Participation Of Family Members Research Articles

Legal analysis of the concept of «family» and subjects of family legal relations

The article researches the etymology of the term «family». In particular, the content of this concept as a social phenomenon is given, as well as an analysis of the opinions of modern Ukrainian lawyers regarding its legal content, and as a result, a proper definition of the legal category «family» - a set of persons, relations between which are based on mutual rights and obligations - is proposed languages, cohabitation and everyday life, arising on the basis of marriage (marital relations without marriage registration) or consanguineous ties, or other forms of adoption of children for upbringing, and which bear mutual responsibility for non-fulfillment or improper fulfillment of family obligations. It was established that there is no single approach to understanding the definition of «family» among scientists, just as there is no single comprehensive concept in the legal system of our country. In addition, it is noted that there are two opposing positions in the legal literature regarding the need to form a single definition of the term «family», because some scientists support the position of legislating the category «family», explaining this by the fact that different branches of law regulate different in terms of content, legal relations with the participation of family members, others, in turn, do not consider it necessary to enshrine the term «family» at the legislative level, because the criteria characterizing a family are very multifaceted and diverse. The characterization of the subjects (participants) of family legal relations provided for by the legislation of Ukraine, taking into account a certain sequence, was carried out. In particular, three groups of participants in family legal relations are distinguished. The first group is spouses, parents, children and the adoption institute. The second group is grandmothers, grandfathers, great-grandmothers, great-grandfathers, grandchildren, great-grandchildren, siblings, stepmother, stepfather, stepdaughter and stepson. The third group is other family members provided for in Chapters 19 and 20 of the Family Code of Ukraine.

Challenges and Experiences Faced by Physiotherapists in Stroke Rehabilitation: A Qualitative Study

ABSTRACT Introduction: Stroke is one of the leading causes of death and disability in India and rehabilitation therapy is underdeveloped. Neurorehabilitation is a program that caters to people who have disabilities to help them attain and maintain optimal performance. The majority of people with disabilities are economically underprivileged and have trouble getting access to basic health care (including rehabilitation). Physiotherapists also face limitations in providing services to stroke survivors and this study is to identify those challenges. Objective: The objective of this study is to identify the limitations faced by physiotherapists during stroke rehabilitation. Material and Method: In November 2022, a focus group discussion was held with a sample size of 12 physiotherapy residents from neurorehabilitation and community rehabilitation working in a tertiary hospital. After consent was taken, audiovideography was recorded, transcripted, and documented. Data were thoroughly transcribed, and thematic analysis and characteristics were established. Results: After extraction of codes and themes, the following results were found. General categories of themes are lack of awareness on stroke and physiotherapy, infrastructure, financial constraints, family dynamic, social health, amotivation and mental health, collaboration limitations, problems in-home services, and the impact of COVID-19 pandemic on rehabilitation. Recommendations given by the participants were creating a stroke community, availability of more insurance companies to support and provide relief for financial stress, early education and awareness on stroke from school level, active participation of caregivers and family members to assist the patient in home-based therapy, and availability of NGOs that cater specifically to physiotherapy. Conclusion: It was concluded that neurorehabilitation in India needs to attend to the given categories. Policymakers must be aware of the financial and social issues that stroke survivors experience and enact legislation that will decrease mental and financial stress.

Founding-Family Firms and CSR Performance in the Emerging Economy of India: A Socio-Emotional Wealth Perspective

Family firms are considered a function of the family’s influence on the firm’s strategic choices by pursuing the family’s vision for the firm. Based on the premise of the socio-emotional wealth (SEW) theory, this study investigates whether they follow CSR as a strategic choice to grow and preserve SEW and embrace social norms. Using a sample of 88 publicly listed founder-controlled firms in India, this study found that more family member participation improves CSR performance. The relationship is more robust when participating members serve as owners and managers. Further, the relationship between family members is augmented when the member is a female participant. The findings of additional analyses show that family members are more attuned to environmental performance than the other two dimensions of CSR (social and governance). Finally, CSR is related to firm performance as assessed by ROA and Tobin Q. The findings support the socio-emotional wealth (SEW) theory as family members’ participation has incentives in choosing CSR as a strategic decision. CSR as a strategic choice offers economic and social benefits for family enterprises.

Family Participation in Cardiovascular Intensive Care Unit Rounds: A Pilot Randomized Controlled Trial

BackgroundObservational studies have shown an association between family participation in intensive care unit (ICU) rounds and better family-centred outcomes. However, evidence from randomized studies on the impact of family participation in ICU rounds is lacking. The objective of this pilot study was to evaluate the feasibility of a randomized trial for family participation in ICU rounds and obtain preliminary estimates of effect to inform a future effectiveness trial. MethodsFamily members of patients in the cardiovascular ICU at an academic tertiary-care hospital were randomized to the intervention (participation in rounds) or usual-care group. Following ICU discharge, family member participants completed the family satisfaction (Family Satisfaction in the Intensive Care Unit Survey [FS-ICU]). Feasibility metrics were recruitment (≥ 10 participants per month), uptake (≥ 80%), and follow-up (≥ 80%). Effectiveness was measured by between-group differences in survey score at follow-up. ResultsA total of 27 participants were recruited over 8 weeks. A total of 44% of family members (27 of 61) who were approached agreed to participate. Nonparticipation was due most commonly to lack of interest (N = 20; 64%). All family members randomized to the intervention (N = 16) were present for rounds (100% uptake). Follow-up data were available for 23 participants (85%). Family members who participated in rounds had a higher level of satisfaction with care, compared to the usual-care group (87.3 vs 74.7, P = 0.03, respectively). ConclusionsFamily participation in cardiovascular ICU rounds is feasible and effective at improving family satisfaction. Our findings will inform the design of a planned, larger, multicentre study to evaluate the effectiveness of family participation in ICU rounds to improve family-centred outcomes. Trial registration number: NCT05528185.

Research progresses on interventions of obesity in children and adolescents

Childhood and adolescent obesity has become a global epidemic. The interventions mainly include lifestyle intervention, medication treatment and bariatric surgery. Among them, lifestyle intervention, especially intensive lifestyle intervention with participation of family members, is the first-line treatment for obesity in children and adolescents. Both medication and bariatric surgery are adjuvant treatments for severely obese children and adolescents. Currently, metformin is the most widely used drug for the treatment of obesity in children and adolescents in both China and other countries; orlistat and liraglutide are also the drugs that are safe and often used in other countries; other drugs are not recommended. As a tertiary prevention and treatment strategy for obesity, bariatric surgery should be carried out on the basis of good compliance from both the children and their family members, with the cooperation of multiple disciplines. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most common types of procedure performed. Meanwhile, as a new treatment method, intra-gastric balloon procedure needs to be paid more attention to its efficacy and safety.

Kangaroo Mother Care for Low-Birth-Weight Babies in Low and Middle-Income Countries: A Narrative Review.

In low and middle-income countries (LMICs), the infant mortality rate is much higher than the high-income countries (HICs). The higher infant mortality is due to low birth weight (LBW) a combination of intra-uterine growth retardation (IUGR) and prematurity, which are risk factors for acquiring infectious diseases amongst newborns.Kangaroo mother care (KMC) is a neonatal procedure that is carried out in newborn infants, especially in preterm babies and LBW babies. It is skin-to-skin contact between a mother's bare chest and a stable infant. KMC is an important intervention in reducing infant mortality rates in LMICs. A comprehensive literature and data search was done using key databases like PubMed and Google Scholar. A total of 42 articles out of 1,168 articles were selected for review after screening and elimination of the repeated articles.Through this review we have tried to analyse the benefits of KMC in newborns, the need for the participation of fathers and family members, and the need for implementation of this practice at a broader level by policy formulation in LMICs. We have also discussed the need for KMC for the prevention of infant mortality in LBW newborns in LMICs.

Engagement and response to a psychoeducation program for family members of inpatients undergoing treatment for substance use disorder.

The goal of this study was to evaluate a sample of family members, among whom individuals were undergoing inpatient treatment for substance use disorder and identify predictors of engagement in a family support program. A total of 159 family nuclei were analyzed; 36 (22.6%) completed the program and 123 (77.4%) did not complete the program. Compared to nonparticipants, participants were majorly female (91.9%), younger (43.3 years old, SD = 16.5), unemployed, homemakers, and not financially independent (56.7%). The results showed the predominant participation of wives (29.7%) and offspring (mostly daughters, 27.0%). Participants also reported a higher rate of depressive symptoms (p = 0.003) and worse quality of life, primarily environmental. The frequency of domestic violence was higher among participants than among nonparticipants (27.9% vs. 9.0%, p = 0.005). Engagement in family support programs is the first challenge to overcome. The nonparticipants' profile shows the need to adopt engagement strategies that encompass males and facilitate the participation of breadwinning family members.

General Practitioners' Experiences With Potentials and Pitfalls of Video Consultations in Norway During the COVID-19 Lockdown: Qualitative Analysis of Free-Text Survey Answers.

The use of video consultations (VCs) in Norwegian general practice rapidly increased during the COVID-19 pandemic. During societal lockdowns, VCs were used for nearly all types of clinical problems, as in-person consultations were kept to a minimum. This study aimed to explore general practitioners' (GPs') experiences of potentials and pitfalls associated with the use of VCs during the first pandemic lockdown. Between April 14 and May 3, 2020, all regular Norwegian GPs (N=4858) were invited to answer a web-based survey, which included open-ended questions about their experiences with the advantages and pitfalls of VCs. A total of 2558 free-text answers were provided by 657 of the 1237 GPs who participated in the survey. The material was subjected to reflexive thematic analysis. Four main themes were identified. First, VCs are described as being particularly convenient, informative, and effective for consultations with previously known patients. Second, strategically planned VCs may facilitate effective tailoring of clinical trajectories that optimize clinical workflow. VCs allow for an initial overview of the problem (triage), follow-up evaluation after an in-person consultation, provision of advice and information concerning test results and discharge notes, extension of sick leaves, and delivery of other medical certificates. VCs may, in certain situations, enhance the GPs' insight in their patients' relational and socioeconomical resources and vulnerabilities, and even facilitate relationship-building with patients in need of care who might otherwise be reluctant to seek help. Third, VCs are characterized by a demarcated communication style and the "one problem approach," which may entail effectiveness in the short run. However, the web-based communication climate implies degradation of valuable nonverbal signals that are more evidently present in in-person consultations. Finally, overreliance on VCs may, in a longer perspective, undermine the establishment and maintenance of relational trust, with a negative impact on the quality of care and patient safety. Compensatory mechanisms include clarifying with the patient what the next step is, answering any questions and giving further advice on treatment if conditions do not improve or there is a need for follow-up. Participation of family members can also be helpful to improve reciprocal understanding and safety. The findings have relevance for future implementation of VCs and deserve further exploration under less stressful circumstances.

Examining the experiences of Indigenous families seeking health information about caring for sick or injured children: a scoping review

ObjectiveMapping literature on Indigenous families’ experiences seeking child health information and identifying barriers and facilitators to information access.DesignScoping review.Data sourcesWe searched Medline, EMBASE, PsycINFO, Scopus and CINAHL for peer-reviewed literature...

Optimalisasi Peran Keluarga dalam Peningkatan Kesadaran Pencegahan dan Deteksi Dini Kanker Serviks

Cervical cancer is still the cancer that results in the highest female deaths in Indonesia.. The coverage of early detection of cervical cancer in Indonesia is still 8.29%. It was proven that the screening results in Karanganyar showed that as many as 239 mothers with positive iva tests and 15 mothers were suspected of cervical cancer. The purpose of this community service is to provide health education to the community by maximizing family participation in counseling. The target of this activity is 30 couples at the Mojogedang, Karanganyar. The method carried out includes three stages, namely problem identification, implementation, and evaluation. The result of this community service is to increase awareness to carry out early detection of cervical cancer, and reduce stigma regarding cervical cancer. Health counseling or education activities are expected to be carried out in various places by considering the participation of other family members in counseling

Simulation training of caregivers at hospital discharge of patients with chronic diseases: an integrative review.

to identify evidence about the use and effects of clinical simulation for preparing caregivers for discharging patients with chronic conditions. an integrative peer review in the Scopus, PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature, ScienceDirect and Virtual Health Library databases, from July to September 2022. 3,218 studies were identified, with a final sample consisting of four national and two international articles. Using simulation as an educational technology contributed to caregiver preparation in home care. In most studies, using clinical simulation included using other strategies to complement training: expository dialogued class, conversation circle and audiovisual resources. simulation proved to be efficient for training caregivers, with the active participation of family members and nurses in health education actions.

Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units : A randomized controlled trial

Introduction: Families of patients with low consciousness have an important role in supporting them and should acquire the necessary capability for patient care. Objective: This study aimed to examine the effect of family-centered interventions on the self-efficacy of the families of patients admitted to the intensive care units. Materials and Methods: This research was a randomized clinical trial with a pretest-posttest design conducted in intensive care units of hospitals in Khorram abad City, Iran, in 2019-2020. Seventy family members of patients were selected by convenience sampling and were assigned to the intervention (n=28) and control (n=28) groups by stratified random blocks. The study data were collected through the self-efficacy questionnaire and Hospital Anxiety and Depression Scale. The intervention was carried out using a family-centered model. The collected data were analyzed using the statistical tests of the Chi-square, independent t-test, and paired t-test. Also, the generalized linear model was used to compare changes in self-efficacy scores of the two study groups after adjusting demographic, anxiety, and depression variables. Results: Data analysis showed that most samples were male (53.8%) with a mean age of 38.15±8.68 years. The results showed a significant difference in the mean scores of self-efficacy, anxiety, and depression between the intervention and control groups (P=0.001). The intervention significantly increased the Mean±SD of caregivers’ self-efficacy (40.14±14.35, P=0.001) in the intervention group. The results showed that the self-efficacy mean score of the intervention group was 36 scores higher than the caregivers’ self-efficacy of the control group (95% CI; 20.6-51.4, P=0.028). Conclusion: The participation of family members of patients with low consciousness in the care of the patients in the intensive care unit has an effective role in the self-efficacy of caregivers of these patients.

Adult Education and Community Development as Strategies for Mitigating the Challenges of Family Life Education in Rivers State

Adult Education and Community Development compliments each other in the bid to ameliorate and alleviate the living conditions of people. In developing countries where many people are living in rural communities, they are veritable instruments par excellence for tackling illiteracy, ignorance and diseases. To this end, the collaboration of government agencies, non-government organizations, communities and community-based organizations toward development programmes is therefore inevitable. This paper examined the concept of adult education, community development, family life and their complimentary roles. It also looked at some programmes capable of stimulating and sustaining family life education. The paper recommended amongst others that, there should be full and active participation of family members and in extension community members in planning and execution of adult education programmes that will improve family life education and that Government at all levels should periodically organize adult education programmes and sensitization workshops for her citizens. It concluded that adult education and community development as strategies for mitigating the challenges of family life education can only be achieved when a deliberate attempt from community members to work together in order to guide the future of their communities and the design of a corresponding set of methods for assisting members of the community in such a process as to enhance their well-being and aspirations.

Внесок членів родини академіка Миколи Кащенка у розбудову Акліматизаційного саду в Києві

The aim of the study is to view based on archival sources the participation of family members of Academician of the All-Ukrainian Academy of Sciences Mykola Feofanovych Kashchenko (1855–1935) in the development of the Acclimatization Garden in Kyiv. The work is based on the materials kept in the fond of the academy’s Acclimatization Garden and the personal archival fond of M. Kashchenko stored in the Institute of Archival Studies of the V. I. Vernadskyi National Library of Ukraine. The methodology of research lies in using source evaluation, archival, historical and chronological, comparative, biographical and prosopographical methods. Scientifi c novelty. Previously unexplored archival documents about family members of Academician of the All-Ukrainian Academy of Sciences M. Kashchenko, which highlight their contribution into the development of the Acclimatization Garden in Kyiv, have been introduced into scientifi c circulation. Conclusions. Analysis of the documents from the personal fond of Academician M. Kashchenko and the fond of the Acclimatization Garden of the All-Ukrainian Academy of Sciences stored in the of Institute of Archival Studies of the V. I. Vernadsky National Library of Ukraine reveals the contribution of the scientist’s family members into the development of the Acclimatization Garden in Kyiv. Children of the scientist, although in diff erent roles and to diff erent extent, were involved in the organization of the functioning of the Acclimatization Garden and its work. The eldest daughters of M. Kashchenko, Marharyta and Maria, made the largest contribution into the development of the garden taking part in scientifi c experiments on plant acclimatization. Other children of the scientist, Olha, Ksenia and Vadym, also contributed. The prospect for further studies is the search for new archival documents about Academician M. Kashchenko and members of his family, the analysis of which will allow creating a chronicle of the family.

Patient Family Binding and Authentication Scheme with Privacy Protection for E-Health System

The emergence of the E-health system has brought convenience to many chronically ill patients and elderly people with limited mobility. With the help of the E-health system, patients can upload their physiological data timely and get a diagnosis at home, which is more convenient and efficient as they do not have to line up in hospitals. In order to ensure this convenience while protecting patients’ privacy, many schemes have been proposed which can help patient and medical server authenticate each other. However, considering these patients’ inconvenience, sometimes family members need to participate in the patient’s treatment process. So, the E-health system needs to provide a secure communication platform for the family members. At present, most of the authentication schemes for the E-health system only focus on the secure communication between the patient and the medical server, while ignoring the participation of family members. Moreover, in the E-health system, the permissions of family members and patient should be different, and the medical server needs to distinguish their permissions efficiently. In order to overcome these problems, we propose a patient family binding and authentication privacy protection scheme for the E-health system. In the scheme proposed by us, the medical server can efficiently assign different permissions to the family member and patient. And our scheme can allow patient to authorize their family members freely, and the increase in the number of family members will not impose additional burden on the server. At the same time, the authentication between the family member and the medical server does not require the participation of the patient. In addition, by comparing with other related schemes, we prove that our scheme has suitable efficiency and security performance in the E-health system.

Management Practice of Women in Entrepreneurship Activities of Micro Enterprise Running in Parbat District, Nepal

Correction: On 21st September 2022 the co-author was changed from Dr D.K. Maheshwari to Prof. Dr. Devendra Kumar Modi Micro-enterprises are small-scale businesses run by low-income people with government or non-government assistance. It helps people manage their daily requirements by improving their quality of life and adding value to the local economy in underdeveloped countries. They provide many small-scale jobs, raise income, increase purchasing power, and strengthen the country's economy. The major goal of this research was to find out how women micro-entrepreneurs may run their businesses as under-represented and seemingly stigmatized minority business owners. Micro businesses make managerial decisions based on individual tastes and priorities. The study discovered that the true meaning of micro-enterprise management goes beyond the standard business semantics. The study included 384 women from the Parbat district of Nepal who worked in micro-enterprises. According to the study, the participation of family members has a substantial impact on the success of a micro business. The results suggest that 99 percent of the women agreed the involvement of family members and supporters to run the enterprise. Similarly 74.50 percent women agreed that they received training to run their enterprise.

Patient and Family Participation in Medication Decisions on Discharge to Hospice Care.

Background: High-quality hospice care is characterized by patient-centered care and shared decision making between patients, families, and health care workers. However, little is known regarding the frequency and characteristics of patient and family participation in medication decisions on transition to hospice care. Objective: To quantify the frequency and characteristics of patient and/or family participation in medication decisions. Subjects: Adult (age ≥18 years) patients discharged from Oregon Health & Science University Hospital (OHSU) to hospice care between January 1, 2010 and December 31, 2016. Design: Cross-sectional study. Measures: The primary outcome was documented patient and/or family participation. Patient or family participation was defined as documentation of patient or family member discussion surrounding medication decisions in the discharge summary. We used logistic regression to identify patient and admission characteristics associated with documentation of patient or family member participation in medication decisions. Results: Among 348 eligible patients, patient and/or family participation was documented in 22% of discharges to hospice care. Higher Charlson comorbidity index (adjusted odds ratio [aOR]: 1.09, 95% confidence interval [CI]: 1.01-1.17) and having a diagnosis of cancer (aOR: 1.99, 95% CI: 1.16-3.43) were associated with an increased documentation of patient or family member participation in medication decisions. Patients admitted to the intensive care unit were less likely to have patient/family member participation (aOR: 0.55, 95% CI: 0.32-0.94). Having a specialty palliative care consultation was not significantly associated with patient or family member participation in medication decisions (aOR: 0.77, 95% CI: 0.40-1.48). Conclusions: Patient or family participation in medication decisions was documented for only 22% patients on discharge to hospice care. Opportunities to improve participation likely include increasing knowledge and capacity regarding primary palliative care for all clinicians and implementation of specialized interventions for patients and families transitioning to hospice care from acute care settings.

Implementing Sustainable Development Concept: A Typology of Family Firms in Poland

For companies, sustainable development generally represents a long-term business orientation towards social, economic and environmental well-being. The concept has gained momentum among researchers partly due to the necessity of finding a modern approach to business development that does not deprive the next generation of the opportunity to meet its own needs. Based on a sample of 333 Polish family firms, three groups of businesses were isolated (via k-means clustering) on the basis of low, medium and high deployment of pro-sustainability initiatives. This paper aims to investigate whether family firms demonstrating divergent levels of sustainable development express between-group differences. Measuring diversity using ANOVA with post hoc testing produced results associating business growth and higher levels of family involvement (e.g., via increased participation of family members from different generations in firm management) with the increased absorption of sustainable solutions and actions. These findings support notions from social identity theory suggesting that groups significantly shape the individual identities of their members. This means that family members inclined to implement sustainable development initiatives are likely to stimulate each other to introduce particular solutions and actions in praxis.

Nutritional and food education as a complementary treatment approach in severe obese individuals.

Background: The treatment for obesity, specifically severe obesity, is a challenge for health professionals and services. It requires a multidisciplinary and holistic approach covering the complexity and difficulties of incorporating healthy habits to prevent associated diseases and mortality. Individual intervention's methods are not enough to change eating habits. Objective: To describe and investigate the contribution of nutritional and food education as a complementary therapeutic approach in the treatment of individuals with severe obesity and their family members. Methods: A multidisciplinary team adopted a group approach. A different topic was addressed at each therapeutic meeting to assist in the nutritional treatment of obesity, such as diet and healthy habits i.e. barriers to lifestyle changes. The topics were developed based on different methodological and teaching approaches to facilitate adherence to non-drug treatment. Results: Overall, there was a greater understanding towards the adoption of healthy eating habits of the whole family, greater motivation to adhere to dietary changes and adoption of a more physical active lifestyle. This interventional educational support methodology had been accepted in such a positive way for patients and their relatives. Family member participation expands the possibilities of establishing necessary and lasting changes in the lifestyle of not only the patients, but their whole families. Conclusion: Health education actions constitute an important complementary therapeutic approach in promoting health and preventing complications in individuals with severe obesity. This article can be useful to enlarge the debate on the subject and face the challenges related to the effective treatment of obesity, notably severe obesity.

A systematic review on risk factors for khat chewing among adolescents in the African continent and Arabian Peninsula.

IntroductionKhat is a flowering plant with stimulant effect on the nervous system and produce psychological dependence. Despite its harmful effects, the ingestion of khat has been part of cultural norms and the legality of khat varies by region.ObjectiveThis systematic review aimed at critically evaluating the available evidence on the risk factors of khat chewing among adolescents.MethodsA systematic review was conducted on published research studies from five databases Scopus, PubMed, Science-direct, Ovid and google scholar using keywords khat chewing OR qat chewing AND associated factors OR risk factors OR contributing factors AND adolescents OR teenagers. Articles included were either cross-sectional, cohort, case-control or qualitative studies which were published between the year 1990 till present. Excluded articles were the non-English written articles, descriptive studies and irrelevant topics being studied.ResultsOut of 2617 records identified and screened, six were included for the analysis and interpretation of the data. All included studies were cross-sectional study design. All six studies reported having family members who chewed khat significantly predict khat chewing among adolescents, followed by five articles for friends or peers who also chewed khat and four articles for male gender. Smoking was also found to have the highest odds (OR = 18.2; 95% CI: 12.95–25.72) for khat chewing among adolescents.ConclusionThe review highlights the crucial role of family members, friends or peers and male gender to predict khat chewing among adolescents. Effectiveness of health promotion programs to educate and reduce khat chewing among adolescents will require active participation of family members and friends.