A purposeful Yet Nonimposing Approach: How Japanese Home Care Nurses Establish Relationships With Older Clients and Their Families

2017 ◽  
Vol 23 (4) ◽  
pp. 534-561 ◽  
Author(s):  
Takako Iwasaki ◽  
Noriko Yamamoto-Mitani ◽  
Kana Sato ◽  
Yoshie Yumoto ◽  
Maiko Noguchi-Watanabe ◽  
...  
Keyword(s):  
Home Care ◽  
Family Relationships ◽  
Nursing Practice ◽  
Family Members ◽  
Relationship Development ◽  
Building Relationships ◽  
Family Nursing ◽  
Semistructured Interviews ◽  
The Family ◽  
Home Care Nurses

Relationship development is crucial to nursing practice with families. However, little is known about the process of building relationships with multiple family members in home care settings and in various cultures. The objective of this study was to explore the experiences of home care nurses about how they established relationships with older clients and their families in Japan. Grounded theory was used to guide the research. Twenty-three expert home care nurses participated in semistructured interviews concerning their family nursing practice. The establishment of relationships with clients/family members was based on a purposeful yet nonimposing approach composed of four aspects: keeping a mindful distance from the family, not being a threat to family life, being a comfortable neighbor, and gaining trust as a competent nurse. Through a purposeful nonimposing approach, Japanese home care nurses promoted and nurtured nurse–family relationships and became involved in the life of the family. These findings provide a useful foundation to guide practice with families and grow knowledge about the process of establishing relationships with multiple family members in home settings.

scholarly journals Breaking the silence about illness and death: Potential effects of a pilot study of the family talk intervention when a parent with dependent children receives specialized palliative home care

2021 ◽  
pp. 1-7
Author(s):  
Megan Weber Falk ◽  
Rakel Eklund ◽  
Ulrika Kreicbergs ◽  
Anette Alvariza ◽  
Malin Lövgren
Keyword(s):  
Home Care ◽  
Family Relationships ◽  
Family Members ◽  
Family Coping ◽  
Open Communication ◽  
Entire Family ◽  
Palliative Home Care ◽  
Dependent Children ◽  
Palliative Care Setting ◽  
The Family

Abstract Objective The entire family is affected when a parent is severely ill. Parents often need and appreciate professional support when talking to children about illness and death. The family talk intervention (FTI) is family-centered and intends to promote communication about the illness and its consequences, support parenting to enhance family coping and help family members share experiences with each other to create a shared family history. This study aimed to explore potential effects of FTI in specialized palliative home care, as reported by parents. Method This pre-post test intervention pilot was conducted in specialized palliative home care. A convergent mixed-method design was used to analyze interview and questionnaire data. Twenty families with dependent children were recruited from two specialized palliative home care units in Stockholm, Sweden. Results Parents reported that family communication improved after participation in FTI as family members learned communication strategies that facilitated open sharing of thoughts and feelings. Increased open communication helped family members gain a better understanding of each other's perspectives. Parents reported that relationships with their partner and children had improved as they now shared several strategies for maintaining family relationships. Parents were also less worried following participation in FTI. The ill parents stated that they gained a sense of security and were less worried about the future. Significance of results This study adds to the evidence that FTI may be a useful intervention for families with dependent children and an ill parent in a palliative care setting. This trial is registered at ClinicalTrials.gov Identifier NCT03119545.

Asking the Stakeholders: Perspectives of Individuals With Aphasia, Their Family Members, and Physicians Regarding Communication in Medical Interactions

2015 ◽  
Vol 24 (3) ◽  
pp. 341-357 ◽  
Author(s):  
Michael Burns ◽  
Carolyn Baylor ◽  
Brian J. Dudgeon ◽  
Helene Starks ◽  
Kathryn Yorkston
Keyword(s):  
Family Members ◽  
Qualitative Description ◽  
Future Directions ◽  
Face To Face ◽  
Know How ◽  
Speech Language Pathologist ◽  
Patient Interviews ◽  
Semistructured Interviews ◽  
The Family ◽  
Practicing Physicians

PurposeThe purpose of this study was to explore the experiences of patients with aphasia, their family members, and physicians related to communication during medical interactions.MethodFace-to-face, semistructured interviews were conducted with 18 participants—6 patients with aphasia, 6 family members involved in patient care, and 6 practicing physicians. A qualitative description approach was used to collect and summarize narratives from participants' perspectives and experiences. Participants were asked about experiences with communication during medical interactions in which the family member accompanied the patient. Interviews were audio- and/or video-recorded, transcribed, and then coded to identify main themes.ResultsPatients and family members generally described their communication experiences as positive, yet all participants discussed challenges and frustrations. Three themes emerged: (a) patients and family members work as a team, (b) patients and family members want physicians to “just try” to communicate with the patient, and (c) physicians want to interact with patients but may not know how.ConclusionsParticipants discussed the need for successful accommodation, or changing how one communicates, to help facilitate the patients' increased understanding and ability to express themselves. Over- and underaccommodation with communication were commonly reported as problems. Speech-language pathologists have a role to play in helping to improve communication during medical interactions. Implications for current speech-language pathologist practice and future directions of research are discussed.

Family Theoretical Perspectives and Implications for Nursing Practice

1991 ◽  
Vol 2 (2) ◽  
pp. 210-219 ◽  
Author(s):  
Ruth E. McShane
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Social Exchange ◽  
Family Relationships ◽  
Health Care Professionals ◽  
Nursing Practice ◽  
Theoretical Perspective ◽  
Theoretical Frameworks ◽  
Theoretical Perspectives ◽  
The Family

Health care professionals have focused for the most part on individuals within families as they provide care in acute care settings. The lack of a theoretical perspective to permit observing the family as a unit with interacting parts has contributed to this practice. This article presents an overview of trends and of four theoretical frameworks that have contributed to family practice and research, both for other disciplines and for nursing. Symbolic interactionism, systems, developmental, and social exchange theories are promising frameworks for considering family relationships now and into the future. The purpose, major concepts, and implications for nursing practice of each theory are presented

scholarly journals At-home care : interactions between nurses and the elderly/family

2012 ◽  
Vol 25 (spe1) ◽  
pp. 74-80
Author(s):  
Esperança Alves Gago ◽  
Manuel José Lopes
Keyword(s):  
Home Care ◽  
Nursing Practice ◽  
The Elderly ◽  
Diagnostic Assessment ◽  
Care Process ◽  
Structured Interviews ◽  
The Family ◽  
Home Context ◽  
The Relationship ◽  
At Home

OBJECTIVE: To understand the interaction process between the elderly and the family and the nurses during home care. METHODS: Grounded theory qualitative study in a community where 40% of the population is aged 65 or above. The collection of data was made via the non-participating observation of nursing practice during 41 home visits and semi-structured interviews to nurses, the elderly and the family. RESULTS: the following categories emerged - structural organization of at-home care, diagnostic assessment in context and therapeutic intervention in context. CONCLUSION: the central category was "Building the relationship in an at-home context", due to the fact that the relationship between the nurse, the elderly and the family is central across the entire care process. The relation is, simultaneously, the context for all the care and a therapeutic instrument.

“A Fly in the Buttermilk”

2019 ◽  
pp. 157-180
Author(s):  
Chinyere K. Osuji
Keyword(s):  
Los Angeles ◽  
Interpersonal Relationships ◽  
Family Relationships ◽  
Family Members ◽  
White Family ◽  
White Families ◽  
Racial Boundaries ◽  
Domestic Migration ◽  
White Couples ◽  
The Family

This chapter compares the discursive strategies that black-white couples and their families drew on to navigate the integration of black spouses into white extended families. White Carioca families engaged in more openly racist opposition, racist humor, and/or indirect insults to express discomfort with blacks marrying into the family. In an “irony of opposition,” past race-mixing in Carioca white families did not shield black spouses from these sentiments. This countered the myth of racial democracy in which color is not an impediment to interpersonal relationships. Nevertheless, Carioca respondents were less likely to report resistance in white families than Angelino couples. U.S. couples' higher rates of domestic migration resulted in less integration of black spouses into white family life than among Brazilian couples, whose tight-knit family relationships led to black spouses' greater incorporation. Los Angeles couples understood white family members as using the discourse of “expressing concerns” about the relationship, then moving to more overt discouragement of marrying black partners. Couples understood this “expressing concern” discourse as an attempt at social desirability on the part of white family members, emblematic of U.S. “color-blind” racism.This chapter shows how intermarriage can leave white supremacy, anti-blackness, and racial boundaries intact within the family.

Home Care for Children Dying of Cancer

PEDIATRICS ◽  
1978 ◽  
Vol 62 (1) ◽  
pp. 106-113
Author(s):  
Ida M. Martinson ◽  
Gordon D. Armstrong ◽  
Dorothy P. Geis ◽  
Mary Ann Anglim ◽  
Evangeline C. Gronseth ◽  
...  
Keyword(s):  
Home Care ◽  
Special Functions ◽  
Staff Nurses ◽  
Children With Cancer ◽  
Project Staff ◽  
Public Health Agencies ◽  
Nursing Services ◽  
Health Agencies ◽  
The Family ◽  
Home Care Nurses

Hospitals have traditionally provided the setting for the treatment of children with cancer, including those in the terminal stage of their illness. However, when treatment that requires hospitalization has been discontinued and the child's cancer is still not under control, then the wisdom of continued hospitalization is questionable. If the care that is required by the patient could be provided as effectively by the parents and by nurses at home, then it would be reasonable to make a home care option available to the families who desired it. The possible advantages of such home care would be improved satisfaction of the child, better adjustment to the situation by the family, and reduced cost. It is more comforting to the child to be in familiar surroundings with the parents at hand during the terminal stages of his or her illness. Most of the specialized and expensive sive facilities provided by the hospital are no longer needed by the child. The preliminary findings from a research project dealing with home care of children with cancer are reported in this article. The feasibility and desirability of the home as an alternative to the hospital for children whose death from cancer was impending were examined. Administration of the home nursing service was at the time of the study separate from existing nursing services. Home care nurses were hired on an hourly basis and were recruited from hospitals and public health agencies. Two project staff nurses oriented the home care nurses to the special functions that they would serve, and also provided consultation and some of the actual home care.

Translation and Psychometric Validation of the German Version of the Family Nursing Practice Scale (FNPS)

2020 ◽  
pp. 107484072096938
Author(s):  
Rahel Naef ◽  
Jutta Ernst ◽  
Marianne Müeller ◽  
Gabriela Schmid-Mohler
Keyword(s):  
Factor Analysis ◽  
Nursing Practice ◽  
Psychometric Validation ◽  
German Version ◽  
Cronbach’S Alpha ◽  
Online Questionnaire ◽  
Cronbach's Alpha ◽  
Family Nursing ◽  
Cultural Adaption ◽  
The Family

This article describes the cross-cultural adaption and psychometric testing of the Family Nursing Practice Scale (FNPS) German version. The FNPS aims to examine self-reported family nursing practice skills and reciprocity in the nurse–family relationship. Using a cross-sectional design, 583 acute and critical care nurses were invited to complete the FNPS German version. Exploratory factor analysis was used to assess the structural validity. Internal consistency was determined using Cronbach’s alpha. A total of 317 nurses returned a completed online questionnaire. Principal axis factor analysis suggests a one-factor solution in which all 10 items are retained, accounting for 36% of the variance. Cronbach’s alpha was .84. In contrast to the original version, our findings indicate the unidimensionality of the construct. The FNPS German version appears to be a valid and reliable scale to assess nurses’ perception of their family nursing practice proficiency. Further testing is needed to confirm the unidimensionality and to establish test–retest reliability.

Development of the Family Nursing Practice Scale

2006 ◽  
Vol 12 (4) ◽  
pp. 413-425 ◽  
Author(s):  
Peggy Simpson ◽  
Marie Tarrant
Keyword(s):  
Nursing Practice ◽  
Family Nursing ◽  
The Family

School Nurse Perceptions of Nurse–Family Relationships in the Care of Elementary Students With Chronic Conditions

2017 ◽  
Vol 35 (2) ◽  
pp. 96-106 ◽  
Author(s):  
Camille Brown ◽  
Wendy S. Looman ◽  
Ann E. Garwick
Keyword(s):  
Elementary Students ◽  
Family Relationships ◽  
Chronic Conditions ◽  
Nursing Practice ◽  
Family Relationship ◽  
School Nurse ◽  
School Nurses ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Family Nursing

The purpose of this study was to explore school nurse perceptions of the nurse–family relationship in the care of elementary students with asthma and attention-deficit hyperactivity disorder (ADHD). A cross-sectional survey design was used to collect data from 97 school nurses in Minnesota. The Family Nursing Practice Scale measured nurses’ perceptions of their family nursing practice. Bivariate analyses were conducted to compare scores by factors at the community, school, nurse, and child levels. Results suggest that school nurses have positive appraisals of their family nursing practice, though scores were generally lower in the context of ADHD compared to asthma. Participants with a graduate degree reported greater skill in working with families, whereas novice nurses reported less confidence working with families and less comfort initiating family involvement in care. Results suggest that interventions at the nurse and school levels may support enhanced family nursing practice by nurses caring for students with chronic conditions.

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