Duhamel Fabie, Dupuis France, Turcotte Annie, Martinez Anne-Marie, Goudreau Johanne
University of Montreal, Quebec, Canada
University of Montreal, Quebec, Canada.
J Fam Nurs. 2015 May;21(2):322-48. doi: 10.1177/1074840715579404. Epub 2015 Apr 2.
To promote the integration of Family Systems Nursing (FSN) in clinical practice, we need to better understand how nurses overcome the challenges of FSN knowledge utilization. A qualitative exploratory study was conducted with 32 practicing female nurses from hospital and community settings who had received FSN intervention training and skill development based on the Illness Beliefs Model and the Calgary Family Assessment and Intervention Models. The participants were interviewed about how they utilized FSN knowledge in their nursing practice. From the data analysis, a FSN Knowledge Utilization Model emerged that involves three major components: (a) nurses' beliefs in FSN and in their FSN skills, (b) nurses' knowledge utilization strategies to address the challenges of FSN practice, and (c) FSN positive outcomes. The FSN Knowledge Utilization Model describes a circular, incremental, and iterative process used by nurses to integrate FSN in daily nursing practice. Findings point to a need for re-evaluation of educational and management strategies in clinical settings for advancing the practice of FSN.
为促进家庭系统护理（FSN）在临床实践中的整合，我们需要更好地了解护士如何克服FSN知识应用的挑战。对32名来自医院和社区机构的在职女护士进行了一项定性探索性研究，她们接受了基于疾病信念模型以及卡尔加里家庭评估与干预模型的FSN干预培训和技能发展。参与者被问及她们如何在护理实践中应用FSN知识。通过数据分析，得出了一个FSN知识应用模型，该模型包含三个主要组成部分：（a）护士对FSN及其FSN技能的信念；（b）护士应对FSN实践挑战的知识应用策略；（c）FSN的积极成果。FSN知识应用模型描述了护士在日常护理实践中整合FSN所采用的循环、渐进和迭代过程。研究结果表明，有必要重新评估临床环境中的教育和管理策略，以推进FSN的实践。
