Nurses’ fidelity to theory‐based core components when implementing Family Health Conversations – a qualitative inquiry

Background and aimA family systems nursing intervention, Family Health Conversation, has been developed in Sweden by adapting the Calgary Family Assessment and Intervention Models and the Illness Beliefs Model. The intervention has several theoretical assumptions, and one way translate the theory into practice is to identify core components. This may produce higher levels of fidelity to the intervention. Besides information about how to implement an intervention in accordance to how it was developed, evaluating whether it was actually implemented as intended is important. Accordingly, we describe the nurses’ fidelity to the identified core components of Family Health Conversation. Intervention and research methodsSix nurses, working in alternating pairs, conducted Family Health Conversations with seven families in which a family member younger than 65 had suffered a stroke. The intervention contained a series of three‐1‐hour conversations held at 2–3 week intervals. The nurses followed a conversation structure based on 12 core components identified from theoretical assumptions. The transcripts of the 21 conversations were analysed using manifest qualitative content analysis with a deductive approach. Results and conclusionThe ‘core components’ seemed to be useful even if nurses’ fidelity varied among the core components. Some components were followed relatively well, but others were not. This indicates that the process for achieving fidelity to the intervention...
Source: Scandinavian Journal of Caring Sciences - Category: Nursing Authors: Tags: Methods and Methodologies Source Type: research