Barbara Voltelen, Ann E E Johansson, Annemarie G Toubøl, Laila M Busted, Ellen B Tingleff
{"title":"Navigating Ethical Complexities in Qualitative Research With Interrelated Persons.","authors":"Barbara Voltelen, Ann E E Johansson, Annemarie G Toubøl, Laila M Busted, Ellen B Tingleff","doi":"10.1177/10748407261459019","DOIUrl":"10.1177/10748407261459019","url":null,"abstract":"<p><p>This paper explores ethical complexities in qualitative research involving families/interrelated persons. Such research requires consideration of relational dynamics, informed consent, and methodological choices to avoid unintended harm to relationships. Drawing on research experiences across diverse clinical contexts, the authors reflect on ethical challenges encountered in family interviews, integrating established ethical frameworks with practical insights from joint and family interviews. Key considerations include: clarifying research objectives, distinguishing research interviews from therapeutic encounters; informed consent as an ongoing process, particularly with vulnerable populations; managing confidentiality and withdrawal in relational settings; attending to verbal and nonverbal cues to balance participant voices; maintaining professional boundaries while recognizing unintended therapeutic effects; sensitivity to interview location and group composition; and relational hierarchies. Ethical dilemmas in family-centered qualitative research are context-dependent and require reflexivity, empathy, and deliberate planning. By anticipating challenges and adopting flexible, participant-centered strategies, researchers can generate meaningful data while safeguarding respect for persons.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"267-277"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moving Family Ethics Forward.","authors":"Janet A Deatrick","doi":"10.1177/10748407261459010","DOIUrl":"10.1177/10748407261459010","url":null,"abstract":"<p><p>An urgent need exists to elevate the agenda of family ethics, rooted in family nursing's moral commitment to the well-being of families and society. This paper highlights the practice, research, and educational implications for this agenda. Grounded in relational ethics, this vision calls for a curriculum and practice landscape that reflects the lived realities of diverse families and communities. Clinically, it recommends the creation of interdisciplinary care protocols that embed structured family ethics conversations, drawing on an understanding of family systems. In research, it advocates for expanding studies that examine how familial and cultural values shape moral distress and care outcomes, and for broadening traditional bioethical inquiries to include family-centered perspectives. Educationally, it urges the integration of real-world scenarios, cultural analysis, and emotional intelligence training into classrooms and skills labs. Together, these strategies aim to cultivate ethically grounded, socially responsive nurses equipped to lead transformative changes in family health care.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"263-266"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa K Uveges, Maiara Rodrigues Dos Santos, Lucas Thiago Pereira da Silva, Michele Polfuss, Sarah E Wawrzynski, Kim Mooney-Doyle, Lissette Avilés, Ann E E Johansson, Barbara Voltelen, Kimberly A Pyke-Grimm
{"title":"Ethical Issues in Family Research: A Scoping Review.","authors":"Melissa K Uveges, Maiara Rodrigues Dos Santos, Lucas Thiago Pereira da Silva, Michele Polfuss, Sarah E Wawrzynski, Kim Mooney-Doyle, Lissette Avilés, Ann E E Johansson, Barbara Voltelen, Kimberly A Pyke-Grimm","doi":"10.1177/10748407261486379","DOIUrl":"10.1177/10748407261486379","url":null,"abstract":"<p><p>Knowledge about research ethics approaches used in family research is lacking. This scoping review describes ethical challenges encountered by researchers in published family research literature across the lifespan, key research ethics recommendations for addressing these ethical issues, and evaluates articles using Feetham's criteria for research of families to make recommendations for the future of family research. A systematic search was conducted using multiple databases published between 2017 and 2025. Articles included research studies, reviews, case studies, discussion pieces, conceptual pieces, commentaries, and editorials. In total, 4,134 articles were identified, and 50 articles met inclusion criteria. Research ethics findings were grouped into six themes: participant vulnerability, justice, informed consent, privacy and confidentiality, beneficence, and nonmaleficence. Proposed solutions to research ethics issues across the evidence were identified, and recommendations were made for the conduct of family research. Findings from this review can inform future family research.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"222-262"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kimberly A Pyke-Grimm, Maiara Dos Santos, Kim Mooney-Doyle
{"title":"Advancing Family Health Through Family Ethics.","authors":"Kimberly A Pyke-Grimm, Maiara Dos Santos, Kim Mooney-Doyle","doi":"10.1177/10748407261469276","DOIUrl":"10.1177/10748407261469276","url":null,"abstract":"","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"195-198"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oonjee Oh, Janet A Deatrick, Anessa M Foxwell, Emma Cho, Ann Kutney-Lee, Sarah Ratcliffe, Christine Grady, Connie M Ulrich
{"title":"Ethical Challenges in the Delivery of Family-Centered Nursing Care.","authors":"Oonjee Oh, Janet A Deatrick, Anessa M Foxwell, Emma Cho, Ann Kutney-Lee, Sarah Ratcliffe, Christine Grady, Connie M Ulrich","doi":"10.1177/10748407261459951","DOIUrl":"10.1177/10748407261459951","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to explore the ethical challenges encountered by nurses when providing family-centered care.</p><p><strong>Methods: </strong>Thematic analysis was conducted using data from 82 semi-structured interviews with practicing nurses across four states in the United States.</p><p><strong>Findings: </strong>Theme 1: Navigating professional and ethical boundaries in nursing care that complement or complicate family advocacy; Theme 2: Experiencing family conflicts and disagreements; Theme 3: Feeling helpless at times from ethical, legal, and familial expectations and moral constraints.</p><p><strong>Conclusion: </strong>Participants showed commitment to involving families in patient care. Yet, we also observed tension in balancing respect for families' wishes with patient autonomy, which led to moral distress and ethical uncertainty in their professional boundaries. While family-centered care recognizes families' contributions to patient care and health care decisions, ongoing efforts are needed to address the ethical challenges that arise in its implementation in practice.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"212-221"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Regina Szylit, Kim Mooney-Doyle, Lydia Haile Fassett, Lucas Thiago Pereira da Silva, Maiara Rodrigues Dos Santos
{"title":"Integrating Family Ethics Into Nursing Education: A Relational Framework for Developing Ethical Competence in Family Nursing.","authors":"Regina Szylit, Kim Mooney-Doyle, Lydia Haile Fassett, Lucas Thiago Pereira da Silva, Maiara Rodrigues Dos Santos","doi":"10.1177/10748407261467670","DOIUrl":"10.1177/10748407261467670","url":null,"abstract":"<p><p>Ethical challenges in family nursing arise within relational contexts where illness, decision-making, and vulnerability are experienced collectively. Although family-centered care is central to nursing practice, ethical education remains largely individualistic, limiting preparation for relational complexity. This conceptual article proposes an integrated view of ethical competence as a dynamic capacity shaped by cognitive-interpretive, relational-emotional, and moral-action dimensions. Drawing on ethics of care, relational ethics, and family nursing scholarship, it examines how ethical competence develops in clinical encounters with families and identifies educational pathways to support this process. Approaches such as situated learning, simulation, interprofessional and reflective practices, and global learning environments are highlighted as ways to translate ethical theory into practice. The article argues that integrating family ethics into nursing education requires curricular alignment, faculty development, and collaboration between academic and clinical settings, strengthening nurses' ability to engage ethically with families in complex health care contexts.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"200-211"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Family Health, Family Nursing, and Family Ethics: The Path Forward.","authors":"Regena Spratling","doi":"10.1177/10748407261484275","DOIUrl":"10.1177/10748407261484275","url":null,"abstract":"","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"199"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Li Xiang Tessa Low, Darren Jeffian Wijaya, Rohin Shorey, Jamie Qiao Xin Ng, Marion Margaret Aw, Nicholas Beng Hui Ng, Shefaly Shorey
{"title":"Parenting Through Digital Information Work: Online Health Information-Seeking and Generative Artificial Intelligence Use Among Parents of Children With Chronic Illness in Singapore.","authors":"Li Xiang Tessa Low, Darren Jeffian Wijaya, Rohin Shorey, Jamie Qiao Xin Ng, Marion Margaret Aw, Nicholas Beng Hui Ng, Shefaly Shorey","doi":"10.1177/10748407261492176","DOIUrl":"https://doi.org/10.1177/10748407261492176","url":null,"abstract":"<p><p>Parents of children with chronic illness seek health information from online sources, but little is known about this work in Asian family caregiving and with new generative artificial intelligence (AI) technologies. To explore how parents seek, evaluate, and integrate digital health information and generative AI into family caregiving, we conducted semi-structured interviews with 20 English-speaking parents and conducted reflexive thematic analysis. Four themes were developed: (a) navigating online information credibility and responsibility; (b) strategic platform use for distinct informational and emotional needs; (c) online searching as anticipatory and labor-intensive sense-making; and (d) the impacts of and gaps in online searching. Parents strategized, used AI for information and perceived emotional support, and often consulted clinicians and peers. Digital information work is a consequential component of family caregiving. Family nurses should discuss parents' digital and AI use, guide families to locally relevant resources, and address misinformation and privacy risks.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261492176"},"PeriodicalIF":2.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lorraine M Thirsk, Ana Paula Keller de Matos, Geldine Chironda, Willyane de Andrade Alvarenga, Julia Panchuk, Sandra Eggenberger
{"title":"Family Nursing Interventions in Adult Acute Care: Systematic Review of Effectiveness.","authors":"Lorraine M Thirsk, Ana Paula Keller de Matos, Geldine Chironda, Willyane de Andrade Alvarenga, Julia Panchuk, Sandra Eggenberger","doi":"10.1177/10748407261478278","DOIUrl":"https://doi.org/10.1177/10748407261478278","url":null,"abstract":"<p><p>Hospitalizations significantly affect families' health. This systematic review of effectiveness without meta-analysis, following Joanna Briggs Institute guidelines, aimed to synthesize evidence on the effectiveness of family nursing interventions on patient, family, and nurse outcomes among adults admitted to acute care facilities. The included studies were published in English, French, or Portuguese and measured the effectiveness of nurse-led family interventions on patient, family, and nurse outcomes. CINAHL, PubMed, ProQuest, EMBASE, PsycINFO, and two trial registries were systematically searched for studies published between January 2011 and October 2023. Sixty-one articles were included in the analysis. Outcomes were measured among patients (n = 28), families (n = 23), and nurses (n = 4). Although most of the studies demonstrated positive outcomes, they had numerous limitations. Family nursing interventions show promise of effectively improving patient and family health across numerous outcomes. Nurse leaders should examine how to incorporate these more consistently and prolifically into nursing practice.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261478278"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Uncovering the Use of Family-Centered Care Interventions Among Children With Cancer and Their Families: A Scoping Review of the Characteristics of Interventions and Effectiveness.","authors":"Sijia Meng, Biyao Lu, Xiaofei Chen, Shuohui Chen","doi":"10.1177/10748407261475342","DOIUrl":"https://doi.org/10.1177/10748407261475342","url":null,"abstract":"<p><p>Family-centered care (FCC) interventions have gained increasing attention in pediatric oncology, yet their characteristics, effectiveness, and implementation challenges remain insufficiently synthesized. This scoping review systematically mapped existing FCC interventions for children with cancer and their families following JBI methodological guidance and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) reporting standards. Twenty-two studies involving 1,049 pediatric patients and 1,504 family members were included. Interventions encompassed family empowerment programs, family-centered advance care planning, therapeutic conversations, functional support, and telehealth services, delivered via face-to-face, online, or hybrid formats. Evidence indicated improvements in psychological well-being, caregiver burden, and family quality of life. Despite methodological diversity, FCC interventions consistently demonstrated positive impacts. Future research should prioritize standardizing intervention components, integrating family systems theory, and developing culturally adaptable hybrid models to enhance clinical applicability and sustainability.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261475342"},"PeriodicalIF":2.0,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}