University of Navarra, Pamplona, Spain.
Navarra Institute for Health Research (IdiSNa), Pamplona, Spain.
J Fam Nurs. 2024 May;30(2):145-173. doi: 10.1177/10748407241235141. Epub 2024 Mar 26.
There is increasing evidence that highlights the benefits of Family-oriented Therapeutic Conversations (FAM-TC) for the patient and the family; however, studies show variability regarding the content and the way these interventions are offered. This may hamper its further development in clinical practice. This review systematically maps the available literature on nurse-led FAM-TC and offers a solid synthesis of the characteristic, effectiveness, and feasibility of these interventions. A systematic search in PubMed, CINAHL, Cochrane, Web of Science, PsycINFO, Trip (Turning Research Into Practice), BASE (Bielefeld Academic Search Engine), OATD (Open Access Theses and Dissertations), and ProQuest databases identified 37 studies. The interventions varied in interventionist nurses' profile, the intervention content, or the duration of the sessions offered. Most of the interventions showed beneficial effects on perceived family support and family functioning. This review offers suggestions for future studies, such as the inclusion of specific theoretical frameworks for intervention design, targeting both the patient and the family and offered by nurses with family nursing competency.
越来越多的证据强调了以家庭为导向的治疗性对话(FAM-TC)对患者和家庭的益处;然而,研究表明,这些干预措施的内容和提供方式存在差异。这可能会阻碍其在临床实践中的进一步发展。本综述系统地梳理了关于护士主导的 FAM-TC 的现有文献,并对这些干预措施的特点、效果和可行性进行了综合分析。通过在 PubMed、CINAHL、Cochrane、Web of Science、PsycINFO、Trip(将研究转化为实践)、BASE(比勒费尔德学术搜索引擎)、OATD(开放获取论文和论文)和 ProQuest 数据库进行系统检索,确定了 37 项研究。干预措施在干预护士的特征、干预内容或提供的疗程方面存在差异。大多数干预措施对感知到的家庭支持和家庭功能都有有益的影响。本综述为未来的研究提供了建议,例如在干预设计中纳入特定的理论框架,以家庭护理能力为基础,针对患者和家庭,并由护士提供。