Aspects Of Family Care Research Articles

Family satisfaction in Egyptian adult intensive care units: A mixed-method study

ObjectivesTo examine family members’ satisfaction in adult intensive care units. MethodologyThis is mixed-method research. Family members of critically ill patients responded to a structured questionnaire and then were interviewed using semi-structured interviews. Quantitative and qualitative data were analyzed separately and integrated during the discussion. SettingsSix adult intensive care units in university hospitals in Egypt. Main outcome measuresFamily satisfaction was assessed using the Critical Care Family Satisfaction Survey and field notes of the interviews. ResultsThe mean total satisfaction score was 12.8 ± 3.5, and comfort has the lowest subscale mean score: 2.07 ± 0.96. Multivariate regression analysis showed that family members’ satisfaction was positively associated with their ability to communicate with patients (B [95% confidence interval]: 2.1 [1.19 to 3.02]) and negatively with daily purchasing of medications and supplies (−2.41 [−3.23 to −1.59]), low economic status (−1.57 [−2.47 to −0.67]), and perceiving patient condition to be deteriorating (−0.99 [−1.93 to −0.04]). Content analysis of qualitative data revealed four themes: aspects of family care, aspects of patient care, organizational and administrative issues and environment. ConclusionsIn Egyptian adult intensive care units, regular family meetings, flexible visiting hours, shared decision-making, increasing staff-to-patient ratio and ensuring comfortable waiting rooms are promising strategies to enhance family satisfaction.

Aspectos esenciales del cuidado familiar

Aspectos esenciales del cuidado familiar

Pengalaman Penderita Diabetes Mellitus dalam Pencegahan Ulkus Diabetik

Diabetes mellitus (DM) is still a health problem in the world with increasing prevalence. Complications often experienced by people with DM are wounds that do not heal leading to diabetic ulcers. The purpose of this study was to determine the experience of diabetics in preventing diabetes diabetic ulcers in RSUD dr. M. Yunus Bengkulu. This research is a qualitative research with a phenomenological study approach. There were 3 informants who were taken by purposive sampling based on inclusion criteria. Data is taken by in-depth interviews and processed by making a matrix. The results obtained 6 themes, namely aspects of knowledge, aspects of clinical manifestations, aspects of etiology, aspects of risk factors, aspects of prevention, and aspects of family care. Discussion on the aspects of knowledge of the three informants already understand about DM, aspects of clinical manifestations of the 3 informants experiencing the same symptoms, etiological aspects of the causes of DM from information obtained that is due to age, stress and hereditary history, aspects of a large risk factor likely to occur in those who have a hereditary history , The aspect of prevention carried out by the informant is to use medical and non-medical prevention. Aspects of family care 2 informants get family support 1 informant no. In conclusion, the experience of people with diabetes mellitus in preventing diabetic ulcers is herbal medicine, diet, always using footwear to prevent injury. It is hoped that further researchers can develop aspects of preventing diabetes ulcers using quantitative research, and can conduct further research based on aspects of the work. Keywords: Diabetes mellitus, diabetic ulcers, phenomenological studies Reading

Migration, technology and care: what happens to the body?

Migration is a social phenomenon impacting upon family life and conceptualisations of care. Simultaneously, technological advances allow families to stay connected. Care issues in the context of disability and aging may affect family relationships and how families develop. What is little understood is how these issues in migrant families affect a ‘family life course’. We use the case of a South African family with a daughter who is deaf and has other impairments. We argue that when communication is foregrounded and other, embodied, aspects of family care are relegated to the background, we lose the opportunity to understand family care patterns. We relate our discussion to broader theoretical questions regarding the body and care in disability studies.

Breakdown in the nursing care of families in the ICU

Factors that can lead to breakdown in the care of the families of patients in the ICU include gaps in the healthcare providers' education and skill in working with families, unclear lines of responsibility for various aspects of family care, and insufficient support or supervision for the difficult emotional work of family care. The purpose of this study was to highlight instances in which negative or difficult aspects of nursing care of family members of ICU patients were evident, so that needed changes in caring for the families could be emphasized. Interpretive phenomenology was used to analyze transcribed audiotape recordings of interviews with 130 nurse participants and clinical observations of 48 nurse participants. The interpretive account is based on more than 100 narratives of patient care relayed in interviews and on observational notes that focused on care of the family. The five general nursing approaches that constrained family care in ICUs were nurses' efforts to (1) distance the family physically from the patient and the patient's bedside, (2) distance themselves from the patient and the patient's family, (3) characterize the family's perspective as pathological, (4) dissipate responsibility for family care, and (5) take an elemental rather than a systemic perspective. The breakdowns in family care observed in this study were neither new nor unique. In order to truly realize a patient- and family-focused healthcare system, an infusion of knowledge and skill must occur at the bedside with individual nurses.