International Family Nursing Association: toolkit of resources for caring for refugee/migrating families.

OBJECTIVE: To report the experience of the International Family Nursing Association (IFNA) Practice Committee on developing a Toolkit of resources to care for refugee/migrating families as a response to the global migration and refugee crisis. METHOD: Qualitative and descriptive study, experience report, which describes the development of a toolkit of resources for caring for refugee/migrating families. RESULTS: The development of this Toolkit of resources to care for refugee/migrating families is supported by current literature related to family-centered evaluation and intervention, culturally sensitive practice based on family strengths; statements of positioning on immigrant and refugee families; and nursing and health organizations that addressed the health of the refugee family. CONCLUSIONS: The dissemination of the resources available in the Toolkit can support nursing practices, drive qualified approaches to assessments and interventions, capable of promoting family resilience as they adapt, providing well-being, and leading to the healing of traumas and adversities experienced by families in the process of migration or refuge.

International Family Nursing Association: toolkit of resources for caring for refugee/migrating families / Asociación Internacional de Enfermería de Familia: herramienta con recursos para atención a familias de migrantes o refugiados / Associação Internacional de Enfermagem da Família: ferramenta com recursos para cuidados a famílias de migrantes ou refugiados

ABSTRACT Objective: To report the experience of the International Family Nursing Association (IFNA) Practice Committee on developing a Toolkit of resources to care for refugee/migrating families as a response to the global migration and refugee crisis. Method: Qualitative and descriptive study, experience report, which describes the development of a toolkit of resources for caring for refugee/migrating families. Results: The development of this Toolkit of resources to care for refugee/migrating families is supported by current literature related to family-centered evaluation and intervention, culturally sensitive practice based on family strengths; statements of positioning on immigrant and refugee families; and nursing and health organizations that addressed the health of the refugee family. Conclusions: The dissemination of the resources available in the Toolkit can support nursing practices, drive qualified approaches to assessments and interventions, capable of promoting family resilience as they adapt, providing well-being, and leading to the healing of traumas and adversities experienced by families in the process of migration or refuge.

RESUMEN Objetivo: Informar la experiencia del Comité de Prácticas de la Asociación Internacional de Enfermería de Familia respecto del desarrollo de una herramienta con recursos para atención de familias de migrantes o refugiados como respuesta a la crisis mundial de ambos grupos. Métodos: Estudio cualitativo y descriptivo. Informe de experiencia describiendo el desarrollo de una herramienta con recursos de atención a familias de migrantes o refugiados. Resultados: El desarrollo de la herramienta se fundamentó en literatura actual relativa a la evaluación e intervención centrada en la familia, práctica culturalmente sensible basada en los puntos fuertes familiares; en declaraciones indicando posición sobre las familias de migrantes o refugiados; y en organizaciones de enfermería y sanitarias que abordaron la salud de las familias refugiadas. Conclusiones: La difusión de los recursos disponibles en la herramienta puede ayudar en las prácticas de enfermería, impulsar el uso de abordajes adecuados en evaluaciones e intervenciones, y promover la resiliencia en las familias mientras enfrentan el período de adaptación, brindando bienestar y apuntando a sanar traumas y adversidades enfrentadas por las familias en su proceso de migración o refugio.

RESUMO Objetivo: Relatar a experiência do Comitê de Práticas da Associação Internacional de Enfermagem da Família em relação ao desenvolvimento de uma ferramenta com recursos para os cuidados a famílias de migrantes ou refugiados como resposta à crise mundial de migrantes e refugiados. Métodos: Estudo qualitativo e descritivo. Relato de experiência que descreveu o desenvolvimento de uma ferramenta com recursos para os cuidados a famílias de migrantes ou refugiados. Resultados: O desenvolvimento dessa ferramenta foi embasado na literatura atual relacionada a avaliação e intervenção centrada na família, uma prática culturalmente sensível baseada nos pontos fortes familiares; em declarações que indicavam o posicionamento sobre as famílias de migrantes ou refugiados; e em organizações de enfermagem e saúde que abordaram a saúde da família refugiada. Conclusões: A disseminação dos recursos disponíveis na ferramenta pode auxiliar nas práticas de enfermagem, estimular o uso de abordagens adequadas em avaliações e intervenções e promover a resiliência das famílias enquanto elas passam pelo período de adaptação, proporcionando, assim, bem-estar e levando à cura de traumas e adversidades enfrentados pelas famílias no processo de migrar ou refugiar-se.

Measuring Family Members' Experiences of Integrating Chronic Illness Into Family Life: Preliminary Validity and Reliability of the Family Integration Experience Scale:Chronic Illness (FIES:CI).

Measures of family members' experiences of integrating chronic conditions (CC) or chronic illnesses (CI) into family life are needed to optimize family care. This article reports development and psychometric testing of the Family Integration Experience Scale: Chronic Illness (FIES:CI), a measure of family member perceptions of integrating CC or CI into evolving family life. Family Systems Nursing (FSN), the Reintegration Within Families in the Context of Chronic Illness Model, and measurement theory guided the study. Participants were those (N = 328) managing a CC or CI. Concurrent validity (r = +.629; p < .001) and discriminant validity, F(1, 155) = 7.09; p < .05, were demonstrated. Exploratory factor analysis revealed a two-dimensional model explaining 63.8% variance. Scale internal reliability was α = .70 and .785, and factor reliabilities were α = .798 (Factor 1) and α = .847 (Factor 2). Test-retest item and subscale correlations, while accounting for intra-family correlation, were acceptable. The FIES:CI contributes a valuable new measure of family integration in the context of CC or CI with preliminary validity and reliability as tested in these samples.

Enfermagem no cuidado às famílias migrantes e refugiadas: tema emergente / Enfermería en el cuidado a las familias migrantes y refugiadas: tema emergente

O cuidado às famílias migrantes e refugiadas é um tema emergente relevante para área da enfermagem e saúde.

Development and Implementation of a Family-Focused Undergraduate Nursing Curriculum: Minnesota State University, Mankato.

Nurse educators have the responsibility to create learning experiences centered on the scientific and praxis foci of the nursing discipline to advance nursing practice with families. Although the nursing profession has ample knowledge about the importance of family nursing and the value of family-focused actions, there is a lack of curricular and teaching models that address nursing practice with families in numerous courses and learning experiences. This article describes the development of a family-focused undergraduate curriculum and teaching-learning practices at Minnesota State University, Mankato in the United States. A vision and mission centered on the nursing of families, a family care teaching model, a framework of family constructs, and taxonomy of significant learning strategies guided faculty in creating learner-centered experiences. Course objectives, competencies, and teaching-learning practices in this curriculum are described. This manuscript may guide the development of innovative teaching-learning practices that integrate family nursing constructs and family nursing actions from a variety of family nursing models and theories. Initial evaluation suggests that this curriculum can increase students' knowledge of family and instill a passion for family care in undergraduate programs.

Trialing the Community-Based Collaborative Action Research Framework: Supporting Rural Health Through a Community Health Needs Assessment.

PURPOSE: To describe the application of the Community-Based Collaborative Action Research (CBCAR) framework to uplift rural community voices while conducting a community health needs assessment (CHNA) by formulating a partnership between a critical access hospital, public health agency, school of nursing, and community members to improve societal health of this rural community. METHOD: This prospective explorative study used the CBCAR framework in the design, collection, and analysis of the data. The framework phases include: Partnership, dialogue, pattern recognition, dialogue on meaning of pattern, insight into action, and reflecting on evolving pattern. DISCUSSION: Hospital and public health agency leaders learned how to use the CBCAR framework when conducting a CHNA to meet Affordable Care Act federal requirements. Closing the community engagement gap helped ensure all voices were heard, maximized intellectual capital, synergized efforts, improved communication by establishing trust, aligned resources with initiatives, and diminished power struggles regarding rural health. CONCLUSION: The CBCAR framework facilitated community engagement and promoted critical dialogue where community voices were heard. A sustainable community-based collaborative was formed. The project increased the critical access hospital's capacity to conduct a CHNA. The collaborative's decision-making capacity was challenged and ultimately strengthened as efforts continue to be made to address rural health.

Using Simulation Pedagogy in the Formation of Family-Focused Generalist Nurses.

BACKGROUND: Nursing practice with families is essential because a family member's illness affects the family and, reciprocally, the family influences health outcomes. Yet, nurses often report a lack of confidence in their ability to meet the needs of families, whereas family members often describe troubling experiences with nurses. These challenges may have beginning roots in nursing education. This article explores the use of simulation in the formation of family-focused generalist nurses. METHOD: Simulation pedagogy was used to guide students in developing an understanding of the importance of family nursing care, gaining confidence in family practices, and developing family competencies. RESULTS: Innovative simulation learning experiences in an undergraduate nursing curriculum helped students to learn how to develop nurse-family relationships and gain humanistic skills of family nursing practices. Students and faculty reported that simulation guides students to achieve meaningful outcomes. CONCLUSION: In this curriculum, faculty consistently directs attention to the family in simulation learning experiences, and students value this pedagogy.

Academic-Hospital Partnership: Conducting a Community Health Needs Assessment as a Service Learning Project.

OBJECTIVES: The purposes of this service learning project were to trial nursing student application of the Community-Based Collaborative Action Research (CBCAR) framework while conducting a community health needs assessment and to assess the effectiveness of the CBCAR framework in providing real-world learning opportunities for enhancing baccalaureate nursing students' public health knowledge. DESIGN AND SAMPLE: In this case study analysis, the CBCAR framework linked service learning and community health needs assessment with public health nursing core competencies. Fifteen nursing students partnered with collaborative members. MEASURES: Student observational field notes and narrative reflections were analyzed qualitatively for fidelity to the CBCAR framework and to evaluate student public health knowledge. RESULTS: Students successfully employed the CBCAR framework in collaboration with the critical access hospital and community stakeholders to design and conduct the community health needs assessment. Service learning themes were real-world solutions, professional development, community collaboration, and making a difference. Students developed skills in six of the eight domains of the Quad Council's core competencies for public health nurses. CONCLUSIONS: Community-Based Collaborative Action Research facilitates collaborative partnerships and relationships throughout the research process. Students benefited by applying what they have learned from their education to a real community who lacks resources.

The lived experience of men diagnosed with prostate cancer.

PURPOSE/OBJECTIVES: To investigate the lived experience of prostate cancer from a patient perspective. RESEARCH APPROACH: Descriptive, qualitative. SETTING: Community setting. PARTICIPANTS: 10 men with prostate cancer aged 62-70 years. METHODOLOGIC APPROACH: A hermeneutic phenomenologic method using semistructured, open-ended questions addressing the lived experience. DATA SYNTHESIS: Phenomenology of praxis proposed by van Manen guided the data analysis and transformed personal experiences into disciplinary understanding. FINDINGS: The use of van Manen's method of inquiry and analysis has contributed to the findings of the study by providing a way to explore the meaning of the lived experiences in an attempt to understand living with prostate cancer. Several themes were identified: living in the unknown, yearning to understand and know, struggling with unreliability of body, bearing the diagnosis of cancer, shifting priorities in the gap, and feeling comfort in the presence of others. CONCLUSIONS: Oncology nurses can use van Manen's four fundamental existentials-lived space (spatiality), lived body (corporeality), lived time (temporality), and lived other (relationality)-to understand the lived experience of prostate cancer. Nurses have many opportunities to impact the lives of men diagnosed with prostate cancer, including diagnosis, management of physical integrity, management of psychosocial integrity, and providing education. INTERPRETATION: Nurses may encourage men to describe their diagnosis story and illness experience to better understand the meaning of the prostate cancer experience and to provide appropriate nursing care.

Family caring strategies in neutropenia.

Aggressive chemotherapy protocols result in neutropenia in approximately half of all patients receiving chemotherapy. Thus, neutropenia continues to be a significant and potentially life-threatening side effect of treatment, even with use of colony-stimulating factors. Families of patients with neutropenia often provide the primary healing environment because most chemotherapy protocols are managed on an outpatient basis. To learn about the family's experience of managing chemotherapy-induced neutropenia (CIN), a grounded-theory methodology was used to analyze data from seven families. The central theme revealed by these families was "turbulent waiting with intensified connections." This meant that when families had a sense of greater vulnerability in response to the waiting after diagnosis of CIN, they connected intensely with each other and healthcare providers. Families reported that connections with nurses became more significant when neutropenia interrupted chemotherapy. Families also developed family caring strategies to manage this period of waiting for the chemotherapy to resume. These strategies included family inquiry, family vigilance, and family balancing. Nurses need to be aware of approaches to support the family's ability to manage CIN. Interventions and approaches constructed from the perspective of a family-professional partnership will enhance the family cancer experience as well as ongoing family growth and function.