Journal of Family Nursing最新文献

{"title":"Resilience and Quality of Life in Families of Individuals With Polysubstance Use Disorder: Mediating Effects of Internalized Stigma and Caregiving Burden.","authors":"Samet Can Demirci, Burak Erman Menkü, Naz Aksoy, Zeynep Sıla Öztürk, Ahmet Özaslan, Zehra Arıkan","doi":"10.1177/10748407261417986","DOIUrl":"10.1177/10748407261417986","url":null,"abstract":"<p><p>Family members of individuals with polysubstance substance use disorder (PSUD) face many stressors that negatively affect their quality of life (QoL). This study examined the mediating roles of internalized stigma and perceived caregiving burden in the relationship between psychological resilience and QoL among parents of individuals with PSUD. A cross-sectional study was conducted with a sample of 277 individuals consisting of mothers or fathers of individuals diagnosed with PSUD. Participants completed several instruments, including the Connor-Davidson Resilience Scale, Parents' Internalized Stigma of Mental Illness Scale (adapted), Perceived Family Burden Scale, and WHOQOL-BREF. Data analyses included descriptive statistics, correlation analyses, and serial mediation analysis performed using SPSS 27.0 and PROCESS macro (Model 6). Psychological resilience was positively associated with higher QoL and showed an indirect association with QoL through a sequential mediation involving internalized stigma and perceived care burden. The model explained 67% of the variance in QoL (R² = 0.672). Internalized stigma was associated with perceived care burden, which in turn was negatively associated with QoL. Our study emphasizes the importance of addressing psychological resilience, stigma, and caregiving burden together to improve the QoL of families affected by PSUD. Multifaceted interventions targeting these interrelated factors are recommended to improve the QoL of caregivers.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"64-76"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214739","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":"JFN/JJRFN Abstract Exchange in 2025.","authors":"","doi":"10.1177/10748407261432323","DOIUrl":"https://doi.org/10.1177/10748407261432323","url":null,"abstract":"","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"32 2","pages":"129-131"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640438","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":"Facilitating Supportive Conversations With Youth: A Dyadic Mixed-Methods Study of a Brief Narrative Sharing Intervention.","authors":"Wendy S Looman, Elena Geiger-Simpson, Donna Eull, Nadeen S Alshakhshir, Jiwoo Lee, Jodi Roberts","doi":"10.1177/10748407261419422","DOIUrl":"10.1177/10748407261419422","url":null,"abstract":"<p><p>Research in family and peer systems has demonstrated the value of supportive conversations in helping children understand and express emotions around challenging experiences. The aim of this study was to explore the patterns, perceptions, and outcomes of a brief narrative sharing intervention designed to facilitate supportive conversations with youth. We utilized a mixed-methods approach with concurrent data collection among 88 parent-child, peer-peer, and researcher-child dyads. Data were collected through audio-recorded interviews and surveys. We used inductive and deductive coding to characterize interviewer behaviors. Qualitative and quantitative data were integrated to identify patterns in interviews and outcomes. Participants reported high levels of listener supportiveness, comforting responses, and insights through the activity. Integration of data revealed patterns of emotion coaching and participant perceptions in five types of interviews. The brief narrative sharing activity can be tailored by family nurses to support parents and youth in engaging in supportive, strengths-based conversations.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"77-92"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214798","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":"Enhancing Family Satisfaction in Intensive Care Units Through Structured Nurse-Family Communication: Effects of the COMFORT Model.","authors":"Batoul Yazdani, Khadijeh Nasiriani, Hamidreza Salarialiabadi, Parvaneh Badrabadi, Fatemeh Bakhshi","doi":"10.1177/10748407261425200","DOIUrl":"10.1177/10748407261425200","url":null,"abstract":"<p><p>Families of intensive care unit (ICU) patients often experience distress and dissatisfaction with communication. Structured communication frameworks may strengthen family-centered care and improve outcomes. This quasi-experimental, nonrandomized study was conducted in five ICUs across three referral hospitals. Families of patients with reduced consciousness were recruited, with one representative per patient completing questionnaires. In the control group (<i>n</i> = 48), families received routine communication. In the intervention group (<i>n</i> = 48), 10 ICU nurses trained in COMFORT conducted daily 20-min structured sessions for 5 days. Family satisfaction was assessed on Day 5 using the FS-ICU-24, and nurse-family communication quality was measured in the intervention group on Days 1, 3, and 5 with the QUALPAC communication subscale. Families in the intervention group reported significantly higher satisfaction scores, and communication quality improved over time. Implementation of the COMFORT model enhanced family satisfaction and strengthened nurse-family communication in ICUs.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"116-128"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357293","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":"Our International Family Nursing Colleagues and Our Journal Focus on Families.","authors":"Regena Spratling","doi":"10.1177/10748407261441476","DOIUrl":"https://doi.org/10.1177/10748407261441476","url":null,"abstract":"","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":"32 2","pages":"63"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640387","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":"Dissemination and Influence of the International Family Nursing Association Position Statements: A Scoping Review.","authors":"Teresa Gutiérrez-Alemán, Norma K Krumwiede, Diana Hashem Arabiat, Petra Brysiewicz, Maria do Céu Barbieri-Figueiredo, Lucila Castanheira Nascimento, Nadin M Abdel Razeq, Akiko Araki, Laurence Di Benedetto, Virginia Jones, Fernanda Lise, Debbie Sheppard LeMoine, Marilyn A Swan, Mandy Towell-Barnard","doi":"10.1177/10748407261422735","DOIUrl":"10.1177/10748407261422735","url":null,"abstract":"<p><p>Family-centered care is essential for addressing the complex health needs of families globally, yet its implementation remains inconsistent across different cultures and health systems.</p><p><strong>Purpose: </strong>Guided by JBI methodology, this scoping review mapped the dissemination and influence of the four core International Family Nursing Association (IFNA) Position Statements (PSs) on education and practice. Five electronic databases and gray literature sources were searched for documents citing the statements from 2013 onward. Following the removal of duplicates, screening was facilitated using Rayyan software. Data on citation metrics and documented influence across the domains of education, practice, research, and policy were charted and synthesized.</p><p><strong>Findings: </strong>The review identified 124 citing sources. A significant disparity exists: the practice-focused statements are widely disseminated and influential, particularly within the practice and education domains, while the education-focused statements show limited uptake. Dissemination is geographically concentrated in high-income countries, and policy influence is minimal. Notably, the practice-focused statements demonstrated greater influence within the education domain than the education-focused statements themselves.</p><p><strong>Conclusions: </strong>The IFNA-PSs serve as foundational documents for family nursing, but their potential to globally standardize education and shape policy is not yet fully realized. Key barriers include structural inconsistencies across documents and a publication strategy relying on web-based resources rather than indexed journal articles, limiting citation tracking. Future strategies should prioritize revising the statements, pursuing publication in peer-reviewed journals, and applying Implementation Science frameworks to develop targeted initiatives that bridge gaps in education, policy, and geographic reach.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"93-115"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437098","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":"Challenges, Preparations, and Recommendations: Family Perspectives on Pediatric Cardiac Surgery Across Childhood and Adolescence.","authors":"Sarah E Wawrzynski, Erica Sood, Kelsey Higgins, Alejandra Perez-Ramirez, Nahyun Kang, Erica Del Grippo, Melissa A Alderfer","doi":"10.1177/10748407261442562","DOIUrl":"https://doi.org/10.1177/10748407261442562","url":null,"abstract":"<p><p>Congenital heart disease (CHD), the most common birth defect globally, often requires hospitalization for cardiac surgery. While the stress of infant surgery is well-documented, less is known about the experiences of families with older children. We explored the experiences of families of children aged 3-17 hospitalized for cardiac surgery. Semi-structured interviews were conducted. Data were analyzed using qualitative content and thematic analysis. Thirty-two parents (30 mothers and 2 fathers) and 14 patients (10 males and 4 females) participated. Seven themes emerged across three domains: (a) Challenges: disruptions in family and social support, unexpected events and inadequate communication, and uncertainty and strong emotions; (b) Preparations: emotionally preparing yourself, your children and your family, and planning for hospitalization and surgical recovery; and (c) Recommendations: enhance communication and connection for support, and provide resources and education for empowerment. Findings highlight opportunities for targeted interventions to support families across child development.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261442562"},"PeriodicalIF":2.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787623","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":"Exploring the Distinction Between Support and Enabling in Families With Substance Use Disorder.","authors":"Alex Elswick, Krystal Seale","doi":"10.1177/10748407261442563","DOIUrl":"https://doi.org/10.1177/10748407261442563","url":null,"abstract":"<p><p>Substance use disorders (SUDs) are a pervasive public health problem facing families in the United States. Although families are frequently urged to support loved ones who have SUDs and cautioned against enabling them, there is a dearth of literature that distinguishes between supporting and enabling. This phenomenological study examined the experiences of parents (<i>n</i> = 8) with adult children with SUD who were currently in recovery. The primary research question in this study centers on how parents navigate their loved one's SUD, attempting to support recovery without enabling addiction. Three themes emerged from the data, including (a) addiction and recovery knowledge, (b) support group philosophy, and (c) differentiation. The results of this study add to the literature by demonstrating the importance of respective family support group affiliation on family's perception of enabling versus supporting. More research is needed to compare and contrast family support groups and their respective philosophies.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261442563"},"PeriodicalIF":2.9,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787566","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":"JFN/JJRFN Abstract Exchange in 2025.","authors":"","doi":"10.1177/10748407261432323","DOIUrl":"https://doi.org/10.1177/10748407261432323","url":null,"abstract":"","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"10748407261432323"},"PeriodicalIF":2.9,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147493917","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":"What Does Family-Centered Care Mean to You? A Qualitative Study Examining Perceptions of Mothers of Children With Medical Complexity.","authors":"Vanessa C Fong, Jennifer Baumbusch, Koushambhi Khan, Esther Lee, Sacha Bailey, Karma MacDonald, Angela Clancy","doi":"10.1177/10748407251393608","DOIUrl":"10.1177/10748407251393608","url":null,"abstract":"<p><p>Although family-centered care (FCC) has been widely studied in pediatric settings, research focusing on families of children with medical complexity is limited, especially regarding parental perspectives in the Canadian context. This study explored how mothers of children with medical complexity conceptualize FCC. A qualitative approach was employed, using semi-structured interviews for data collection. Purposive sampling was used to recruit 19 mothers of children with medical complexity (aged 0-18 years) residing in British Columbia, Canada. Five key themes emerged: (a) Meeting families where they are; (b) Understanding family roles, responsibilities, and preferences; (c) Recognizing that family needs are dynamic and require ongoing reassessment; (d) Encouraging open communication and feedback; and (e) Acknowledging that the health of the child and parents is inextricably linked. Findings provide insights to guide policy and best practices for this population, who represent some of the highest users of pediatric health care services in Canada.</p>","PeriodicalId":50193,"journal":{"name":"Journal of Family Nursing","volume":" ","pages":"19-29"},"PeriodicalIF":2.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12812179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642200","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}