A Family Systems Nursing Approach for Families Following a Stroke

Östlund, Ulrika; Bäckström, Britt; Saveman, Britt‐Inger; Lindh, Viveca; Sundin, Karin

doi:10.1177/1074840716642790

Cited by 46 publications

(74 citation statements)

References 43 publications

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“…They interpreted this as the fact that telling the story opened up for hope in the family. Experiences from the FamHC in the same sample as in the present study [28] have shown that room for narratives and deeper conversations were created within the conversations so in that sense the potential for families to develop hope is there. In the qualitative findings in the present study, even if not talking explicitly about hope, a reappraisal of life was found.…”

Section: Discussionmentioning

confidence: 73%

“…Moreover, there was room for creating confirmation. [28] It might be that these new and positive ways of communicating were kept in their own dialogues within the family after the intervention was concluded. Also, Dorell et al [26] have shown within the context of residential care, that one month after participating in FamHC there was an increase in the communication within the family.…”

Section: Discussionmentioning

confidence: 99%

“…[35] Moreover, the family members' experiences with participating in this systemic family nursing intervention, [28] what couples choose to focus on during the family conversations, [36] and also the interventions cost-effectiveness [27] are described earlier.…”

Section: Methodsmentioning

confidence: 99%

“…[24] Empirical studies revealing effects and responses after participating in FamHC are, however, still scarce, but the intervention has started to be evaluated from various angles. [25][26][27][28][29] From these studies, FamHC has been described as a successful conversation with a possible working mechanism in which narrating, listening and reconsidering in interaction support family health. The FamHCs mediate understanding of multiple ways of being and acting, see new possibilities and developing new meanings and hope to make the situation manageable.…”

Section: Family Supportmentioning

confidence: 99%

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Responses after participating in Family Health Conversations in families with a family member who has suffered a stroke: A mixed methods research study

Sundin¹,

Bäckström²,

Lindh³

et al. 2016

Clinical Nursing Studies

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Background: It has been proposed that support for families in which a family member has suffered a stroke should involve the whole family system. Aim: The aim was to evaluate the responses of Family Health Conversation (FamHC) in families with a member under the age of 65 who has been diagnosed with stroke. Methods: In this mixed methods research study, families were included in an intervention group and in a control group. For both groups pre-and post-intervention quantitative data was collected and for the intervention group, qualitative data was collected post-intervention. Underlying theoretical propositions and the two data sets were then integrated. Results: Family health measured as "the general atmosphere of the interaction of the family" had improved in the intervention group when compared to the control group. The intervention families, moreover, described how they had become more cooperative, their communication had improved, they had become more confident with their situation and also when planning for the future when comparing to before the FamHC. Conclusions: Based on the empirical results supporting the theoretical proposition underlying FamHC, we conclude that it works as intended, and the evidence for the theoretical proposition is thereby strengthened. This paper contributes to the scientific evidence concerning FamHC. With the available evidence, RNs are suggested to consider changing practice so as to work in a more family-centred way to support families living with ill-health. Implementing FamHC can be one way of undertaking such supportive work.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Family Supportmentioning

confidence: 99%

See 2 more Smart Citations

Responses after participating in Family Health Conversations in families with a family member who has suffered a stroke: A mixed methods research study

Sundin¹,

Bäckström²,

Lindh³

et al. 2016

Clinical Nursing Studies

Self Cite

View full text Add to dashboard Cite

show abstract

“…In this model, the family is seen as a system of relationships organized according to certain common goals that would not be reached separately by the different members (9) . The family is considered as a unique system that cannot be described by the sum of its parts, hence the group responses and not the individual responses were considered.…”

Section: Methodsological Proceduresmentioning

confidence: 99%

The family in face of the elderly's reality of living alone

2017

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Objective: to understand the family dynamics in face of the reality of the elderly living alone. Method: study of qualitative approach with theoretical reference of symbolic interactionism that involved interviews with families. Data were analyzed by thematic analysis. Results: six families participated in the study. The discourse analysis originated the following categories: The family respecting their decision making; The family organizing itself to the process of living alone after the age of 80 years; The family experiencing the freedom of living alone. Conclusion: in this study, it was possible to identify the facilitation of the possibility of living alone with preparation and agreements between the family during the family life cycle, leading to the feeling of freedom and quality of life of all members. Nursing, as a science responsible for elaborating care strategies, should work together with families to assist in the planning of care plans based on the individual social reality of the family. Descriptors: Elderly; Housing; Family Nursing; Family Relationships; Geriatric Nursing. RESUMO Objetivo: compreender a dinâmica familiar frente a realidade do idoso de morar sozinho. Método: estudo de abordagem qualitativa, com referencial teórico do Interacionismo Simbólico e que envolveu entrevistas com famílias. Os dados foram analisados por análise temática. Resultados: seis famílias participaram do estudo. A análise de discurso originou as seguintes categorias: A família se organizando ao processo de morar sozinho após os 80 anos; A família respeitando as suas tomadas de decisão; A família vivenciando a liberdade do morar sozinho. Conclusão: neste estudo foi possível identifi car que a possibilidade de morar sozinho é facilitada pelo preparo e acordos da família durante o ciclo vital familiar, levando à sensação de liberdade e qualidade de vida de todos os membros. A enfermagem, como ciência responsável pela elaboração de estratégias de cuidado, deve trabalhar junto às famílias auxiliando no planejamento de planos assistenciais baseados na realidade social familiar individual. Descritores: Idoso; Habitação; Enfermagem Familiar; Relações Familiares; Enfermagem Geriátrica. RESUMEN Objetivo: comprender la dinámica de la familia frente a la realidad de los ancianos que viven solos. Método: estudio cualitativo con el marco teórico de la interacción simbólica y que incluyó entrevistas con las familias. Los datos fueron analizados mediante el análisis temático. Resultados: seis familias participaron en el estudio. El análisis del discurso ha originado las siguientes categorías: La familia respeta su toma de decisiones; La familia se organiza al proceso de vivir solo después de 80 años; La familia experimenta la libertad del vivir solo. Conclusión: en este estudio se observó que la posibilidad de vivir solo se ve facilitada por la preparación y las disposiciones de la familia en el ciclo de vida familiar, dando lugar a una sensación de libertad y la calidad de vida de todos los miembros. La enfermería, como ...

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Attitudes and perceptions of healthcare professionals related to family participation in surgical cancer care—A mixed method study

et al. 2022

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The World Health Organization (1998) defines health as "a state of complete physical, mental and social well-being and not just the absence of illness and disability."Family is the composition of a self-defined group that includes two or more people. The bond between family members is not dependent on law or blood ties but is defined by a member's experience of belonging to a family (Whall, 1986). Family is self-defined and beyond blood ties, which thus opens a diversity of different family constellations. The feeling of a strong sense of belonging is fundamental (Wright & Leahey, 2013). The well-being of a family is intertwined between each member, and individual changes in members can create ill health in the whole family. Kakkinen and Hanson (2015, p. 5) define family health as "a dynamic changing relative state of well-being which includes the biological, psychological, spiritual, sociological and cultural factors of the family systems." To maintain perceived health, communication is a cornerstone that creates balance within the family and thereby the power to resist external influences. Each family has its own culture regarding function and structure, which can change over time. A nurse needs to understand the family's structure and culture to best support the family in a crisis (Kakkinen & Hanson, 2015).

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A Family Systems Nursing Approach for Families Following a Stroke

Cited by 46 publications

References 43 publications

Responses after participating in Family Health Conversations in families with a family member who has suffered a stroke: A mixed methods research study

Responses after participating in Family Health Conversations in families with a family member who has suffered a stroke: A mixed methods research study

The family in face of the elderly's reality of living alone

Attitudes and perceptions of healthcare professionals related to family participation in surgical cancer care—A mixed method study

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