The health promoting conversations intervention for families with a critically ill relative: A pilot study

Ågren, Susanna; Eriksson, Anna; Fredrikson, Mats; Hollman-Frisman, G.; Orwelius, Lotti

doi:10.1016/j.iccn.2018.04.007

Cited by 30 publications

(49 citation statements)

References 47 publications

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“…Families participating in the FamHC reported healthier family function than families just having regular follow up …”

Section: Discussionmentioning

confidence: 97%

“…The FamHC conducted in families living with chronic illness, as well as critical illness, has been shown to increase the family's capacity for mutual understanding; relationships within the family can develop and improve. Creating a complete picture of the situation with critical illness and ICU and being given the opportunity to listen to and fill in potential memory gaps helps to make the situation manageable.…”

Section: Discussionmentioning

confidence: 99%

“…Creating a complete picture of the situation with critical illness and ICU and being given the opportunity to listen to and fill in potential memory gaps helps to make the situation manageable. Receiving support in order to handle problems and gain control also facilitates healing …”

Section: Discussionmentioning

confidence: 99%

“…This finding is in agreement with Ahlberg et al' findings in a study of support groups for family members of former ICU patients: that families try to adapt to the new family situation and find new strategies to cope with situations that appear. The FamHC has been shown to improve family function, the family improves their ability to think differently about what bothers them, and they process the problem from a different angle . A nurse‐led FamHC can help the family and the formerly critically ill patient process their feelings.…”

Section: Discussionmentioning

confidence: 99%

“…The FamHC is about family members listening and learning from each other in order to facilitate the emergence of new meanings of family issues, and healthy family function may be enhanced . A randomized control pilot study by Agren et al has shown that the FamHC may improve family well‐being within the ICU context, promoting family functioning, reducing stress, and improving mental health.…”

Section: Introductionmentioning

confidence: 99%

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Family Health Conversations create awareness of family functioning

Ahlberg

Frisman

Berterö

et al. 2019

Nursing in Critical Care

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Background The whole family is affected if one family member is critically ill. The Family Health Conversation Intervention may give the family tools that support healthier family functioning. Aims and objectives The aim of this study was to identify which components of family function are affected when families participate in Family Health Conversations. Design A secondary analysis was performed of existing qualitative interviews. The Family Health Conversation is an intervention where nurses ask the family reflective questions, and reflection is made possible in three conversation sessions. Methods This study included transcribed data from 13 follow‐up interviews from seven families attending Family Health Conversations after three and 12 months. Data were analysed with narrative analysis, focusing on family function. Results Three themes were identified. The families' family functioning had been supported with: improved understanding of each other—there was an understanding of being in the same situation but still having totally different experiences; more concern for each other—they talked about their different experiences and felt they had become closer to each other; and a process of working through—they had experienced working through various experiences, standing by and supporting, and then being able to move on. Conclusions The Family Health Conversation Intervention is provided to families, accompanied by nurses. The families in this study gained an awareness of their family function that brought the family closer because of improved understanding of each other and the situation. The families experienced openness, and the family members spoke more freely with each other, which facilitated the progress of working through the experience of critical illness and helped to maintain healthy family functioning. Relevance to clinical practice It is important to have an overall perspective and to recognize the patient and the family as equally important within the family for awareness of family function.

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“…Families participating in the FamHC reported healthier family function than families just having regular follow up …”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Family Health Conversations create awareness of family functioning

Ahlberg

Frisman

Berterö

et al. 2019

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

Interventions for interpersonal communication about end of life care between health practitioners and affected people

Ryan

Connolly

Bradford

et al. 2022

Cochrane Database of Systematic Reviews

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Post‐intensive care syndrome: Recent advances and future directions

Inoue,

Nakanishi,

Amaya

et al. 2024

Acute Medicine & Surgery

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Post‐intensive care syndrome comprises physical, cognitive, and mental impairments in patients treated in an intensive care unit (ICU). It occurs either during the ICU stay or following ICU discharge and is related to the patients' long‐term prognosis. The same concept also applies to pediatric patients, and it can greatly affect the mental status of family members. In the 10 years since post‐intensive care syndrome was first proposed, research has greatly expanded. Here, we summarize the recent evidence on post‐intensive care syndrome regarding its pathophysiology, epidemiology, assessment, risk factors, prevention, and treatments. We highlight new topics, future directions, and strategies to overcome post‐intensive care syndrome among people treated in an ICU. Clinical and basic research are still needed to elucidate the mechanistic insights and to discover therapeutic targets and new interventions for post‐intensive care syndrome.

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The health promoting conversations intervention for families with a critically ill relative: A pilot study

Abstract: This intervention may improve family wellbeing by improving family function, reducing stress, and promoting better mental health.

Cited by 30 publications

References 47 publications

Family Health Conversations create awareness of family functioning

Family Health Conversations create awareness of family functioning

Interventions for interpersonal communication about end of life care between health practitioners and affected people

Post‐intensive care syndrome: Recent advances and future directions

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