Family Companion Research Articles

Analisis Penerapan JKN Mobile bagi Pengguna Lansia di Rumah Sakit Harapan dan Doa (RSHD) Kota Bengkulu

The JKN Mobile application has purposed to facilitate BPJS Health participants in employing JKN-KIS services without the need to come directly to the BPJS office. The aim of this research is to determine how JKN Mobile is employed by senior citizens at Bengkulu City's Harapan and Doa Hospitals, as well as to outline the services provided to JKN Mobile senior citizens at RSHD Bengkulu City.The research method employed in this study is the qualitative research method. Data collections were carried out through observation, interviews, and documentation. Informant selection technique using accidental sampling. The stages of data analysis used are data reduction, data presentation, and conclusion drawing. The results of this study indicate the application of JKN Mobile for older people users at Harapan and Doa Hospital, Bengkulu City, found problems with older people users who claimed to be quite difficult in using the JKN Mobile application to get services at the hospital such as not having a smartphone that supports it, not understanding how to use the JKN Mobile application, to difficulties due to not having a family companion as a source of information supporting the older people.

تغیرِ زمانہ اور تغیرِ حال کے سبب ظنی احکام اور فتاوی میں تبدیلی کے اصول و ضوابط اور عصر حاضر میں ان کی تطبیق

Issuing a verdict on a current situation and event in the light of Allah’s commands is called a fatwā. In Sharī‘ah, there is room for change in the fatwā due to the changes in the circumstances, which is clearly indicated by various definitive texts of the Qur’ān and Sunnah. The change in the fatwā means that the reasons for which a certain legal ruling was acted upon have changed, so the fatwā has also changed. That is, something that the early jurists had declared unlawful by their own reasoning, but later jurists declared it permissible due to the change of circumstances. There are countless examples in front of us in which the previous ruling of something has been abandoned and a new ruling has been issued. And this change has been going on from the era of the Prophet to the present era. There are four reasons on the basis of which change can be made in the fatwā: ratio-legis, custom, necessity, and blocking the means. It has always been the opinion of Muslim jurists that a woman cannot perform Ḥajj without a maḥram (a male family companion with whom marriage is prohibited), however, the scholars of the present era have given this fatwā that if a woman’s husband or maḥram gives her permission to go on the journey of Ḥajj without a maḥram, then it is permissible. The reason for this change in the fatwā is that the cause of the prohibition of traveling without a maḥram, i.e., the fear of corruption, is no longer found. A woman can safely perform the obligatory Ḥajj by choosing modern means of travel and secure accommodation without a maḥram. Those fatwās that are based on the Qur’ān, Sunnah and consensus of the Ummah, there is no room for change in them. However, only those fatwās that are based on analogy, reasoning, custom and habit, etc., can be changed according to the changing circumstances, which is in accordance with the Sharī‘ah. Therefore, it is the duty of the scholars and intellectuals to examine the new issues arising in their era in the light of these four cases of change in the fatwā and issue such a fatwā that makes things easier.

Role of Family Welfare Empowerment Cadre on Stunting Reduction in Ende Sub-District

Stunting is still one of the nutritional problems that occur in Indonesia, characterised by physical stunting. Children with developmental delays are more susceptible to diseases that can affect their level of intelligence. Developmental delays can be overcome by starting with pre-pregnancy preparation for adolescents, brides-to-be, followed by pregnant women, breastfeeding mothers and young children. Community empowerment is a key strategy in stunting reduction programs. The role of family assistance by family planning cadres, midwives and FWE cadres is important through counselling activities, referral service facilities, social assistance facilities for families at risk of stunting and surveillance of target groups at the village level. The approach to implementing this program is made with a service Learning Program Approach System. The training method in the mini workshop used was to facilitate and educate FWE cadres about the role of the FWE Team in the process of accelerating stunting reduction in the Ende District area, Ende Regency, East Nusa Tenggara Province. The population in this activity was 10 FWE cadres consisting of representatives of FWE cadres from all of Ende District. This activity was carried out in the office environment of the Ende District Family Planning Extension Office on 27 June 2023. It can be concluded that the support and cooperation from the FWE team is still lacking due to the lack of knowledge about the role and duties of the family welfare cadre as a family companion. Therefore, it is hoped that through deepening knowledge and empowerment motivation, the role of family welfare activist cadres will be able to collaborate and synergize with family planning extension cadres and midwives more optimally for the realization of reducing stunting rates in Ende District, more specifically in the 9 affected villages.

The Effect of Education on Quality of Life of Breast Cancer Patients With Family Assistance and Treatment Compliance As A Mediation Variable

Breast cancer is the most common type of cancer compared to other types of cancer. Breast cancer can have a psychological impact from the early diagnosis. In addition, the side effects of cancer modality therapy can also affect the psychology of patients and families. The purpose of this study was to analyze the effect of providing education on the quality of life of breast cancer patients with family assistance and medication adherence as mediating variables at the "Dharmais" Cancer Hospital. Quality of life is a subjective measure that describes happiness and freedom for an individual and how good or bad a person is. Health education is an important tool for fostering patient empowerment and encouraging their contribution to disease control. Family companion is a form of interpersonal relationship that protects a person from the effects of bad stress. Obedience comes from the root word obedient which means to obey, like to obey orders. Types of correlational research. The population is 1,174 and the sample is 291, using purposive sampling technique and proportional random sampling. Validity test using Pearson product moment. Reliability test using Cronbach alpha. Data collection techniques using questionnaires and statistical analysis of simple and multiple linear regression. The results showed that the average value of providing education, family assistance, medication adherence and quality of life was high. There was an effect of providing education (p=0.000), family assistance (p=0.001) and medication adherence (p=0.000) on the quality of life. The conclusion shows that there is the provision of education, family assistance and medication adherence to the quality of life. So it is suggested that the hospital can pay more attention to improving the quality of life such as doing health promotion.

Peningkatan Perilaku Ibu dalam Pemenuhan Kebutuhan Gizi Baduta Berisiko Stunting melalui Pemberdayaan Kader

Cadres are spearheading the success of monitoring the nutritional status of children under-two. Improving the knowledge, attitudes and actions of cadres through training, coaching and mentoring mothers in fulfilling the nutritional intake of under-two using the Nutrition Education Module has an impact on the success of the nutritional status monitoring function. Community service activities (PkM) are aimed at optimizing the role of cadres and families in fulfilling the New Normal Period undernutrition in Riak Siabun Village, Seluma Regency. The target audience is 10 posyandu and KPM cadres and 30 families with children aged 0-24 months. The activity is carried out with the stages of forming family companion cadres, training and coaching, as well as mentoring mothers of baduta. Evaluation of activities is carried out by measuring the knowledge, attitudes, and actions of cadres and mothers of baduta. The activity was carried out in January-November 2021. The data were analyzed by comparing the results of the pre-test and post-test. The results of community service activities showed that there was an increase in the score of knowledge, attitudes, cadres as well as the knowledge, attitudes, and actions of the mother under two for 3 months of mentoring. The results of the activity showed an increase in the average score of knowledge and attitudes before and after the training. The mentoring of 30 mothers of under-two showed an increase in the average score of mother's knowledge and attitudes about the fulfillment of nutrition for under-fives, mother's actions were still the focus of mentoring. Regulations in the form of policies and programs need to be improved to support cadre activities in assisting mothers of children under-two in the village.

The Determinants Of Family Planning Counselors' Stunting Program Objective During Covid-19 A Case Study In East Java

Out of the 34 provinces, 12 of them in East Java did not achieve the national stunting prevalence target during the Covid-19 pandemic until 2024. The delay in achieving the work goals of family planning counselors (KB) in the stunting program requires concrete steps to overcome existing obstacles. This study aims to identify the problems that determine the goals of the stunting program for family planning counselors and offer solutions so that they can be used as practical references for family planning counselors. This case study research with descriptive design includes three stages: theoretical exploration and case identification, document collection and review, as well as data processing and case study analysis. The first and second stages were obtained from review documents taken from Google Scholar and other eligible sources (Ministry of Health, National Coordination of Family Planning). Then the determinants of the stunting program objectives for family planning counselors were obtained by filtering documents using the PICOT (Population, Intervention, Comparison, Outcome, Time) model. The results of the PICOT selection show that 7 (n=7) of 29 (n=29) documents were selected with the main determinants of the stunting program being communication, information, education which includes fostering youth, prospective brides, families of toddlers, family companion teams, pregnant women, and collaboration with other health workers.

Childhood Experiences of Companion Animal Abuse and its Co-Occurrence with Domestic Abuse: Evidence from a National Youth Survey in Norway.

It is increasingly acknowledged that companion animal abuse often occurs in the same contexts as other types of abuse, particularly domestic abuse. However, the co-occurrence and strengths of these associations in the general population have not been well established in research. With data from a large representative sample of Norwegian adolescents, we aimed to determine 1) the extent to which Norwegian children are exposed to companion animal abuse in the family, 2) whether and how companion animal abuse is linked to other forms of domestic abuse that children experience, and 3) background factors associated with companion animal abuse. A total of 9240 adolescents aged 12-16years (Mage 14.7) participated in the digital school-based survey. Four percent (n = 380) reported that they had ever witnessed a parent being violent towards a family companion animal, whereas 1% (n = 125) had experienced that an adult in the household had threatened to harm a companion animal. There was a substantial overlap between companion animal abuse and child abuse, and it most frequently co-occurred with psychological abuse and less severe forms of physical child abuse. This resonates with conceptualizations of domestic abuse as an ongoing pattern of psychological abuse and coercive control. The risk factors identified for companion animal abuse in this representative sample of adolescents were similar to known risk factors for domestic abuse. Low socioeconomic status and parents' substance abuse, parents' psychiatric illness, and parents' history of incarceration entailed a greater risk of experiencing companion animal abuse. We conclude that companion animal abuse co-occurs with other forms of domestic abuse and that it may be considered a part of the repertoire of domestic abuse that impacts children.

Pemanfaatan Teknologi Informasi untuk Para Kader TPK Kec Simpang dalam Mencegah Stunting

This community service activity aims to increase the knowledge of family companion team cadres (TPK) at the district family planning extension centre in the utilization of information technology in preventing stunting. Due to chronic malnutrition, stunting babies grow shorter than the high standards of toddlers of their lifetime. With information technology, TPK cadres can find additional information about accelerating stunting prevention properly without being consumed by wrong issues or hoaxes in addition to the utilization of several smartphone applications available from android or iOS services that can be easily used. This activity was attended by TPK cadres from each village, also present as the chairman of Family Welfare Development (PKK) and the chairman of the Indonesian Midwife Association (IBI) of Simpang sub-district. This activity is carried out face-to-face with socialization methods by lectures using projector aids, demonstration or information technology utilization practices and the use of stunting prevention support applications. From this activity, the participants have been able to prevent stunting through information technology.

Family companion between patients with coronavirus disease 2019: a retrospective observational study.

Family companion between patients with coronavirus disease 2019: a retrospective observational study.

Of One Divided Mind: Fundamental Causes of the Nineteenth-Century Brethren Schism, 1850-1880

Historical research involving the schism within the German Baptist Brethren Church in the 1880s has only been found within broad, general histories of the church. The explanations given by historians relating to the cause of the split have previously centered on individuals and the church publications between 1850 and 1883, and on contemporaries who argued among themselves about whether to adopt practices common among surrounding American religions and society. No known project has focused directly on the content within the publications as it relates to the way these brethren used the Bible and other religious and spiritual rhetoric to substantiate their arguments on either side. My research focused on Brethren periodicals printed between about 1850 and 1880. I selected four of the most prominent papers of the period: the <em>Gospel Visitor</em>, the <em>Christian Family Companion</em>, <em>The Vindicator</em>, and the <em>Progressive Christian</em>. Each of these periodicals contained arguments for or against adopting practices not previously accepted within the church. Within their pages I found that every argument, for or against a particular practice, was based on scriptural interpretation or other religious commentary used to persuade readers. [Abstract by author]

Reported Acquisition Practices of Australian Dog Owners.

Simple SummaryThere are more than 205 pure-breeds of dogs and many mixed or cross-breeds available to those seeking to acquire a dog in Australia. It is estimated that 400,000 dogs are acquired annually but there is little information about how prospective owners make their choices and what canine attributes they prioritise when acquiring dogs. Attributes influencing owner’s choice include: physical appearance, behavioural characteristics, breed reputation, how a dog has been bred, perceived genetic soundness, and a dog’s need for rehoming or rescuing. This study considers the choices owners make in selecting their most recently acquired dogs and explores how owners prioritise various attributes. Analysis of survey results suggests that Australian dog owners fall into two distinct groups: one that prioritises the ability to rescue a dog, compatibility on meeting and how compatible they believe the dog will be with their family, and the second that prioritises attributes associated with how the dog was bred including morphotype, how a dog has been raised, genetic testing, and temperament predictability. Each group is making different but not substantially more optimal acquisition choices than one another.In Australia, the UK and the US dog ownership is prevalent with an estimated 40% of Australian households, 25% of UK households, and 50% of US households owning a dog. Once acquired, a dog usually becomes a family companion so, unlike a faulty product, it can rarely be returned or resold without some emotional impact on both the acquirer and the dog. Regarding the reality of dog relinquishment, there is a growing need for cross-disciplinary research that considers how dog owners are making their acquisition choices and, if prioritising different attributes, leads to more optimal acquisition choices. This research collected data from 2840 dog owners via an online survey and examines how owners prioritised various attributes when acquiring their latest dog. The Pearson-Blotchky analysis of survey results show owners are split into two groups, with each group prioritising different attributes or characteristics in their search for a new dog. The first group are those dog owners who prioritised: the ability to rescue a dog, how compatible the dog was on the first meeting, and how compatible they believed the dog would be with their household. The second group are those owners who prioritised: a dog’s morphology, temperament predictability, and breeding practices. While each group prioritised different attributes, neither group made substantially more optimal acquisition choices in terms of overall satisfaction with the dog that they ultimately selected.

Cuidados de enfermagem a indivíduos com surdez e/ou mudez em instituição hospitalar

O estudo objetivou apreender como se dá a assistência de enfermagem a pessoas com surdez ou mudez hospitalizadas na voz dos profissionais de enfermagem. Estudo qualitativo, do tipo descritivo e exploratório, cujos dados foram coletados em janeiro e fevereiro de 2018, por meio de entrevistas semiestruturadas com 27 profissionais de um hospital geral. A análise dos dados seguiu os passos da análise temática. A assistência de enfermagem segundo os participantes do estudo é permeada por dificuldades, sobretudo na comunicação, para a qual utilizam o emprego de estratégias alternativas a linguagem verbal. Como fator facilitador para o cuidado mencionam a presença de um familiar ou acompanhante. Enfatiza-se a falta de formação acadêmica e capacitações na área. Os profissionais possuem fragilidades para prestarem uma assistência resolutiva e eficaz a este público, como estratégia de qualificação é elencada a educação permanente.

Feeding Harvesters in the Mid-Eighteenth Century

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Patient-Family Agenda Setting for Primary Care Patients with Cognitive Impairment: the SAME Page Trial.

Establishing priorities for discussion during time-limited primary care visits is challenging in the care of patients with cognitive impairment. These patients commonly attend primary care visits with a family companion. To examine whether a patient-family agenda setting intervention improves primary care visit communication for patients with cognitive impairment DESIGN: Two-group pilot randomized controlled study PARTICIPANTS: Patients aged 65 + with cognitive impairment and family companions (n = 93 dyads) and clinicians (n = 14) from two general and one geriatrics primary care clinic INTERVENTION: A self-administered paper-pencil checklist to clarify the role of the companion and establish a shared visit agenda MEASUREMENTS: Patient-centered communication (primary); verbal activity, information disclosure including discussion of memory, and visit duration (secondary), from audio recordings of visit discussion RESULTS: Dyads were randomized to usual care (n = 44) or intervention (n = 49). Intervention participants endorsed an active communication role for companions to help patients understand what the clinician says or means (90% of dyads), remind patients to ask questions or ask clinicians questions directly (84% of dyads), or listen and take notes (82% of dyads). Intervention dyads identified 4.4 health issues for the agenda on average: patients more often identified memory (59.2 versus 38.8%; p = 0.012) and mood (42.9 versus 24.5%; p = 0.013) whereas companions more often identified safety (36.7 versus 18.4%; p = 0.039) and personality/behavior change (32.7 versus 16.3%; p = 0.011). Communication was significantly more patient-centered in intervention than in control visits at general clinics (p < 0.001) and in pooled analyses (ratio of 0.86 versus 0.68; p = 0.046). At general clinics, intervention (versus control) dyads contributed more lifestyle and psychosocial talk (p < 0.001) and less biomedical talk (p < 0.001) and companions were more verbally active (p < 0.005). No intervention effects were found at the geriatrics clinic. No effect on memory discussions or visit duration was observed. Patient-family agenda setting may improve primary care visit communication for patients with cognitive impairment. ClinicalTrials.gov : NCT02986958.

Family companions’ involvement during pre-surgical consent visits for major cancer surgery and its relationship to visit communication and satisfaction

ObjectiveTo examine the association between family companion presence during pre-surgical visits to discuss major cancer surgery and patient-provider communication and satisfaction. MethodsSecondary analysis of 61 pre-surgical visit recordings with eight surgical oncologists at an academic tertiary care hospital using the Roter Interaction Analysis System (RIAS). Surgeons, patients, and companions completed post-visit satisfaction questionnaires. Poisson and logistic regression models assessed differences in communication and satisfaction when companions were present vs. absent. ResultsThere were 46 visits (75%) in which companions were present, and 15 (25%) in which companions were absent. Companion communication was largely emotional and facilitative, as measured by RIAS. Companion presence was associated with more surgeon talk (IRR 1.29, p = 0.006), and medical information-giving (IRR 1.41, p = 0.001). Companion presence was associated with less disclosure of lifestyle/psychosocial topics by patients (IRR 0.55, p = 0.037). In adjusted analyses, companions’ presence was associated with lower levels of patient-centeredness (IRR 0.77, p 0.004). There were no differences in patient or surgeon satisfaction based on companion presence. ConclusionCompanions’ presence during pre-surgical visits was associated with patient-surgeon communication but was not associated with patient or surgeon satisfaction. Practice implicationsFuture work is needed to develop interventions to enhance patient-companion-provider interactions in this setting.

The impact of the hospitalization process on the caregiver of a chronic critical patient hospitalized in a Semi-Intensive Care Unit

Abstract Objective: To understand the impact of the hospitalization process on the family companion of critical patients admitted to a Semi-Intensive Care Unit (SICU). Method: Exploratory research with a qualitative approach, conducted in the months of April to July of 2016 through a semi-structured interview applied to relatives who were accompanying patients hospitalized in an SICU of a high complexity care hospital in Fortaleza. The interviews were submitted to content analysis. Results: Three themes emerged through the perception of the family members, which reveal the companion's functioning during the hospitalization period: emotional, familiar and behavioural. Conclusion: The companion experiences an intense process of suffering and emotional fragility, causing changes in the family organization. The companion, being a caregiver, is subjected to high levels of stress, having to use coping skills, with; spirituality and social media among the most evident. The companion is an integral care unit for the hospitalized patient and a key piece in the humanization process of health.

Examining the context and helpfulness of family companion contributions to older adults’ primary care visits

ObjectiveOlder adults commonly involve family (broadly defined) in their care. We examined communication behaviors of family companions during older adults’ primary care visits, including whether these behaviors vary with respect to how older adults manage their health, preferences for involving family in medical decision-making, and ratings of companion helpfulness. MethodsAnalysis of audio-taped primary care visits of older patients who were accompanied by a family companion (n=30 dyads) and linked patient surveys. ResultsFamily companions predominantly facilitated doctor and patient information exchange. More than half of companion communication behaviors were directed at improving doctor understanding of the patient. Companions were more verbally active during visits of patients who delegated the management of their health to others than visits of patients who co-managed or self-managed their health. Companions were rated as more helpful by patients who preferred active involvement of family in medical decision-making. ConclusionFamily companion participation and helpfulness in primary care communication varies by patients’ preferences for involving family in medical decision-making and approach to manage their health. Practice implicationsResearch to examine the effects of clarifying patient and family companion expectations for primary care visits could inform strategies to improve the patient-centeredness of medical communication.

Family presence and participation during medical visits of heart failure patients: An analysis of survey and audiotaped communication data

ObjectiveTo describe the frequency, roles, and utility of family companion involvement in the care of patients with Heart Failure (HF) care and to examine the association between audiotaped patient, companion, and provider communication behaviors. MethodsWe collected survey data and audiotaped a single medical visit for 93 HF patients (36 brought a companion into the examination room) and their cardiology provider. Communication data was analyzed using the Roter Interaction Analysis System. ResultsThere were 32% more positive rapport-building statements (p<0.01) and almost three times as many social rapport-building statements (p<0.01) from patients and companions in accompanied visits versus unaccompanied patient visits. There were less psychosocial information giving statements in accompanied visits compared to unaccompanied patient visits (p<0.01.) Providers made 25% more biomedical information giving statements (p=0.04) and almost three times more social rapport-building statements (p<0.01) in accompanied visits. Providers asked fewer biomedical and psychosocial questions in accompanied versus unaccompanied visits. Providers made 16% fewer partnership-building statements in accompanied versus unaccompanied visits (p=0.01). ConclusionsOur findings are mixed regarding the benefits of accompaniment for facilitating patient-provider communication based on survey and audiotaped data. Practice implicationsStrategies to enhance engagement during visits, such as pre-visit question prompt lists, may be beneficial.

Cotidiano do familiar acompanhante durante a hospitalização de um membro da família

Resumo Objetivo Compreender as alterações no cotidiano do familiar acompanhante durante a hospitalização de um membro da família Métodos Pesquisa qualitativa realizado com 16 familiares acompanhantes de pessoas com dependência para o autocuidado num hospital público. As entrevistas gravadas foram realizadas individualmente, utilizando um roteiro semiestruturado. Para a organização e analise dos dados utilizamos a Análise Temática e discutimos à luz dos pressupostos teóricos e da sensibilidade propostos por Maffesoli. Resultados Emergiram quatro categorias: a ruptura do laço substancial com os filhos; a abdicação da atividade laboral para favorecer o estar-junto; os rituais do hospital no cotidiano do familiar acompanhante; o cuidado de si e a potência do estar-junto. Conclusão Permanecer em processo de acompanhamento se sobrepõe a todas as atividades da vida cotidiana dos familiares acompanhantes.

The reactions of the family companion of hospitalized elderly facing stressful situations

Objetivos: Caracterizar o familiar acompanhante de idosos hospitalizados; descrever as reações do familiar acompanhante de idosos hospitalizados frente às situações de estresse e discutir as possibilidades de intervenção do enfermeiro ao familiar acompanhante desses idosos. Método: Estudo qualitativo, descritivo e exploratório. Realizado em enfermarias de um hospital geral com 45 familiares acompanhantes de idosos hospitalizados. Foi realizada entrevista semi-estruturada e os dados foram submetidos à análise temática. O estudo teve aprovação do comitê de ética. Resultados: As principais reações frente as situações de estresse: alterações nos hábitos alimentares, utilização de medicamentos para relaxamento e insônia e mudanças de humor. Para o enfrentamento das situações de estresse buscam atividades alternativas de lazer e apego às práticas religiosas. Conclusão: o familiar acompanhante de idosos deve também ser foco de cuidado da enfermagem durante o processo de hospitalização, mediante estratégias de suporte e programas educativos para preservar sua saúde.