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Health-promoting conversations: a novel approach to families experiencing critical illness in the ICU environment
Linköping University.
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Kalmar County Hospital.ORCID-id: 0000-0002-9679-8461
Linköping University.
Linköping University.
2018 (engelsk)Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 3-4, s. 631-639Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

AIMS AND OBJECTIVES: The aim of this study was to identify and describe the outcomes of a nurse-led intervention, "Health-promoting conversations with families," regarding family functioning and well-being in families with a member who was critically ill.

BACKGROUND: Families who have a critically ill family member in an intensive care unit face a demanding situation, threatening the normal functioning of the family. Yet, there is a knowledge gap regarding family members' well-being during and after critical illness.

DESIGN: The study utilized a qualitative inductive-descriptive design.

METHODS: Eight families participated in health-promoting conversations aimed to create a context for change related to the families' identified problems and resources. Fifteen qualitative interviews were conducted with 18 adults who participated in health-promoting conversations about a critical illness in the family. Eight participants were patients (6 men, 2 women) and 10 were family members (2 male partners, 5 female partners, 1 mother, 1 daughter, 1 female grandchild). The interviews were analyzed by conventional content analysis.

RESULTS: Family members experienced strengthened togetherness, a caring attitude, and confirmation through health-promoting conversations. The caring and calming conversations were appreciated despite the reappearance of exhausting feelings. Working through the experience and being confirmed promoted family well-being.

CONCLUSION: Health-promoting conversations were considered to be healing, as the family members take part in sharing each other's feelings, thoughts, and experiences with the critical illness.

RELEVANCE TO CLINICAL PRACTICE: Health-promoting conversations could be a simple and effective nursing intervention for former intensive care patients and their families in any cultural context. This article is protected by copyright. All rights reserved.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2018. Vol. 27, nr 3-4, s. 631-639
Emneord [en]
Critical illness, Family, Family support, Health, Intensive care
HSV kategori
Forskningsprogram
Hälsovetenskap, Omvårdnad
Identifikatorer
URN: urn:nbn:se:lnu:diva-68189DOI: 10.1111/jocn.13969ISI: 000425733600036PubMedID: 28722814Scopus ID: 2-s2.0-85042260389OAI: oai:DiVA.org:lnu-68189DiVA, id: diva2:1147083
Tilgjengelig fra: 2017-10-04 Laget: 2017-10-04 Sist oppdatert: 2019-08-29bibliografisk kontrollert

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