Aim: The aim of this study was to explore adult-trained perioperative nurses' practice of family-centered care (FCC). Method: A qualitative research design with a hermeneutic phenomenological approach was used. In-depth interviews were conducted with six adulttrained perioperative nurses. Data analysis was guided by Colaizzi's seven-step framework, resulting in a composite description of perioperative nurses' practice of FCC. Findings: While participants supported the principle of family involvement in care, they found its implementation in practice difficult and stressful. They reported that families often appeared inadequately prepared for the surgical experience, and subsequent poor experiences for families caused feelings of upset and inadequacy for nurses. Conclusion: While some of these findings are similar to those in previous studies of paediatric nurses' practice of FCC, this is the first known study to examine adult-trained perioperative nurses' practice of FCC. Participants articulated an awareness of what constitutes effective FCC and showed the motivation to accomplish the task of improving family-centered practice in their practice area.
failure drugs and symptom management, and felt they needed better backup from specialist heart failure nurses in terms of problem-solving. In particular, they stated that their role of care coordinator would have been enhanced had they been involved earlier in the illness trajectory. They also expressed concerns that some patients lacked insight into their prognosis, which was a barrier to providing holistic care. Conclusions: Community nurses in this study were happy to deliver palliative care to heart failure patients. However they expressed a need for earlier involvement and more backup from the hospital-based specialist heart failure teams, to ensure that care was better coordinated and seamless. These findings suggest that the door may be open for specialist nurses to engage more with community colleagues, offering education and specialist advice that would facilitate patients with end-stage heart failure to receive quality care at home in the final stages of their illness trajectory.
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