TY - JOUR AU - Bell, Janice M. AB - JFN Bell / Editorial , November 1999, Vol. 5 No. 4 Editorial Therapeutic Failure: Exploring Uncharted Territory in Family Nursing The need to examine the effectiveness of nursing interventions with families is a persuasive and persistent call for action in our oral and written conversations these days. Within the domain of clinical prac- tice, I believe the nurse frequently has a sense of his or her own effec- tiveness with a family. Through internal dialogue, the questions are framed as: “Am I being helpful?” “Does this family seem to be responding to my ideas and suggestions?” The nurse’s judgement about clinical effectiveness may be corroborated with family mem- bers, by others’ observations, or through sophisticated clinical trials. However, at the heart of the interaction between a nurse and a family, each, I suspect, leaves with at least some beginning answers to the effectiveness question. In an attempt to understand expert practice, my colleagues and I recently engaged in research using hermeneutic inquiry that exam- ined therapeutic change with clinical families who showed exem- plary change—families who showed dramatic physical, cognitive, behavioral, and/or affective change during our clinical work with them. An analysis of videotaped clinical conversations between the nurse, TI - Therapeutic Failure: Exploring Uncharted Territory in Family Nursing JF - Journal of Family Nursing DO - 10.1177/107484079900500401 DA - 1999-11-01 UR - https://www.deepdyve.com/lp/sage/therapeutic-failure-exploring-uncharted-territory-in-family-nursing-6eywE24LTt SP - 371 EP - 373 VL - 5 IS - 4 DP - DeepDyve ER -