The Effectiveness of Family Communication Strategies for Family Members with Health Problems: A Systematic Review

Result: After applying the eligibility criteria in the review, the 15 studies that had been obtained were included. The 15 studies, it shows that the communication provided by the family to other family members is very important in supporting the recovery of a sick family member, even a baby who is sick will gradually improve if he gets good communication from his mother, in the form of communication with physical contact. attachment. The study of communication is important considering that many do not understand that communication is very important in life. Effective and open communication is also one of the keys to achieving a harmonious life in the family. Conclusion: Effective and open communication is especially in


Communication can be interpreted as an interaction between individuals and other
individuals, this is also experienced by babies and their caregivers and their mothers (Hahn et al., 2017). Good communication, supports the development of the next baby in the family, babies or family members who experience illness or other disorders, it is important to be given good communication to support their growth (Pascoe, Bissessur and Mayers, 2016). Every family (parent) is committed to conveying its message to family members who are sick, this also applies to parents who have children who are currently being treated at the hospital or being treated at home (Epstein et al., 2017).
The sick condition experienced by some people can make their condition less interactive in communicating with those around them, both the pain they experience is physical or psychological pain (Heifetz and Lunsky, 2018). Looking for literature based on qualitative and quantitative studies to find out thoroughly. This literature study is considered appropriate by the authors to determine the approach to communication in all lines of health care regarding communication.

Method
The database used is from the Scopus and ScienceDirect literature in a systematic and searchable way to identify the right study by entering keywords in the form of family communication with family members who experience disorders, in this case it means family members who are sick, the search for this literature study conducted in June 2020.

Inclusion and Exclusion Criteria
Inclusion criteria were defined to determine relevant literature studies for review.
All abstracts are reviewed and their feasibility and suitability are reviewed for review.
The following are the inclusion criteria in the literature review below: a. The purpose of this study is to determine communication in a family where one of the family members is sick.
b. Sick family members are being treated in the hospital and are treated in the community.
c. Communication that is carried out involves family members with family members, as well as family members with health workers. The statistical results showed that there was a decrease in distress in health workers for two months after the intervention with an increase in general mental health.

Discussion
Communication is a process of giving signals according to certain rules, so that in this way a system can be established, maintained and changed (Louis Forsdale, 1981dalam Mundakir, 2006. Communication is the process of exchanging feelings, desires, wholeness, information and opinions (McCubbin & Dahl, 1985dalam Friedman, 2010. Clear and functional communication between family members is an important tool for maintaining the conducive environment necessary to develop feelings of worth and self-worth and internalize them. Conversely, unclear communication is believed to be the main cause of poor functioning (Holman, 1983;Satir ,1983;Banmen, Gerber, & Gomori, 1991dalam Friedman, 2010. Problem communication problems in families are ubiquitous, family communication researchers estimate that 85% of all messages sent within the family are misunderstood (Friedman, 2010). Effective functional communication is needed in the family, but it is needed when the family is in a state of stress and crisis (Friedman, 2010).
Emotion plays an important role in student-family nursing communication, and self-compassion and emotional intelligence can largely enhance the effectiveness of such communication. In developing family life communication skills, nurses and medical students need to learn how to deal with emotional responses (Chan, 2017). On the one hand, nursing students must learn the emotional and spiritual functions of a family; on the other hand, they must be able to manage their own emotions during the provision of health services (Chan, 2017). A negative health professional communication pattern can easily evoke feelings of pressure by a caregiver in caring for a sick family member (Oh and Ph, 2017).. So, if caregivers understand that communication with negative health professionals will increase stress and put pressure on them, then it should be understood that positive communication can provide comfort and reduce stress for caregivers. Communication The working group's effective initiative then reviews the existing literature to better understand the principles of effective communication in the NICU. Many of the recommendations were developed with an understanding of the perspectives and what they think will or may not help during the care of the elderly.
Overall it has been found that how information is communicated as a whole greatly influences the perspective of parents on their interactions with providers and their confidence and trust in care. In times of distress, parents often reported that being surrounded by quiet professionals who displayed genuine empathy and emotion was rewarded for dealing with the care of their sick baby, and that they felt valued and had other effects on their lives. Parents reported that they wanted the information to be conveyed in an understandable and consistent manner and they wanted to be included in the decision-making process for the care of their baby. Respect for and responsiveness to the family's well-being, preferences, and cultural values is also important when providing services in a family-centered model (Macdonell et al., 2015).

Conclusion
Communication is very important in every moment and in all places, because someone always interacts with other people, in other words, a social person who lives in society needs communication to convey his expressions, expressions and emotions. This also applies in the health service setting, in order to provide excellent service to patients and their families, effective communication is also needed in conveying information to patients and their families who are being treated both critical care and care in the family.