A Family Systems Nursing Approach for Families Following a Stroke: Family Health Conversations

J Fam Nurs. 2016 May;22(2):148-71. doi: 10.1177/1074840716642790. Epub 2016 Apr 18.


Stroke in midlife is a life altering, challenging experience for the whole family thereby necessitating a family approach to intervention. The aim of this study was to describe the experiences of 17 family members living in Sweden, including seven adult stroke patients (six males; one female) under the age of 65 who participated in a series of three nurse-led family conversations that were offered in each family's home. These Family Health Conversations (FamHC) were guided by the conceptual lens of Family System Nursing. Individual, semi-structured, evaluative interviews conducted with each participant one month after the FamHC were analyzed by qualitative content analysis. The FamHC were described by family members as a unique conversation that they had not previously experienced in health care contexts. Family members described possibilities for relational sharing and meaningful conversations as well as changes in family functioning that support the suitability of FamHC for family stroke care.

Keywords: Family Health Conversations; Family Systems Nursing; Sweden; family intervention; family nursing; stroke; therapeutic conversation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Communication*
  • Family / psychology*
  • Family Nursing / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Qualitative Research
  • Stroke / nursing*
  • Stroke / psychology*
  • Sweden