Mileski Michael, McClay Rebecca, Heinemann Katharine, Dray Gevin
School of Health Administration, Texas State University, San Marcos, TX, USA.
School of Science, Technology, Engineering, and Math, American Public University System, Charles Town, WV, USA.
J Multidiscip Healthc. 2022 Jun 16;15:1323-1347. doi: 10.2147/JMDH.S370053. eCollection 2022.
To objectively analyze the research for empirical evidence of the efficacy of the use of the Calgary Family Intervention Model (CFIM) in assisting bedside education by nurses and to identify facilitators and barriers to the use of the Model.
Four research databases (PubMed [MEDLINE], CINAHL, Web of Science, and Science Direct) were queried for studies commensurate with the objective statement from 1990 to 2021. In total, 169 articles were initially identified in the search, 135 were screened after duplicates and ineligible articles were removed, ultimately leaving the sample of 24 articles for the review.
There is significant evidence to conclude that the CFIM is a very useful model to be used by nurses for bedside education and to improve overall patient and family outcomes. It enables communication, collaboration, and therapeutic conversations. The use of CFIM by nurses serves as a resource for both them and families and patients involved. There are some concerns to the use of CFIM as there are family dynamic issues, which result in problems providing care to patients. A lack of family sharing can result in inadequate care to the patient as well as unrealistic expectations from family members involved.
The CFIM is an excellent tool to enable nurses to provide education at the bedside and to enable improved patient and family outcomes. The use of the tool is suggested in situations where it would improve the level of care provided to patients and families.
客观分析关于卡尔加里家庭干预模式(CFIM)在协助护士进行床边教育方面疗效的实证研究,并确定该模式使用的促进因素和障碍。
查询了四个研究数据库(PubMed [MEDLINE]、CINAHL、科学网和科学Direct),以获取1990年至2021年与目标陈述相符的研究。搜索最初共识别出169篇文章,在去除重复和不合格文章后筛选出135篇,最终留下24篇文章作为综述样本。
有充分证据表明,CFIM是护士用于床边教育以及改善患者和家庭总体结局的非常有用的模式。它有助于沟通、协作和进行治疗性对话。护士使用CFIM对他们以及所涉及的家庭和患者来说都是一种资源。在使用CFIM时存在一些问题,因为存在家庭动态问题,这会导致为患者提供护理时出现问题。缺乏家庭参与可能导致对患者护理不足以及相关家庭成员产生不切实际的期望。
CFIM是使护士能够在床边提供教育并改善患者和家庭结局的优秀工具。建议在能够提高为患者和家庭提供护理水平的情况下使用该工具。