RNOtherNursing open2026

Family Care Management of Patients With Chronic Diseases: A Concept Analysis.

Reza Nematollahi Maleki, Akram Ghahramanian, Mojgan Lotfi and 2 others

PMID 42717429

WHAT IT FOUND

Family care management for chronic disease was defined as active family participation, holistic support, collaboration with providers, and adaptability.

Nurses can use this as an assessment framework, but it is not evidence that it improves outcomes.

Key findings

01Family care management for patients with chronic diseases was defined as a dynamic, family-driven process involving active participation, holistic support, collaboration with healthcare providers, and adaptability over time.

02The analysis was derived from published literature rather than a direct empirical study of families' perspectives.

03Potential instruments were proposed as empirical referents, but none was developed to operationalise the concept.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

No patients, family members or caregivers were directly studied; the analysis was derived from published literature rather than families' lived experience. The search was restricted to title fields, so records that discuss family care management in abstracts but not titles may have been missed. Only English or Persian publications in selected databases were considered, so relevant studies in other languages or sources may have been omitted. The model, borderline, contrary and illegitimate cases are constructed examples for concept clarification, not real patient records or outcome data. The proposed instruments were not developed to measure this concept, so they should not be treated as validated measures of family care management. The paper does not test whether family care management improves health outcomes.

Declared interests

The study was financially supported by Tabriz University of Medical Sciences, and the authors declared no conflicts of interest.

The easy way to misread this

Do not read the concept definition or proposed instruments as evidence that family care management improves patient outcomes. This paper analysed literature and defined a concept; it did not test an intervention in patients or families.

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