This project describes implementation of an educational intervention designed to initiate practice changes that support families and nurses during acute illness. An academic–practice partnership and digital storytelling methodology provided a foundation. A quasi-experimental research design included quantitative and qualitative measurement before and after the educational intervention. Themes identified in digital stories of nurse experiences caring for families provided direction for the educational intervention including the digital stories, empirical evidence, and proposed changes in nursing practice focused on families. Nurse participants (n = 160) in the educational intervention reported positive responses on a qualitative questionnaire. Comparing pretest and posttest results of the Family Nurse Practice Scale reflected positive, though not significant change. Family members (n = 49) reported significantly improved perceptions of support on 7 of the 14 items on the Iceland Perceived Family Support Questionnaire. This project highlighted digital storytelling’s power to promote family interventions and move family nursing knowledge into practice.
AdamsA.MannixT.HarringtonA. (2017). Nurses’ communication with families in the intensive care unit—A literature review. Nursing in Critical Care, 22(2), 70–80. https://doi.org/10.1111/nicc.12141
3.
AndersonW. G.PuntilloK.BoyleD.BarbourS.TurnerK.CiminoJ.MooreE.NoortJ.MacMillanJ.PearsonD.GrywalskiM.LiaoS.FerrellB.MeyerJ.O’Neil-Page CainJ.HermanJ.MitchellW.PantilatS. (2016). ICU bedside nurses’ involvement in palliative care communication: A multicenter survey. Journal of Pain & Symptom Management, 51(3), 589–596. https://doi.org/10.1016/j.jpainsymman.2015.11.003
4.
ÅrestedtL.PerssonC.BenzeinE. (2014). Living as a family in the midst of chronic illness. Scandinavian Journal of Caring Sciences, 28(1), 29–37. https://doi.org/10.1111/scs.12023
5.
BellJ. M. (2014). Knowledge translation in family nursing: Gazing into the promised land [Editorial]. Journal of Family Nursing, 20(1), 3–12. https://doi.org/10.1177%2F1074840714521731
6.
BellJ. M. (2016). The central importance of therapeutic conversations in family nursing: Can talking be healing? [Editorial]. Journal of Family Nursing, 22(4), 439–449. https://doi.org/10.1177/1074840716680837
7.
BenzeinE.OlinC.PerssonC. (2015). “You put it all together”—Families’ evaluation of participating in Family Health Conversations. Scandinavian Journal of Caring Sciences, 29(1), 136–144. https://doi.org/10.1111/scs.12141
8.
BrewerB. B.WatsonJ. (2015). Evaluation of authentic human caring professional practices. Journal of Nursing Administration, 45(12), 622–627. https://doi.org/10.1097/NNA.0000000000000275
9.
BroekemaS.LuttikM. L. A.SteggerdaG. E.PaansW.RoodbolP. F. (2018). Measuring change in nurses’ perceptions about family nursing competency following a 6-day educational intervention. Journal of Family Nursing, 24(4), 508–537. https://doi.org/10.1177/1074840718812145
10.
BvumbweT. (2016). Enhancing nursing education via academic-clinical partnership: An integrative review. International Journal of Nursing Sciences, 3(3), 314–322. https://doi.org/10.1016/j.ijnss.2016.07.002
11.
CannonS. (2011). Family-centered care in the critical care setting: Is it best practice?Dimensions of Critical Care Nursing, 30(5), 241–245. https://doi.org/10.1097/DCC.0b013e3182276f9a
12.
CarlsonE. B.SpainD. A.MuhtadieL.McDade-MontezL.MaciaK. S. (2015). Care and caring in the intensive care unit: Family members’ distress and perceptions about staff skills, communication, and emotional support. Journal of Critical Care, 30(3), 557–561. https://doi.org/10.1016/j.jcrc.2015.01.012\
ClarkK.MilnerK. A.BeckM.MasonV. (2016). Measuring family satisfaction with care delivered in the intensive care unit. Critical Care Nurse, 36(6), e8–e14. https://doi.org/10.4037/ccn2016276
15.
ClisbeeD.BeierwaltesP.EggenbergerS. K. (2019). Reducing digital storytelling implementation barriers in nursing education workshops. The Journal of Continuing Education in Nursing, 50(9), 411–416. https://doi.org/10.3928/00220124-20190814-07
16.
CurtisK.FryM.ShabanR.ConsidineJ. (2016). Translating research findings to clinical nursing practice. Journal of Clinical Nursing, 26(5–6), 862–872. https://doi.org/10.1111/jocn.13586
17.
CypressB. S. (2011). The lived ICU experience of nurses, patients and family members: A phenomenological study with Merleau-Pontian perspective. Intensive & Critical Care Nursing, 27(5), 273–280. https://doi.org/10.1016/j.iccn.2011.08.001
18.
DavidsonJ. E.AslaksonR. A.LongA. C.PuntilloK. A.KrossE. K.HartJ.CoxC. E.WunschJ.WicklineM. A.NunnallyM. E.NetzerG.Kentish-BarnesN.SprungC. L.HartogC. S.CoombsM.GerritsenR. T.HopkinsA.Lewis-NewbyM.WhiteD. B.… CurtisJ. R. (2017). Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Critical Care Medicine, 45(1), 103–128. https://doi.org/10.1097/CCM.0000000000002169
19.
DavidsonJ. E.JonesC.BienvenuO. J. (2012). Family response to critical illness: Postintensive care syndrome-family. Critical Care Medicine, 40(2), 618–624. https://doi.org/10.1097/CCM.0b013e318236ebf9
20.
DavidsonP.RushtonC. H.KurtzM.WiseB.JacksonD.BeamanA.BroomeM. (2018). A social–ecological framework: A model for addressing ethical practice in nursing. Journal of Clinical Nursing, 27(5–6), e1233–e1241. https://doi.org/10.111/jocn.14158
21.
deJagerA.FogartyA.TewsonA.LenetteC.BoydellK. M. (2017). Digital storytelling in research: A systematic review. The Qualitative Report, 22(10), 2548–2582. https://nsuworks.nova.edu/tqr/vol22/iss10/3/
22.
DelgadoC.UptonD.RanseK.FurnessT.FosterK. (2017). Nurses’ resilience and the emotional labor of nursing work: An integrative review of empirical literature. International Journal of Nursing Studies, 70, 71–88. https://doi.org/10.1016/j.ijnurstu.2017.02.008
23.
De VecchiN.KennyA.Dickson-SwiftV.KiddS. (2017). Exploring the process of digital storytelling in mental health research: A process evaluation of consumer and clinician experiences. International Journal of Qualitative Methods, 16(1), 1–13. https://doi.org/10.1177/1609406917729291
24.
DolanskyM. A.SchexnayderJ.PatricianP. A.SalesA. (2017). Implementation science: New approaches to integrating quality and safety education for nurses competencies in nursing education. Nurse Educator, 42(5S), S12–S17. https://doi.org/10.1097/NNE.0000000000000422
25.
DuhamelF. (2010). Implementing family nursing: How do we translate knowledge into clinical practice? Part II: The evolution of 20 years of teaching, research, and practice to a Center of Excellence in Family Nursing. Journal of Family Nursing, 16(1), 8–25. https://doi.org/10.1177/1074840709360208
26.
DuhamelF. (2017). Translating knowledge from a family systems approach to clinical practice: Insights from knowledge translation research experiences. Journal of Family Nursing, 23(4), 461–487. https://doi.org/10.1177/1074840717739030
27.
EggenbergerS. K.SandersM. (2016). A family nursing educational intervention supports nurses and families in an adult intensive care unit. Australian Critical Care, 29(4), 217–223. https://doi.org/10.1016/j.aucc.2016.09.002
28.
EllisL.GergenJ.WohlgemuthL.NolanM. T.AslaksonR. (2016). Empowering the “cheerers”: Role of surgical intensive care unit nurses in enhancing family resilience. American Journal of Critical Care, 25(1), 39–45. https://doi10.4037/ajcc2016926
29.
Errasti-Ibarrondo JordanJ. A.Diez-Del-corralM. P.MarantzamendiM. (2018). Van Manen’s phenomenology of practice: How can it contribute to nursing?Nursing Inquiry, 26(1), e12259. https://doi.org/10.1111/nin.12259
30.
FleiszerA. R.SemenicS. E.RitchieJ. A.RicherM. C.DenisJ. L. (2016). Nursing unit leaders’ influence on the long-term sustainability of evidence-based practice improvements. Journal of Nursing Management, 24(3), 309–318. https://doi.org/10.1111/jonm.12320
31.
FoxM. Y. (2014). Improving communication with patients and families in the intensive care unit: Palliative care strategies for the intensive care unit. Journal of Hospice and Palliative Nursing, 16(2), 93–98. https://doi.org/10.1097/NJH.0000000000000026
FrivoldG.SletteboA.DaleB. (2016). Family members’ lived experiences of everyday life after intensive care treatment of a loved one: A phenomenological hermeneutical study. Journal of Clinical Nursing, 25(3–4), 392–402. https://doi.org/10.1111/jocn.13059
34.
GrahamI. D.LoganJ.HarrisonM. B.StrausS. E.TetroeJ.CaswellW.RobinsonN. (2006). Lost in knowledge translation: Time for a map?Journal of Continuing Education in the Health Professions, 26(1), 13–24. https://doi.org/10.1002/chp.47
35.
GrahamI. D.TetroeJ. M. (2010). The knowledge to action framework. In Rycroft-MaloneJ.BucknallT. (Eds.), Models and frameworks for implementing evidence-based practice: Linking evidence to action (pp. 20–221). Wiley-Blackwell.
36.
GreenL. A.SeifertC. (2005). Translation of research into practice: Why we can’t “just do it.”The Journal of the American Board of Family Practice, 18(6), 541–545. https://doi.org/10.3122/jabfm.18.6.541
37.
HardyP.SumnersR. (Eds.). (2018). Cultivating compassion: How digital storytelling is transforming healthcare. Palgrave Macmillan.
38.
HsiehH.-F.ShannonS. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. https://doi.org/10.1177/1049732305276687
JuniorA. P. N.BesenB. A. M. P.RobinsonC. C.FalavignaM.CassianoT.RosaR. G. (2018). Flexible versus restrictive visiting policies in ICUs: A systematic review and meta-analysis. Critical Care Medicine, 46(7), 1175–1180. https://doi.org/10.1097/CCM.0000000000003155
42.
KaranikolaM. N.MpouzikaM. D. (2018). Time to create a healthy work environment in ICU: A review of current evidence and commentary. CONNECT: The World of Critical Care Nursing, 12(2), 44–47. https://doi.org/10.1891/1748-6254.12.2.44.
43.
LaingC. M.MoulesN. J.EstefanA.LangM. J. (2017a). “Stories take your role away from you”: Understanding the impact of health care professionals of viewing digital stories of pediatric and adolescent/young adult oncology patients. Journal of Pediatric Oncology Nursing, 34(4), 261–271. https://doi.org/10.1177/1043454217697023
44.
LaingC. M.MoulesN. J.EstefanA.LangM. (2017b). Stories that heal: Understanding the effects of creating digital stories with pediatric and adolescent/young adult oncology patients. Journal of Pediatric Oncology Nursing, 34(4), 272–282. https://doi.org/10.1177/1043454216688639
45.
LambertJ. (2018). Digital storytelling: Capturing lives, creating community (5th ed.). Routledge.
46.
LeBlancR. G. (2017). Digital story telling in social justice nursing education. Public Health Nursing, 34(4), 395–400. https://doi.org/10.1111/phn.12337
47.
LindR.LoremG. F.NortvedtP.HevrøyO. (2012). Intensive care nurses’ involvement in the end-of-life process—Perspectives of relatives. Nursing Ethics, 19(5), 666–676. https://doi.org/10.1177/0969733011433925
48.
MackieB. R.MarshallA.MitchellM. (2017). Acute care nurses’ views on family participation and collaboration in fundamental care. Journal of Clinical Nursing, 27(11–12), 2346–2359. https://doi.org/10.1111/jocn.14185
49.
MackieB. R.MitchellM.MarshallA. (2018). The impact of interventions in care on adult acute-care wards: An integrative review. Collegian, 25(1), 131–140. https://doi.org/10.1016/j.colegn.2017.01.006
50.
McAdamJ. L.FontaineD. K.WhiteD. B.DracupK. A.PuntilloK. A. (2012). Psychological symptoms of family members of high-risk intensive care unit patients. American Journal of Critical Care, 21(6), 386–393. https://doi.org/10.4037/ajcc2012582
51.
MintonC.BattenL.HuntingtonA. (2019). A multicase study of prolonged critical illness in the intensive care unit: Families’ experiences. Intensive and Critical Care Nursing, 50, 21–27. https://doi.org/10.1016/j.iccn.2018.08.010
MitchellM. L.CoyerF.KeanS.StoneR.MurfieldJ.DwanT. (2016). Patient, family-centered care interventions within the adult ICU setting: An integrative review. Australian Critical Care, 29(4), 179–193. https://doi.org/10.1016/j.aucc.2016.08.002
56.
MoreauK. A.EadyK.SikoraL.HorsleyT. (2018). Digital storytelling in health professions education: A systematic review. BMC Medical Education, 18, Article 208. https://doi.org/10.1186/s12909-018-1320-1
57.
ÖstlundU.PerssonC. (2014). Examining family responses to Family Systems Nursing interventions: An integrative review. Journal of Family Nursing, 20(3), 259–286. https://doi.org/10.1177/1074840714542962
58.
PageP. (2016). Critical illness trajectory for patients, families and nurses: A literature review. Nursing in Critical Care, 21(4), 195–205. https://doi.org/10.1111/nicc.12199
59.
PapathanassoglouE.KaranikolaM. (2018). Stress in critical care nurses: A policy perspective. Nursing in Critical Care, 23(3), 117–120. https://doi.org/10.1111/nicc.12352
60.
PetrinecA. B.MartinB. R. (2018). Post-intensive care syndrome symptoms and health-related quality of life in family decision-makers of critically ill patients. Palliative & Supportive Care, 16(6), 719–724. https://doi.org/10.1017/S1478951517001043
61.
PetursdottirA. B.HaraoldsdottirE.SvavarsdottirE. K. (2018). The impact of implementing an educational intervention to enhance a family-oriented approach in specialised palliative home care: A quasi-experimental study. Scandinavian Journal of Caring Sciences, 33(2), 342–343. https://doi.org/10.1111/scs.12628
PriceD. M.StrodtmanL.BroughE.LonnS.LuoA. (2015). Digital storytelling: An innovative technological approach to nursing education. Nurse Educator, 40(2), 66–70. https://doi.org/10.1097/NNE.0000000000000094
64.
SimpsonP.TarrantM. (2006). Development of the Family Nursing Practice Scale. Journal of Family Nursing, 12(4), 413–425. https://doi.org/10.1177/1074840706290806
65.
StataCorp. (2019). Stata statistical software: Release 16.
66.
StimpfelA. W.RosenJ. E.McHughM. D. (2014). Understanding the role of the professional practice environment on quality of care in magnet® and non-magnet hospitals. Journal of Nursing Administration, 45(10), 10–16. https://doi.org/10.1097/NNA.0000000000000015
67.
SvavarsdottirE. K.SigurdardottirA. O.KonradsdottirE.StefansdottirA.SveinbjarnardottirE. K.KetilsdottirA.BlondalK.JónsdóttirA.BergsD.GuðmundsdottirH. (2015). The process of translating family nursing knowledge into clinical practice. Journal of Nursing Scholarship, 47(1), 5–15. https://doi.org/10/1111/jnu.12108
68.
SvavarsdottirE. K.SigurdardottirA. O.TryggvadottirG. B. (2014). Strengths-oriented therapeutic conversations for families of children with chronic illnesses: Findings from the Landspitali University Hospital Family Nursing Implementation Project. Journal of Family Nursing, 20(1), 13–50. https://doi.org/10.1177/1074840713520345
69.
SveinbjarnardottirE. K.SvavarsdottirE. K.HrafnkelssonB. (2012). Psychometric development of the Iceland-Family Perceived Support Questionnaire (ICE-FPSQ).Journal of Family Nursing, 18(3), 328–352. https://doi.org/10.1177/1074840712449203
70.
Vandall-WalkerV.ClarkA. M. (2011). It starts with access! A grounded theory of family members working to get through critical illness. Journal of Family Nursing, 17(2), 148–181. https://doi.org/10.1177/1074840711406728
71.
van ManenM. (2017). Researching lived experience: Human science for an action sensitive pedagogy (2nd ed.). Routledge/Taylor & Francis.
72.
WaltonK.AmbroseT.AnnisA.MaD. W.HainesJ., & Guelph Family Health Study Family Advisory Council; on behalf of the Guelph Family Health Study. (2018). Putting family into family-based obesity prevention: Enhancing participant engagement through a novel integrated knowledge translation strategy. BMC Medical Research Methodology, 18, Article 126. https://doi.org/10.1186/s12874-018-0588-5
73.
WeyantR. A.ClukeyL.RobertsM.HendersonA. (2017). Show your stuff and watch your tone: Nurses’ caring behaviors. American Journal of Critical Care, 26(2), 111–117. https://doi.org/10.4037/ajcc2017462
74.
WhiteD. B.CuaS. M.WalkR.PolliceL.WeissfeldL.HongS.LandefledS.ArnoldR. M. (2012). Nurse-led intervention to improve surrogate decision making for patients with advanced critical illness. American Journal of Critical Care, 21(6), 396–409. https://doi.org/10.4037/ajcc2012223
75.
WielandM. L.NjeruJ. W.HanzaM. M.BoehmD. H.SinghD.YawnB. P.PattenC. A.ClarkM. M.WeisJ. A.OsmanA.GoodsonM.Porraz CapetilloM. D.HaredA.HasleyR.Guzman-CorralesL.SandlerR.HernandezV.NovotnyP. J.SloanJ. A.SiaI. G. (2017). Pilot feasibility study of a digital storytelling intervention for immigrant and refugee adults with diabetes. The Diabetes Educator, 43(4), 349–359. https://doi.org/10.1177/0145721717713317
76.
WongP.LiamputtongP.KochS.RawsonH. (2018). Searching for meaning: A grounded theory of family resilience in adult ICU. Journal of Clinical Nursing, 28(5–6), 781–791. https://doi.org/10.1111/jocn.14673
77.
WrightL. M.LeaheyM. (2013). Nurses and families: A guide to family assessment and intervention (6th ed.). F.A. Davis.
