Applicability of Empowering Support Framework for Family Members of Individuals With Traumatic Brain Injury in Acute Care: A Qualitative Study of Nurses' Perspectives

Abstract

Aim To evaluate the applicability of the Empowering Support Framework in acute neurological care from nurses' perspectives, focusing on enablers and barriers of implementation.Design A descriptive qualitative study.Methods Seven focus group interviews were conducted in May 2024 with 21 nurses experienced in caring for individuals with traumatic brain injury and their family members in acute neurological care settings. Participants were recruited from five neurosurgical and neurological wards across four hospitals within a major university hospital network in Finland, including one intensive care unit, one neurosurgical inpatient ward and three neurological inpatient wards. Abductive content analysis was applied to analyse the data.Results Four key themes were identified: (1) making first contact with family members and strengthening early delivery of information; (2) involving the whole family in the care process; (3) implementing systematic approaches and continuous support through interprofessional collaboration; and (4) ensuring communication flow and continuity of care.Conclusions The Empowering Support Framework provides a structured approach to strengthening family-centred support, family involvement and continuity of support across the acute care pathway for family members of individuals with TBI. However, its successful implementation requires addressing organizational challenges, strengthening interprofessional collaboration and enhancing nurses' competencies through systematic education.Implications for the Profession and/or Patient Care Organizational conditions, such as resource availability and nurses' education, influence the implementation of family-centred care. Promoting interprofessional collaboration and strengthening nurses' competencies may reduce fragmented practices and improve continuity of care. These findings can support the development of consistent and equitable practices for supporting family members in acute neurological care.Reporting Method Reported in line with the COREQ (Consolidated Criteria for Reporting Qualitative Research).Patient or Public Contribution No Patient or Public Contribution.