Dorell Åsa, Östlund Ulrika, Sundin Karin
Department of Nursing, Umeå University, Örnsköldsvik, Sweden;
Country Council Region Gävleborg, Gävle, Sweden.
Int J Qual Stud Health Well-being. 2016 Apr 20;11:30867. doi: 10.3402/qhw.v11.30867. eCollection 2016.
Nurses are in a prime position to manage to support families that have a family member living in a residential home for older people. Nurses' attitudes about meeting patients' family members vary. Studies describe that some nurses consider family members as a burden. But some nurses consider family members a resource and think it is important to establish good relationships with them.
The aim of this study was to describe how registered nurses (RNs) experienced to participate in and conduct the intervention Family Health Conversations (FamHCs) with families in residential homes for older people.
The intervention FamHC was accomplished at three residential homes for older people. FamHC is a family systems nursing (FSN) intervention developed to support families facing the ill health of someone in the family. One RN from each residential home conducted the conversations. The RNs wrote diary notes directly after each conversation. The RNs were also interviewed 1 month after they had each conducted four FamHCs. The diary notes and the interviews were analysed separately by qualitative content analysis, and the findings were then summarized in one theme and further discussed together.
The main findings were that the RNs experience the conversations as a valuable professional tool involving the whole family. The RNs grasped that silence can be a valuable tool and had learned to attentively listen to what the families were saying without interrupting, allowing them and the families to reflect upon what the family members said.
The findings show that the FamHC can be helpful for RNs in their work, helping them to perceive and understand the needs and desires of the families.
护士在管理和支持家中有家庭成员居住在养老院的家庭方面处于首要地位。护士对与患者家属会面的态度各不相同。研究表明，一些护士将家属视为负担。但也有一些护士将家属视为一种资源，并认为与他们建立良好关系很重要。
本研究的目的是描述注册护士（RN）如何体验参与并与养老院中的家庭进行家庭健康对话（FamHCs）干预。
FamHC干预在三家养老院实施。FamHC是一种家庭系统护理（FSN）干预措施，旨在支持面临家庭成员健康问题的家庭。每家养老院由一名注册护士进行对话。注册护士在每次对话后直接撰写日记笔记。在他们各自进行了四次FamHC对话后的1个月，对注册护士进行了访谈。通过定性内容分析分别对日记笔记和访谈进行分析，然后将研究结果归纳为一个主题并一起进一步讨论。
主要结果是，注册护士将这些对话视为一种涉及整个家庭的有价值的专业工具。注册护士认识到沉默可能是一种有价值的工具，并学会了专注地倾听家人的话语而不打断，让他们和家人反思家庭成员所说的话。
研究结果表明，FamHC对注册护士的工作可能有帮助，有助于他们感知和理解家庭的需求和愿望。
