Health‐promoting conversations—A novel approach to families experiencing critical illness in the <scp>ICU</scp> environment

Frisman, Gunilla Hollman; Wåhlin, Ingrid; Orwelius, Lotti; Ågren, Susanna

doi:10.1111/jocn.13969

Cited by 11 publications

(34 citation statements)

References 32 publications

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“…The original study aimed to describe the outcomes of the FamHC regarding family functioning and well‐being in families with a member who was critically ill. Using conventional content analysis of follow‐up family interviews, the findings show that, although the conversations brought up feelings that had been repressed, the families considered the FamHC to be healing and that their well‐being was increased by enabling them to share each other's experiences . The primary findings did not identify what was affected in the family function.…”

Section: Methodsmentioning

confidence: 99%

“…The original data were collected purposefully from eight families that had a member who was critically ill and being cared for at one of two ICUs in two different hospitals in Sweden. The selection criteria were adult patients >18 years who were cared for at the ICU for >72 hours …”

Section: Methodsmentioning

confidence: 99%

“…The participants had all been recruited voluntarily to the FamHC. The families received information about the study, about its voluntary nature, a consent form, and prepaid envelopes to facilitate the return of the signed consent form …”

Section: Methodsmentioning

confidence: 99%

“…Semi‐structured interviews with open‐ended questions focusing on family members' experience of the FamHC intervention were conducted. The families were asked to describe as freely as possible their reflections and the significance of the conversations for family functioning and well‐being …”

Section: Methodsmentioning

confidence: 99%

“…The two interviewers were female registered nurses with ICU specialization. They had experience and training in qualitative research methods and did not have any previous connection to these families …”

Section: Methodsmentioning

confidence: 99%

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Family Health Conversations create awareness of family functioning

Ahlberg

Frisman

Berterö

et al. 2019

Nursing in Critical Care

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Background The whole family is affected if one family member is critically ill. The Family Health Conversation Intervention may give the family tools that support healthier family functioning. Aims and objectives The aim of this study was to identify which components of family function are affected when families participate in Family Health Conversations. Design A secondary analysis was performed of existing qualitative interviews. The Family Health Conversation is an intervention where nurses ask the family reflective questions, and reflection is made possible in three conversation sessions. Methods This study included transcribed data from 13 follow‐up interviews from seven families attending Family Health Conversations after three and 12 months. Data were analysed with narrative analysis, focusing on family function. Results Three themes were identified. The families' family functioning had been supported with: improved understanding of each other—there was an understanding of being in the same situation but still having totally different experiences; more concern for each other—they talked about their different experiences and felt they had become closer to each other; and a process of working through—they had experienced working through various experiences, standing by and supporting, and then being able to move on. Conclusions The Family Health Conversation Intervention is provided to families, accompanied by nurses. The families in this study gained an awareness of their family function that brought the family closer because of improved understanding of each other and the situation. The families experienced openness, and the family members spoke more freely with each other, which facilitated the progress of working through the experience of critical illness and helped to maintain healthy family functioning. Relevance to clinical practice It is important to have an overall perspective and to recognize the patient and the family as equally important within the family for awareness of family function.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Family Health Conversations create awareness of family functioning

Ahlberg

Frisman

Berterö

et al. 2019

Nursing in Critical Care

Self Cite

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Family Presence and Sleep in the Intensive Care Unit

Schieman

2021

Critical Care Nursing Clinics of North America

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The evidence base of nurse-led family interventions for improving family outcomes in adult critical care settings: A mixed method systematic review

Kiwanuka

Sak‐Dankosky

Alemayehu

et al. 2022

International Journal of Nursing Studies

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Background The COVID-19 pandemic has exacerbated the consequences of a patient's admission to critical care settings, causing families to face more psychosocial issues than in previous years. Thus, nurses and other clinicians need to keep abreast of interventions that support the families of critical care patients. Objective To provide evidence of nurse-led family interventions and their family outcomes in adult critical care settings. Design A mixed method systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist. Data sources The search included both a screen of relevant databases (PubMed, Scopus, Cumulative Index of Nursing and Allied Health Literature, and the Cochrane Library) and the screening of citations in relevant articles. Studies published in the English language between January 2010 and October 2020 were considered. The final database searches were performed on 20 October 2020. Methods Screening and eligibility assessment were conducted using the Rayyan software. Studies describing the family outcomes of nurse-led interventions in adult critical care settings through either qualitative or quantitative methods were included, i.e., the mixed method synthesis permitted the inclusion of either qualitative or quantitative findings. Article quality was evaluated by three authors using the Joanna Briggs Institute's critical appraisal tools. Findings A total of 15 studies – two trials, eight quasi-experimental studies, four qualitative, and one mixed method met the inclusion criteria. The described interventions were organized into five categories: educational/informational; family involvement in care; diary; communication; and bundled interventions. These categories varied in terms of elements, delivery, and family outcomes. Nurse-led interventions that resulted in small to medium improvements in family outcomes included educational interventions with digital storytelling, a bundled approach, informational nursing interventions, and nurse-driven emotional support. The included studies ( n = 2) that investigated family rounds in the ICU reported that this approach did not noticeably influence family outcomes. Conclusion The differences in the intervention elements, tools, and outcomes evaluated in this review reflect the diversity of family needs, and that numerous interventions have already been developed to promote family health in critical care settings. The evidence suggests that interdisciplinary nurse-led family interventions can improve family outcomes. Tweetable abstract: Interprofessional nurse-led family interventions draw on diverse approaches and improve family outcomes in adult critical care settings

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Health‐promoting conversations—A novel approach to families experiencing critical illness in the ICU environment

Abstract: Health-promoting conversations could be a simple and effective nursing intervention for former intensive care patients and their families in any cultural context.

Cited by 11 publications

References 32 publications

Family Health Conversations create awareness of family functioning

Family Health Conversations create awareness of family functioning

Family Presence and Sleep in the Intensive Care Unit

The evidence base of nurse-led family interventions for improving family outcomes in adult critical care settings: A mixed method systematic review

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