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Family Health Conversations Conductedby Telephone in Heart Failure Nursing Care: A Feasibility Study
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (PrILiv)ORCID iD: 0000-0002-6448-5866
University of Borås, Faculty of Caring Science, Work Life and Social Welfare Department of Caring Science.
Västmanland County Hospital, Department of Primary Health Care, Västerås, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (PrILiv)ORCID iD: 0000-0002-5976-5193
2018 (English)In: SAGE Open Nursing, Vol. 4, p. 1-13Article in journal (Refereed) Published
Abstract [en]

Registered nurses (RNs) in heart failure (HF) nursing care have a key role in providing family support, which positively affectsthe outcome for the patient. Telephone interventions conducted by RNs have been reported to be successful in HF nursingcare, but Family Health Conversations (FamHCs) involving the patient and the family, have not previously been tested. Thepurpose of the current study was to explore the experiences and feasibility of nurse-led FamHCs conducted by telephonewith patients and their family caregivers. A single-group intervention study with a pretest–posttest design was conducted inthree regional hospitals that had a nurse-led HF clinic. Five RNs, eight patients, and eight family caregivers participated. ThreeFamHCs were conducted by telephone with each family every 2 weeks. Qualitative and quantitative data were collectedthrough semistructured interviews and questionnaires. FamHCs improved the nurse–family relationships and relationshipswithin the families and provided RNs with new knowledge about the families. FamHCs conducted by telephone wereconsidered to be feasible for both families and RNs, although RNs preferred fewer and shorter FamHCs. The RNs preferredmeeting face-to-face with the families as nonverbal communication between the family members could be missed because oflack of visual input. On the other hand, RNs appreciated to focus entirely on the conversation without the need to performillness-related routine checks. In conclusion, the advantages of FamHCs conducted by telephone outweighed the disadvantages.Visual contact, provided by video telephony, and a shorter version of the tested FamHC would facilitate the use in HFnursing care.

Place, publisher, year, edition, pages
SAGE Open, 2018. Vol. 4, p. 1-13
Keywords [en]
advanced practice nurses, chronic illnesses, congenital heart disease, family nursing, heart failure, telenursing
National Category
Nursing
Research subject
Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-41339DOI: 10.1177/2377960818803383ISI: 000448061800001OAI: oai:DiVA.org:mdh-41339DiVA, id: diva2:1263092
Available from: 2018-11-14 Created: 2018-11-14 Last updated: 2019-11-11Bibliographically approved

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Gusdal, Annelie KMartin, Lene

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