Nurses have a key role to play in therapeutic interventions for bereaved and grieving families. In this article, hermeneutic inquiry is used to uncover what families found helpful or useful with respect to therapeutic conversations with advanced practice registered nurses. The findings show that nursing expertise is important in family nursing practice. Expertise in the relationship allowed the family to find healing and hope by addressing core constraining beliefs. Clinical judgment, or sense, was significant in guiding the therapeutic conversation. Lastly, how problems are framed and how families are positioned have implications for outcomes and therapeutic change.
AngenM. J. (2000). Pearls, pith, and provocation. Evaluating interpretive inquiry: Reviewing the validity debate and opening the dialogue. Qualitative Health Research, 10(3), 378-395. doi:10.1177/104973230001000308
2.
BalkD.WogrinC.ThorntonG.MeagherD. (Eds.). (2007). Handbook of thanatology: The essential body of knowledge for the study of death, dying, and bereavement. New York, NY: Routledge/Taylor & Francis.
3.
BellJ. M. (2008). The Family Nursing Unit, University of Calgary: Reflections on 25 years of clinical scholarship (1982-2007) and closure announcement [Editorial]. Journal of Family Nursing, 14(3), 275-288. doi:10.1177/1074840708323598
4.
BellJ. M.WrightL. M. (2007). La recherche sur la pratique des soins infirmiers à la famille [Research on family interventions]. In DuhamelF. (Ed.), La santé et la famille: Une approche systémique en soins infirmiers [Families and health: A systemic approach in nursing care] (2nd ed., pp. 87-105). Montreal, Quebec, Canada: Gaëtan Morin editeur, Chenelière Éducation. Retrieved from https://dspace.ucalgary.ca/handle/1880/44060
5.
BennerP. (1984). Uncovering the knowledge embedded in clinical nursing practice. In RaffertyA. M.TraynorM. (Eds.), Exemplary research for nursing and midwifery (pp. 147-151). London, UK: Routledge.
6.
CheslaC. A. (1995). Hermeneutic phenomenology: An approach to understanding families. Journal of Family Nursing, 1(1), 68-78. doi:10.1177/107484079500100105
7.
CioffiJ. (1997). Heuristics, servants to intuition, in clinical decision-making. Journal of Advanced Nursing, 26(1), 203-208. doi:10.1046/j.1365-2648.1997.1997026203.x
8.
CodyW. K. (2000). The lived experience of grieving for persons living with HIV who have used injection drugs. Journal of the Association of Nurses in AIDS Care, 11(3), 82-92. doi:10.1016/S1055-3290(06)60278-1
FischR.WeaklandJ. H.SegalL. (1982). The tactics of change: Doing therapy briefly. San Francisco, CA: Jossey-Boss.
12.
GadamerH.-G. (2004). Truth and method (WeinsheimerJ.MarshallD. G. Trans.; 2nd rev. ed.). New York, NY: Continuum.
13.
GadowS. (1995). Clinical epistemology: A dialectic of nursing assessment. Canadian Journal of Nursing Research, 27(2), 25-34. Retrieved from http://cjnr.mcgill.ca/
14.
GoldfriedM. R.DavilaJ. (2005). The role of relationship and technique in therapeutic change. Psychotherapy: Theory, research, practice, training, 42(4), 2005, 421-430. doi:10.1037/0033-3204.42.4.421
15.
GrafF. (1993). Greek mythology: An introduction (MarierT. Trans.). Baltimore, MD: Johns Hopkins University Press.
16.
GrantM. (1962). Myths of the Greeks and Romans. New York, NY: Penguin.
17.
HubbleM. A.DuncanB. L.MillerS. D. (Eds.). (1999). The heart and soul of change: What works in therapy. New York, NY: American Psychological Association.
18.
HubbleM. A.DuncanB. L.MillerS. D.WampoldB. E. (2010). Introduction. In DuncanB. L.MillerS. D.WampoldB. E.HubbleM. A. (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 23-36). Washington, DC: American Psychological Association.
19.
JardineD. W. (2006). On hermeneutics: “Over and above our wanting and doing.” In TovinK.KincheloeJ. (Eds.), Doing education research: A handbook (pp. 269-288). Amsterdam, Netherlands: Sense.
20.
KissaneD. W.BlochS. (2002). Family focused grief therapy: A model of family-centred care during palliative care and bereavement. Philadelphia, PA: Open University Press.
21.
KlassD. (2006). Continuing conversation about continuing bonds. Death Studies, 30, 843-858. doi:10.1080/07481180600886959
22.
KlassD.SilvermanP. R.NickmanS. L. (Eds.). (1996). Continuing bonds: New understandings of grief. Philadelphia, PA: Taylor & Francis.
MacDonaldA. J. (1994). Brief therapy in adult psychiatry. Journal of Family Therapy, 16(4), 415-426. doi:10.1111/j.1467-6427.1994.00806.x
25.
MorfordM. P. O.LenardonR. J. (1977). Classical mythology (2nd ed.). New York, NY: Longman.
26.
MoulesN. J. (1998). Legitimizing grief: Challenging beliefs that constrain. Journal of Family Nursing, 4(2), 142-166. doi:10.1177/107484079800400203
27.
MoulesN. J. (2002). Hermeneutic inquiry: Paying heed to history and Hermes—An ancestral, substantive, and methodological tale. International Journal of Qualitative Methods, 1(3), 1-21. Retrieved from http://web.ebscohost.com.login.ezproxy.library.ualberta.ca/ehost
28.
MoulesN.MacLeodM.ThirskL.HanlonN. (2010). “And then you’ll see her in the grocery store”: The working relationships of public health nurses and high priority families in northern Canadian communities. Journal of Pediatric Nursing, 25, 327-334.
29.
MoulesN. J.McCaffreyG.MorckA. C.JardineD. W. (2011). Editorial: On applied hermeneutics and the work of the world. Journal of Applied Hermeneutics. Retrieved from http://hdl.handle.net/10515/sy5kd1qw9
30.
MoulesN. J.SimonsonK.FleiszerA.PrinsM.GlasgowB. (2007). The soul of sorrow work: Grief and therapeutic interventions with families. Journal of Family Nursing, 13(1), 117-141. doi:10.1177/1074840706297484
31.
MoulesN. J.SimonsonK.PrinsM.AngusP.BellJ. M. (2004). Making room for grief: Walking backwards and living forward. Nursing Inquiry, 11(2), 99-107. doi:10.1111/j.1440-1800.2004.00204.x
32.
NeimeyerR. A. (2001). Meaning reconstructions and the experience of loss. Washington, DC: American Psychological Association.
33.
NeimeyerR. A. (2010). Grief counseling and therapy: A case for hope. Bereavement Care, 29(2), 13-16. doi:10.1080/02682621.2010.484930
34.
NietzscheF. (1986). Human, all too human: A book for free spirits (HollingdaleR. J. Trans.). Cambridge, UK: Cambridge University Press.
35.
PilkingtonF. B. (2006). Developing nursing knowledge on grieving: A human becoming perspective. Nursing Science Quarterly, 19(4), 299-303. doi:10.1177/ 0894318406293130
36.
ReedK. S. (2003). Grief is more than tears. Nursing Science Quarterly, 16(1), 77-81. doi:10.1177/0894318402239070
37.
RobinsonC. A. (1996). Healthcare relationships revisited. Journal of Family Nursing, 2(2), 152-173. doi:10.1177/107484079600200204
38.
RosenblattP. C. (2008). Recovery following bereavement: Metaphor, phenomenology, and culture. Death Studies, 32(1), 6-16. doi:10.1080/07481180701741228
39.
SandlerI. N.WolchikS. A.AyersT. S. (2008). Resilience rather than recovery: A contextual framework on adaptation following bereavement. Death Studies, 32(1), 59-73. doi:10.1080/07481180701741343
40.
StroebeM. S.HanssonR. O.SchutH.StroebeW. (Eds.). (2008). Handbook of bereavement research and practice: Advances in theory and intervention. Washington, DC: American Psychological Association.
41.
StroebeM. S.StroebeW.HanssonR. O. (2006). Bereavement research and theory: An introduction to the handbook. In StroebeM. S.StroebeW.HanssonR. O. (Eds.), Handbook of bereavement: Theory, research and intervention (pp. 3-19). New York, NY: Cambridge University Press.
42.
TallmanL.BohartA. C. (1999). The client as a common factor: Clients as self-healers. In HubbleM. A.DuncanB. L.MillerS. D. (Eds.), The heart and soul of change (pp. 91-131). Washington, DC: American Psychological Association.
43.
TappD. M. (2004). Dilemmas of family support during cardiac recovery: Nagging as a gesture of support. Western Journal of Nursing Research, 26(5), 561-580. doi:10.1177/0193945904265425
44.
ThirskL. M. (2009). Understanding the nature of family nursing practices and interventions with families experiencing grief (Unpublished doctoral dissertation). University of Calgary, Calgary, Alberta, Canada. Retrieved from http://dspace.ucalgary.ca/handle/1880/48641
45.
ThirskL. M.MoulesN. J. (2012). Considerations for grief interventions: Eras of witnessing with families. Omega: Journal of Death and Dying, 65(2), 107-124. doi:10.2190/OM.65.2.b
46.
WalshF.McGoldrickM. (Eds.). (2004). Living beyond loss: Death in the family (2nd ed.). New York, NY: Norton.
WalterT. (2000). Grief narratives: The role of medicine in the policing of grief. Anthropology and Medicine, 7(1), 97-114. Retrieved from http://dx.doi.org/10.1080/136484700109377
WrightL. M. (2005). Spirituality, suffering, and illness: Ideas for healing. Philadelphia, PA: F.A. Davis.
52.
WrightL. M.BellJ. M. (2009). Beliefs and illness: a model for healing. Calgary, Alberta, Canada: 4th Floor Press.
53.
WrightL. M.LeaheyM. (2009). Nurses and families: A guide to family assessment and intervention (5th ed.). Philadelphia, PA: F.A. Davis.
54.
WrightL. M.LeaheyM. (2013). Nurses and families: A guide to family assessment and intervention (6th ed.). Philadelphia, PA: F.A. Davis.
55.
WrightL. M.WatsonW. L.BellJ. M. (1990). The family nursing unit: A unique integration of research, education and clinical practice. In BellJ. M.WatsonW. L.WrightL. M. (Eds.), The cutting edge of family nursing (pp. 95-112). Calgary, Alberta, Canada: University of Calgary, Family Nursing Unit Publications. Retrieved from https://dspace.ucalgary.ca/bitstream/1880/45100/3/FNU_CuttingEdge.pdf
56.
WrightL. M.WatsonW. L.BellJ. M. (1996). Beliefs: The heart of healing in families and illness. New York, NY: Basic Books.
57.
ZieglerP. B. (2010). “Visitor,” “complainant,” “customer” revisited. In NelsonT. S. (Ed.), Doing something different: Solution-focused brief therapy practices (pp. 39-44). New York, NY: Taylor & Francis Group.
