Professor at the University of Iceland, Faculty of Nursing and Head of the Center of Excellence in Family Nursing Research and Development at Landspitali University Hospital, Reykjavik, Iceland.
J Nurs Scholarsh. 2015 Jan;47(1):5-15. doi: 10.1111/jnu.12108. Epub 2014 Nov 4.
To report on approaches that were used to assist with implementation of family systems nursing (FSN) at a university hospital level in Northern Europe.
A quasi-experimental research design was used for the first phase of the study. For the second phase, a cross-sectional research design was used. Data were collected in the first phase of the study from 457 nurses in all except one of the divisions of the hospital regarding their attitudes towards involving families into their care before and after having participated in the education and training intervention (ETI) program in FSN. Furthermore, in the second phase, data were collected from 812 nurses, after FSN had been implemented in all divisions at Landspitali University Hospital, regarding the nurses' knowledge of FSN and their evaluation of the quality of the ETI program (i.e., theoretical lectures on FSN as well as the benefit of the skill lab training regarding applying FSN into their clinical practices). Graham and colleagues' Knowledge to Action framework was used as the conceptual framework for the research.
Nurses who had taken a course in FSN reported a significantly more positive attitude towards involving families in their care after the ETI program compared to those who had not taken such a course. Furthermore, a majority of the nurses who participated in the ETI program reported that the program was a favorable experience and indicated readiness for applying FSN in clinical practice.
Further research is needed regarding the benefits of offering FSN at an institutional level, but focusing international attention on effective strategies to implement FSN into nursing practice may result in better health care for individuals and families around the globe.
Providing clinically meaningful education and training in family nursing through programs such as the ETI program for practicing nurses at a university hospital is essential in supporting nurses applying new knowledge, when providing evidence-based health care services, to individuals and their family members. Such training can facilitate integration of new and needed information in clinical practice.
报告在北欧的一家大学附属医院实施家庭系统护理（FSN）的方法。
研究的第一阶段采用准实验研究设计，第二阶段采用横断面研究设计。在第一阶段，除了医院的一个科室外，所有科室的 457 名护士在参与 FSN 教育和培训干预（ETI）项目前后，就他们对将家庭纳入护理的态度进行了数据收集。此外，在第二阶段，在 FSN 已经在 Landspitali 大学附属医院所有科室实施后，从 812 名护士那里收集了关于他们对 FSN 的知识和对 ETI 项目质量的评价的数据（即 FSN 的理论讲座以及技能实验室培训在将 FSN 应用到他们的临床实践中的益处）。Graham 及其同事的知识转化框架被用作该研究的概念框架。
与未参加此类课程的护士相比，参加 FSN 课程的护士在 ETI 项目后报告对将家庭纳入护理的态度明显更为积极。此外，大多数参加 ETI 项目的护士表示，该项目是一次有益的体验，并表示愿意将 FSN 应用于临床实践。
需要进一步研究在机构层面提供 FSN 的益处，但将国际注意力集中在将 FSN 有效实施到护理实践中的策略上，可能会为全球的个人和家庭带来更好的医疗保健。
通过 ETI 项目等为大学附属医院的执业护士提供具有临床意义的家庭护理教育和培训，对于支持护士在提供基于证据的医疗保健服务时应用新知识至关重要，这可以促进将新的和必要的信息整合到临床实践中。
