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Hraunfjord H, Sigurdardottir AO, Erlendsdottir RO, Svavarsdottir EK. Nurses' attitudes to family importance in nursing care: A two-sited cross-sectional study. Nurse Educ Pract 2024; 78:104006. [PMID: 38879908 DOI: 10.1016/j.nepr.2024.104006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 03/08/2024] [Accepted: 05/19/2024] [Indexed: 06/18/2024]
Abstract
AIM This study aimed to describe nurses' attitudes and beliefs towards the importance of family in nursing care and explore differences in nurses' attitudes and beliefs towards family-centered care between different healthcare institutions, such as community healthcare centers and hospitals. BACKGROUND Family significantly affects the well-being and health of individuals. Therefore, nurses should support family engagement in nursing care. In recent years, family nursing research has emphasized the importance of teaching family nursing skills in continued education in healthcare institutions. Research has indicated that nurses who believe that illness concerns the family as a whole are more likely to involve the family in patient care. DESIGN A cross-sectional research design was used. METHOD Data were collected at one timepoint between March and September 2019 from 425 nurses working at the Primary Health Care Centers of the Capital Area (n=112) and in clinical settings at the University Hospital in Iceland (n=313). RESULTS The main findings indicated that nurses working in the women-and-child division at the University Hospital reported significantly more positive attitudes towards family evolvement in patient care than nurses working in the intensive care or surgical units. For nurses working at healthcare centers, a significant difference was also found in the nurses' attitudes towards involving families in patient care. The nurses who were working in home care had significantly more positive attitudes when compared to those working in the infant and young children health promotion units. CONCLUSIONS Greater collaboration is required between healthcare providers and families to improve the quality of care and health-related outcomes. Therefore, it is crucial to enhance nurses' knowledge about the importance of families during patient care. TWEETABLE ABSTRACT This study aimed to describe nurses' attitudes and beliefs towards family care. Differences were found between nurse's attitudes by units but not by institutions.
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Affiliation(s)
- Henny Hraunfjord
- Landspítali - The National University Hospital of Iceland, Hringbraut, Reykjavik 101, Iceland; The Directorate of Health in Iceland, Reykjavik, Iceland.
| | - Anna Olafia Sigurdardottir
- University of Iceland, School of Health Sciences, Faculty of Nursing, Eirberg, Eiriksgata 34, Reykjavik 101, Iceland; Landspítali - The National University Hospital of Iceland, Hringbraut, Reykjavik 101, Iceland
| | | | - Erla Kolbrun Svavarsdottir
- University of Iceland, School of Health Sciences, Faculty of Nursing, Eirberg, Eiriksgata 34, Reykjavik 101, Iceland; Landspítali - The National University Hospital of Iceland, Hringbraut, Reykjavik 101, Iceland
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Barrett C, Mathews M, Poitras ME, Norful AA, Martin-Misener R, Tranmer J, Ryan D, Lukewich J. Job titles and education requirements of registered nurses in primary care: An international document analysis. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2021. [DOI: 10.1016/j.ijnsa.2021.100044] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Pusa S, Isaksson U, Sundin K. Evaluation of the Implementation Process of a Family Systems Nursing Approach in Home Health Care: A Mixed-Methods Study. JOURNAL OF FAMILY NURSING 2021; 27:235-249. [PMID: 33825569 PMCID: PMC8366119 DOI: 10.1177/10748407211000050] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
To support the incorporation of Family Systems Nursing (FSN) in clinical practice, more understanding is needed about the implementation of FSN in home health practice settings. Thus, the aim of this study was to evaluate nurses' perspectives about the implementation process of Family Systems Nursing Conversations (FSNCs) in home health care. A mixed-methods research design was used, integrating qualitative and quantitative data, and using triangulation as a methodological metaphor. The Quality Implementation Framework (QIF) was applied to guide the implementation process, and Proctor et al.'s taxonomy of implementation outcomes was used to evaluate the process. The findings demonstrated that FSN implementation was in progress. Overall, acceptability and appropriateness of FSNCs were evaluated as positive by home health nurses; however, some obstacles were found relating to feasibility, adoption, and fidelity. These results contribute to an increased understanding of the process and challenges of implementing FSNCs in home health care.
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Affiliation(s)
- Susanna Pusa
- Umeå University, Sweden
- Susanna Pusa, Department of Nursing, Umeå University, Lasarettsgatan 7, Campus Övik, Örnsköldsvik 891 18, Sweden.
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Petursdottir AB, Svavarsdottir EK. The effectivness of a strengths‐oriented therapeutic conversation intervention on perceived support, well‐being and burden among family caregivers in palliative home‐care. J Adv Nurs 2019; 75:3018-3031. [DOI: 10.1111/jan.14089] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Revised: 03/11/2019] [Accepted: 03/26/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Asta B. Petursdottir
- Palliative Home‐Care Unit Landspitali – The National University Hospital of Iceland Kopavogur Iceland
- School of Health Sciences University of Iceland Reykjavík Iceland
| | - Erla Kolbrun Svavarsdottir
- School of Health Sciences University of Iceland Reykjavík Iceland
- Landspitali –The National University Hospital of Iceland Reykjavík Iceland
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Dorell Å, Sundin K. Expressed emotions and experiences from relatives regarding having a family member living in a nursing home for older people. SAGE Open Med 2019; 7:2050312118823414. [PMID: 30671245 PMCID: PMC6329026 DOI: 10.1177/2050312118823414] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 12/11/2018] [Indexed: 11/21/2022] Open
Abstract
Objectives: The purpose of this study was to describe the topics relatives with a family member in a nursing home for older persons choose to talk about and focus on when participating in a nurse-led “Family Health Conversations” intervention. Family Health Conversations consisted of a series of three nurse-led conversations with each family, with a 2-week interval between meetings. Methods: The Family Health Conversations meetings were tape-recorded and analyzed using qualitative content methods. The participants were relatives of family members living in a nursing home for older persons in a municipality in Sweden. Results: The findings showed how the relatives talked about their suffering and difficulties concerning the new situation. The relatives talked about frustration and sadness together in a new way, with a focus on how to manage the future. They also wished that they had been offered an opportunity to talk about this with nurses earlier in the illness trajectory. Conclusion: The relatives had a significant need to talk about their experiences together within the family and together with the nurses. Nurses have an especially important task in supporting relatives having a family member living in a nursing home.
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Affiliation(s)
- Åsa Dorell
- Department of Nursing, Umeå University, Umeå, Sweden
| | - Karin Sundin
- Department of Nursing, Umeå University, Örnsköldsvik, Sweden
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Emmamally W, Brysiewicz P. Families’ perceptions of support from health care professionals in the three emergency departments in KwaZulu Natal, South Africa. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2019. [DOI: 10.1016/j.ijans.2019.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Petursdottir AB, Haraldsdottir E, Svavarsdottir EK. The impact of implementing an educational intervention to enhance a family-oriented approach in specialised palliative home care: A quasi-experimental study. Scand J Caring Sci 2018; 33:342-350. [PMID: 30488975 DOI: 10.1111/scs.12628] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Accepted: 10/02/2018] [Indexed: 11/28/2022]
Abstract
RATIONALE Healthcare providers' beliefs, attitudes, experiences and knowledge, which guide the care they deliver, are the key factors influencing the quality of palliative care. Education and coaching innovation are needed to translate research outcomes and adopt evidence-based nursing care into practice. OBJECTIVES To evaluate the impact of an advanced educational and coaching programme in a family systems' nursing approach for palliative care nurses in a home-care setting. METHODS A quasi-experimental study using qualitative data from open-ended questions to augment the quantitative outcome study that included a single-group, pre- and post-test design. A total population sample of nurses was recruited from a specialised palliative home care unit at a university hospital. The study utilised two self-reported questionnaires. RESULTS There was a statistically significant increase in the nurses' critical appraisal of clinical nursing practice related to family nursing after participation in the educational programme than before. No statistical difference was found in items related to nurses' experience of the interaction and reciprocity in the nurse-family relationship after participation in the programme than compared to before or in nurses' cancer-related beliefs. However, there was an overall significant positive change found in attitudes towards families in the total score of the Family Practice Scale. Nurses were also more positive about the further development of their knowledge and skills in advanced family nursing evident in the qualitative data. CONCLUSION An advanced educational intervention programme was successful in improving the nurses' knowledge, skills, satisfaction and confidence in relation to applied family nursing approach within the context of caring for families affected by advanced/final stage cancer. However, further refinement of the implementation process is needed to enhance family care improvement and the nurses' professional development in advanced family nursing in specialised palliative care.
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Affiliation(s)
- Asta B Petursdottir
- Palliative Home-care Unit, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.,School of Health Sciences, University of Iceland, Reykjavik, Iceland
| | - Erna Haraldsdottir
- Columbas Hospice and Queen Margret University, Edinburgh, Scotland.,School of Health Sciences, University of Iceland, Reykjavik, Iceland
| | - Erla Kolbrun Svavarsdottir
- School of Health Sciences, University of Iceland, Reykjavik, Iceland.,Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland
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Gusdal AK, Josefsson K, Adolfsson ET, Martin L. Family Health Conversations Conducted by Telephone in Heart Failure Nursing Care: A Feasibility Study. SAGE Open Nurs 2018; 4:2377960818803383. [PMID: 33415206 PMCID: PMC7774427 DOI: 10.1177/2377960818803383] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 08/31/2018] [Indexed: 12/28/2022] Open
Abstract
Registered nurses (RNs) in heart failure (HF) nursing care have a key role in providing family support, which positively affects the outcome for the patient. Telephone interventions conducted by RNs have been reported to be successful in HF nursing care, but Family Health Conversations (FamHCs) involving the patient and the family, have not previously been tested. The purpose of the current study was to explore the experiences and feasibility of nurse-led FamHCs conducted by telephone with patients and their family caregivers. A single-group intervention study with a pretest–posttest design was conducted in three regional hospitals that had a nurse-led HF clinic. Five RNs, eight patients, and eight family caregivers participated. Three FamHCs were conducted by telephone with each family every 2 weeks. Qualitative and quantitative data were collected through semistructured interviews and questionnaires. FamHCs improved the nurse–family relationships and relationships within the families and provided RNs with new knowledge about the families. FamHCs conducted by telephone were considered to be feasible for both families and RNs, although RNs preferred fewer and shorter FamHCs. The RNs preferred meeting face-to-face with the families as nonverbal communication between the family members could be missed because of lack of visual input. On the other hand, RNs appreciated to focus entirely on the conversation without the need to perform illness-related routine checks. In conclusion, the advantages of FamHCs conducted by telephone outweighed the disadvantages. Visual contact, provided by video telephony, and a shorter version of the tested FamHC would facilitate the use in HF nursing care.
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Affiliation(s)
- Annelie K Gusdal
- School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden
| | - Karin Josefsson
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden
| | - Eva T Adolfsson
- Centre for Clinical Research, Uppsala University, Sweden.,Department of Primary Health Care, Västmanland County Hospital, Västerås, Sweden
| | - Lene Martin
- School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden
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A qualitative exploration of oncology nurses’ family assessment practices in Denmark and Australia. Support Care Cancer 2016; 25:559-566. [DOI: 10.1007/s00520-016-3438-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2016] [Accepted: 10/02/2016] [Indexed: 10/20/2022]
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10
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Yamaguchi S, Cohen SR, Uza M. Family Caregiving in Japan: The Influence of Cultural Constructs in the Care of Adults With Cancer. JOURNAL OF FAMILY NURSING 2016; 22:392-418. [PMID: 27364869 DOI: 10.1177/1074840716655530] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Caring culture is a concept embodying the perceptions and caring practices of caregivers, acknowledging the unique role of cultural beliefs in shaping behavior. A qualitative descriptive study with 13 caregivers of adult family members with a cancer diagnosis in Japan was conducted to gain insight into perceptions and experiences surrounding caregiving. Several major categories were identified, representing rarely reported cultural constructs of high cultural value for the Japanese: On-repayment for what the patient has given, Caregiving as performing a socially expected role, Enryo/meiwaku-restraint in asking for help, Family decision making reflecting strong bonds, Omoiyari-empathizing with the patient's feelings, and Inori-praying to myriad gods and ancestors. The Japanese cultural construct of ie (the strong relationship to family lineage and spiritual connection to past and future generations) is helpful in understanding these categories. Invisible yet powerful cultural constructs permeated caregiving practices. Insights from Japanese cultural concepts and beliefs may foster sensitivity and individualized care in diverse settings, cultures, and societies.
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Affiliation(s)
| | - S Robin Cohen
- McGill University, Montreal, Quebec, Canada Jewish General Hospital, Montreal, Quebec, Canada
| | - Miyoko Uza
- University of the Ryukyus, Okinawa, Japan
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Stark ÅJ, Salanterä S, Sigurdardottir AK, Valkeapää K, Bachrach-Lindström M. Spouse-related factors associated with quality of recovery of patients after hip or knee replacement - a Nordic perspective. Int J Orthop Trauma Nurs 2016; 23:32-46. [PMID: 27575874 DOI: 10.1016/j.ijotn.2016.03.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Revised: 03/09/2016] [Accepted: 03/14/2016] [Indexed: 01/23/2023]
Abstract
BACKGROUND Today's shorter hospital stays mean that patients may need support from informal caregivers during their recovery period. The responsibility for providing this support shifts from the healthcare staff to their family members fairly early in the recovery process. Spousal caregivers are considered to be the primary caregivers as their relationship with the patient is more interdependent than that of other family members or caregivers. OBJECTIVES The aim was to describe spouse-related factors that were associated with patients' quality of recovery on discharge from hospital after elective hip or knee replacement. DESIGN The design was prospective, descriptive and comparative, with two measurements, before arthroplasty and on discharge. SETTINGS Two Finnish, three Icelandic and two Swedish university or community hospitals. PARTICIPANTS The sample consisted of spouses and patients. The inclusion criteria were as follows: age ≥18 years, ability to complete the questionnaires, and ability to understand Finnish/Icelandic/Swedish. The patients were asked to identify one family member. Spouses were those defining themselves as a wife, husband or cohabiting partner. Out of 463 spouses, 306 (66%) were included. The mean age of the included spouses was 64 years and 54% of them were females. METHODS Self-reported instruments were used on expected and received knowledge, access to knowledge, emotional state and quality of recovery. RESULTS If the spouses were or had been employed in healthcare or the social services, their partner had greater quality of recovery (p = 0.006). Spouses experiencing negative emotions had partners who experienced lower quality of recovery (p <0.001). Spouses who felt that nurses had enough time for them (p = 0.044) and explained matters concerning their family members' care and treatment (p = 0.011) had partners who experienced greater quality of recovery. CONCLUSIONS Spouses' emotional state played an important role in the patients' quality of recovery (QoR), with uncertainty and depressive state as the main predictors. The importance of nurses explaining matters sufficiently to spouses was emphasized, while spouses' fulfilment of knowledge expectations was not associated with patients' recovery.
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Affiliation(s)
- Åsa Johansson Stark
- Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
| | - Sanna Salanterä
- Department of Nursing Science, Turku University Hospital, University of Turku, Turku, Finland
| | | | - Kirsi Valkeapää
- Department of Nursing Science, Turku University Hospital, University of Turku, Turku, Finland; Lahti University of Applied Sciences, Lahti, Finland
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Østergaard B, Wagner L. The development of family nursing in Denmark: current status and future perspectives. JOURNAL OF FAMILY NURSING 2014; 20:487-500. [PMID: 25398384 DOI: 10.1177/1074840714557780] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Over the past 12 years, a strong foundation for family nursing has been built in Denmark, with rapid growth in the past 3 years. A review of nursing research conducted in Denmark and published between 2002 and 2013 found 15 studies that examined family phenomena. The majority of the studies used descriptive methods with data collected from surveys and interviews involving family members either together or individually. Only five of the studies examined interventions that included families' perspectives about the intervention being evaluated. Several current research projects lead by Danish nurses examine the implementation of family nursing knowledge to clinical settings. Integration of family nursing theory has begun in Denmark in undergraduate and graduate nursing curricula and in May 2013, the Danish Family Nursing Association was officially established. Infrastructure and financial conference support has made it possible to invite Nordic and international colleagues to meet in Denmark, which, reciprocally, expands understanding and support for family nursing within the country. Further collaboration between Danish nurse researchers, educators, and administrators will help sustain the growth of family nursing science and its application in family-focused nursing practice.
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Affiliation(s)
| | - Lis Wagner
- University of Southern Denmark, Odense M, Denmark
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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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Blöndal K, Zoëga S, Hafsteinsdottir JE, Olafsdottir OA, Thorvardardottir AB, Hafsteinsdottir SA, Sveinsdóttir H. Attitudes of Registered and Licensed Practical Nurses About the Importance of Families in Surgical Hospital Units: Findings From the Landspitali University Hospital Family Nursing Implementation Project. JOURNAL OF FAMILY NURSING 2014; 20:355-375. [PMID: 25026965 DOI: 10.1177/1074840714542875] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
The purpose of this study was to examine attitudes of registered nurses and licensed practical nurses about the importance of the family in surgical hospital units before (T1) and after (T2) implementation of a Family Systems Nursing educational intervention based on the Calgary Family Assessment and Intervention Models. This study was part of the Landspitali University Hospital Family Nursing Implementation Project and used a nonrandomized, quasi-experimental design with nonequivalent group before and after and without a control group. There were 181 participants at T1 and 130 at T2. No difference was found in nurses' attitudes as measured by the Families Importance in Nursing Care-Nurses' Attitudes (FINC-NA) questionnaire, before and after the educational intervention. Attitudes toward families were favorable at both times. Analysis of demographic variables showed that age, work experience, and workplace (inpatient vs. outpatient units) had an effect on the nurses' attitudes toward families. The influence of work experience on attitudes toward family care warrants further exploration.
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Affiliation(s)
- Katrin Blöndal
- University of Iceland, Reykjavik, Iceland Landspitali-The National University Hospital, Reykjavik, Iceland
| | - Sigridur Zoëga
- Landspitali-The National University Hospital, Reykjavik, Iceland
| | | | | | | | | | - Herdis Sveinsdóttir
- University of Iceland, Reykjavik, Iceland Landspitali-The National University Hospital, Reykjavik, Iceland
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Wong OL. Contextual barriers to the successful implementation of family-centered practice in mental health care: a Hong Kong study. Arch Psychiatr Nurs 2014; 28:212-9. [PMID: 24856276 DOI: 10.1016/j.apnu.2014.02.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2013] [Revised: 02/09/2014] [Accepted: 02/15/2014] [Indexed: 10/25/2022]
Abstract
This article presents findings from an exploratory study to identify nurses' perspectives on factors that hinder the implementation of family-centered practice in mental health settings in Hong Kong. Thirty-four nurses participated in the study by completing the pre- and post-questionnaires. Ten nurses were invited to participate in focus group and case interviews. The analysis identified knowledge-practice gap, role of psychiatric nurses, professional identity of psychiatric nurses, and management support as negatively affecting the nurses in implementing a family-centered approach to mental health care. Suggestions about facilitating the implementation of the family-centered approach into clinical practice are offered.
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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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Ingadottir B, Johansson Stark Å, Leino-Kilpi H, Sigurdardottir AK, Valkeapää K, Unosson M. The fulfilment of knowledge expectations during the perioperative period of patients undergoing knee arthroplasty - a Nordic perspective. J Clin Nurs 2014; 23:2896-908. [DOI: 10.1111/jocn.12552] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/05/2013] [Indexed: 11/28/2022]
Affiliation(s)
- Brynja Ingadottir
- Department of Social and Welfare Studies; Faculty of Health Sciences; Linköping University; Norrköping Sweden
- Landspitali University Hospital and University of Iceland; Reykjavik Iceland
| | - Åsa Johansson Stark
- Department of Social and Welfare Studies; Faculty of Health Sciences; Linköping University; Norrköping Sweden
| | - Helena Leino-Kilpi
- Department of Nursing Science; University of Turku; Turku Finland
- The Hospital District of Southwest Finland; Turku Finland
| | | | - Kirsi Valkeapää
- Department of Nursing Science; University of Turku; Turku Finland
- Lahti University of Applied Sciences; Lahti Finland
| | - Mitra Unosson
- Department of Social and Welfare Studies; Faculty of Health Sciences; Linköping University; Norrköping Sweden
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Sveinbjarnardottir EK, Svavarsdottir EK, Wright LM. What are the benefits of a short therapeutic conversation intervention with acute psychiatric patients and their families? A controlled before and after study. Int J Nurs Stud 2013; 50:593-602. [DOI: 10.1016/j.ijnurstu.2012.10.009] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2012] [Revised: 10/17/2012] [Accepted: 10/17/2012] [Indexed: 10/27/2022]
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Sveinbjarnardottir EK, Svavarsdottir EK, Hrafnkelsson B. Psychometric development of the Iceland-Expressive Family Functioning Questionnaire (ICE-EFFQ). JOURNAL OF FAMILY NURSING 2012; 18:353-377. [PMID: 22752795 DOI: 10.1177/1074840712449204] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Instruments that are able to capture changes related to an intervention are of great value to the scientific as well as to the clinical community. The Iceland-Expressive Family Functioning Questionnaire (ICE-EFFQ) measures expressive emotions, collaboration, problem solving, communication, and behavior in families experiencing a chronic or an acute illness. The conceptual framework of the Calgary Family Assessment Model (Wright & Leahey, 2009) was used to construct the original questionnaire of 45 items and 10 subcategories. A total of 557 family members with a recent illness experience of a close relative answered the ICE-EFFQ in three different studies. Principal component factor analysis reduced the original questionnaire to 22 items with five factors emerging and a total Cronbach's alpha coefficient of α = 0.912 accounting for 60.3% of the total variability. Confirmatory factor analysis from two studies produced the final version of the questionnaire consisting of 17 items and four factors.
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Svavarsdottir EK, Tryggvadottir GB, Sigurdardottir AO. Knowledge translation in family nursing: does a short-term therapeutic conversation intervention benefit families of children and adolescents in a hospital setting? Findings from the Landspitali University Hospital Family Nursing Implementation Project. JOURNAL OF FAMILY NURSING 2012; 18:303-27. [PMID: 22668768 DOI: 10.1177/1074840712449202] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
In an effort to examine translation of family nursing knowledge to practice, the Landspitali University Hospital Family Nursing Implementation Project (2007-2011), was thoughtfully initiated in Reykjavik, Iceland and systematically evaluated. The mission was to implement family nursing in every department of the hospital. This publication is the first formal research report from this landmark project. The purpose of this research was to evaluate the effectiveness of a short-term therapeutic conversation intervention with families who were receiving health care services at the Children's Hospital at Landspitali University Hospital in Iceland related to childhood and adolescent acute and chronic illnesses. The therapeutic conversation was guided by Family Systems Nursing and used the Calgary Family Assessment and Intervention Models (Wright & Leahey, 2005, 2009). Families (N = 76) were randomly assigned to either an experimental group (short-term therapeutic conversation: n = 41) or to a control group (traditional care: n = 35). Parents in the experimental group reported significantly higher family support after the intervention, compared to the parents in the control group. Differences were noted between families experiencing acute versus chronic illnesses. Recommendations are made for conducting and designing intervention research with families experiencing the hospitalization of a child or adolescent.
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Sveinbjarnardottir EK, Svavarsdottir EK, Hrafnkelsson B. Psychometric development of the Iceland-Family Perceived Support Questionnaire (ICE-FPSQ). JOURNAL OF FAMILY NURSING 2012; 18:328-352. [PMID: 22821443 DOI: 10.1177/1074840712449203] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Valid and reliable instruments are needed to measure how family members perceive support from nurses when a family member is experiencing serious illness. The purpose of this article is to describe the development and psychometric testing of a new instrument, the Iceland-Family Perceived Support Questionnaire (ICE-FPSQ). The concepts in the original version of the ICE-FPSQ (suggesting 24 items and 4 categories) were developed from the Calgary Family Intervention Model. In the first phase of the instrument construction, 179 family members answered the original ICE-FPSQ, and 236 answered the questionnaire in the second phase of testing. Principal Component Analysis (PCA) reduced the original questionnaire to 21 items. Cronbach's α = .959 explained 68% of the total variance, with three factors emerging: (a) emotional support (α = .925), (b) recognition of families' strengths (α = .926), and (c) cognitive support (α = .841). Confirmatory Factor Analyses (CFA) resulted in a final version of the questionnaire containing 14 items with total alpha of .961 and two factors: (a) cognitive support (α = .881) and (b) emotional support (α = .952). The instrument measures family's perceptions of support provided by nurses and will be helpful in examining the usefulness of family nursing interventions.
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Thome M, Arnardottir SB. Evaluation of a family nursing intervention for distressed pregnant women and their partners: a single group before and after study. J Adv Nurs 2012; 69:805-16. [DOI: 10.1111/j.1365-2648.2012.06063.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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24
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Bell JM. Making ideas "stick": the 15-minute family interview. JOURNAL OF FAMILY NURSING 2012; 18:171-174. [PMID: 22522916 DOI: 10.1177/1074840712443663] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Nelms TP, Eggenberger SK. The essence of the family critical illness experience and nurse-family meetings. JOURNAL OF FAMILY NURSING 2010; 16:462-486. [PMID: 21051759 DOI: 10.1177/1074840710386608] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Nursing care of families is essential to strong family support and maintenance of family health during a critical illness. Secondary data analysis of interviews conducted with 11 families with a family member in the intensive care unit revealed two essences: the family critical illness experience and the family vision for the kind of care families required and desired from nurses. The purpose of this article was to explicate the essence of these phenomena and their implications for family nursing practice. Findings affirm the need for a family intervention described in the literature, that of regularly scheduled nurse-family meetings. Although developed for work with families experiencing a chronic illness, bringing families together and inviting meaningful conversation about their experiences is appropriate for families experiencing critical illness. Nurse-family meetings acknowledge suffering and vulnerability of families when a loved one is critically ill and afford families an opportunity for honest sensitive communication with nurses.
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Affiliation(s)
- Tommie P Nelms
- WellStar School of Nursing, Kennesaw State University, Kennesaw, Georgia 30144, USA.
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Braun VF, Hyndman K, Foster C. Family nursing for undergraduate nursing students: the Brandon University Family Case Model approach. JOURNAL OF FAMILY NURSING 2010; 16:161-176. [PMID: 20406999 DOI: 10.1177/1074840710366565] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
For family nursing to become an essential component of nursing practice, the authors believe that undergraduate nursing programs need to present family nursing theory and practice in such a way that "thinking family" will become an integral part of students' nursing practice. This article articulates how one faculty group created the Family Case Model (FCM) as a vehicle for embedding family nursing across five courses in an undergraduate curriculum, allowing students to become immersed in the lives of families. Five skeleton case families representing different cultures, family forms, and family illness experiences were designed to reinforce both individual and family development and response to illness. These case families were linked to specific courses within the curriculum dealing with the traditional medical-surgical content of undergraduate nursing programs. The FCM invited a focus on the reciprocity between illness, family members, and the nurse across courses. The article describes the development, implementation, and evaluation of the FCM.
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Leahey M, Svavarsdottir EK. Implementing family nursing: how do we translate knowledge into clinical practice? JOURNAL OF FAMILY NURSING 2009; 15:445-60. [PMID: 19783792 DOI: 10.1177/1074840709349070] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Health care systems worldwide are faced with the challenge of improving the quality of care, closing the knowledge-to-practice gap, and identifying the facilitators in these processes. Knowledge translation that promotes circularity between knowledge and practice is often overlooked. Knowledge transfer and translation are defined and briefly discussed in this article. Examples of knowledge translation in family nursing are provided, including knowledge creation research in pediatrics and adult pulmonary health at a University Hospital in Iceland. A second example focuses on the application of knowledge in mental health urgent care in a community health center in Calgary, Canada. Improving and speeding the circularity between knowledge translation and clinical practice reaps benefits for patients, families, health care providers, and the health care system. Conclusions about facilitating the implementation of family nursing knowledge into clinical practice are offered. The circularity between knowledge translation and practice is emphasized.
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