title: [The family transition experience: family-centered hospitalization care of bipolar disorder patients].
abstract: BACKGROUND
  Differences in cognition and attitudes between bipolar disorder patients and their families frequently result in differences between the two in terms of opinions and perceptions on appropriate medical treatments and prognoses. Transforming patient-centered-care psychotherapy into an intervention that provides family-focused nursing, promotes interaction among family members, and changes communication styles may assist families to adapt and focus on pursuing the soundest medical treatment.
  
  
  OBJECTIVE
  This qualitative study explores the healing process of family transition in terms of family-centered care for bipolar disorder patients and nursing strategy intervention.
  
  
  METHODS
  A psychiatric nurse with clinical experience used four 60-90 minute semi-structured, in-depth interviews to collect data from 8 families. The process was recorded and transcribed verbatim. Content analysis was used to analyze and categorize the major themes.
  
  
  RESULTS
  Results were generalized into three themes that addressed the interaction-in-transition between patients and their families. These themes were: "All of the blame comes from the disease", "There is love in the family", and "Agreement to start over". Nurses increased their positive interaction with the family by facilitating cognitive, emotional, and behavioral change in the family. The 3 nursing strategy interventions used in this study to promote family adaptation in this study were: (1) guiding family experiences of the disease situation; (2) inspiring the potential strength in the families; (3) mobilizing the internal and external resources of families.
  
  
  CONCLUSIONS
  Nurses may help family healing by identifying family strengths and resources, looking for solutions to problems, transforming effective communicating style, and making family contracts.
authors: School of Nursing, National Defense Medical Center, ROC. lichichiang@gmail.com.
authors: Hsiu-Ju
authors: HJ
authors: Lee
authors: Mei-Bih
authors: MB
authors: Chen
authors: Li-Chi
authors: LC
authors: Chiang
mesh_terms: D001714:Bipolar Disorder / Q000451:nursing*; D003142:Communication; D005190:Family; D006760:Hospitalization; D006801:Humans; D036301:Qualitative Research
keywords: bipolar disorder; family-center care (FCC)