A Nurse-Led Family Support Intervention for Families Living With Cancer: An Experience-Based Co-Design Study.
Nerea Azcárate-Cenoz, Cristina Alfaro-Díaz, Rahel Naef and 2 others
PMID 40664349WHAT IT FOUND
Families living with cancer wanted nurses to treat the family as one unit, give timely information, and build trust through conversations after diagnosis, at treatment start and during treatment.
This co-design produced a planned nurse-led family support programme, not a tested one.
Key findings
01Patients, family members and nurses identified three critical moments for nurse-family conversations: after diagnosis, when treatment starts, and during treatment.
02The described Family CARE-ON intervention includes at least three therapeutic conversation sessions, each lasting 30-45 minutes.
03Nurses said family-oriented care was helped by standardised conversations, family care records, time and space, and collaboration with other professionals.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Purposive sampling may have selected people who had more positive experiences of care; participants were contacted through nurses and a nursing director. The study included 22 stakeholders, including 8 patients with cancer, 7 family members and 7 nurses, so the views cannot represent all cancer families. Two patients dropped out after the initial interviews because their health worsened, which may have limited later perspectives. The intervention was co-designed but not evaluated; no outcomes such as family distress, functioning or quality of life were measured. The work took place in one private university hospital in northern Spain and the intervention is specific to that cultural and service context.
Declared interests
The authors declared no conflicts of interest. The study was funded by Gobierno de Navarra, Banco Santander, Colegio Oficial de Enfermeras de Navarra, Asociación de Amigos de la Universidad de Navarra and Consejo General de Enfermería de España.
The easy way to misread this
Do not treat Family CARE-ON as proven to reduce family distress or improve cancer outcomes. The paper co-designed the intervention from stakeholder views and reports no trial or outcome data showing benefit.