Family Participation Research Articles

Health care providers' perceptions of family participation in essential care in the intensive care unit: A qualitative study.

Family participation in essential care may benefit patients and relatives. To examine the needs, perceptions and preferences of health care providers about family participation in essential care in the adult intensive care unit. A qualitative descriptive study using inductive thematic analysis. Three focus group interviews with a total of 30 intensive care unit health care providers, consisting of 20 critical care nurses, one nursing assistant, five physicians, three physical therapists and one speech therapist working in three Dutch intensive care units. One overarching theme, balancing interests, and four main themes emerged: looking after the patient's interests, taking the relatives' perspective into account, looking after interests of intensive care unit health care providers and conditions for family participation. The first theme, looking after the patient's interests, included three sub-themes: insecurity about patient's wishes and needs, patient safety concerns and potential benefits for the patient. The second theme, taking the relatives' perspective into account, was also characterized by three sub-themes: concerns about the relatives' possible burden, potential benefits for the relative and the relationship between patient and relative. The third theme, looking after interests of intensive care unit health care providers, included three sub-themes: attitude towards family participation in essential care, differing perceptions of essential care and concerns about intensive care unit health care provider's burden. The last theme, conditions for family participation, included two sub-themes: establishing a relationship and considering family participation in essential care as a process. Health care providers' perceptions and preferences regarding family participation in essential care in the intensive care unit are summarized in the overarching theme balancing interests. This overarching theme also reflects the needs and perceptions of patients and relatives. These findings may support critical care nurses and other health care providers when encouraging family participation in essential care.

Implementing a Positive Behavior Support Program for Young Children with Autism in Public Agencies: A Social Validity Evaluation from Parents, Practitioners, and Administrators.

Challenging behaviors in young children with autism and intellectual disabilities pose significant barriers to learning and inclusion. The Prevent-Teach-Reinforce for Young Children (PTR-YC) program is an evidence-based intervention that addresses these behaviors according to Positive Behavior Intervention Support principles. It is essential to assess the social validity of an intervention, when implemented into a public service system, to ensure sustainability and relevance to stakeholders. The present study aimed to document the social validity of PTR-YC from the point of view of three key informants: parents, practitioners, and administrators. Sixty-one participants were interviewed about their experience with PTR-YC (9 administrators, 31 practitioners, and 20 families). Semi-structured interviews assessed three fundamental components of social validity (Wolf, 1978): (a) social relevance of intervention goals, (b) social appropriateness of intervention procedures, and (c) social importance of intervention effects. Participants' responses were subjected to thematic analysis. Intervention goals, namely family participation in the clinical process, strategies that focuses on prevention, and teaching alternative adaptive behaviors, were identified as relevant. Participants appreciated the program's clear, structured, and turnkey clinical process, its parent-practitioner collaboration, and its consistency with practices already in place in the field. Positive instrumental outcomes (e.g., knowledge, competencies, self-efficacy) and ultimate outcomes (e.g., decrease in challenging behavior) of the intervention were reported on children, families, and practitioners. This study represents the first in-depth evaluation of the social validity of PTR-YC in specialized public services for autism and demonstrates its appropriateness for universal implementation in this sector.

Latino Family Engagement and Student Outcomes in Early Elementary School: Evidence from Two National Datasets

ABSTRACT Family engagement in children’s schooling is important. Research indicates that Latino families often utilize home-based practices (e.g. reading, telling stories, singing, counting) over school-based involvement (e.g. participating in school events and committees, volunteering in the classroom). Using an assets-based approach, the present study considers both school- and home-based forms of engagement for Latino families. Drawing upon data from two large, nationally representative datasets, the Early Childhood Longitudinal Study, Kindergarten Class of 2010–11 (ECLS-K:2011; N = 4,590) and the Head Start Impact Study (HSIS; N = 1,670), this study seeks to examine national patterns of Latino family school- and home-based engagement in kindergarten, and how such engagement relates to child academic, cognitive, and behavioral outcomes in early elementary school. Descriptive findings show high levels of Latino family participation in a variety of both home-based academic activities and school-based activities. Regression analyses indicate an association between Latino family engagement and child outcomes, most evident in school-based engagement. Implications for educators, schools, and research are discussed.

Innovation in Family Businesses: A Bibliometric Analysis

Purpose –This research aims to find out the general movement and gaps in the innovation studies in family businesses by connecting them with studies in mainstream innovation literature.Design/methodology/approach –In this research, 926 documents published in 283 journals in the Web of Science database between 1997 and 2022 in the field of innovation in family businesses were analyzed. Bibliographic coupling analysis, co-citation analysis, co-word analysis, and trend analysis were carried out to evaluate the intellectual and conceptual structure of the field. Trends in the relevant literature were visually mapped by identifying journals, authors, research topics, and connections between them.Findings –According to the results of the intellectual structure analysis, family participation, family culture, family ownership, and socio-economic wealth issues come to the fore. Co-citation analysis findings indicate that the concepts of performance and sustainability, which have a strong relationship with entrepreneurship, will be among the important research topics in the near future.Discussion –The desire of family businesses to protect their assets causes them to avoid long-term risky innovation projects and their innovation speed to decrease. Family businesses tend to rely on external sources of knowledge and technology, focusing on incrementalrather than radical innovation. This tendency stems from the typical organizational climate of low formality and risk aversion in determining strategic choices and functional organizational structures with high decision-making autonomy. Intergenerational innovation should be focused on to create innovation competencies in future generations.

Family and Staff Cooperation in Early Childhood Special Education

Introduction: Early childhood is a critical period for supporting children's development. The role of families and the staff responsible for the services is crucial in supports to be provided in the development of children with special needs. In this study, stakeholders' cooperation processes were examined in the context of family-staff and staff-staff cooperation. Method: The participants are 12 staff and seven parents at a special education center. The data of the study, which was conducted in the phenomenological design of qualitative research methods, were obtained with the semi-structured interview technique and analyzed with content analysis. Findings: Findings were discussed under the titles cooperation experiences, family participation and needs, early childhood special education, staff, institution features, opinion and suggestions. Six main themes and 18 subthemes were reached. Discussion: The findings of the study were consistent with the findings of the studies examining the cooperation process in special education services in the literature. Physical features of the institution, its operation in accordance with legal regulations and the staff's efficiency are effective in meeting families' needs of information and social support. Families need cooperation with staff expert in different fields in the process of starting education of children with special needs after early diagnosis and evaluation. The role of families and the directors and staff of the special education institutions are critical in maintaining the cooperation. Parents' needs such as information, social and psychological support must be met in line with the family participation. Family participation should be supported through accessible digital-based cooperation programs, professional skills of staff must be developed, and the physical features of institutions must be improved.

Factors Associated with Newborn’s Survival: A Cross-Sectional Study at two Districts of Bihar

Family Participatory Care (FPC) is a relatively new concept adopted in SNCUs in India. Its effect on survival outcomes of sick newborns has not been studied much. As such newborn mortality studies are rare due to their large sample scale requirement. This is one of the few studies which have been conducted using primary data on this subject in India. In our study, we have found similar causes of death among newborns as published by renowned studies. Study findings highlighted that FPC may reduce newborn mortality by reducing the length of stay at the facility, newborn growth, and survival outcome of sick neonates, especially Kangaroo mother care and exclusive breastfeeding are key components of FPC, and help in reducing newborn deaths. Objectives: Family Participatory Care (FPC), a cost-effective innovation implemented in Special Newborn Care Units (SNCUs) where vulnerable newborns are treated, is a well-established concept akin to Family Centered Care (FCC) in developed nations. The study aims to assess the impact of FPC on the survival rates of sick neonates in SNCUs. The study explored the factors associated with the care of sick neonates after discharge from SNCU that adapted FPC and that did not adapt FPC. Methods: A multistage random sampling method was used to examine sick neonates and newborns discharged from Special Newborn Care Units (SNCUs) in selected districts of Bihar namely Nalanda SNCU with Family Participatory Care (FPC) and Vaishali SNCU without FPC. Findings: The study found a notable variance in the rate of newborn mortality between the district implementing Family Participatory Care and the district that did not implement FPC, with the former experiencing nearly double the rate of newborn deaths. 11 key factors (maternal, household, family support, newborn health-related) attributing towards newborn survival status were identified in this study. Novelty: Family Participatory Care (FPC) is a relatively new concept in India, and this is one of the few studies that have been conducted on this subject. Keywords: Neonatal death, Family Participatory Care, Newborn Survival, Newborn Care, Family participation in Newborn care

Perceived Impact of Sensory Integration Therapy on the Family

Background: Many children with sensory processing differences receive occupational therapy services using sensory integration therapy (SIT). Studies exist to demonstrate the effects of this intervention on the child receiving the service. However, children exist as part of a family unit. There is limited research to examine the effect of SIT on the family. Objectives: The purpose of this study was to explore the perceptions and experiences of caregivers as to the impact on families of children who received SIT. Methodology: Qualitative, phenomenological methodology was utilized. Results: Results revealed four themes: family routines, parent response/reaction to sensory, modified participation in family activities needs, and improved regulation leading to increased family participation outside the home. Conclusion: This study indicates that parents perceive positive effects on participation of the family unit and for the child receiving SIT therapy.

Abstract B034: Understanding how family dynamics influence discussions about prostate cancer: A PEN-3 model analysis of shared risk communication within African American families

Abstract Background: Race and family history are important risk-stratifying variables for prostate cancer prevention and control. Despite their elevated risks for developing and dying from the disease, African-Americans are less knowledgeable about their shared familial risk than the general population. African American family structures are quite diverse. However, the manner in which this diversity influences the flow of shared risk information is largely absent from the literature. This study uses the PEN-3 cultural model to investigate how family dynamics influence prostate cancer information sharing within African American families. Method: Twenty-three members of ten families with African-American men completed semi-structured interviews in 2018 - 2019. Using a non-probability sampling scheme, nuclear, blended, extended, single-parent and cohabiting families were recruited to participate. The interview guide was structured to elicit information about participant's (a) family descriptions/family dynamics, (b) health communication patterns, (c) motivations for sharing health information, (d) health communication approaches, (e) handling of withheld information, and (f) generational communication strategies. All audio-recorded interviews were conducted by three African- American investigators and transcribed verbatim by a professional transcriptionist. All verbatim transcripts were entered into MAXQDA qualitative software for analysis using the PEN-3 model dimensions. Results: Cultural Identity - Personal/Extended: Families were more supportive of sharing sensitive health information with kinship group members who are viewed as close than distant. Neighborhood: The church family was sometimes viewed as an extension of the immediate family, particularly in situations where family members are geographically dispersed. Relationships and Expectations - Perceptions: Indirect communication is acceptable for relaying general information with young people, but direct communication is preferred for older adults. Cultural Empowerment - Negative: Withholding information to protect other's emotions can sometimes result in feelings of exclusion or mistrust when those being protected discover that information was withheld. Conclusion/Discussion: These findings highlight the complexity of family dynamics in communicating shared prostate cancer risk information within African American families. The generational divide in communication preferences suggests that strategies are needed to bridge that gap. Citation Format: Levi Ross, Michael A. Preston, Linda Collins, Florida Uzoaru, Torhonda C. Lee. Understanding how family dynamics influence discussions about prostate cancer: A PEN-3 model analysis of shared risk communication within African American families [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B034.

Quality of transition services provided to students with intellectual disabilities in Saudi Arabia

ABSTRACT This study assesses the quality of transition services provided to students with intellectual disabilities in Saudi Arabia from the perspective of their teachers. To achieve the study's objectives, a questionnaire was designed consisting of 30 items distributed across six dimensions related to transition: transition planning, family participation, student participation, transition-focused curricula, social institution cooperation, and transition assessment. The questionnaire was completed by 95 teachers of students with intellectual disabilities. The findings showed that the level of quality achieved in the transition services provided to students with intellectual disabilities was generally very high, as the dimensions were arranged in descending order as follows: transition-focused curricula, student participation, family participation, transition assessment, transition planning, and social institution cooperation. The results also indicated that there were no statistically significant differences attributed to the gender variable, the educational qualification variable, or the years of experience variable.

Attendance in a Neonatal Follow-Up Program before and in the Time of COVID-19 Pandemic: A Mixed Prospective-Retrospective Observational Study.

Attendance to neonatal follow-up programs presents a significant factor associated with positive long-term outcomes of high-risk infants. Strategies to maximize participation benefit not only future interventions' effectiveness but also healthcare systems and society. While a number of studies have focused on attrition or loss to follow-up, no studies have focused on the contributive risk factors to abstaining from neonatal follow-up programs specifically during the COVID-19 pandemic. This study aims to reveal the main factors linked to non-compliance in a neonatal follow-up program of a tertiary hospital. In this ambidirectional observational study, data from 1137 high-risk neonates who participated in a hospital follow-up program were collected (573 before and 564 after the COVID-19 pandemic). The study sample was grouped to three groups: G1 (N = 831), who maintained participation in the program; G2 (N = 196), who discontinued; and G3 (N = 110), who never visited the outpatient clinics. Data were obtained from the hospital's Systems Applications and Products (SAP) Software and a structured questionnaire, answered by parents of newborns either discontinuing (G2) or not attending (G3) the follow-up program through a telephone contact. The most frequently reported reason for discontinuance before the pandemic onset was the parents' perception of no necessity to maintain participation (44.12%). During the COVID-19 pandemic, provider-related barriers to maintaining hospital access, inability to provide high-quality services (37.14%), and feelings of fear and insecurity (18.5%) emerged as factors for non-attendance. Citizenship and morbidity (respiratory distress syndrome, sepsis, necrotic enterocolitis, jaundice) acted as incentives to join the follow-up program during both study periods. Multiple regression analysis showed that multiple-gestation infants had higher odds of maintaining participation during the COVID-19 period (OR, 4.04; CI, 1.09-14.9). Understanding the potential impact of COVID-19 and the transformative changes in neonatal follow-up clinics is crucial for applying compliance strategies. Removing barriers to maintain family participation can lead to increased attendance rates.

Opinions of Patients, Families and Healthcare Professionals on Family Involvement in the Care of Patients Hospitalized in a Moroccan University Hospital: A Cross-Sectional Observational Survey.

Opinion surveys on family participation in care in non-Western countries are rare. This study aims to assess the opinions of patients, families, and healthcare professionals regarding family involvement in care to identify their preferences and the associated factors. A cross-sectional survey was conducted over eight months involving 717 participants, using structured questionnaires at the Acute Assessment Unit of a university hospital in Morocco. Comparative analyses examined the association between participant characteristics and the preferences of care categories. Poisson regression was applied to determine factors associated with participant preferences. Attitudes toward family participation in care were positive, with an average score of 3.62 ± 0.43 on a 4-point Likert scale. Healthcare professionals were more favorable towards family participation, with an average of 10.6 ± 2.44 types of care, compared to 7.17 ± 1.96 for families and 5.71 ± 2.16 for patients. Participants' opinions converged on a set of simple and less technical care tasks. Factors significantly associated with patient preferences in the final adjustment model (p < 0.05) included frailty, loss of autonomy, length of stay, and regular and continuous (day and night) family presence. This study highlights the strong support of health professionals, patients, and families for family participation in care. Understanding these preferences and related factors is essential to maximize family participation and develop a model of Patient And Family Centered Care adapted to the Moroccan context.

SOCIALIZATION OF BENEFITS OF ULTRASOUND, FE, AND HEALTHY FOOD FOR PREGNANT WOMEN AND ELEMENTARY SCHOOL CHILDREN

The objectives of the KKN Stikes Muhammadiyah Cirebon activity are 1. To find out the knowledge of pregnant women about ultrasound examinations and compliance with the use of Fe 2 tablets. To increase the knowledge of pregnant women about the fetus about the importance of ultrasound examination and its consumption of Fe. The importance of a healthy and nutritious diet. The specific goals to be achieved include increasing public knowledge, understanding and awareness, especially pregnant women and children, about healthy diets. The results that Salam Village, Sarewu Village RW 03, Pancalang District, Kuningan Regency, especially pregnant women with ultrasound knowledge and agricultural counseling, were held on February 13 and 15, 2023 at the Sarewu Village Health Center and Sarewu Elementary School, targeting pregnant women and elementary school children. The enthusiasm of pregnant women and students is quite good, some pregnant women have had ultrasounds and take Fe tablets. Primary school students also responded quite positively, showing optimal cognitive development and most had a stable weight despite experiencing growth. Family participation plays a very important role in caring for and assisting pregnant women and children in meeting the nutritional needs and development of pregnancy.

Designing a Website to Support a Multisite, International Clinical Trial.

Safe and reliable implementation of complex study protocols in multisite clinical trials requires that all study personnel have 24/7 access to up-to-date study materials. Study websites can serve as an electronic manual of operations (eMOO) to support trial conduct. We describe the development, organization, and maintenance of a study website and eMOO to facilitate quick and efficient communication during conduct of a complex, multisite, international clinical trial. We worked closely with our information technology (IT) department to develop and maintain our study website, which includes a public home page, a section for parents and families, and three password-protected portals that serve as an eMOO for (a) study sites, (b) study site investigators, and (c) the operations team (e.g., clinical coordination center, data coordination center). The public home page is helpful for families contemplating study participation and for nonparticipating sites considering joining our trial. The patient and family education section supports family participation in the study. The study site portal contains all information needed for local study teams to safely manage a study patient. The investigator portal provides access to research-specific materials needed to lead the study at each site. The operations team portal supports overall study management. For other scientists considering use of a study website for their multisite research, we recommend close collaboration with IT for development and maintenance, limited and clearly defined roles for version control, and use of unmodifiable file formats to prevent unapproved alterations of study materials. While investment in development and maintenance has been significant, we have appreciated marked value to our operations team and study sites. Our study website development process is relevant to other scientists conducting multisite clinical research.

Nurses' Experiences of the Prerequisites for Implementing Family-Centered Care to Prevent Pediatric Delirium.

The aim of this study was to describe nurses' experiences of the prerequisites for implementing family-centered care to prevent pediatric delirium. The research employed a qualitative, descriptive study design. A total of 10 nurses working in the pediatric intensive care unit at 1 university hospital participated in the study. The quality data were collected using individual semistructured interviews, and the data were then analyzed by inductive content analysis. The prerequisites for implementing family-centered care to prevent delirium among pediatric patients consisted of 30 subcategories that were grouped into 11 generic categories. The generic categories were further grouped into 5 main categories: (1) an environment that supports family presence, (2) psychosocial support for the family, (3) individual family involvement, (4) family participation in shared decision-making, and (5) nurses' professional competence. According to the nurses' experiences, the implementation of a family-centered approach to preventing delirium in pediatric patients requires creating a supportive environment for families, providing psychosocial support, encouraging family involvement in decision-making, and ensuring that all nurses have the necessary skills.

Co-designing the Family Wellbeing Program to Address Mental Health Disparities in a Latino Community: Lessons Learned

Abstract: Background: Latino caregivers caring for children under 5 years old who are under resourced, and underserved may be most vulnerable for experiencing mental health problems. Furthermore, Latino families with young children—during the COVID-19 pandemic—were at particular risk for multiple and concurrent stressors and acute adversities. Objectives: The Family Wellbeing Program (FWP) was designed to strengthen Latino caregivers’ mental health and mental well-being, and facilitate their access to mental health supports and service providers. Methods: Using the principles of community-based participatory research, a university research team and staff from a federally qualified health care center co-developed and implemented the FWP. Pre- and post-implementation focus groups with six staff were conducted and data analysis was guided by the RE-AIM framework. Results: Staff identified implementation challenges related to the pandemic and socioenvironmental factors affecting the reach and participation of Latino families. Staff perceived the program improved caregivers’ help-seeking behaviors, yet suggestions for improving the FWP for Latino caregivers were noted. Staff also discussed implementation strategies to sustain future programming. Conclusions: Implementation strategies along the RE-AIM dimensions were identified to improve the participation of Latino caregivers in future adaptations of the FWP. The implications of this work could show promise for sustaining programs designed to address disparities in mental health among Latino caregivers.

ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KUALITAS SUMBER DAYA MANUSIA DI TANJUNGPINANG TAHUN 2023

This research analyzes the factors that influence the quality of human resources in Tanjungpinang in 2023. The quality of human resources is an important aspect in the development of a region, which includes abilities, skills, knowledge, as well as individual attitudes and work ethics. This study uses a quantitative approach with survey methods to collect data from various sectors in Tanjungpinang, including the education, health, economic and social sectors. Data was collected through questionnaires distributed to a representative sample of the Tanjungpinang population. Data analysis was carried out using multiple regression techniques to identify the main factors that have a significant influence on the quality of human resources. The research results show that educational factors have the most dominant influence on the quality of human resources in Tanjungpinang. Apart from that, health factors also play an important role, where access to health facilities and the general level of public health contribute to the quality of human resources. Economic factors, including per capita income and unemployment rates, were also found to have a significant influence. Meanwhile, social factors such as the family environment and participation in community activities also have a positive impact on improving the quality of human resources. These findings underline the importance of investment in the education and health sectors as an effort to improve the quality of human resources in Tanjungpinang. Regional governments are advised to improve access and quality of education and health services, in addition to encouraging inclusive and sustainable economic growth. Active community participation in social activities also needs to be encouraged to create an environment that supports the development of quality human resources. It is hoped that this research can become the basis for formulating more effective policies in improving the quality of human resources in Tanjungpinang.

Family members use superficial justice information to evaluate performance of sheltered workshops: A warning about “cognitive shortcuts”

ABSTRACT Background A growing number of services are focused on people with intellectual disabilities. Our study investigates interpersonal justice (interpersonal treatment families receive from service professionals) perceived by family members as a heuristic (cognitive shortcut) they can use to evaluate service performance directed towards improving the quality of life of their relatives with intellectual disability. Method Using a sample of 86 family members, we tested a within-person model. Interpersonal justice and service performance were measured four times (T1–T4). Results Over time, changes in interpersonal justice were positively related to changes in service performance. Family members use the treatment they receive from professionals to superficially draw inferences (heuristic) about service performance. Conclusions Our study warns about the use of superficial justice information based on a heuristic to evaluate service performance. More active participation of families in the organizational life is suggested to avoid the use of these types of cognitive shortcuts.

Federated or Non-Federated Sports: The Influence on Children, the Youth Population and Family Life

Family time must be combined with the personal time of each of its members, with special importance regarding children due to the need for attention and monitoring by parents of their performance. Within the leisure of minors in the home, physical activity and sports are the most in-demand typologies, thus some of them participate in federated clubs, attending a more institutionalized or professional sport, while others develop in an environment based on entertainment. In this way, depending on the demand for these activities, it leads to a series of different consequences in the family environment. The main objective of this study is to establish whether or not children’s attendance at federated sports affects family dynamics. A total of 224 Spanish families with children from 6 to 18 years of age who practice sport activities participated and completed a questionnaire with 36 items about the family’s involvement in children’s sports. The results show that parents with children participating in federated sports have a more positive perception of their children’s sports practices; they provide greater support to their children regarding their performance and see this activity as an excellent opportunity for education in values. However, they do identify it as an obstacle to the development of family leisure practices, resulting in an element that conditions family reconciliation. In this way, there is a need to establish alliances between families and sports professionals, providing family participation bodies in sports clubs and providing a better conciliation time to accommodate family time.

Barriers to female leadership in intensive care medicine: insights from an ESICM NEXT & Diversity Monitoring Group Survey

BackgroundThe underrepresentation of women in leadership remains a pervasive issue, prompting a critical examination of support mechanisms within professional settings. Previous studies have identified challenges women face, ranging from limited visibility to barriers to career advancement. This survey aims to investigate perceptions regarding the effectiveness of women’s leadership programs, mentoring initiatives, and a specialized communication course. Particularly it specifically targets addressing the challenges encountered by professional women.MethodsThis multi-center, observational, international online survey was developed in partnership between ESICM NEXT and the ESICM Diversity and Inclusiveness Monitoring Group for Healthcare. Invitations to participate were distributed to both females and men through emails and social networks. Data were collected from April 1, 2023, through October 1, 2023.ResultsOut of 354 respondents, 90 were men (25.42%) and 264 were women (74.58%). Among them, 251 completed the survey, shedding light on the persistent challenges faced by women in leadership roles, with 10%-50% of respondents holding such positions. Women’s assertiveness is viewed differently, with 65% recognizing barriers such as harassment. Nearly half of the respondent’s experience interruptions in meetings. Only 47.4% receiving conference invitations, with just over half accepting them. A mere 12% spoke at ESICM conferences in the last three years, receiving limited support from directors and colleagues, indicating varied obstacles for female professionals. Encouraging family participation, reducing fees, providing childcare, and offering economic support can enhance conference involvement. Despite 55% applying for ESICM positions, barriers like mobbing, harassment, lack of financial support, childcare, and language barriers were reported. Only 14% had access to paid family leave, while 32% benefited from subsidized childcare. Participation in the Effective Communication Course on Career Advancement Goals and engagement in women’s leadership and mentoring programs could offer valuable insights and growth opportunities. Collaborating with Human Resources and leadership allies is crucial for overcoming barriers and promoting women’s career growth.ConclusionsThe urgency of addressing identified barriers to female leadership in intensive care medicine is underscored by the survey’s comprehensive insights. A multifaceted and intersectional approach, considering sexism, structural barriers, and targeted strategies, is essential.

The effect of conjoint behavioral consultation on achieving communication skills in children with autism spectrum disorder.

This study, uniquely designed with tact and mand-modeling procedures presented through the Conjoint Behavioral Consultation (CBC) method, aims to evaluate the effects on the communication skills of preschool children with autism spectrum disorder (ASD) and the impact on disruptive behaviors (tantrums) at home. A pilot study with the families of three participants informed the adaptations for the main study, which was implemented with the families of nine participants. The research was conducted using an Embedded Mixed Methods Design, a distinctive approach that allowed for a comprehensive understanding of the outcomes. The primary research design was a single-subject research model with multiple probes across participants' designs, ensuring a thorough and individualized assessment. The study was carried out in both home and clinical settings, involving the participation of special education teachers and families. The findings indicate that the tact and mand-modeling procedures presented through the CBC method significantly improved the children's communication skills and led to substantial reductions in tantrum behaviors. All families indicated that the dependent variables held significant social importance. Significant enhancements were noted in the children's communication skills and social engagements after the intervention. The CBC intervention was determined to be feasible and feasible for families, with no additional expenses accrued. The long-term suitability and usefulness of the product in many environments increased its societal acceptance. This study revealed that the CBC approach had a favorable and reliable effect on academic and behavioral advancement.