Abstract
To support the incorporation of Family Systems Nursing (FSN) in clinical practice, more understanding is needed about the implementation of FSN in home health practice settings. Thus, the aim of this study was to evaluate nurses’ perspectives about the implementation process of Family Systems Nursing Conversations (FSNCs) in home health care. A mixed-methods research design was used, integrating qualitative and quantitative data, and using triangulation as a methodological metaphor. The Quality Implementation Framework (QIF) was applied to guide the implementation process, and Proctor et al.’s taxonomy of implementation outcomes was used to evaluate the process. The findings demonstrated that FSN implementation was in progress. Overall, acceptability and appropriateness of FSNCs were evaluated as positive by home health nurses; however, some obstacles were found relating to feasibility, adoption, and fidelity. These results contribute to an increased understanding of the process and challenges of implementing FSNCs in home health care.
Highlights
Feasibility was about perceptions and influences on the practicability of Family Systems Nursing Conversations (FSNCs)
The results showed that nurses who had no personal experience of severe illness in their family increased in two subscales, family as a conversational partner (FAM-CP), M = 25.71 (±4.15) versus M = 31.57 (±4.96), p = .028, family as a resource in nursing care (FAM-RNC), M = 37.57 (±3.10) versus M = 42.00 (±5.03), Table 5
The findings of this study support that the FSNC implementation was in progress in home health care, even if it was not as fully implemented as intended
Summary
The aim of this study was to evaluate nurses’ perspectives about the implementation process of Family Systems Nursing Conversations (FSNCs) in home health care. The aim of the study was to evaluate the implementation process of FSNCs in home health care from the nurses’ perspective
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