Home Experience Research Articles

Protection and Support Services for Sexually Abused Female Children in Ethiopia

The article sought to examine and identify the protection and support services provided for sexually abused female children in a safe home in Ethiopia. This organization works with underprivileged female children at risk or victims of violence and physical and sexual abuse. The qualitative research method was used to show how vulnerable female children were protected and got the support they needed to rehabilitate, recover and rejoin society. Ten sexually abused female children from the safe home were interviewed as the target group, and six key informants also participated in the study. Documents in the safe home were reviewed, and observations were made in the compound. The finding showed that when including the provision of protection and support services for sexually abused female children at the safe home, it helped to address their emotional, social, and spiritual needs with significant service efficiency. Finally, implications for application to service improvement are suggested. Future studies were suggested to examine the experiences of other safe homes in Ethiopia. A quantitative study that evaluates the victims’ psychosocial changes over time in safe homes could also be an area for future studies.

'Everybody likes it more when it's even': Joint physical custody from the children’s perspective

In April 2022, the Polish Children’s Ombudsman publicly addressed the Minister of Justice, demanding changes in family law regarding child custody post-parental separation. The Ombudsman pointed out the lack of a legal definition of joint physical custody (JPC) and suggested there should be a clear definition and associated regulation. The Ombudsman’s address is one part of the debate on JPC that has recently emerged in Poland. Politicians, mothers, and fathers are actively engaged in the debate, with each of their voices well represented. Both supporters and opponents of joint physical custody claim that their main concern is the best interest of the child. However, no attempts have been made to listen to children’s opinions about custodial arrangements. This article is based on interviews with 23 children living in JPC. I asked the children about their everyday experience of home and belonging and their relationships with their parents, siblings, and parents’ new partners. I also asked their opinions on how custodial arrangements should be made to suit them. The interviewees complained about the inconvenience of frequent moves but also stated that living with their mother and father interchangeably allowed them to be as close to each of the parents as they desired. For this reason, the interviewees considered JPC a preferable solution after divorce.

Predicting grade school scientific literacy from aspects of the early home science environment.

Fostering scientific literacy has become an increasingly salient goal as evidence accumulates regarding the early emergence of foundational skills and knowledge in this domain, as well as their relation to long-term success and engagement. Despite the potential that the home context has for nurturing early scientific literacy, research specifying its role has been limited. In this longitudinal study, we examined associations between children's early science-related experiences at home and their subsequent scientific literacy. Following on our previous work, we specifically considered parent causal-explanatory talk, as well as the degree to which parents facilitate access to science-related materials and experiences. A group of 153 children from diverse backgrounds were evaluated across 5 annual waves of data collection from preschool entry (M age = 3.41) through first grade (M age = 7.92). Results demonstrate that parent invitations for children to explain causal phenomena had strong concurrent relations to scientific literacy but showed little relation to subsequent literacy. In contrast, the broader home science environment at preschool entry, particularly in the form of exposure to science-related activities, predicted scientific literacy over the next 4 years. The directionality and specificity of these relations were clarified through the inclusion of measures of cognitive and broader home experiences as controls in regression analyses. Overall, our investigation revealed that exposure to science-related input provided by parents has particularly powerful potential for shaping scientific literacy when children are very young. Implications for parent-focused interventions that promote science literacy are discussed.

Dangerous, frightening, homely: Home experiences of those living on the goldmines of the Far West Rand

This article provides an outlook on the darker side of people’s home experiences, as described by the inhabitants of Merafong, a township located on the Far West Rand, South Africa, where goldmining companies have had an immense impact on the region for more than a century. The mining industry has extended its influence everywhere, framing and re-forming the area, and in so doing, the perceptions of home and homeliness have changed radically. When the people of the Far West Rand describe the meaningful features of their home region they do not hesitate to talk about its negative side. They speak of illegal immigrants, drugs, criminality, arson, kidnapping, and sexual violence. They talk about dangers that lurk in the natural environment, such as sinkholes and the pollution of water and soil. Furthermore, they talk of the problems inherent in the political system, of illiteracy, corruption, inefficiency, and the long shadow of colonialism. They also speak at length about their experience of danger and fear. The Far West Rand, exemplified by Merafong, is by no means pictured as being perfect. In many aspects it is unpleasant, ugly, and even dangerous. But nevertheless, it is home. The data presented here was collected in the period 17–20 November 2015. The method followed and discussions held are examined below. These were followed by two written assignments. The six data collection sessions were attended by a total of 31 participants.

Pharmacist-independent prescriber deprescribing in UK care homes: Contextual factors associated with increased activity.

The Care Home Independent Pharmacist Prescriber Study (CHIPPS) process evaluation hypothesized that contextual factors influenced the likelihood of deprescribing by pharmacist-independent prescribers. The aim of this paper is to test this hypothesis. From CHIPPS study data, medications deprescribed totalled 284 for 370 residents in UK care homes. Regression analysis was used to describe the relationship between the number of medicines stopped and contextual factors (number of residents cared for, pharmacist employment within associated medical practice, previous care home experience, hours active within trial, years' experience as a pharmacist and as a prescriber). Number of residents and pharmacist-independent prescriber employment within a medical practice were positive predictors of deprescribing. Previous experiences were not related to deprescribing likelihood. Increasing the number of residents increases the opportunity for deprescribing and therefore this relationship is intuitive. The location within a medical practice is an interesting finding that requires further exploration to understand its exact nature.

GROUP-BASED TRAJECTORY MODELING OF NURSING HOME RESIDENT PAIN SCORES

Abstract Up to 80% of older adults living in a nursing home (NH) experience pain and up to 32% have substantial pain. Pain in NH residents is associated with poor quality of life, higher likelihood of depression, and decreased life satisfaction. Pain in NH residents has often been studied using a cross-sectional approach, which fails to consider the temporal nature of pain. Therefore, the purpose of this analysis was to identify and characterize clinically meaningful, dynamic pain trajectories in NH residents using data from the Minimum Data Set. A retrospective longitudinal analysis was conducted using group-based trajectory modeling with pain scores from admission to discharge or a maximum of 28 assessments. We identified four distinct trajectories: 1) consistent pain absence (48.9%), 2) decreasing-increasing pain presence (21.8%), 3) increasing-decreasing pain presence (15.3%), and 4) persistent pain presence (14.0%). Relative to residents’ in the consistent pain absence trajectory, the likelihood of being in the persistent pain presence trajectory was more than twice as high for those living in a rural versus (AOR 2.7, CI 2.2-3.4, p<.001), over 4 times higher for those with hip fracture (AOR 4.3 CI 2.6-7.0, p<.001), nearly 3 times higher for those with a fracture other than hip (AOR 2.9, CI 2.0-4.1, p<.001), and almost twice as high for those with contracture (AOR 1.7, CI 1.4-2.1, p<.001). Using residents’ characteristics associated with persistent pain such as hip fracture or contracture may improve care planning based on early identification or risk stratification and can improve mitigation of persistent pain.

The Impact of Implementing Islamic Guidance to Prevent Corruption in Financial Management of Company

Financial management is an important unit in the organization system. Financial management is the central for implementing organization activity. In the other hand, financial management in Indonesia often the corruption and manipulating financial data.
 Transparency International Indonesia (February 2022) rate Indonesia at 96 from 180 country’s in the corruption perception index. So, the budget allocation in a program is not efficient and can have impact on the success of the program. Actually the government of Indonesia have been launching many policy to prevent the corruption. But until now, all policy is fail.This study aimed to analyze what’s the motifs behind corruption in financial management. and to analyze how to prevent corruption in financial management with Islamic guidance.
 This research was used qualitative analyze. the qualitative method aim to describe and analyze character of informant relating to the impact of implementing Islamic guidance to prevent corruption in financial management. According Moleong (2012), research method qualitative is a research method which the results descriptive data in the form of words verbal messages from people whose behavior can observed by researcher. The collecting data method used interview method. Interview is a method of collecting data by asking questions something to someone who is an informant or respondent (Afifuddin, 2009).The interview have 36 questions to know experiences all informant and education received from they parents. We would like to analyze child experience in home, parents education in the golden age, study experience in the school, and work experience. The research result are implementing Islamic guidance since the child, can be prevent corruption when they work in a company. The Islamic guidance importantly pray in 5 times can be develop person to be the honest, obedience, and always on time. All of this nature will be prevent corruption by low moral. In addition, a good work environment and good roles can be impact to prevent corruption opportunity. Just like invironmen will be able to develop behavior the child.

Home motivations and lived experiences in housing cooperatives and cohousing communities: a two-contexts scoping review

Research on housing cooperatives and cohousing stems largely from social democratic countries. Contexts with less empirical evidence like liberal economy countries (LEC), studies centre on housing design, governance and time use. Evidence in Hispanic American countries (HAC) is also limited, raising critical questions about our current understanding of housing commons in global south contexts. Furthermore, there is a scarcity of analyses investigating residents’ motivations and lived experiences of home via residents’ voices across HAC and LEC. Addressing this knowledge gap, a scoping review was conducted through a relational perspective guided by the PRISMA methodology, which resulted in the analysis of 58 peer-reviewed articles. Results reveal that economic and socio-political drivers represent the main reasons for living in these communities. The residents’ lived experience yielded five areas: social capital, economic, environmental, design and knowledge generation/transfer. Findings indicate that even when cooperatives and cohousing are different in their vision, both require autonomy and an active role for residents during the home-making process.

Analyzing Current Approaches to Assessing the Quality of Software Products

Information technologies are the fastest developing industry today both in global economy and economy of Russia. Serious attention is paid to methodological aspects of quality management. Raising quality of software products is an objective of implementing the national project ‘Digital Economy of the Russian Federation’. Processes and stages of software development are modified with regard to new requirements to end product in accordance with adopted home standards. Thus the goal of improving the quality of software products is really topical. The quality of software product is influenced by various determinate and casual external and internal factors. Home experience of managing software quality refers to both western experience and works by Russian scientists, such as G. G. Azgal’dov, Yu. P. Adler, I. G. Venetskiy, V. V. Lipaev, S. D. Il’enkova, I. F. Shishkin, P. L. Chenyshev, V. M. Mishin. The article studies methods of managing software product quality that are used in home IT companies and carries out their comparative analysis. The author formulated proposals aiming at identification of drawbacks by using methods of cognitive modeling.

Exiled Poetics

Taking up the writings of Louise Glück and Mahmoud Darwish, this essay (re)searches the place and potential of a transnational, Edenic imagination as a vision of belonging amidst the alienation of modern life. Where a transnational poetics rejects ossified borders and boundaries, seeking porosity and imaginative possibilities that work across, around, through, and in-between, an Edenic imagination embraces a consciousness that simultaneously holds holy memory alongside longing for transcendence; so too do these ways of reading and seeing refract in the art-making I attempt as I seek the invisible web of connective, human tissue present in the poetic renderings of Eden by Glück and Darwish. As forces of modernity, colonization, and globalization maim and sever, a transnational, Edenic imagination gives language and location to our thirst for sacred inhabitance. As a method of inquiry, such a reading invites both researcher and reader to dwell in the liminal space of poetics. Guided by the poetic explorations of Eden and exile by Glück and Darwish, I work to consider how poetry itself becomes a hybrid site of belonging. The hope is that, through a deep (re)reading of the verses in which Glück and Darwish employ Eden as a metaphor, poetic inquiry might provide a way for us to more fully traverse categories of life, death, time, longing, space, and culture, exploring the complex matrices of our human experience and pursuit of home.

Home health staff knowledge and experience of delirium and delirium superimposed on dementia in older adults

AbstractBackgroundPrevious studies have shown delirium is common in the home setting and can indicate a medical emergency. Many older adults come into the hospital or ER with delirium. However, little is known about the recognition of delirium by home health workers and community nurses. The purpose of this study is to explore the experience of home health staff caring for an older adult with delirium and delirium superimposed on dementia (DSD), with a focus on capturing rich details of these experiences and their knowledge of recognition and management of delirium.MethodStory circle methodology was employed. Data were collected from 20 staff members (age x̄ = 50, SD = 12.33) of a home health agency that serves 18 counties across rural Pennsylvania via Zoom video conference. Qualitative content analysis was utilized (Sandelowski, 2010). The reporting of this study followed the criteria for reporting qualitative studies in the (COREQ) 32‐item checklist.ResultNine themes emerged: (i) Negative emotions; (ii) A sudden change; (iii) Knowing the person with dementia; (iv) Potential causes of delirium; (v) Fear of delirium and staff fear; (vi) Lack of protocol; (vii) Distancing and redirecting for management; (viii) Role of family and care partners; and (ix) Barriers to identification.ConclusionThis is one of only a few studies that have explored delirium and DSD in the home health setting. This study had several innovations, including the use of story methodology and exploring the views of interdisciplinary team members. Importantly, delirium was a common occurrence in the stories they shared. Delirium often resulted in an ER visit or hospitalization. One of the most important findings was that home health staff had training for dementia and depression, but no training, agency protocol, or standardized assessment tool for delirium. A second important finding was the contribution of family and care partners in the assessment and management of delirium in persons with dementia. Implications for practice, research, and policy will be discussed.

More Human Than Human: The Exile in Blade Runner

More Human Than Human: The Exile in <i>Blade Runner</i>

“Make sure I hear snoring”: Adolescent girls, trans, and non-binary youth using sound for sexual wellbeing boundary-making at home during COVID-19

To understand how COVID-19′s stay-at-home orders impacted youths’ sexual and social development, we conducted five virtual focus groups (n = 34) with adolescent girls’, trans’, and non-binary youths’ aged 16–19 between April-June 2021 in the GTA. We queried experiences of home, privacy, and sexual wellbeing during Canada's third wave. Auto-generated zoom transcripts were coded using an inductive framework with NVivo. Field notes and team discussions on the coded data informed the analysis. This paper explores how sexual wellbeing during the pandemic is practiced in relation to, dependent upon, and negotiated at home. Using intersectionality theory and embodiment theory, this research analyzes how youth's diverse identities shape their understandings and experiences of sexual wellbeing. We found youth needed spaces where they were not only unseen, but importantly, unheard. We argue sound as an important piece of boundary-work that reveals the way youth construct space during precarious times. Youth primarily negotiated sonic privacy through (a) sound-proofing, (b) sound warnings and (c) “silent reassurance”, a term we coined to describe the precursor of silence from other household members in order for youth to feel safe enough to practice sexual wellbeing. We found that white youth cited the bedroom as the best space for sexual wellbeing practices, but BIPOC youth felt the bedroom was only their best available option and still found they had to negotiate privacy. Attending to intersectionality theory, we expand on McRobbie and Garber's (1976) bedroom culture concept and widen Hernes’ (2004) concept of physical, social and mental boundary-work to include sound as a fourth type, which straddles among them. This research shows how privacy, gender and sexual identities were negotiated at home in times of extreme uncertainty, highlighting how implications of home as a ‘place’ during the pandemic, constructs sexual wellbeing. Mapping how and where youth practice embodied sexual wellbeing exposes the ways that private and public understandings of identity relate to sexuality and geographies of home. We understand the home as a complex space that can not only determine sexual wellbeing, but where health promoting boundaries can be negotiated. We conclude with suggestions for supporting adolescent sexual wellbeing, inside and outside the home, during and after COVID-19.

Returning to My Past: Caring in a Crisis

SUMMARYWhat was it like to care for older residents in a care home during the COVID‐19 pandemic? Care work was in crisis before the pandemic, which brought the fragility of the UK's healthcare system and those who work in it to the fore. I recount my experiences in a care home with isolated older people during the early months of the COVID‐19 global pandemic. In this autoethnography, I consider my attempt to prioritize isolated older care home residents' personhood alongside the complexities of caring during an inordinately physically and emotionally precarious time. While neglecting some aspects of my own needs, I describe how care work, while rewarding, can reproduce the already ingrained inequalities that characterize it. I argue that sensing absence as experienced by older people can be a means to help reduce some of their isolation and loneliness. During my time caring during the pandemic, time to care was corroded, further frustrating what care should be. Through my autoethnographic account of caring during the pandemic, I argue that the well‐being needs of caregivers alongside care receivers should be acknowledged as an integral aspect of care. [caring, COVID‐19, absence, care home, isolation].

Professional development and career planning for nurses working in care homes for older people: A scoping review.

A skilled, knowledgeable, and compassionate nurse workforce is pivotal to caring well for older people living in care homes. This requires the provision of continuing professional development and career planning for nurses, which are key also for nurse recruitment and retention. Continuing professional development and career planning strategies and interventions should be evidence-driven. To identify the extent, range and nature of contemporary evidence regarding professional development and career planning for nurses caring for older people living in care homes. The methodological framework used was the Joanna Briggs Institute guidance for scoping reviews. The PRISMA extension for scoping reviews was used as the reporting framework. Four databases were searched from January 2010 to July 2021. Results were screened independently by two reviewers using eligibility criteria. Full texts and the reference lists of eligible articles were reviewed. Data were extracted for key elements from the 25 articles included. Of the 25 articles, the majority were authored in the United States (n=10) and UK (n=8) with the remaining from Australia (n=3), Canada (n=3) and the Netherlands (n=1). Four articles reported on professional development programmes. Three literature reviews addressed challenges for nurse participation in professional development, experiences of care home nurses as clinical leaders and managers, and leadership. Two expert commentaries reported on the challenges related to professional development and career planning for care home nurses. Sixteen empirical studies investigated a range of topics including: competencies, roles, intention to stay and leave, continuing professional development, and leadership. Key emergent factors that support professional development and career planning were as follows: access to structured learning opportunities addressing knowledge and skills specific to nursing frail older adults, a supportive working environment including adequate staffing, study time and flexible working, and integration of leadership development. This scoping review has highlighted factors that support and challenge professional development and career planning for nurses working in the care home sector. There remain important gaps in the opportunities for professional development and career planning for care home nurses that warrant attention.

The unique and compensatory effects of home and classroom learning activities on Migrant and Seasonal Head Start children's Spanish and English emergent literacy skills.

Children of migrant and seasonal farmworkers (MSFW) are among the most underprivileged, underserved groups in the United States. The current study examined how home and classroom language and literacy experiences uniquely and interactively contributed to MSFW children's emergent literacy skills in English and Spanish. Participants were 255 Spanish-English dual language learning children (M age = 49 mon; 98.3% Latino/Hispanic) and their parents and 47 teachers, drawn from the Migrant and Seasonal Head Start (MSHS) Study. Parents reported how often the target children engaged in language and literacy activities (i.e., teaching letters, words, or numbers, book-reading, singing, and storytelling) with their family members. Teachers reported how often the target children engaged in classroom language and literacy activities (e.g., book-reading, learning letters, retelling stories, etc.). Children's emergent literacy skills in English and Spanish were assessed by standard tests. After controlling for demographic variables, home and classroom language and literacy activities uniquely predicted children's emergent literacy skills in Spanish, but not in English. Additionally, home and classroom activities compensated one another in supporting children's English and Spanish emergent literacy development. That is, language and literacy activities in one context showed a stronger effect for children who experienced less frequent activities in the other context. Together, these findings shed light on ways to support MSFW children's emergent literacy skills and reveal the importance of integrating and connecting home and school learning experiences.

Home-based laboratory experiences during COVID-19 pandemic in undergraduate biochemistry students

The coronavirus pandemic (COVID-19) pointed out new challenges to teaching in laboratory-based disciplines, such as chemistry, biology, and biochemistry with on-site practical sessions interrupted or suspended during 2020 and 2021. Observation and experimentation are part of education in science-based disciplines and provide necessary skills for professional and academic careers. In an effort to solve this disruption to experimental observations, we designed a set of home-based experiences related to chemistry and biochemistry. These included visual identification of lipids, sugars, proteins, and DNA in biological samples using materials easily found at home, such as alcohol, soap, and oil, among others. Each activity was documented with smartphones and discussed in a final portfolio. Fifty-two students were part of an introductory cell biochemistry course. The home-based laboratories were organized into 2.5-h sessions that included a lab session, a post lab session, and a period for preparing the experiment at home. Thirty-six (17 men and 19 women) students answered a survey designed to assess three major domains: (1) student’s demographics and home environment, (2) general perceptions of the laboratory activities, and (3) specific perceptions of each laboratory activity. Sixty two percent of the students thought that these activities helped them to understand how to isolate and identify macromolecules. Eleven percent said these home activities did not contribute to their understanding while 27% stated the activities were not significant for the topic. We conclude that, although the addition of in-house experiments provides a complementary tool for understanding the main concepts in biochemistry along with improving skills in scientific thinking, this should be accompanied by a good feedback mechanism from the instructors. In addition, student to student interaction should be part of the at home activities to increase student motivation. A Flipped laboratory methodology plus tools where metacognition is evaluated, appear to be appropriate to promote the understanding of concepts in the context of the laboratory. And although some aspects of the experimental experience can be substitute with online resources and in home experiences, others can only be achieved by the in-person experience.

"We've All Lost So Much": The Long-Term Care Home Experiences of Essential Family Caregivers During COVID-19.

During the coronavirus (COVID-19) pandemic, long-term care homes (LTCHs) imposed visitor restrictions that prevented essential family caregivers (EFCs) from entering the homes. Under these policies, EFCs had to engage in virtual, window, and outdoor visits, prior to the re-initiation of indoor visits. To understand EFCs' visitation experiences with LTCH residents during COVID-19. Seven virtual focus groups with EFCs were conducted and analysed using a thematic approach. Six themes were identified: (a) inconsistent and poor communication; (b) lack of staffing and resources; (c) increasing discord between EFCs and staff during COVID-19; (d) shock related to reunification; (e) lack of a person-centred or family-centred approach; and, (f) EFC and resident relationships as collateral damage. Our findings reflect how EFCs' visitation experiences were affected by factors at the individual, LTCH, and health-system levels. Future sectoral responses and visitation guidelines should recognize EFCs as an integral part of the care team.

Understanding home modification outcomes from the perspective of older people and people with a disability: informing home modification evaluation

Purpose There is limited evidence to guide therapists in home modification outcome evaluation. Involving consumers in evaluating home modifications is critical to progressing practice. This study investigated the home modification experience and outcomes most valued by older adults and individuals with a disability in Australia. Materials and methods An interpretive description approach was used. Twenty participants aged 24–93 who had received major home modifications were interviewed and transcripts were analysed thematically. Results Two major themes emerged: life before and during modifications – “it was all hard,” and life after modifications – “to have a life.” People’s prior experience of home, the circumstance of and time to plan modifications, the perceived value of the modifications, and the home modification process and funding influenced perceptions of outcomes. Valued home modification outcomes included those that enable people to experience emotional and physical health, and safety; do what they want; maintain the image of the home; and plan for the future. Experiences and perceptions of modifications ranged from supportive to disruptive. Conclusions These findings point to the need for therapists to deeply understand and evaluate their clients’ experiences of home and life as an initial and critical step in the home modification process. Implications for rehabilitation Major home modifications result in broad and meaningful outcomes of importance to clients. Occupational therapists need to partner with clients to understand their life before and during modifications to achieve positive outcomes. Evaluation of major home modifications needs to be integrated and prioritised in daily practice.

Does customised care improve satisfaction and positively enable parents in sustained home visiting for mothers and children experiencing adversity?

BackgroundThe Maternal Early Childhood Sustained Home-visiting program (MECSH) is a structured nurse-delivered program designed to address health inequities experienced by families experiencing significant adversity. There is strong evidence for the effectiveness of this program, but limited research exploring the practice and process elements that are core to positive parent outcomes. This study aimed to examine the relationship between customised care related to the mother’s risk factors and parent satisfaction and enablement in the delivery of a MECSH-based program.MethodsA cross-sectional study design was used. Program delivery data collected as part of a large randomised controlled trial of a MECSH-based sustained nurse home visiting program in Australia (right@home) were analysed. This study used the data collected from the intervention arm in the trial (n = 352 women). Parent satisfaction was measured at child age 24 months using the modified short-form Patient Satisfaction Questionnaire. Parent enablement was measured at child age 24 months by a modified Parent Enablement Index. Customised care was defined as appropriate provision of care content in response to four maternal risks: smoking, mental health, domestic violence and alcohol and drugs. Logistic analysis was performed to assess the impact of customised care on parent satisfaction and enablement while adjusting for covariates such as sociodemographic factors. A significance level of 95% was applied for analysis.ResultsOur results indicated high levels of satisfaction with the care provided and positive enablement. There were several sociodemographic factors associated with satisfaction and enablement, such as language spoken at home and employment experience. The mothers who received customised care in response to mental health risk and domestic violence had significantly greater satisfaction with the care provided and experienced an increase in enablement compared to those who did not receive such care.ConclusionThis study contributes to the existing body of empirical research that examines the relationship between care processes and client outcomes in the delivery of home visiting services. It is essential for the sustained nurse home visiting service model to be flexible enough to cater for variations according to family circumstances and needs while maintaining a core of evidence-based practice.