Inclusion Criteria  Patients:  Patients =/>18 years of age undergoing elective, open-heart surgery having a minimum of one family member willing to participate in Health-promoting conversations  Family members  Family member of a patient undergoing elective, open-heart surgery willing to participate in Health-promoting conversations *=/> 15 years of age  Exclusion Criteria patient and family member:  Inability to speak or understand Swedish to the extent of giving informed consent Cognitive and/or psychiatric disorder to the extent of not being able to give informed consent