Therapeutic Letters and the Family Nursing Unit

Bell, Janice M.; Moules, Nancy J.; Wright, Lorraine M.

doi:10.1177/1074840709331865

Cited by 24 publications

(37 citation statements)

References 28 publications

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“…The third conversation focused more on coping strategies and on the future. Two or three weeks after the last conversation, a 'closing letter' was sent to the family (3,26) as an additional way of concluding the conversation series. The closing letters are not analysed in this study.…”

Section: Methodsmentioning

confidence: 99%

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

Östlund

Bäckström

Lindh

et al. 2014

Scandinavian Caring Sciences

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The 'core components' seemed to be useful even if nurses' fidelity varied among the core components. Some components were followed relatively well, but others were not. This indicates that the process for achieving fidelity to the intervention can be improved, and that it is necessary for nurses to continually learn theory and to practise family systems nursing. We suggest this can be accomplished through reflections, role play and training on the core components. Furthermore, as in this study, joint reflections on how the core components have been implemented can lead to deeper understanding and knowledge of how Family Health Conversation can be delivered as intended.

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Section: Methodsmentioning

confidence: 99%

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

Östlund

Bäckström

Lindh

et al. 2014

Scandinavian Caring Sciences

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show abstract

“…Therapeutic letter writing has a long history in counseling and therapy (Pare & Rombach, 2003;Romback, 2003;White & Epston, 1990) and has recently been highlighted as an effective strategy in advanced family nursing practice (Bell, Moules, & Wright, 2009). The therapeutic value of TLs had been described in many ways, including the promotion of powerful relationships (Rodgers, 2009), bridging time and space to deliver healing words (Moules, 2009a), adding to and extending the therapeutic dialogue (Pyle, 2009) acknowledging suffering, conserving and protecting memories, provoking reflection (Moules, 2009b), cementing the therapeutic alliance, promoting new insights, and clarifying the therapeutic process (Ryle, 2004).…”

Section: Therapeutic Lettersmentioning

confidence: 98%

“…Writing therapeutic letters is not unknown to nursing; it is an accepted intervention in advanced family nursing (Bell, Moules, & Wright, 2009) and has been used in psychiatric nursing practice to promote the goals of therapy (Harper-Jacques & Masters, 1994). TLs have been found to facilitate relationship-building (Moules, 2002;2009a, 2009b, promote mutuality in clinical relationships, and encourage seeing patients' strengths (Rodgers, 2009).…”

mentioning

confidence: 99%

“It's the Little Things That Count”: The Value in Receiving Therapeutic Letters

Freed

McLaughlin

SmithBattle

et al. 2010

Issues in Mental Health Nursing

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The focus of this qualitative study was to explore patient's perceptions of having received a therapeutic letter (TL) from a nursing student. Patient feedback contributes to student learning and is especially salient when students are trying to understand complex relationships and to deliver care that is individualized and personalized. Four themes from recipient interviews were identified, which show the influence of TLs on the student-patient relationship and the benefits of TLs to patients who receive them. Strategies to promote relationship building, such as TL writing are needed, particularly when students are required to work with patients who have long-standing psychiatric and social disabilities and find these relationships challenging. Findings are discussed in light of the value of TLs to patients and as a powerful strategy for student learning.

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“…The third conversation focused on family strengths and resources for the future. A "closing letter" was sent to each family two or three weeks after the last conversation [42] summarising the RNs' reflections on the three conversations, acknowledging the families suffering and highlighting their resources. Jointly reflecting with the family on expectations of the conversation series Exploring the family structure Ensuring that all family members are given space within the conversation and have the opportunity to narrate their experiences Jointly prioritizing which problem(s) most need to be discussed Pre and post measures (1 month) were taken with the Swedish version of Family Hardiness Index (FHI), [43] measuring family members' experiences of the general atmosphere for social interaction within the family [44] and the Swedish version of Hearth Hope Scale (HHI-S), measuring hope as a multi-dimensional dynamic power.…”

Section: Interventionmentioning

confidence: 99%

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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Therapeutic Letters and the Family Nursing Unit

Cited by 24 publications

References 28 publications

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

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

“It's the Little Things That Count”: The Value in Receiving Therapeutic Letters

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

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