Hohashi Naohiro, Yi Qinqiuzi
Division of Family Health Care Nursing, Department of Nursing, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan.
Department of Public Administration, School of Law and Public Administration, China Three Gorges University, Yichang 443002, China.
Nurs Rep. 2025 Apr 1;15(4):122. doi: 10.3390/nursrep15040122.
The aim of this study was to identify the effectiveness of Family Group Conferencing (FGC), a decision-making model that is not only family-centered but also takes the form of a family-driven or social network, and to consider the challenges to FGC implementation. A scoping review was conducted using the Arksey and O'Malley framework. A systematic search was conducted of such electronic databases as PsycInfo, CINAHL, Google Scholar, and Web of Science. Criteria were set utilizing the search terms "family group conferencing" or "family group conference", with the search refined to studies published between January 2015 and July 2020. The data extracted by the review team were inductively analyzed, and the findings were classified into categories. This review included a total of 26 studies. The categories underscoring the effectiveness of FGC included "sense of ownership", "restoring belongingness", "reduction of coercion", and "learning platform". Categories presenting challenges to FGC implementation included "severe situations of main actor", "severe situations of the family", "the complex role of the FGC coordinator", and "the cost-ineffectiveness of FGC". The effectiveness in the capacity of decision-makers was determined by the interaction between the main actor and social network of the FGC, with the challenges to FGC reducing the likelihood of completing the FGC process. It will be necessary therefore to identify the skills and qualifications of FGC coordinators, who must take into account group dynamics, so as to enable the main actor and their social network to develop a positive reciprocal interaction.
本研究的目的是确定家庭小组会议（FGC）的有效性，这是一种不仅以家庭为中心，而且采取家庭驱动或社交网络形式的决策模式，并考虑FGC实施过程中面临的挑战。使用阿克西和奥马利框架进行了范围综述。对PsycInfo、CINAHL、谷歌学术和科学网等电子数据库进行了系统检索。利用搜索词“家庭小组会议”或“家庭小组讨论会”设定标准，并将搜索范围限定为2015年1月至2020年7月发表的研究。由综述团队提取的数据进行了归纳分析，并将研究结果分类。本综述共纳入26项研究。强调FGC有效性的类别包括“主人翁意识”“恢复归属感”“减少强制手段”和“学习平台”。呈现FGC实施挑战的类别包括“主要行为者的严峻情况”“家庭的严峻情况”“FGC协调员的复杂角色”以及“FGC的成本效益低下”。FGC在决策者能力方面的有效性取决于FGC主要行为者与社交网络之间的互动，而FGC面临的挑战降低了完成FGC流程的可能性。因此，有必要确定FGC协调员的技能和资质，他们必须考虑群体动态，以便使主要行为者及其社交网络能够形成积极的相互作用。
