Umbrella review of family‐focused care interventions supporting families where a family member has a long‐term condition

Smith, Joanna; Ali, Parveen; Birks, Yvonne; Curtis, Penny; Fairbrother, Hannah; Kirk, Susan; Saltiel, David; Thompson, Jill; Swallow, Veronica

doi:10.1111/jan.14367

Cited by 28 publications

(34 citation statements)

References 89 publications

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“…However, family members and appropriately trained patients can also provide support [32], and this should be taken into account when exploring the possibilities of scaling-up. Family-based care interventions have the potential to improve the health and well-being of people with chronic diseases [33]. One possible method is the introduction of a care manager.…”

Section: Discussionmentioning

confidence: 99%

Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia

et al. 2021

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Introduction: Research on models of integrated health care for hypertension and diabetes is one of the priority issues in the world. There is a lack of knowledge about how integrated care is implemented in practice. Our study assessed its implementation in six areas: identification of patients, treatment, health education, self-management support, structured collaboration and organisation of care.Methods: This was a mixed methods study based on a triangulation method using quantitative and qualitative data. It took place in different types of primary health care organisations, in one urban and two rural regions of Slovenia. The main instrument for data collection was the Integrated Care Package (ICP) Grid, assessed through four methods: 1) a document analysis (of a current health policy and available protocols; 2) observation of the infrastructure of health centres, organisation of work, patient flow, interaction of patients with health professionals; 3) interview with key informants and 4) review of medical documentation of selected patients. Results:The implementation of the integrated care in Slovenia was assessed with the overall ICP score of 3.7 points (out of 5 possible points). The element Identification was almost fully implemented, while the element Self-management support was weakly implemented. Discussion:The implementation of the integrated care of patients with diabetes and/ or hypertension in Slovenian primary health care organisations achieved high levels of implementation. However, some week points were identified. Conclusion:Integrated care of the chronic patients in Slovenia is already provided at high levels, but the area of self-management support could be improved.

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Section: Discussionmentioning

confidence: 99%

Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia

et al. 2021

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“…Several reviews have been undertaken to determine the evidence of an active partnership with families, operationalized here as any nursing practices that involve, engage, and support family members and family systems in care delivery and in disease or illness management processes ( Chesla, 2010 ; Giap & Park, 2021 ; Gilliss et al, 2019 ; Smith et al, 2020 ). In the context of persistent illness, a beneficial impact of psycho-educational and relationship-focused family interventions on the individual patient and family member’s mental health has been found ( Deek et al, 2016 ; Hartmann et al, 2010 ; Hopkinson et al, 2012 ; Park et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

The Implementation of Evidence-Informed Family Nursing Practices: A Scoping Review of Strategies, Contextual Determinants, and Outcomes

2022

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There is a lack of knowledge about the successful implementation of family nursing practices. This scoping review maps current knowledge about the implementation of evidence-informed family nursing practices across settings and populations. A systematic search (CINAHL, PubMed, Medline) identified 24 publications, published between 2010 and 2020. We found nurses’ implementation experience to be one of disruption, learning, and moving to new ways of practicing. The implementation resulted in benefits to families and self but was marked by fluctuation and partial integration of evidence-informed family nursing practices into care delivery. Uptake was shaped by various contextual determinants, with barriers mainly at the team and organizational levels. We identified low-quality, tentative evidence that capacity-building strategies coupled with dissemination-educational strategies may enable family nursing practice skills and increase the quality of family care. More rigorous research is needed to build further knowledge about effective implementation. Future implementation endeavors should utilize the evolving knowledge base in family nursing and tailor implementation strategies to contextual barriers.

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“…FFP can be provided in a variety of ways and at different levels from mental health promotion to specialist intervention (Smith et al ., 2020). Information and support to enhance resilience may be provided through peer support programmes (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…Although the above work has been highly influential in furthering our understanding of components of current FFP interventions, there are aspects of FFP which require further exploration. Four recent reviews (Acri and Hoagwood, 2015; Foster et al ., 2016; Marston et al ., 2016; Smith et al ., 2020) have acknowledged the lack of an agreed definition of FFP, explored the way in which the relevant terms are used, and identified key principles and components of FFP. Foster et al .…”

Section: Introductionmentioning

confidence: 99%

Families with Parental Mental Health Problems: A Systematic Narrative Review of Family‐Focused Practice

et al. 2021

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The mental health problems of parents can negatively affect their whole family. The organisational and wider context may also influence the outcomes for all involved. The aims of this systematic review were: to develop a working definition of family‐focused practice (FFP); identify the types of outcomes that are measured with a focus on service user experiences; and explore how well interventions in the included studies fit with previously established components of FFP. A comprehensive literature search of 16 databases was conducted for peer‐reviewed, primary research studies related to FFP published between 1998 and 2016. In total, 3731 articles were identified and screened by four reviewers. Of those, 40 articles met all of the inclusion criteria. The review focused on family outcomes and, consistent with previous reviews, there was a reasonable degree of consistency about the core components of FFP. An additional component, identified by this review, which was part of some interventions, was work to improve access to and engagement with community supports and services. The review concludes that there is a need for: an agreed definition of FFP; clearer links to relevant theories; a more consistent approach to measuring outcomes, including economic perspectives; and an increased strategic promotion of whole family approaches.Key Practitioner Messages There is an immediate need for an agreed definition of family‐focused practice. Relevant theory could further clarify the theories of change and anticipated outcomes. There is consistency across studies about the key components of family‐focused practice. This review suggests the inclusion of an additional component, which is practice that improves access to and engagement with community supports and services. Economic evaluations of family‐focused practice are needed. ‘There is an immediate need for an agreed definition of family‐focused practice’

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Umbrella review of family‐focused care interventions supporting families where a family member has a long‐term condition

Cited by 28 publications

References 89 publications

Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia

Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia

The Implementation of Evidence-Informed Family Nursing Practices: A Scoping Review of Strategies, Contextual Determinants, and Outcomes

Families with Parental Mental Health Problems: A Systematic Narrative Review of Family‐Focused Practice

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