Nurses’ fidelity to theory‐based core components when implementing Family Health Conversations – a qualitative inquiry

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

doi:10.1111/scs.12178

Cited by 28 publications

(56 citation statements)

References 26 publications

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“…The third conversations had a future‐oriented approach and focused more on coping strategies and finding family resources and strengths to manage difficulties in the future (cf. ). In the closing letter, the RNs that led the FamHC provided written reflections on the three conversations’ content, acknowledged each family member's suffering and as a forward‐looking completion highlighted the families’ resources and strengths .…”

Section: Methodsmentioning

confidence: 97%

“…One took the major responsibility during the conversations, while the other was a co‐participant offering reflections on the conversation content at the end. The intervention followed a format describing its core components of three conversations, approximately two weeks apart, to be held in the families’ own homes and concluded with a ‘closing letter’. It was sent to the families approximately two weeks after the last conversation.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Envisioning the future as expressed within family health conversations by families of persons suffering from stroke

Sundin

Pusa

Jonsson

et al. 2017

Scandinavian Caring Sciences

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Section: Methodsmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

Envisioning the future as expressed within family health conversations by families of persons suffering from stroke

Sundin

Pusa

Jonsson

et al. 2017

Scandinavian Caring Sciences

Self Cite

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“…The theoretical assumptions of FamHC comprise a number of core components [20]. Reciprocity, humility, and respect for the families and their situation, their beliefs, and ideas are central to the intervention.…”

Section: Materials and Methodsologymentioning

confidence: 99%

“…The FamHC is a systemic approach focused on the interactions and relationships between family members` beliefs and experiences in which each family member’s view is equally important [20, 27] and personal narratives and reflections are significant and emphasized. Narration is believed to have a profound effect on the healing process [28], and is closely joined together with reflections, which is thought to facilitate the emergence of new beliefs and the discovery of new alternatives or meanings that can also have an impact on the health [29].…”

Section: Introductionmentioning

confidence: 99%

Family Health Conversations have Positive Outcomes on Families - A Mixed Method Research Study

Dorell¹,

Isaksson²,

Östlund³

et al. 2017

TONURSJ

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Background:Having a family member living in a residential home affects the entire family and can be hard to handle. Family members require encouraging and open communication support from nurses during and after relocation to a residential home. A Family Systems Nursing intervention, “Family Health Conversations” (FamHC) was conducted in order to strengthen the health of families having relatives at residential home for older people.Objectives:The aims of this study were to evaluate the responses to the Family Health Conversations in families with a member living at a residential home for older people and to integrate the empirical results with a theoretical assumption upon which the intervention was based.Methods:A mixed methods research design was used. The Swedish Health-Related Quality of Life Survey and the Family Hardiness Index were administered before and 6 months after the intervention. Qualitative data was collected by semi-structured interviews with each family 6 months post-intervention. The sample included 10 families comprising 22 family members.Result:Main finding was that FamHCs helped family members process their feelings about having a member living at a residential home and made it easier for them to deal with their own situations. FamHCs helped to ease their consciences, improve their emotional well-being, and change their beliefs about their own insufficiency and guilt. Seeing problems from a different perspective facilitated the families’ thinking in a new way.Conclusion:These findings showed that FamHC could be an important type of intervention to improve family functioning and enhance the emotional well-being.

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“…FamHC are offered to families with the purpose of creating a context for change in family health as well as supporting the creation of new beliefs, meanings, and relationship opportunities specific to the story narrated by the family . They have a family focus and begin with the family's stories (Östlund, Bäckström, Lindh, Sundin, & Saveman, 2015). Further, FamHC have a salutogenic approach (Antonovsky, 1996) with the aim of shifting the focus of the conversation from illness and poor functioning to positive aspects and well-being (Mittelmark & Bull, 2013), although suffering is acknowledged along with family strengths and resources .…”

Section: Family-focused Carementioning

confidence: 99%

On a journey for survival : everyday life during radiation therapy from the perspectives of women with breast cancer and their families

Holst-Hansson¹

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To everyone who has believed in me Vi människor är sociala varelser. Vi kommer till denna värld som ett resultat av andras handlingar. För vår överlevnad är vi ömsesidigt beroende av varandra. Vare sig vi vill eller inte finns det inte en enda stund i livet då vi inte drar nytta av sådant som andra har gjort eller gör. Det är därför knappast förvånande att det mesta av vår lycka uppstår i relationer med andra. Inte heller är det anmärkningsvärt om vår största glädje uppstår när vi motiveras av omsorg om andra. Men det är mera än så. Allt tyder på att altruistiska handlingar inte bara skapar lycka, utan att de också minskar vår upplevelse av lidande. Vårt beteende mot andra blir automatiskt positivt när vi handlar av omsorg mot dem. Det är för att vi inte har plats för några misstankar när hjärtat är fyllt av kärlek. Det är som en inre dörr öppnas och låter oss komma ut. ABSTRACTThis thesis focuses on women diagnosed with breast cancer and their family members. Since a breast cancer diagnosis and its subsequent treatment are a strenuous experience not only for the woman afflicted but also for her family members, this thesis aimed to explore the experiences of everyday life during radiation therapy from the perspectives of the woman with breast cancer and her family, as well as exploring families' experiences of participating in short family health conversations (SFamHC). All included studies were interview studies (Papers I, II, III & IV), where 30 women (20 in Paper I and 10 in Paper II) with breast cancer, 19 family members including the women with breast cancer (Paper III) and 9 families (Paper IV) were interviewed. The data from the interviews was analysed using qualitative content analysis (Papers I & II), a hermeneutical phenomenological method (Paper III) and thematic analysis (Paper IV).The women's experiences of breathing adapted radiation therapy (BART) (Paper I) were identified in an overall theme, The breath of life, as the women experienced the breathing as a way to influence their treatment and thus their survival. The overall theme could be divided into one main category: Participating in one's treatment, for good or ill, with four subcategories: Knowing one has done something good, Getting an extra bonushealthwise, The experience of being in control and Being in a hightechnology environment.Women born in Iraq and the former Yugoslavia, diagnosed with breast cancer and living in Sweden, experienced their everyday life during radiation therapy as a narrow and challenging treatment road to survival (Paper II). Their experiences were structured into three categories: Strategies for survival, Keeping up appearances and Staying in control. More focus should be on acknowledging the woman behind the diagnosis, regardless of her origin, in order to 10 develop individualised support programmes to help women cope with everyday life during radiation therapy.The families' lived experience when a family member is diagnosed with breast cancer (Paper III) was described as a challenging endeavour to regain an or...

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Nurses’ fidelity to theory‐based core components when implementing Family Health Conversations – a qualitative inquiry

Cited by 28 publications

References 26 publications

Envisioning the future as expressed within family health conversations by families of persons suffering from stroke

Envisioning the future as expressed within family health conversations by families of persons suffering from stroke

Family Health Conversations have Positive Outcomes on Families - A Mixed Method Research Study

On a journey for survival : everyday life during radiation therapy from the perspectives of women with breast cancer and their families

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