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Background
Caring for older people can be a burden for the family that led to mistreatment.Objective
To determine the relationship between the levels of family burden in caring for older people with the occurrence of mistreatment incidence. Design and participants: A cross sectional study design was conducted with 135 older people who live with their family as respondents.Setting
135 families with older people at Kelurahan/Village of Harjamukti area, Kecamatan/ District of Cimanggis, Depok city.Method
This study applied probability sampling technique with multistage cluster sampling.Results
Family characteristics show that almost half of older people were caring by family members (caregivers) who were aged 20-39 years, nearly all caregivers were women, family income mostly less than UMK, families mostly monosyllabic nation Betawi and caregivers mostly were their own child. Most of the families stated that no expense in caring for the older people (89.6%), but there are still families who feel the burden of caring. The highest type of mistreatmet of the older people is psychological mistreatments.Conclusions
From the statistical test obtained by p value equals to 0.553, it was concluded there was no correlation between the incidences of any family burden with mistreatment. 相似文献2.
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Objective
Stress is one of the responses experienced by families with child victims of sexual violence. The purpose of this study was to explore in depth the stress experienced by families dealing with child victims of sexual violence.Method
This qualitative study employed the phenomenology approach. A purposive sample of six families participated in the study. Data were analyzed using Colaizzi's method.Results
This study discussed the experience of family with children who are victims of sexual violence. This study generated the following 5 themes: 1) sexual violence and the subsequent behavior changes in children as a source of family stress; 2) Family stress as a response to changes in the family process; 3) social support as sources of the family's strengths; 4) spiritual activities for coping with stress, and 5) parenting changes as a family learning and evaluation.Conclusions
Results suggested the development of the School Mental Health Unit to help families, and the community, identify and prevent sexual violence. In addition, the School Mental Health Unit would be a useful source for students who experience sexual violence to function well at school. 相似文献6.
Marcos Prada-Arias José Luis Vázquez Ángel Salgado-Barreira Javier Gómez-Veiras Margarita Montero-Sánchez José Ramón Fernández-Lorenzo 《The American journal of emergency medicine》2017,35(1):66-70
Aim
The aim of this study was to assess the diagnostic accuracy of the biomarker fibrinogen (FB), along with the more traditional markers white blood cell count (WBC), absolute neutrophil count (ANC), and C-reactive protein (CRP), to discriminate appendicitis from nonspecific abdominal pain (NSAP) in children.Methods
We prospectively evaluated all children aged 5 to 15 years admitted for suspected appendicitis at an academic pediatric emergency department during 2 years. Diagnostic accuracy of FB (prothrombin time–derived method), WBC, ANC, and CRP was assessed by the area under the curve (AUC) of the receiver operating characteristic curve.Results
A total of 275 patients were enrolled in the study (143 NSAP, 100 uncomplicated appendicitis, and 32 complicated appendicitis). WBC and ANC had a moderate diagnostic accuracy for appendicitis vs NSAP (WBC: AUC 0.79, ANC: AUC 0.79). FB and CPR had a poor diagnostic accuracy for appendicitis vs NSAP (FB: AUC 0.63, CRP: AUC 0.64) and a good diagnostic accuracy for complicated vs uncomplicated appendicitis (FB: AUC 0.86, CRP: AUC 0.90). All inflammatory markers had a good diagnostic accuracy for complicated appendicitis vs NSAP.Conclusions
WBC and ANC are useful inflammatory markers to discriminate appendicitis from NSAP. FB and CRP are not very useful to discriminate appendicitis from NSAP, but they discriminate properly complicated from uncomplicated appendicitis and NSAP, with a similar diagnostic accuracy. In a child with suspected appendicitis, a plasma FB level (prothrombin time–derived method) >520 mg/dL is associated to an increased likelihood of complicated appendicitis. 相似文献7.
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Objective
The purpose of the study was to identify the impact of family empowerment model intervention on family satisfaction and children’s length of stay in the hospital due to pneumonia.Method
The design of the study was that of a quasi-experiment. About 83 family-child groups were divided into 42 pair in the intervention group and 41 pair in the control group; which were recruited using consecutive sampling using certain inclusion criteria. Three district hospitals in Jakarta were used in this study. A questionnaire and family empowerment instrument were developed and used to collect the data. An analysis of the data used independent and paired t-test.Results
The results of the study showed a significant difference between the intervention and control groups in empowerment and satisfaction aspects after the intervention (p= 0.000; p= 0.000). An analysis of length of stay using the t-test indicates a significant difference between the intervention and control groups (p= 0.000).Conclusions
The family empowerment model (FEM) intervention has a positive impact on families, as it can increase both the satisfaction and the empowerment of the family. Another important indicator of the FEM’s success is its ability to decrease the length of stay of patients. 相似文献9.
María Elena Pileño Javier Morillo Andrea Morillo Marta Losa-Iglesias 《Archives of Psychiatric Nursing》2018,32(2):206-214
Background
Health care institutions include workers who must operate in accordance with the requirements of the position, even though there are psychosocial influences that can affect the stability of the worker.Aims
To analyze the organizational culture of the team of professionals who work in the mental health network.Method
A qualitative methodology was used to assess a sample of 55 mental health professionals who have been practicing for at least 5 years.Results
“Team” was the overall topic. The subtopics within “Team” were: getting along in the unit, getting along with the patient, personal resources for dealing with patients, adaptive resources of team members and, resources that the team uses in their group activities.Conclusion
It was observed that the team does not work with a common objective and needs an accepted leader to manage the group. The definition and acceptance of roles can result in conflict. By increasing the skill level of each worker, the multidisciplinary team would be more collaborative. 相似文献10.
Objective
To identify a correlation between family support and maternal self-efficacy of adolescent mothers.Method
This cross-sectional study applied a consecutive sampling technique. The sample was 100 primiparous adolescent mothers. Instruments utilized were structured questionnaires, including a demographic questionnaire, Maternal Efficacy Questionnaire (MEQ), Postpartum Support System, Edinburgh Postnatal Depression Scale (EPDS), and Infant Characteristics Questionnaire (ICQ). The correlation of family support and maternal self-efficacy was analyzed using chi-square and logistic regression.Results
The results showed a significant correlation between family support and maternal self-efficacy of adolescent mothers. The family support that most influenced maternal self-efficacy of adolescent mothers was family instrument support, with Wald value of 34.720.Conclusions
Instrument support most affects maternal self-efficacy of adolescent mothers and encourages adolescents performing nurturing and mothering roles. 相似文献11.
Adamos-Konstantinos Konstantinou Konstantinos Bonotis Maria Sokratous Vasileios Siokas Efthimios Dardiotis 《Archives of Psychiatric Nursing》2018,32(3):449-456
Background
Job burnout is one of the most serious occupational health hazards, especially, among mental health nurses. It has been attributed among others to staff shortages, health service changes, poor morale and insufficient employee participation in decision-making.Aim
The aim of this study was to measure burnout among mental health nurses, investigate relations between burnout and organizational factors and examine potential predictors of nurses' burnout. Specifically, this study aimed to investigate whether role conflict, role ambiguity, organizational commitment and subsequent job satisfaction could predict each of the three dimensions of burnout.Design/methodology/approach
During current cross sectional, the survey was administered to 232 mental health nurses, employed in four private psychiatric clinics in the region of Larissa, Thessaly, Greece in May 2015. Our findings were based on the responses to 78 usable questionnaires. Different statistical analyses, such as correlation analyses, regression analyses and analyses of variance were performed in order to explore possible relations.Findings
High emotional exhaustion (EE) accounted for 53.8% of the sample, while high depersonalization (DP) and high personal accomplishment (PA) accounted for 24.4% and 25.6%, respectively. The best predictors of burnout were found to be role conflict, satisfaction with workload, satisfaction with training, role ambiguity, satisfaction with pay and presence of serious family issues.Practical implications
These findings have implications for organizational and individual interventions, indicating that mental health nurses' burnout could be reduced, or even prevented by team building strategies, training, application of operation management, clear instructions and psychological support. 相似文献12.
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Yoonje Lee Tae Ho Lim Hyunggoo Kang Jaehoon Oh Byuk Sung Ko 《The American journal of emergency medicine》2018,36(9):1717.e3-1717.e7
Objective
Carbon monoxide (CO) poisoning is known to increase thrombotic tendency, and the risk of deep vein thrombosis in individuals who have experienced CO poisoning is higher than in the general population. However, there are a few reports describing cases of pulmonary thromboembolisms (PTE) secondary to CO poisoning.Data sources
Retrospective data analysis.Study selection
Seven hundred fifty bed tertiary university affiliated hospital.Data extraction and synthesis
Five patients with PTE after CO poisoning were observed. Two patients experienced cardiac arrest; they were treated successfully with tissue plasminogen activators and targeted temperature management. Their cerebral performance scores at discharge were both 1. Three patients had PTE and were treated with anticoagulation.Conclusions
To date, the causal relationship between PTE and CO poisoning is unclear. However, PTE should be considered in patients with CO poisoning as a differential diagnosis when unexplained hypoxemia or shock are observed. Further studies on the association between CO poisoning and PTE are warranted. 相似文献16.
Rosanna F. DeMarco Jacqueline Fawcett Julianne Mazzawi 《Journal of Professional Nursing》2018,34(4):253-258
Purpose
The purpose of this paper is to present a Neuman Systems Model-guided discussion of current knowledge associated with covert incivility in the nursing academic workplace.Organizing structure
The Neuman Systems Model provides a multiple discipline, systems perspective of the stressor covert incivility and levels of prevention interventions to counter it.Findings
Covert incivility is defined as a stressor that affects individual, group, community, and social systems' intrapersonal, interpersonal, and extrapersonal levels of function. Two prominent examples of expressing covert incivility in academic settings are identified—pluralistic ignorance and passive aggression.Conclusions
The Neuman Systems Model can guide development and testing of primary, secondary, and tertiary prevention interventions targeted to covert incivility in the nursing academic workplace, as well as outcomes of the interventions.Clinical relevance
The Neuman Systems Model is a useful multiple discipline conceptual model for identification and testing of the effects of covert incivility in the nursing academic workplace. 相似文献17.
Objective
Self-stigma in people living with HIV/AIDS is a survival mechanism to protect themselves from external stigma. Stigma and discrimination in people living with HIV/AIDS can lead to inequality in social life. This inequality can cause inferiority complex, preoccupation, and denial of diagnosis, which correlates with the onset of depression. This study aims to determine the effect of logotherapy, commitment acceptance therapy, and family psychoeducation on self-stigma and depression on housewives living with HIV/AIDS.Method
This study used the quasi-experiment pretest–posttest design. The respondents were selected using the purposive sampling technique. The subjects were 60 housewives living with HIV/AIDS. Data were collected using Internalizes Stigma of AIDS Tools and analyzed using univariate and bivariate analyses. Equality analysis was conducted using the chi-square test and independent t test, and the effects were analyzed using paired t test.Results
The result showed a significant decrease in self-stigma and depression (p value < 0.05) in patients receiving logotherapy, commitment acceptance therapy, and family psychoeducation.Conclusions
A combination of logotherapy, commitment acceptance therapy, and family psychoeducation is recommended as a therapy package to overcome self-stigma and depression for people living with HIV/AIDS. 相似文献18.
Objectives
Family satisfaction in intensive care units (ICU) is of increasing relevance for family-centred cared. The objective of this review was to explore the characteristics of studies that have used questionnaires to measure the satisfaction of family members of ICU patients.Review methods
A literature review was performed for studies evaluating family satisfaction in the ICU, independent of design. The following data were obtained for each selected article: publication year, country of origin, design, number of family members, instrument for family satisfaction, instrument score range, response rate, moment at which satisfaction was evaluated, and average level of reported satisfaction.Data sources
The following databases were systematically searched: PubMed, CINAHL, ProQuest Nursing, ProQuest Social Science, ProQuest Psychology, Science Direct, PsycINFO, LILACS, and Scielo.Results
Thirty-seven articles met inclusion criteria, showing high levels of family satisfaction. Among these, nine different questionnaires were identified. In 31.6% of the studies, family satisfaction was evaluated during the ICU stay, whereas 36.9% did not report the evaluation moment. The mean response rate was 65.5%, and response rates greater than 70% were found only in 28.2% of the studies.Conclusions
High satisfaction levels among family members of ICU patients must be contextualised in light of questionnaire heterogeneity, low response rates, and variability in the moment at which family satisfaction is evaluated. The creation of methodological standards for evaluating and reporting family satisfaction could facilitate comparing results between investigations in this field. 相似文献19.
Angie Docherty Patti Warkentin Judy Borgen KellyAnn Garthe Katherine L. Fischer Rana Halabi Najjar 《Journal of Professional Nursing》2018,34(6):470-474