AIM: The purpose of this study was to describe how nurses apply the components of family nursing conversations in their home healthcare practice.METHOD: A qualitative content analysis with a deductive approach was conducted. Home healthcare nurses conducted family nursing conversations with families from their practice. Families were selected based on three nursing diagnoses: risk of caregiver role strain, caregiver role strain or interrupted family processes. Nurses audio-recorded each conversation and completed a written reflection form afterwards. Transcripts of the audio-recorded conversations were analysed in Atlas.ti 8.0 to come to descriptions of how nurses applied each component. Nurses' reflections on their application were integrated in the descriptions.RESULTS: A total of 17 conversations were audio-recorded. The application of each component was described as well as nurses' reflections on their application. Nurses altered or omitted components due to their clinical judgment of families' needs in specific situations, due to needs for adjustment of components in the transfer from theory to practice or due to limited skill or self-confidence.CONCLUSION: All of the components were applied in a cohesive manner. Nurses' application of the components demonstrates that clinical judgment is important in applying them. Further training or experience may be required to optimise nurses' skill and self-confidence in applying the components. This study demonstrates the applicability of the family nursing conversations components in home health care, allowing exploration of the working mechanisms and benefits of family nursing conversations for families involved in long-term caregiving in future studies.
LINK
It’s late April 2022 in Bologna and we meet in Franco’s apartment. He shows me his collection of collages he produced in the Covid period, his art therapy to fight off depression. The paintings can be found here and there online, exhibited under the pseudonym Istubalz. We’ve come together to discuss his latest book, The Third Unconscious: The Psychosphere in the Viral Age (published in English by Verso, translated by Bifo himself into Italian). The message of this short book is simple: we urgently need to engage with the future of psychoanalysis. The discovery of the unconscious in the eighteenth and nineteenth century resulted in the founding of psychoanalysis as both a therapy and tool for cultural analysis. Later, of course, it became an industry. In response to the emphasis of its founding fathers on denial and sublimation, the second mode of the unconscious, associated with Lacan and even more so Deleuze and Guattari, stressed the element of production. For them, the unconscious is not a theater but a factory. Fifty years into this probing of the liberation of desire, Berardi proposes a new angle: a third unconscious that circles around an understanding of the social dimension of the mind, in a world that is no longer focused on growth and (schizo-)productivity but on extinction and degrowth. Berardi calls for the development of new critical concepts that can help us to understand today’s spectrum of emotional attention. We must practice “riding the dynamic of disaster,” which he calls an accurate description of “our mental condition during the current earthquake, which is also a heart-quake and a mind-quake.” The seamless transition from Covid into the war in Ukraine reinstates the collapse of the bio-info-psycho circuit under the weight of the “stack of crises” (my term), the succession of catastrophic events. There’s a deeply unsettling and often profoundly depressing inevitably lurking about this atmosphere of accumulating disaster: the all-too-real sense that life is on the brink of total collapse and imminent disaster.
LINK
In this case study, we want to gain insight into how residents of three municipalities communicate about the new murder scenario of the cold case of Marianne Vaatstra and the possibility of a large-scale DNA familial searching. We investigate how stakeholders shape their arguments in conversation with each other and with the police. We investigate the repertoires that participants use to achieve certain effects in their interactions with others in three focus groups. The results show that the analyzed repertoires are strong normative orientated. We see two aspects emerge that affect the support for large-scale DNA familial searching. These are: 1. Cautious formulations: respondents showed restraint in making personal judgments and often formulated these on behalf of others. Participants would not fully express themselves, but adjusted to what seemed the socially desirable course. 2. Collective identity: respondents focused on the similarities between themselves and the needs, interests, and goals of other participants. Participants also tried in a discursive way to convince each other to participate in the large-scale familial searching. These two major discursive activities offered the communication discipline guidance for interventions into the subsequent communication strategy.
