of children with chronic illness perceived the two-session FAM-TCI to be beneficial to them. More attention should be paid to psychosocial interventions for families of children with chronic illnesses.
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