The Usefulness of Brief Family Health Conversations Offered to Families Following the Diagnosis of Breast Cancer.
Annette Holst-Hansson, Vedrana Vejzovic, Ewa Idvall and 1 others
PMID 33111591WHAT IT FOUND
Families of women with breast cancer said nurse-led brief conversations let them speak about fear and protectiveness they had hidden.
They felt seen and stronger as a family, but said the conversations came too late.
Key findings
01Families reported that the conversations let them say feelings and fears they had avoided, and that sharing gave relief.
02Families felt seen and important, and they felt stronger as a family and more able to cope with future stressors.
03Families said the conversations were positive but came too late in the treatment trajectory.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included only nine families from one part of Sweden, so the experiences may not apply to other settings or populations. The families had a mother with early-stage breast cancer receiving curative radiotherapy and children aged 12 and older, so it does not speak to families with younger children, advanced disease, or non-Swedish-speaking families. The study used interviews about experience and did not measure communication, coping, distress, or any clinical outcome. The nurse who led the conversations was also an author and took part in analysis, which may affect interpretation, although other authors were involved to reduce this risk. The conversations were scheduled during radiotherapy, and families said they came too late, so the study does not show how families would experience earlier conversations.
Declared interests
The authors declared no potential conflicts of interest. They also stated that no financial support was received for the research, authorship, or publication. The paper names the funder as malmö högskola.
The easy way to misread this
Do not conclude that brief family health conversations improve family coping, communication, or breast cancer outcomes. This was a qualitative study of nine families' reported experiences, with no measured outcomes, a small regional sample, and conversations timed near the end of radiotherapy.