Lindlöf Julia, Turunen Hannele, Coco Kirsi, Huhtakangas Justiina, Verhaeghe Sofie, Välimäki Tarja
Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Kuopio University Hospital, Kuopio, Finland.
J Adv Nurs. 2024 Sep 5. doi: 10.1111/jan.16424.
To investigate the perceptions of family members (FMs) of patients with traumatic brain injury (TBI) and nurses on empowering support and its implementation during the acute phase within Finnish neurosurgical and neurological care in hospital settings, focusing on identifying similarities and differences in their viewpoints.
Participatory qualitative descriptive study.
Data were collected from seven FMs and 11 nurses using the World Café method in November 2019. An abductive approach was employed for data analysis, combining deductive interpretation within the conceptual framework of empowering support and inductive content analysis.
Four main themes were identified: (1) FMs' diverse information and guidance needs of TBI, treatment and its impact on family life, (2) support based on empowering FMs in participation, competence and decision-making, (3) empowering FMs through collaborative nursing practices and interprofessional support, and (4) internal and external hospital support enhancing and promoting the empowerment of FMs.
The perceptions of FMs and nurses regarding empowering support were largely consistent, yet diverged in its implementation in nursing practice. Nurses play a crucial role in fostering the empowerment of FMs; however, further research is needed to explore the impact of organisational and community factors on the implementation of empowering support.
Our study contributes to advancing nursing practices by underscoring the necessity for a paradigm shift towards a family-centred approach. Furthermore, it emphasises the urgency for standardising nursing practices to ensure equitable access to empowering support for FMs, applicable across various care settings for patients with TBI.
This review is part of a larger research project in which FMs of patients with TBI and nurses were involved in designing the project.
This study was reported using the Consolidated Criteria for Reporting Qualitative Checklist for qualitative studies.
调查创伤性脑损伤（TBI）患者家属及护士对在芬兰医院神经外科和神经内科急性护理阶段增强支持及其实施情况的看法，重点是找出他们观点中的异同。
参与性定性描述性研究。
2019年11月采用世界咖啡馆方法从7名患者家属和11名护士收集数据。采用归纳法进行数据分析，将增强支持概念框架内的演绎性解释与归纳性内容分析相结合。
确定了四个主要主题：（1）患者家属对TBI、治疗及其对家庭生活影响的多样化信息和指导需求；（2）基于增强患者家属参与权、能力和决策权的支持；（3）通过协作护理实践和跨专业支持增强患者家属的权能；（4）医院内部和外部支持增强并促进患者家属的权能。
患者家属和护士对增强支持的看法在很大程度上是一致的，但在护理实践中的实施情况有所不同。护士在促进患者家属的权能方面发挥着关键作用；然而，需要进一步研究以探讨组织和社区因素对增强支持实施的影响。
我们的研究通过强调向以家庭为中心的方法转变范式的必要性，为推进护理实践做出了贡献。此外，它强调了规范护理实践的紧迫性，以确保患者家属能够公平获得增强支持，适用于TBI患者的各种护理环境。
本综述是一个更大研究项目的一部分，在该项目中，TBI患者家属和护士参与了项目设计。
本研究使用定性研究报告的综合标准清单进行报告。
