The aim of this study was to explore intensive care nurses' experiences of focus group-oriented supervision with particular reference to family members' needs. In addition, the aim was to focus on the intensive care nurses' perceived change in their insight into caring for patients and family members in an intensive care unit. Four themes were constructed: increased perception of and response to the family members' needs; increased self-insight related to the therapeutic use of oneself in the relationship with patients and their family members; nurses' reflection on factors that increased their competence; and increased creativity. In conclusion, focus group-oriented supervision increased the intensive care nurses' understanding of their role. This has consequences not only for the family members but also for the teamwork in the intensive care unit, where this type of work is common.