Background: Heart failure is a chronic condition involving several prominent changes in daily life that may be stressful and burdensome for both the patient and his/her family members. Aim: To analyse and describe the content of family-focused conversations for patients with heart failure and their next of kin. Method: The content of 18 case reports documenting conversations with patients suffering from heart failure (mean 68 years) and their next of kin were analysed using content analysis. Results: The significance of the conversations was captured through an overall theme about the families’ efforts towards stabilisation of family life with heart failure including three categories: families’ illness experiences; planning for the future; and family life with heart failure. Conclusion: Family-focused conversations should be offered as a natural part of the standard care and health care personnel should be challenged to listen to the family’s experiences during the illness trajectory.
Family-Focused-Nursing-Conversations (FFNC) have been applied in a neonatal intensive care unit, in order to facilitate partnership between families and nurses. The purpose of this study was to explore during which conditions nurses experience a development of partnership with families when using FFNC. Fourteen nurses participated in two focus-group interviews and were evaluated using the method of realist evaluation. A program theory was established and tested for its application in clinical practice. The results showed that nurses experienced FFNC as an instrument for promoting partnerships under specific conditions. Hence, partnerships were facilitated by factors such as nursing actions, family competences, mutual trust, and shared goals between families and nurses. Also, support by the head of department was important. We conclude that FFNC may improve the development of partnership between families and nurses. On the other hand, the nursing culture and missing knowledge regarding family-centered care may adversely affect the implementation of FFNC.
Family focused nursing is a method to meet the increasing demands for involvement of patients and families in care and treatment. The purpose of this article is to describe the experience of implementing Family Focused Nursing (FFS) in a medical ward in the period 2013–2018. Management support is necessary, as education, supervision and implementation of FFS require economic, professional, time and mental resources. Approximately 5/6 of the nursing staff has attended one- or three-day courses. Supervision is given, and short and long FFS conversations are implemented. The experience is that all educated caregivers / dieticians use the FFS conversations, but differently. Long conversations are time consuming and are best arranged in outpatient clinics. The FFS conversations give the nurse an important insight into the family's situation and their experience and thoughts regarding the illness. Families express that they feel acknowledged and that they benefit from the conversations.
Background: Illness is a family affair and lately there has been an increased public and political demand for more inclusion of patients together with their families in the health care trajectory. Therefore family system nursing according to the Calgary family assessment and intervention models was introduced in an undergraduate curriculum at a nursing school in Denmark. Aim: To describe the implementation process and discuss and provide ideas on how to change focus from patient-centered care towards family system nursing throughout the nursing curriculum. Method: This discussion paper provides theoretical aspects of family system nursing, explaining implementation aspects and circumstances with reflections on the process and results. Results: Family system nursing is now a continuous feature of the curriculum and a part of the education institution’s profile. Conclusion: Family system nursing has been successfully implemented through a systematic change process. Lectures and students have increased their focus on “thinking family”.
Background: There is a tradition in the Somali culture of taking care of each other instead of using different types of care facilities and institutions. The aim of this study was to generate knowledge about how a family of Somali background experiences getting old in Denmark. Methods: Methodologically, the study builds on a case study design using qualitative individual interviews. Three women from the same family, but from three different generations, were invited to the study. Results: The results show that in spite of the social benefits in Denmark, the family becomes the strongest and most important unit in everyday life. Nursing homes and similar institutions are considered a threat to the basic values and traditions within the family. Conclusion: The healthcare professionals should allocate the necessary time to the family and ensure that employees have the appropriate skills to fulfill these tasks professionally.
This essay discusses how care as a `one to one´ relation between patient and nurse is too simple. A family nursing approach is taken to illustrate how patients and their families are part of a unit and how family nursing as intervention provides access to strengths and potentials in the family. We argue that there must be organizational support for education and training of nurses and implementation of family nursing in clinical practice.
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Annelise Norlyk, lektor, ph.d., cand.cur., Aarhus Universitet, Institut for Folkesundhed, Sektion for Sygepleje
Aarhus Universitet v/ Bente Martinsen Woythal
Institut for Folkesundhed, Sektion for Sygepleje, Campus Emdrup
Tuborgvej 164, bygning B
2400 København NV