Family response to difficult hospitalizations: the phenomenon of `working through'

Clinicians should encourage the 'working through' process by family during the hospitalization of a family member and use strategies derived from grounded theory, family life-cycle framework and storytelling to learn about qualitative research methods.

Abstract

This paper describes the process and outcomes of a project to learn about qualitative research methods. A small study of family participation in decision-making was conducted with 7 family members who were interviewed after an inter-unit patient transfer. The data analysis used strategies derived from grounded theory, family life-cycle framework and storytelling. The interviews indicated respondents' concerns about the patient, their efforts to balance their lives during a time of disarray and their sorting through crises in their lives ('working through'). 'Working through' discourse has identifiable features, including: linking the past, present and future; refrains; rhetorical questions; and self-talk. Clinicians should encourage the 'working through' process by family during the hospitalization of a family member.