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Dorell, Å. & Sundin, K. (2019). Expressed emotions and experiences from relatives regarding having a family member living in a nursing home for older people. SAGE Open Medicine, 7
Open this publication in new window or tab >>Expressed emotions and experiences from relatives regarding having a family member living in a nursing home for older people
2019 (English)In: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 7Article in journal (Refereed) Published
Abstract [en]

Objectives: The purpose of this study was to describe the topics relatives with a family member in a nursing home for older persons choose to talk about and focus on when participating in a nurse-led “Family Health Conversations” intervention. Family Health Conversations consisted of a series of three nurse-led conversations with each family, with a 2-week interval between meetings.

Methods: The Family Health Conversations meetings were tape-recorded and analyzed using qualitative content methods. The participants were relatives of family members living in a nursing home for older persons in a municipality in Sweden.

Results: The findings showed how the relatives talked about their suffering and difficulties concerning the new situation. The relatives talked about frustration and sadness together in a new way, with a focus on how to manage the future. They also wished that they had been offered an opportunity to talk about this with nurses earlier in the illness trajectory.

Conclusion: The relatives had a significant need to talk about their experiences together within the family and together with the nurses. Nurses have an especially important task in supporting relatives having a family member living in a nursing home.

Place, publisher, year, edition, pages
SAGE Open, 2019
Keywords
Family Health Conversations, relatives, nursing home, family systems nursing, family health
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-155362 (URN)10.1177/2050312118823414 (DOI)000455461800001 ()30671245 (PubMedID)
Available from: 2019-01-14 Created: 2019-01-14 Last updated: 2019-01-31Bibliographically approved
Pusa, S., Dorell, Å., Erlingsson, C., Antonsson, H., Brännström, M. & Sundin, K. (2019). Nurses' perceptions about a web-based learning intervention concerning supportive family conversations in home health care. Journal of Clinical Nursing, 28(7–8), 1314-1326
Open this publication in new window or tab >>Nurses' perceptions about a web-based learning intervention concerning supportive family conversations in home health care
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2019 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 28, no 7–8, p. 1314-1326Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe the perceptions that municipal primary healthcare nurses and municipal registered nurses had about a web-based learning intervention concerning supportive family health conversations in municipal home health care.

BACKGROUND: Even though family health conversations are well grounded in theory with several reported benefits for patients and families, most working nurses have little or no training in practising family systems nursing including family health conversations. Continued learning is necessary for nurses, where web-based learning may be one answer of updating the professional skills and knowledge of nurses regarding supporting families.

DESIGN: The study used a descriptive design and followed the "Consolidated criteria for reporting qualitative research" (COREQ) checklist.

METHODS: Twenty-one nurses participated in an educational intervention that consisted of web-based learning and two face-to-face seminars about family systems nursing including family health conversations. The nurses were interviewed after completion, and the audio-recorded interviews were transcribed verbatim and analysed using qualitative content analysis.

RESULTS: The findings consist of nurses' perceptions regarding the disposition of instruction, the prerequisites for learning and a changed approach when working with families. The findings are further reflected on through Illeris' theory concerning learning triangle.

CONCLUSIONS: The findings are encouraging for educating nurses in family health conversations at their workplace, with the purpose of supporting patients and families. However, it is important to be aware of the different dimensions of learning, in addition to the appraisal of social aspects and organisational circumstances when educating nurses as they influence the utilisation of the knowledge.

RELEVANCE TO CLINICAL PRACTICE: This web-based learning intervention seems to be suitable for educating nurses in family health conversations and could be an appropriate step towards implementing these conversations in home health care with the purpose of supporting families.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
continuing professional education, education, family conversations, family health conversations, family nursing, home health care, learning, municipal care, online learning, support
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-155314 (URN)10.1111/jocn.14745 (DOI)000460767400026 ()30554435 (PubMedID)2-s2.0-85062720431 (Scopus ID)
Available from: 2019-01-11 Created: 2019-01-11 Last updated: 2019-04-04Bibliographically approved
Valan, L., Sundin, K., Kristiansen, L. & Jong, M. (2018). Child health nurses’ experiences and opinions of parent Internet use. Early Child Development and Care, 188(12), 1736-1747
Open this publication in new window or tab >>Child health nurses’ experiences and opinions of parent Internet use
2018 (English)In: Early Child Development and Care, ISSN 0300-4430, E-ISSN 1476-8275, Vol. 188, no 12, p. 1736-1747Article in journal (Refereed) Published
Abstract [en]

Background: On the basis of parents’ growing use of the Internet as a resource for health-related information, and the total lack of scientific literature about how nurses in child healthcare experience how their work is affected, further information is needed.

Purpose: This study describes child health nurses’ (CHN) experiences and opinions of parent Internet use.

Design and methods: Using a qualitative descriptive approach, CHNs (n = 20) working at Health Centres in northern Sweden were interviewed.

Results: An overarching theme named ‘Parents’ use of Internet has influenced Nurses’ work’ was identified. The theme comprises three categories; ‘Internet facilitating care, access, and provision’; ‘The Internet complicating the professional role and performance’; and ‘Sensing an imperative for a new role as a CHN.

Conclusions: These findings add a fresh perspective to understanding the new and transformed professional role of CHNs.

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Child healthcare, counselling, content analysis, e-health, information, internet advice, nurses, parenting, qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-132097 (URN)10.1080/03004430.2017.1278697 (DOI)000447301100010 ()2-s2.0-85009829462 (Scopus ID)
Available from: 2017-03-03 Created: 2017-03-03 Last updated: 2018-11-12Bibliographically approved
Sundin, K., Pusa, S., Jonsson, C., Saveman, B.-I. & Östlund, U. (2018). Envisioning the future as expressed within family health conversations by families of persons suffering from stroke. Scandinavian Journal of Caring Sciences, 32(2), 707-714
Open this publication in new window or tab >>Envisioning the future as expressed within family health conversations by families of persons suffering from stroke
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2018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 2, p. 707-714Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The whole family is affected when a person suffers from stroke, but few studies have focused on families' expectations following the stroke.

OBJECTIVE: The aim of this study was to illuminate what persons with stroke and their family members talk about in Family Health Conversations (FamHCs) with focus on the future and how nurses leading these conversations apprehended the families' future shown in closing letters based on these conversations.

METHOD: In this study, seven families with a member ≤65 years who had suffered a stroke participated in FamHC in their homes after the person with stroke had been discharged from the rehabilitation clinic. The FamHC comprised a series of three conversations conducted every other week and a closing letter sent by the nurses to the family to conclude the series. In this study, the third conversations were recorded and they and the closing letters were transcribed and analysed using qualitative content analysis.

RESULT: The family members including the persons with stroke were found to be able to tell their stories and express their feelings, worries, losses, hopes and wishes for the future within the context of the Family Health Conversations. Support within the family was highlighted as essential to the satisfactory management of future situations.

CONCLUSION: The persons with stroke and their belonging family members' vision of the future was reflected over in the light of theories about beliefs, possible selves, hope and suffering, and the findings highlight the need for broader use of family conversations to support persons with stroke and their families to manage the future.

Place, publisher, year, edition, pages
Oxford: Wiley-Blackwell, 2018
Keywords
cerebrovascular disorder, closing letters, family health conversations, family nursing, future, relatives, stroke, suffering
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-139878 (URN)10.1111/scs.12501 (DOI)000436254800027 ()28851069 (PubMedID)
Available from: 2017-09-25 Created: 2017-09-25 Last updated: 2018-09-21Bibliographically approved
Bruce, E. & Sundin, K. (2018). Pediatric nurses' perception of support for families with children with congenital heart defects. Clinical Nursing Research, 27(8), 950-966
Open this publication in new window or tab >>Pediatric nurses' perception of support for families with children with congenital heart defects
2018 (English)In: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799, Vol. 27, no 8, p. 950-966Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to illuminate pediatric nurses' (PNs) perceptions of support for families with a child with a congenital heart defect. The study used a qualitative design with narrative interviews with eight PNs in Northern Sweden, and the interview data were analyzed with content analysis. The analysis revealed that the nurses perceive that letting the parents be involved in their child's care is of great importance in supporting the families. Although they have a paternalistic attitude to the families, they also stated that nurses should inform the parents about the care of the child, create a good relationship with the family, and build trust among all parties involved.

Place, publisher, year, edition, pages
Thousand oaks: Sage Publications, 2018
Keywords
congenital heart defect, content analysis, family nursing, pediatric nursing, support
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-139891 (URN)10.1177/1054773817713419 (DOI)000446098500004 ()28612622 (PubMedID)
Available from: 2017-09-26 Created: 2017-09-26 Last updated: 2018-10-31Bibliographically approved
Östlund, U., Bäckström, B., Saveman, B.-I., Lindh, V. & Sundin, K. (2016). A Family Systems Nursing Approach for Families Following a Stroke: Family Health Conversations. Journal of Family Nursing, 22(2), 148-171
Open this publication in new window or tab >>A Family Systems Nursing Approach for Families Following a Stroke: Family Health Conversations
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2016 (English)In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 22, no 2, p. 148-171Article in journal (Refereed) Published
Abstract [en]

Stroke in midlife is a life altering, challenging experience for the whole family thereby necessitating a family approach to intervention. The aim of this study was to describe the experiences of 17 family members living in Sweden, including seven adult stroke patients (six males; one female) under the age of 65 who participated in a series of three nurse-led family conversations that were offered in each family's home. These Family Health Conversations (FamHC) were guided by the conceptual lens of Family System Nursing. Individual, semi-structured, evaluative interviews conducted with each participant one month after the FamHC were analyzed by qualitative content analysis. The FamHC were described by family members as a unique conversation that they had not previously experienced in health care contexts. Family members described possibilities for relational sharing and meaningful conversations as well as changes in family functioning that support the suitability of FamHC for family stroke care.

Keywords
family intervention, therapeutic conversation, stroke, family nursing, Family Systems Nursing, Family Health Conversations, Sweden
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-119473 (URN)10.1177/1074840716642790 (DOI)000376209900002 ()27090511 (PubMedID)
Available from: 2016-04-20 Created: 2016-04-20 Last updated: 2018-06-07Bibliographically approved
Dorell, Å. & Sundin, K. (2016). Becoming visible: Experiences from families participating in Family Health Conversations at residential homes for older people. Geriatric Nursing, 37(4), 260-265
Open this publication in new window or tab >>Becoming visible: Experiences from families participating in Family Health Conversations at residential homes for older people
2016 (English)In: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 37, no 4, p. 260-265Article in journal (Refereed) Published
Abstract [en]

Having a sick family member living at a residential home for older people can be difficult for families, who as a result often suffer from feelings of forsakenness and powerlessness. In response, the purpose of this study was to illuminate family members' experiences with participating in Family Health Conversations at residential homes for older persons 6 months after concluding the conversation series. Twenty-two family members who participated in the conversations later took part in group interviews, the texts of which were analyzed according to qualitative content analysis. Findings showed that participating in Family Health Conversations mediated consolation, since within such a liberating communicative interaction, family members for the first time felt visible as persons with individual significance. Family members reported a positive experience involving both being open to each other and speaking and listening to each other in a new, structured way. As a result, families were able to discover their family members' problems and suffering, as well as to identify their family's resources and strengths.

Keywords
Family Health Conversations, Family nursing intervention, Family support, Family systems nursing, Residential home for older people
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-118747 (URN)10.1016/j.gerinurse.2016.02.015 (DOI)000382102500002 ()26995489 (PubMedID)
Available from: 2016-04-01 Created: 2016-04-01 Last updated: 2018-06-07Bibliographically approved
Dorell, Å., Bäckström, B., Ericsson, M., Johansson, M., Östlund, U. & Sundin, K. (2016). Experiences With Family Health Conversations at Residential Homes for Older People. Clinical Nursing Research, 25(5), 560-582
Open this publication in new window or tab >>Experiences With Family Health Conversations at Residential Homes for Older People
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2016 (English)In: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799, Vol. 25, no 5, p. 560-582Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to highlight family members' experiences of participating in Family Health Conversation (FamHC), based on families in which a family member was living in a residential home for older people. A total of 10 families and 22 family members participated in evaluating family interviews 1 month after participating in FamHC. The interviews were analyzed by qualitative content analysis. The main finding was being a part of FamHC increased family members' insights, understanding, and communication within the family. Getting confirmation from nurses was essential to cope with the new life situation, which also meant that they felt comfortable to partly hand over the responsibility for the older person who moved to the residential home. By being open and expressing their feelings, a bad conscience could be relieved. These findings showed that FamHC could be helpful for family members in adapting to this novel situation.

Keywords
family health conversations, family nursing intervention, family support, family systems nursing, residential home for older people
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-100022 (URN)10.1177/1054773814565174 (DOI)000383385500007 ()25550306 (PubMedID)
Available from: 2015-02-18 Created: 2015-02-18 Last updated: 2018-06-07Bibliographically approved
Dorell, Å., Östlund, U. & Sundin, K. (2016). Nurses' perspective of conducting family conversation. International Journal of Qualitative Studies on Health and Well-being, 11, Article ID 30867.
Open this publication in new window or tab >>Nurses' perspective of conducting family conversation
2016 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30867Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Nurses are in a prime position to manage to support families that have a family member living in a residential home for older people. Nurses' attitudes about meeting patients' family members vary. Studies describe that some nurses consider family members as a burden. But some nurses consider family members a resource and think it is important to establish good relationships with them.

AIM: The aim of this study was to describe how registered nurses (RNs) experienced to participate in and conduct the intervention Family Health Conversations (FamHCs) with families in residential homes for older people.

METHODS: The intervention FamHC was accomplished at three residential homes for older people. FamHC is a family systems nursing (FSN) intervention developed to support families facing the ill health of someone in the family. One RN from each residential home conducted the conversations. The RNs wrote diary notes directly after each conversation. The RNs were also interviewed 1 month after they had each conducted four FamHCs. The diary notes and the interviews were analysed separately by qualitative content analysis, and the findings were then summarized in one theme and further discussed together.

FINDINGS: The main findings were that the RNs experience the conversations as a valuable professional tool involving the whole family. The RNs grasped that silence can be a valuable tool and had learned to attentively listen to what the families were saying without interrupting, allowing them and the families to reflect upon what the family members said.

CONCLUSION: The findings show that the FamHC can be helpful for RNs in their work, helping them to perceive and understand the needs and desires of the families.

Place, publisher, year, edition, pages
CoAction Publishing, 2016
Keywords
Family nursing, family systems nursing, family health conversation, intervention, older people, relatives, residential home, support, qualitative content analysis
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-119746 (URN)10.3402/qhw.v11.30867 (DOI)000375926300001 ()27104342 (PubMedID)
Available from: 2016-04-26 Created: 2016-04-26 Last updated: 2018-06-07Bibliographically approved
Lämås, K., Sundin, K., Jacobsson, C., Saveman, B.-I. & Östlund, U. (2016). Possibilities for evaluating cost-effectiveness of family system nursing: an example based on Family Health Conversations with families in which a middle-aged family member had suffered stroke. Nordic journal of nursing research, 38(2), 74-81
Open this publication in new window or tab >>Possibilities for evaluating cost-effectiveness of family system nursing: an example based on Family Health Conversations with families in which a middle-aged family member had suffered stroke
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2016 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 38, no 2, p. 74-81Article in journal (Refereed) Published
Abstract [en]

Family Health Conversations (FamHC) increase health and well-being, but knowledge about their cost-effectiveness, and how to best calculate this, is lacking. In this feasibility study we evaluated the cost-effectiveness of using FamHC with families in which a middle-aged family member had suffered stroke. Seven families participated in a FamHC intervention and seven families received ordinary care. Health-related quality of life (HRQoL) was estimated with SF-6D and EQ-5D over a six-month period. The costeffectiveness of the intervention was calculated. Families receiving FamHC intervention had significantly increased HRQoL at follow up. Cost per quality adjusted life year differed depending on the instrument and analysis method used in the calculation. However, all calculations showed that FamHC were cost-effective. We conclude that FamHC significantly increase HRQoL and suggest that they are cost-effective. Both instruments seemed to be able to capture changes. Considering the participants’ experience of answering the two instruments, we advocate the use of EQ-5D.

Place, publisher, year, edition, pages
Sage Publications, 2016
Keywords
cost–benefit analysis, Family Health Conversations, family nursing, stroke
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-113460 (URN)10.1177/0107408315610076 (DOI)
Available from: 2015-12-18 Created: 2015-12-18 Last updated: 2018-06-07Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-8839-5697

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