Emotional Care Research Articles

Community-Based Doulas' Roles Within the Birth Support System: Young Black Mothers' Perspectives.

Doulas have been found to be beneficial to pregnant adolescents during childbirth, but little is known about their role within the larger system of people providing birth support, including family and health care providers. The purpose of this study was to examine, from the perspectives of young mothers, the role of the doula within their broader birth support system. One hundred pregnant Black adolescents and young women (aged 13 to 21) who were provided perinatal community-based and racially concordant doula services at no cost to them were interviewed after the birth of their newborn, prior to hospital discharge. Interviews generated birth story narratives and responses to focused questions about their experiences of birth support. Thematic analysis was conducted to examine the role of the doula within the context of the broader system of birth support. Doulas functioned in 2 primary ways within the birth support system by (1) providing tandem support alongside family and health care providers and (2) filling gaps in health care not provided by family and providers. Laboring adolescents sometimes described their family members and doulas working in tandem to provide multiple types of support such as comfort measures, coaching, and help with pushing. They also identified gaps in their care or support filled by the doula, in particular gaps due to family members' physical or emotional unavailability or health care providers' many responsibilities. The findings highlight the ways in which doulas support pregnant adolescents during childbirth through their deft navigation of the existing support system. Well-being was enhanced by the inclusion of the doula in the birth support system. The findings align with existing research that underscores the valuable role doulas play in supporting individuals during childbirth, particularly for those most affected by processes of marginalization.

The holistic maternity care needs of women with Gestational Diabetes Mellitus: A systematic review with thematic synthesis

ProblemModels of care for women with gestational diabetes mellitus (GDM) have evolved in an ad hoc way and do not meet women’s needs. BackgroundGDM affects 50,000 Australian women per annum with prevalence quadrupling in the last ten years. Many health services are struggling to provide a quality service. People with diabetes are calling for care that focuses on their wellbeing more broadly. AimTo examine the holistic (emotional, social, economic, and spiritual) care needs of women with GDM. MethodsQualitative and mixed-methods studies capturing the healthcare experiences of women with GDM were searched for in CINAHL, Medline, Web of Science and Scopus. English-language studies published between 2011 and 2023 were included. Quality of studies was assessed using Crowe Critical Appraisal Tool and NVIVO was used to identify key themes and synthesise data. FindingsTwenty-eight studies were included, representing the experiences of 958 women. Five themes reflect women’s holistic needs through their journey from initial diagnosis to postpartum: psychological impact, information and education, making change for better health, support, and care transition. DiscussionThe biomedical, fetal-centric model of care neglects the woman’s holistic wellbeing resulting in high levels of unmet need. Discontinuity between tertiary and primary services results in a missed opportunity to assist women to make longer term changes that would benefit themselves (and their families) into the future. ConclusionsThe provision of holistic models of care for this cohort is pivotal to improving clinical outcomes and the experiences of women with GDM.

A Literature Review of Nurses Challenges and Barriers in Assisting Patients and Families Facing Breaking Bad News.

Breaking bad news (BBN) is a challenging task for healthcare professionals, including nurses. The manner in which bad news is delivered can have a significant impact on patients and their families, either positive or negative. Understanding the roles, methods, obstacles, and challenges that nurses face in the process of delivering bad news is crucial for improving the quality of the delivery process. This narrative review synthesises related studies. The search was conducted through PubMed, Scopus, ScienceDirect and Sage, with no restriction on publication year. The main keywords were 'nurse's challenge', 'nurse's barrier', 'bad news', 'breaking bad news', and 'communicating bad news.' A total of 12 articles were selected from 1075 articles. Nurses play a key role in BBN before, during and after the process. Their activities include preparing patients to receive bad news, supporting patients and families when doctors deliver bad news and clarifying information obtained by patients and families regarding the prognosis of their illness. Nurses should possess skills such as building interpersonal relationships, therapeutic communication and providing emotional care for patients and their families. The main challenges and barriers for nurses in implementing BBN are due to a lack of skills and unpreparedness for patient and family reactions. After BBN, the most reported roles of nurses were supporting patients and families and helping them understand the information received from doctors. It is essential for nurses to have the necessary skills and preparedness to effectively deliver bad news to patients and their families. Nurses play a crucial role in delivering bad news to patients and their families. They should be equipped with the necessary skills to effectively communicate with patients and their families during this difficult time. Further training for nurses in therapeutic communication, emotional care for patients and their families, and building interpersonal relationships could help to improve the quality of the delivery process.

Care Needs of Parents of Children With Cancer in a Low-Middle-Income Country.

Background: Mapping out actual supportive care needs assists nurses in providing holistic individualized care. This study aimed to explore the care needs of parents of children with cancer in the Philippines. Method: Guided by the Supportive Care Needs Framework (SCNF), this study used an embedded mixed-method design with the quantitative revised Cancer Patient Needs Questionnaire and qualitative semistructured interviews to describe parents' care needs and priorities. Results: Filipino parents (N = 156) of children with cancer have various care needs which could be classified along the SCNF categories-practical, informational, spiritual, physical, emotional, and physical needs as ranked from highest to lowest. A number of variables were significantly associated with care needs. Solid tumor diagnosis was associated with greater practical, emotional, and psychosocial care needs; having a child who had undergone surgery was associated with more practical and spiritual care needs; and being within one year of the child's diagnosis was associated with practical, psychosocial, and spiritual care needs. Parent priority needs included (a) addressing financial needs; (b) access to temporary housing to minimize treatment-related costs; (c) support groups among parents of children with cancer as a source of information; (d) financial and social support between members of family and partners of parents of children with cancer; and (e) using prayer to facilitate acceptance. Conclusions: Supportive care needs of parents of children with cancer are important components of care that should be given recognition to enhance holistic individualized care throughout the childhood cancer experience.

The correlation of intrapersonal intelligence levels of nurses with their emotional contagion and caring behaviours

AimDetermine the correlation of the intrapersonal intelligence levels of nurses with their emotional contagion and caring behaviours. BackgroundIntrapersonal intelligence is an introverted concept that includes the capacity to understand and reflect one's self. A high level of intrapersonal intelligence contributes morally to the world and promotes success in professions with a heavy moral dimension. It is stated that emotional contagion, which is defined as the transfer of emotions and moods from one person to another, can occur in groups of two or more people. Within this context, nurses who are affected by emotional contagion may be more likely to withdraw from or desensitise to the people who cause this effect. Both situations may lead to the disruption of essential and non-deferrable care and formation of negative effects on nurses' caring behaviours. MethodsThe sample of this descriptive study consisted of 257 nurses working in the Gaziantep province. A “Personal Information Form”, the “Multiple Intelligence Inventory”, the “Emotional Contagion Scale” and “Caring Behaviours Inventory” were used as data collection tools in the study. ResultsIt was found that the mean scores of the nurses were 39.76 ± 5.02 for Intrapersonal Intelligence, 50.09 ± 8.32 for Emotional Contagion, and 5.06 ± 0.75 for Caring Behaviours. ConclusionsIt was determined that the intrapersonal intelligence levels, emotional contagion and caring behaviour levels of the nurses were above average. As the intrapersonal intelligence levels of the participants increased, so did their emotional contagion and caring behaviours.

Emotional distance, detachment, compassion and care: The affective milieu of academic management in the neoliberal university

Based on interviews with Finnish deans, this study examines the affective milieu of academia. The neoliberalisation process in universities has strengthened centralised leadership and increased the power of managers. Simultaneously, the market-driven competitive ethos has deepened the binary between ‘winners’ and ‘losers’ at all levels of academia, giving rise to an affectively tense atmosphere. Due to their increased power, managers play a key role in shaping the affective milieu of academia. By using an affective-discursive approach, I analyse what kind of emotions deans rely on while constructing their relation to employees. This study traces three management discourses: strong, paternalistic and collegial. Together, these discourses with their affective orientations construct a polarised affective milieu. On the one hand, the deans’ affective relationships with employees embody gentleness, care and compassion; on the other hand, affective relationships manifest the inducement of guilt, sternness, conventionality, distance and detachment of employees. I argue that current neoliberal academia leaves little space for deans to demonstrate compassionate collegial management.

Survivorship Navigation for Young Women With Early-Stage Breast Cancer

BackgroundYoung women treated for breast cancer experience unique concerns in follow-up. We developed a program to direct young breast cancer survivors to a dedicated survivorship visit and evaluated their experience. Materials and MethodsEarly-stage breast cancer patients diagnosed under age 45 within 1 year of completing breast surgery, chemotherapy and/or radiation therapy were systematically referred for a survivorship visit. Patients completed a one-time, post-visit survey about their experience. ResultsSixty-nine out of 89 (78%) eligible patients attended a survivorship visit, and 40 of those 69 (58%) completed the post-visit survey. Most respondents learned about the survivorship clinic after completing treatment (30/40; 75%) and reported the survivorship visit occurred at an appropriate time in their follow-up care (26/40; 65%). Of the 34 respondents who reported receiving a treatment summary and survivorship care plan, 30 indicated it would be helpful when visiting their primary care provider (88.2%). Participants reported gaining valuable knowledge about cancer treatment (28/38; 73.7%), side effects (32/39; 82.1%), and cancer surveillance (30/40; 75%), and discussed emotional health (32/40; 80%), exercise (38/40; 95%), and ongoing cancer surveillance (32/37; 86.5%). Several reported intentions to make changes to their follow-up oncology care (8/20; 40%), exercise routines (16/30; 53.3%), and emotional health care (15/22; 68.2%). DiscussionSurvivorship visit navigation is feasible for young breast cancer patients. These visits can influence knowledge gained and intended future health plans and behaviors. Systematic approaches to survivorship care may improve the physical and mental health of cancer survivors. Future health care delivery research focused on survivorship is warranted.

Potential Facilitators of and Barriers to Implementing the MINI Robot in Community-Based Meeting Centers for People With Dementia and Their Carers in the Netherlands and Spain: Explorative Qualitative Study.

Social robots, as a form of digital health technologies, are used to support emotional, cognitive, and physical care and have shown promising outcomes in enhancing social well-being in people with dementia (PwD) by boosting emotions, social interactions, and activity participation. The goal is to investigate the attitude of stakeholders and potential facilitators and the barriers to implementing the social robot MINI in community-based meeting centers (MCs) for PwD and carers in the Netherlands and Spain. Based on the British Medical Research Council guidance for process evaluation of the implementation of complex interventions and the model for tracing the facilitators of and barriers to the adaptive implementation of innovations in dementia care, an explorative qualitative study was conducted. Following the introduction of the MINI robot, 11 stakeholders were interviewed in 3 MCs in the Netherlands and 1 in Spain, as well as stakeholders in health and welfare organizations in both countries. In addition, 12 adults with dementia participated in focus groups. The data were thematically analyzed and narratively described. Overall, the stakeholder opinion and interest in the MINI robot were positive. The most important (expected) facilitating factors mentioned by stakeholders appeared to be human resources, funding, the impact of the MINI robot on the users and programs of the MCs, characteristics of the innovation, and collaboration with other care and welfare organizations. However, the (expected) barriers mentioned concerned the physical context and functionalities of the MINI robot, the user context, and MC activity policies. The findings will inform professional stakeholders, such as MC directors and managers, as well as care and welfare organizations, on the practicality of using the MINI robot in MCs. Furthermore, our research will aid MINI robot developers in tailoring its features to PwD's preferences and demands and MC policies, which will contribute to the MINI robot's effective adoption and deployment.

Different Interpretations of "Honor Your Parents": Implications for Obligation of Parental Caregiving.

Many religious and cultural settings embrace the principle to "honor your parents." However, how individuals understand and enact this mandate varies by cultural context and community. The different understanding of "honor your parents" draws attention to motivations for parental caregiving across cultural contexts. This study investigates how individuals in 3 different cultural settings conceptualize "honoring your parents" and how these conceptualizations affect their perceptions of obligations to care for an older parent. Semistructured interviews with 153 individuals in the United States, Ghana, and Nigeria explored the concept of "honor your parents," how it is understood, and its relationship to the perceived obligation to care for one's parents. A content analysis was applied to all transcripts and analyzed for discussion. Among individuals in the United States, "honor your parents" is less likely to be conceived as providing material and instrumental care to a parent, and more in terms of emotional care. In contrast, individuals in Nigeria and Ghana closely associated "honor your parents" with providing material and instrumental care to a parent. Understanding how different conceptions of "honor your parents" translate to expectations for and modes of parental caregiving can illuminate how caregiving needs can be met for the aging populations of the United States, Ghana, and Nigeria.

Associations Between Family Caregiving and Romantic Relationships: An Exploratory Study With Nondistressed Couples Caring for an Outside Family Member.

Family caregiving-providing emotional and physical health care for a family member or friend with an illness or disability-can result in many outcomes, including stress and beneficial experiences. Both romantic and caregiving relationships are complex and varied. Nevertheless, little research has examined how caregiving and romantic relationships influence one another. The purpose of this study was to understand ways romantic partners who care for a family member outside of their romantic relationship perceive that their romantic relationship and caregiving experiences influence one another. A qualitative study using thematic analysis was conducted. A sample of 5 couples where one or both partners were caring for a relative with dementia participated in interviews about their experiences in family caregiving and in their romantic relationship, as well as how the 2 roles interacted with each other. Couple members were interviewed separately and together. From these interviews, themes reflecting ways that caregiving influences romantic relationships, as well as ways romantic relationships influence caregiving emerged. Themes about caregiving influencing romantic relationships were caregiver stress interacting in the romantic relationship, the romantic relationship becoming less of a priority, and benefits experienced in the romantic relationship due to caregiving. Themes about romantic relationships influencing caregiving were partners improving the caregiving experience, and workload inequality. These findings broaden our understanding of how dyadic coping affects family caregiving and may suggest ways that the mutual influences caregivers experience between romantic relationships and caregiving benefits and challenges.

Who cares for the carers? carerhelp: development and evaluation of an online resource to support the wellbeing of those caring for family members at the end of their life

BackgroundMost people living with a terminal illness and approaching death will need the assistance of a non-professional carer such as a family member, friend, or neighbour to provide physical, emotional, and practical caring supports. A significant portion of these carers can feel overwhelmed, isolated and experience psychological and/or financial distress. Carers can have unmet information needs and information needs can change across the caring period.MethodsGuided by an Australian National Reference Group, this project undertook a multiphase set of activities to enable the development of an online carer resource. These activities included a literature review of key issues and considerations for family carers supporting someone with a terminal illness, a scoping scan of existing online resources, and interviews and focus groups with eighteen carers to understand their needs and context of caring. This information formed the basis for potential digital content. A web project team was established to create the information architecture and content pathways. User testing survey and usability assessment of the CarerHelp Website was undertaken to assess/optimise functionality prior to release. An evaluation process was also devised.ResultsThe literature review identified carer needs for practical and psychological support along with better education and strategies to improve communication. The scoping scan of available online resources suggested that while information available to carers is plentiful, much of that which is provided is general, disparately located, inadequately detailed, and disease specific. The eighteen carers who were interviewed highlighted the need for helpful information on: services, symptom management, relationships, preparation for death, managing the emotional and psychological burden that often accompanies caring, and support during bereavement. User testing and usability assessment of the prototype resource led to changes to enhance the user experience and effectiveness of navigation. It also highlighted a lack of awareness of existing resources and the needs of marketing and communication to address this problem.ConclusionsThe project led to the development of an open access online resource, CarerHelp (www.carerhelp.com.au), for use by carers and families caring for a person who has palliative care needs. The web metrics demonstrate substantial use of the resources.

Robots and care of the ageing self: An emerging economy of loneliness

What happens when caring for the ageing population is so devalued that robots are deployed to care for our elders? We examine the growing employment of companion robots in elder care as one response to a critical labour shortage and loneliness epidemic shared across the Global North. Reflecting on interviews conducted with robot engineers, researchers, NGO care providers and local government, we examine five robots under development or in use in the UK and the USA. We ask if machines providing emotional and social care signal a diminishment of what it means to be human or if robots and automation present a promising solution to our elder care crisis. We do not evaluate the efficacy of robotic technology but identify and question assumptions concerning what it means to be human in modernity and examine companion or social robots at a moment of crisis and the substantive reorganisation of social reproduction wrought by neoliberal austerity. We end by calling for a reimagining of elder care, in which the care of our elders is radically revalued and where robots assist and support workers in their difficult and skilled labour of care.

Clinician’s Corner: Meeting family care needs during resuscitative procedures and cardiac arrest in the emergency department

Emergency nurses in Canada provide care to many thousands of critically ill and injured patients, and their families, each year (Rowe et al., 2020). Unfortunately, some Emergency Department (ED) patients and families report a lack of psychosocial and emotional caring (Gordon et al., 2010). Many resuscitative processes and procedures have been described as dehumanizing and traumatic for families (De Stefano et al., 2016; Jang & Choe, 2019). Significant negative emotional and physiological impacts may remain after hospitalization for the patient and their loved ones, whether receiving care for medical, (Davidson & Harvey, 2016) trauma, (McGahey-Oakland et al., 2007) or cardiac arrest presentations (Leske et al., 2013). Families of patients who survive (and those who do not survive) have reported persistent negative psychological effects weeks and months after receiving care in the ED (Jang & Choe, 2019; Keyes et al., 2014; Sawyer et al., 2020).

Does Pemphigus Vulgaris Affect Oral Health Related Quality of Life?

Abstract Pemphigus vulgaris (PV) is a chronic disease affecting oral mucosa. Oral health related quality of life (OHRQoL) is defined as a multidimensional construct that reflects comfort of people when eating, sleeping and engaging in social interaction, self-esteem, and satisfaction with respect to their oral health. The aim of this study was to measure OHRQoL and its correlation with disease severity of patients with PV. In this cross-sectional study, OHRQoL was measured by chronic oral mucosal disease questionnaire (COMDQ) in 72 patients (45.91 ± 11.45 years old) with PV include 45 (62.5%) women and 27 (37.5%). Finally, the obtained data were analyzed by statistical software. The mean total score of COMDQ in patients with PV was 72.41 ± 9.23. Moreover, mean daily dose of prednisolone corticosteroid was 0.619±0.395 mg/kg. COMDQ score in women was significantly higher than men (P<0.001). COMDQ total scores significantly correlated with daily dose of corticosteroid (P<0.001). Our study suggested that OHRQoL in patients with PV was not acceptable, and it was worse in the female gender that have more severe disease. Therefore, medical management of the underlying disease, as well as social and emotional care facilities seem necessary to improve OHRQoL in PV patients. Keywords: Pemphigus vulgaris, Oral health, Quality of life

Exposition des enfants à la violence conjugale : troubles mentaux et facteurs de résilience. Étude transversale tunisienne

Conjugal violence is a social problem whose impact extends beyond the couple, to the children who are exposed. ObjectiveTo study the psychological impact of exposure to conjugal violence in children and adolescents in child psychiatry consultation and the factors associated with their capacity for resilience. Patients and methodsWe conducted a cross-sectional study on a sample of 30 children and adolescents, aged between 6 and 18 years and exposed to conjugal violence. Patients were recruited from the child psychiatry unit of the Hospital University of HediChaker of Sfax. We conducted clinical interviews to identify the psychological impact of conjugal violence on children. The resilience evaluation was done by self or hetero passation of the Child and Youth Resilience Measure (CYRM). ResultsChildren and adolescents exposed to conjugal violence suffered from trauma-related disorders and stressors in 40% of cases, mood disorders in 33.3% of cases and externalized disorders in 6.6% of cases. We found that children were more resilient than adolescents in the area of emotional care provided by their parents (12.66±2.02 vs. 9.46±2.69 among adolescents; P=0.001). In contrast, adolescents were significantly more resilient than children in the area of contextual factors including spirituality (6.46±1.4 vs. 4.53±1.06; P=0.000), education (11.13±2.13 vs. 8.4±1.54; P=0.000) and culture (11.13±2.13 vs. 8.4±1.54; P=0.000). The child's education and good mental health for the mother were associated with better resilience in the children. The child's exposure to conjugal violence by being both a witness and a victim was associated with a reduced capacity for resilience. ConclusionExposure to conjugal violence has a significant impact on the mental health of children exposed. The study of resilience and associated factors could thus be useful in order to limit the deleterious repercussions on children and provide them with harmonious development both on the somatic and psychological levels.

Effect of Emotional Intelligence on Employee Caring Behaviour: a Study of Professional Nurses in Tertiary Health Care Institutions in Benue State, Nigeria

This study examined the effect of emotional intelligence on caring behaviour of professional nurses in tertiary health care institutions in Benue State, Nigeria. Specifically the study sought to examine the effects of self-awareness, self-management, social awareness and relationship management on caring behaviour of professional nurses in tertiary health care institutions in Benue State. Anchored on Jean Watson’s Theory of Human Caring, the study adopted the survey design. Population of the study consisted of 586 professional nurses working in the two tertiary healthcare facilities in Benue State (312 from the Federal Medical Centre and 274 from the Benue State University Teaching Hospital). A sample size of 245 was arrived at with the aid of Taro Yamene’s sampling formula. Primary data were gathered through questionnaire. The data were coded and analysed with the aid of SPSS. Hypotheses of the study were tested using regression analysis at 5% level of significance. Findings revealed that self-awareness, self-management, social awareness and relationship management all have significant effect on caring behaviour of professional nurses in tertiary health care institutions in Benue State, Nigeria. The study concludes that there is a significant relationship between emotional intelligence and caring behaviour of professional nurses in tertiary health care institution in Benue State. The study recommends that in order to ensure quality care to patients, management of tertiary healthcare organisations in Benue State should recognize and develop EI abilities in nurses who constantly struggle to show care since EI can be taught and learnt.

Narrative Education Combined With Experiential Teaching in the Development of Empathic Competence of Undergraduate Nursing Students: Pre-Test Post-Test Design

Empathy is a fundamental quality that nursing staff should possess, but the empathy ability of nursing students in China is currently at an intermediate level and requires improvement. This study aimed to explore teaching methods for nursing humanistic education, that can improve the empathy ability of nursing students and cultivate high-quality nursing talents. This study employed narrative education and experiential teaching methods to develop empathic competence in teaching pediatric nursing courses. The empathic ability of nursing students was measured using the JSPE-NS scale before and after teaching and was analyzed to refine the teaching reflection theme words. After teaching, nursing students scored higher on the total empathy scale, perspective-taking dimension, and emotional care dimension than before teaching, with statistically significant differences ( p < 0.05). Five themes were extracted from the teaching reflection, including emotional empathy, pediatric nursing skills, gratitude to parents, reverence for life, and course experience. The results show that the combination of narrative education and experiential teaching methods applied to pediatric nursing courses effectively improved nursing students’ empathy, strengthened their identification with the nursing profession, and promoted the teaching reform of humanistic education in nursing courses. The combination of narrative education and experiential teaching methods can improve the empathic ability of nursing students. This approach is suitable for integrating humanistic education into nursing professional courses and provides a feasible idea for developing humanistic qualities in nurses.

The role of only-child status in the effect of childhood trauma and parental rearing style on depressive symptoms in Shanghai adolescents.

After decades of the one-child policy, China changed its rules to allow two children in 2016, which altered family dynamics. Few studies have examined the emotional problems and the family environment of multi-child adolescents. This study aims to explore the role of only-child status in the impact of childhood trauma and parental rearing style on depressive symptoms of adolescents in Shanghai, China. A cross-sectional study was conducted on 4,576 adolescents (M = 13.42 years, SD = 1.21) from seven middle schools in Shanghai, China. Childhood Trauma Questionnaire-Short Form, the Short Egna Minnen Beträffande Uppfostran, and Children's Depression Inventory were used to evaluate childhood trauma, perceived parental rearing style, and depressive symptoms of adolescents, respectively. Results showed that girls and non-only children reported more depressive symptoms, while boys and non-only children perceived more childhood trauma and negative rearing styles. Emotional abuse, emotional neglect, and father's emotional warmth significantly predicted depressive symptoms in both only children and non-only children. Father's rejection and mother's overprotection were related to adolescents' depressive symptoms in only-child families, but not non-only child families. Therefore, depressive symptoms, childhood trauma, and perceived negative rearing styles were more prevalent among adolescents in non-only child families, while negative rearing styles were especially associated with depressive symptoms in only children. These findings suggest that parents pay attention to their impacts on only children and give more emotional care to non-only children.

Research on the Application of Holographic Images in Public Spaces of Children's Hospitals

As a cutting-edge field, holographic imaging has developed rapidly. It is widely used in stage performances, commercial displays, and other aspects. While enriching the visual language of contemporary art and design, it also reflects its widespread application value. From the perspective of children's psychological healing, innovative research methods are used to provide new design applications for the art design of public spaces in children's hospitals through holographic imaging technology, and to contribute development ideas to design innovation in this field. With the rapid development of China's society and economy, as well as the opening up of national population policies, the healthy growth of young children is increasingly receiving widespread attention. As a special group, children involve various aspects such as society, culture, education, psychology, etc. The integration of art into children's medical environment forms an important part of modern hospital design, which directly affects the rehabilitation effect of children and the medical level of the hospital. This article focuses on conducting in-depth healing research by combining the physical and mental characteristics, cognition, and contemporary aesthetic language of children. Under the support of children's psychology theory, explore the new application of holographic imaging technology in children's hospital space. Apply holographic stage technology to the innovative design of children's activity centers in children's hospitals. Utilize holographic stage cartoon images to enhance emotional communication and interaction among children, create a space for artistic healing, inject cultural connotations into children's hospitals, and achieve the goal of happy medical treatment for children. Extract design concepts and overall solutions for interactive experience, spatial environment, artistic healing, emotional care, and other aspects. Through innovative digital media art design, a new application experience has been formed in medical space art, media and other designs, optimizing children's medical spaces, and providing useful reference and reference for the development of children's medical design and digital media art design in China.

Association between social support and mutual-support needs among the rural adults in China: a cross-sectional study.

In rural China, there is now a huge gap between the supply and demand for old-age care. To close the gap, developing rural mutual old-age services is extremely important. The purpose of this study is to clarify the relationship among social support, mutual support need, and mutual support willingness. We conducted an online questionnaire survey using a Chinese Internet research company; 2,102 valid responses were received. The measures comprised the Social Support Rating Scale, the Mutual Support Willingness Questionnaire, and the Mutual Support Needs Scale. We calculated Pearson correlations to explore the association of social support with mutual-support need and mutual-support-need willingness. Multivariate analyses were also conducted using these factors as dependent variables. The total score for the mutual support need for the adults in rural areas was 58.0 ± 12.1 and 36.96 ± 6.40 for social support, approximately 86.8% of the participants were willing to participate in mutual support. Furthermore, mutual support needs were positively correlated with subjective support (p < 0.01) and support utilization (p < 0.01), but negatively correlated with willingness to support each other (p < 0.05). The need for mutual support was also associated with age, sex, education level, dissatisfaction with the current economic situation, health status, and so on. It is necessary for government and health care providers to assess the different needs of rural older people and encourage individuals and organizations to provide mutual support for older people, especially to enhance emotional care for older people and improve their use of support. This is of great significance for developing mutual support services in rural China.