title: Health in partnership: family nursing practice for people with breathing difficulties.
abstract: Reorienting the focus of health systems to incorporate a multifaceted approach that allows for comprehensive and humane health care is pending. Using the participatory paradigm approach, we describe a study of a partnership-based family nursing practice for people with breathing difficulties. We generated data through nine conversations with eight patients accompanied by a close family member (n = 6) and one wife, 15 conversations between the authors, and through a reflective journal. Narrative data analysis was conducted. Results that reveal the meaning and experience of the family nursing practice are presented in four interlacing descriptive statements: (a) surfacing and contextualizing health problems, (b) responsiveness of services, (c) security-stability-self-direction, and (d) unified family efforts- transformation. We conclude that the conceptual framework of partnership is a useful approach to nursing practice within a nurse clinic for people with advanced breathing difficulties and their families.
authors.affiliation: Faculty of Nursing, University of Iceland, Eirberg, Eiriksgata 34, 101 Reykjavik, Iceland. helgaj@hi.is
authors.forename: Helga
authors.initials: H
authors.lastname: Jonsdottir
authors.forename: Thorbjorg Soley
authors.initials: TS
authors.lastname: Ingadottir
mesh_terms: D000368:Aged; D004417:Dyspnea / Q000451:nursing* / Q000517:prevention & control; D022143:Family Nursing / Q000379:methods*; D005260:Female; D006301:Health Services Needs and Demand; D006701:Home Nursing / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged