Innovation Lab Family Care; the first Family Nursing initiative in the Netherlands

1. Innovation Lab Family Care; the first Family Nursing initiative in the Netherlands Dr. Marie Louise Luttik, Research Group Nursing Diagnostics Hanze University of Applied Sciences Groningen, The Netherlands m.l.a.luttik@pl.hanze.nl

2. School of Nursing, Groningen

3. Background Ageing population and growing care needs and health care costs A foreseen and already visible shortage of health care professionals

4. Innovation Lab An innovation lab (I-lab) consists of a network organizations regarding practice, research, education and entrepeneurship, aiming at open innovation and co-creation in ‘solving’ problems in society

5. Innovation Lab The ‘problem’ in society Due to extensive changes in the Dutch healthcare system, there is an increasing emphasis on the patients’ and families’ own responsibility for health and care; Transition a ‘the Participatory Society’ Families are more and more expected to take up the care for their family member in need of care. Health care professionals need to take up different roles and competencies to support families

6. Innovation Lab The ‘problem’ in society Due to extensive changes in the Dutch healthcare system, there is an increasing emphasis on the patients’ and families’ own responsibility for health and care; Transition a ‘the Participatory Society’ Families are more and more expected to take up the care for their family member in need of care. Health care professionals need to take up different roles and competencies to support families The Innovation Lab Family Care was initiated to develop optimal family care provided by nurses in the Northern part of the Netherlands

7. Innovation Lab Family Care Homecare Hospital care

8. Family Nursing These organizations together defined ‘the problem’ and acknowledged the potential value of Family Nursing principles in solving this problem

9. Innovation Lab Family Care Aim To develop, apply and evaluate the concept of Family Nursing Conversations as an evidence-based nursing intervention Education Research Practice

10. Innovation Lab Family Care Knowledge to action framework • Education • Six-day training in Family Nursing Conversations • Practice • Performing Family Nursing Conversations in practice • Research • Evaluation of the training • (Broekema, JFN, in press) • Nurse Fidelity to the intervention • (Broekema et al, in progress) • Benefits of the FNC from the • patient/family perspective • (Broekema et al, in progress)

11. Innovation Lab Family Care • Education • Six-day training in Family Nursing Conversations

12. Nurses’ Perspectives on the Results of a Six-Day Training in Family Nursing Conversations Broekema S, Luttik ML, Steggerda G, Paans W, Roodbol PF. Accepted for publication Journal of Family Nursing, in press Nurse citation ‘Spending a little more time on a conversation with families eventually saves a lot of time. You are able to anticipate potential problems that can arise at a later stage.’

13. Innovation Lab Family Care • Education • Six-day training in Family Nursing Conversations • Practice • Performing Family Nursing Conversations in practice

14. Innovation Lab Family Care • Education • Six-day training in Family Nursing Conversations • Practice • Performing Family Nursing Conversations in practice • Research • Evaluation of the training • (Broekema, JFN, in press) • Nurse Fidelity to the intervention • (Broekema et al, in progress) • Benefits of the FNC from the • patient/family perspective • (Broekema et al, in progress)

15. Extended results Research Program Family Care

16. Family Care Family Care from Birth to End of Life

17. Mission statement Research To to gain knowledge and evidence needed to develop effective family focused approaches and interventions supporting families in different phases of life, dealing with different health issues and in different health care settings

18. Research program Symposium CoE HA, novmember 2015

19. Family Involvement in Hospital Care During admission and discharge discussions nurses mostly addressed practical information regarding patient The mean duration of discharge discussions was 4.7 minutes mainly addressing medication and organization of care When family caregiving was addressed, nurses did not explore the nature or quality of the family support nor if families needed help or support

20. Research program Symposium CoE HA, novmember 2015

21. Family Nursing Conversations Nurses’ Perspectives on the Results of a Six-Day Training in Family Nursing Conversations Broekema S, Luttik ML, Steggerda G, Paans W, Roodbol PF. Accepted for publication Journal of Family Nursing Nurse citation ‘Spending a little more time on a conversation with families eventually saves a lot of time. You are able to anticipate potential problems that can arise at a later stage.’

22. Research program Symposium CoE HA, novmember 2015

23. Young adults growing up with a chronically ill family member Students growing up with a chronically ill family member; a survey on experienced consequences, background characteristics and risk factors. Werff van der , Luttik ML, Paans W, Roodbol PF, Francke A. (in progress)

24. Research program Symposium CoE HA, novmember 2015

25. Mission statementEducation Nurses, graduated from the School of Nursing at the HUAS in Groningen, view, think and act from the care-situation as a whole in which it is always about the patient or client in conjunction with his family or social system. Nurses feel responsible for the health and well-being of the patient and his family or social system and have the competency to carry out a family (nursing) conversation.

26. Research program Every year around 40-60 students involved in applied research

27. From Patient-Centered to Family-Centered

28. Kiitos!! Thank you!!Questions?