Family Management Research Articles

Development and Application of Family Management in Nursing Care

The concept of family management has gained increasing acceptance in the United States for over two decades and is today applied in care worldwide. However, this concept is still largely novel to clinical professionals in Taiwan. This article was written to present the history and current application of family management to promote greater recognition of the related opportunities and potentials in the nursing field. Understanding the family management style framework helps nursing professionals better grasp the dynamic situation in families while dealing with the primary health issues of patients. Awareness of adjustability and regulation of the family allows nursing professionals to understand and provide care to the entire family unit rather than to individual family members. Adapting family management measures and identifying the typology of family management may also be an efficient approach to conducting family evaluations and developing appropriate interventions. We reflect on these issues and offer suggestions on family management to inspire nursing professionals to pursue related research and clinical practicums to improve family nursing capabilities in the nursing field.

Disparities and barriers in germline testing among patients with early-onset gastrointestinal cancers.

35 Background: Early-onset gastrointestinal cancers (EOGIC) are strongly associated with hereditary predisposition, making germline testing essential for treatment and familial risk management. Disparities in germline testing persist. This study investigates disparities and barriers to germline testing in EOGIC. Methods: This IRB-approved retrospective analysis included 864 patients aged 18-49 with GI cancers at the University of Chicago (2018-2023). Data collected included race, gender, age, insurance, family cancer history, and subtype. Outcomes were physician referrals for germline testing and completion. Chi-square tests and logistic regression models assessed predictors of recommendations and completion. Results: Of 864 patients, 473 (54.7%) received germline testing recommendations, and 323 (37.4%) completed testing. Completion rates: 30.2% for no insurance, 29.1% for Medicare/Medicaid, and 40.3% for private insurance (p=0.032). Patients with family history of cancer were more likely to be recommended for testing (62.9% vs. 39.5%, p<0.001) and complete it (44.0% vs. 23.7%, p<0.001). In our cohort, no significant racial disparities were observed (p=0.712 and p=0.358). Females were more likely to receive recommendations (59.1%) and complete testing (41.2%) than males (50.9% referral, 34.0% completion, p=0.016 and p=0.029). Patients under 30 had the highest rates of testing recommendation (66.1%) and completion (46.4%), followed by 30-39 (61.7%, 44.4%) and 40-49 (51.2%, 34.0%), p=0.006 and p=0.009. By cancer subtype, colorectal cancer (CRC) patients had the highest referral (66.1%) and completion (45.9%) rates, while anal cancer had the lowest (13.2% referral, 5.3% completion, OR 0.08, p<0.0001). Gastric cancer (52.3% referral, 29.2% completion, OR 0.49, p=0.005) and esophageal cancer (36.9% referral, 20.0% completion, OR 0.31, p<0.0001) also had lower testing rates. Liver cancer (35.4% referral, 27.1% completion, OR 0.38, p<0.0001) and cholangiocarcinoma (45.5% referral, 22.7% completion, OR 0.28, p=0.016) showed similarly low rates. Conclusions: Disparities in germline testing were seen among uninsured patients, males, and those with public insurance. CRC had the highest testing rates, while anal, esophageal, liver, and cholangiocarcinoma had lower rates, likely due to lower suspicion of hereditary predisposition. Targeted interventions are needed to improve testing uptake and completion, especially among uninsured and underrepresented populations.

The role of entrepreneurial alertness and temporal focus in fostering sustainable entrepreneurship in young family firms

PurposeThis study examines the relationship between entrepreneurial alertness, long-term and short-term focus and sustainable entrepreneurship in the context of young family firms. Additionally, we investigate how family management and long-term/short-term focus moderate the relationship between entrepreneurial alertness and sustainable entrepreneurship. Our findings contribute to a deeper understanding of the factors influencing sustainable entrepreneurship in family firms.Design/methodology/approachThis quantitative study investigated 707 young family firms in Portugal. Structural equation modeling (SEM) was employed to analyze the data and test the proposed hypotheses.FindingsThe results indicate a positive relationship between young family firms’ entrepreneurial alertness and sustainable entrepreneurship. Also relevant is that long-term focus is positively related to sustainable entrepreneurship, while short-term focus shows a negative relationship, challenging the temporal ambidexterity of new ventures. Conversely, two moderating effects were found: family management weakens and short-term focus strengthens the relationship between entrepreneurial alertness and sustainable entrepreneurship.Originality/valueAs far as we know, this study is the first one to explore the link between the entrepreneurial alertness of young family firms and sustainable entrepreneurship. It is also the first study to explore the contradictory impacts of both long-term focus and short-term focus on sustainable entrepreneurship.

Evolution of Stewardship Across Family and Business Goals: Toward a Stewardship Transition Framework

Drawing on goal-setting and stewardship theories, this study examines the management of family and business goals in family firms under transgenerational complexity, presenting a dynamic model of family stewardship. Through multiple case studies, we identify four distinct stewardship strategies, each with a corresponding governance structure: cultivating family stewardship (with family-dense governance), professionalizing family stewardship (with professionalized governance), harnessing external stewardship (with externally dense governance), and perpetuating external stewardship (with public companies’ governance). These strategies shift from family-centric to business-centric goal-setting approaches in sustaining the family firm. The study introduces stewardship transition capability as a missing cog for managing these transitions.

"There is always a reason why someone is doing something": The importance of life history and personhood when supporting people with dementia to "wander" in care homes.

Up to 60% of people living with dementia who reside in care homes will 'wander' at some point. A person-centred approach should be taken to support each person's individual needs through tailored interventions when wandering. This study aimed to identify care home staff perspectives on what supports safe wandering for people living with dementia in care home environments. As part of a larger study, and using a person-centred framework, semi-structured qualitative interviews were conducted with staff (N = 19) recruited from care homes in the North of England who provide care for older people. Transcripts were analysed using framework analysis. Four themes were identified, and two of these themes are presented here. Staff highlighted the importance of ensuring that personhood is at the centre of care delivery when supporting residents to wander. Clear leadership from management and meaningful involvement of families allowed staff to provide better support for residents. Staff also reflected on the importance of identification of unique impacts of dementia on each individual when providing person-centred care. The delicate balance between safety and well-being was consistently considered and reviewed. We identified a range of individual factors that contribute towards safe and supported wandering for people living with dementia. Positive risk taking, supported by policies and procedures, such as resident safety and meaningful activity, may allow staff to manage the benefits and risks associated with wandering.

Family involvement in board of directors and market valuation: evidence from Egyptian listed firms

PurposeThis study aimed to investigate how family involvement in management (FIM) affects market valuation and whether this effect is influenced by the presence of founder chief executive officers (CEOs) and the dual role of their CEO positions.Design/methodology/approachTobin’s Q ratio measured market valuation, while FIM was measured by the ratio of family managers to the total number of board of directors (BOD) seats. Additionally, the appointment of founders to CEO positions and the dual role of their CEO positions were used as moderators. As a panel data technique, the dynamic generalized method of moments (GMM) estimator was employed for a sample of 85 Egyptian-listed firms from 2011 to 2018.FindingsThe findings revealed that FIM negatively affects market valuation; hence, the more family managers serving on the BOD, the lower the firm’s market value. Moreover, the findings showed that the impact of FIM on market valuation is mitigated by the presence of founder CEOs and the dual role of their CEO positions.Originality/valueThis study highlights the negative repercussions of FIM on firm value and the urgency of professionalizing the family business through an independent BOD and ensuring more effective monitoring systems.

Bigamy and Domestic Politics in Early Modern English Domestic Dramas: Taking The Tragedy of M. Arden of Feuershame as an Example

This study explores the causes of bigamy in The Tragedy of M. Arden of Feuershame and its impact on both family and society. It highlights how the rise of commercial trade forced Arden, as a husband, to frequently leave his household, creating a power vacuum and neglect in family management that ultimately led to bigamy. The study also delves into the broader societal implications of bigamy, particularly how the murder of a husband is classified as petty treason-an act that symbolizes the collapse of patriarchal authority and the consequent disruption of communal order. The play is notable for its portrayal of Alice with two husbands, setting it apart from conventional bigamy cases. By examining the internal power dynamics within the family, this study demonstrates how bigamy destabilizes household harmony and reflects the gradual erosion of patriarchal authority in early modern England. Furthermore, the play holds significant literary value beyond its historical context. As New Historicism asserts, texts are inherently historical, providing profound insights into the societal and cultural dynamics of their time. Through its analysis of Arden's story, this study deepens our understanding of the causes and consequences of bigamy in early modern England.

Ekspresi Emosi dari Keluarga yang Memiliki Pasien Penyakit Skizofrenia

Schizophrenia is a syndrome characterized by a disturbance in an individual's behavior that makes the individual's behavior strange. Individuals will also experience delusions, hallucinations and emotions. This study aims to analyze the expression of emotions of families who have family members with schizophrenia. Then also to find out the dynamics and impact on the family. This research is a qualitative research with literature review method by collecting and analyzing relevant articles published from 2014-2024. The form of article collection uses the Google Scholar database. Based on the source of the article, the results obtained show that the emotional expression of the family of schizophrenia patients can affect the frequency of relapse in patients. High emotional expression in patients such as excessive criticism and hostile behavior can cause intense relapse in patients. While low emotional expression and providing more support to patients can reduce the frequency of relapse and improve the recovery process in schizophrenia patients. This study focuses on the importance of emotional management in families and providing more support as an effort to care for schizophrenic patients

Intellectual Capital, Family Management, and the Performance of Listed Manufacturing Firms in Ghana: A Mediation Analysis

Intellectual Capital, Family Management, and the Performance of Listed Manufacturing Firms in Ghana: A Mediation Analysis

Digital transformation and the performance of family firms: a dynamic capabilities perspective

ABSTRACT Digital transformation (DT) has become a critical strategy for enhancing a firm’s market competitiveness, yet the relationship between digital transformation and firm performance remains contentious. This study employs a dynamic capabilities perspective to compare the impact of digital transformation on performance between family firms and non-family firms, exploring the effect differences at a micro level. The empirical results reveal that while digital transformation in family firms is less effective in enhancing short-term performance compared to non-family firms, it significantly boosts long-term performance more than in non-family firms. Dynamic capabilities serve as the mediating path between DT and performance. Furthermore, focusing on family control characteristics, the paper examines and explains why the effects of DT on performance differ between family and non-family firms. It finds that family ownership and family management weaken the enhancement effect of DT on dynamic capabilities, but family management strengthens the role of dynamic capabilities in improving long-term performance. By exploring the relationship between DT and performance through the lens of firm characteristics, this study not only expands the research perspective on DT in family firms but also contributes to the ongoing debate on the impact of DT.

Foreign family directors, gender diversity, and debt costs for family business firms

Foreign family directors, gender diversity, and debt costs for family business firms

A practical guide for diagnostic investigations and special considerations in patients with Huntington's disease in Korea.

The Korean Huntington's Disease Society (KHDS) has recently published a practical guide for clinical approach to patients with Huntington's disease (HD) in Korea in April issue of Journal of Movement Disorders this year.1 This article is the second practical guide particularly focused on 1) essential points of genetic counseling for families of HD covering issues of testing minors and prenatal/preimplantation testing; and 2) premanifest HD and useful laboratory investigations for assessing disease severity and progression. The latter part of this article deals with special issues of juvenile and very late-onset HD, and common comorbidities in HD patients. 3) Finally, the management principles of HD patients are briefly explained. The contents were drafted by the guideline task force members of the KHDS. We intended to include published literature containing South Korean data in this paper. We believe this article will be a pocket guide to physicians as well as movement disorders specialists in Korea in planning diagnostic work-up for and management of HD patients and families.

Experiences of burden and needs in caregivers with pediatric noninfectious uveitis: a qualitative study

BackgroundLong-term, potentially lifelong therapy is needed to treat noninfectious uveitis (NIU) in children. Previous research has focused primarily on treatment approaches, but few studies have investigated the effect of children’s chronic illness on other family members. The aim of this study is to explore the experiences of burden and needs in caregivers of children with NIU, and to provide a reference for formulating targeted intervention strategies.MethodsA total of 11 caregivers of children with NIU were recruited from a tertiary-level eye hospital in Wenzhou Province, China. For data collection, semi-structured interviews were conducted. Data analysis was conducted using Colaizzi’s seven-step analysis method. Themes were encoded and created with NVivo 14.0 for Mac software.ResultsBased on the Social Ecosystem Theory, three major themes and ten subthemes emerged from the analysis: (1) Micro system — Caregiver distress and growth coexist (subthemes: Affected physical health, difficulties in the child’s health management, emotional well-being, psychological Adjustment and Growth); (2) Mezzo system — Changes in family lifestyle (subthemes: Family financial challenges, family management dilemmas, weakened family socialization); (3) Macro system — Weak support system (subthemes: Insufficient information support, limited medical support conditions, lack of social understanding and support).ConclusionsThe social-ecological systems of caregivers for children with NIU present numerous difficulties impacting their caregiving experiences. It is imperative for healthcare providers to address the psychosocial issues faced by caregivers and to develop family-centered intervention strategies and support systems, enabling them to cope effectively and overcome challenges.

Cash-Holdings of Single Family Office-Owned Firms

Abstract Single-Family Offices (SFOs) have become crucial for transgenerational wealth management of business families. Many SFOs directly invest in firms, yet their role as firm owners remains understudied. This study explores how SFO ownership impacts the cash holdings of their portfolio firms, with a comparative analysis against firms directly owned by business families. Cash holdings are critical for firms as they offer the flexibility to seize entrepreneurial opportunities and increase resilience in times of crisis. However, when cash is held in excess, it can also signal managerial opportunism. Using agency theory as our theoretical framework, we propose that SFOs are less effective as monitors compared to families that have a direct ownership stake in their firm. This reduced oversight shall lead SFO-owned firms to maintain higher cash reserves than family-owned firms. We test our predictions by comparing the cash holdings of a hand-collected sample of 173 SFO-owned firms in the DACH (Germany, Austria, Switzerland) region with the cash holdings of matched family-owned firms. Our study has three main findings. First, it reveals that firms owned SFOs maintain higher cash reserves compared to those owned directly by business families. Second, we show that this effect is more pronounced when the SFO has divested from its original family business. Finally, a post-hoc analysis indicates that the impact of cash holdings on future firm performance is more ambiguous and tends to be more negative in SFO-owned firms than in family-owned firms. Overall, these results suggest potential inefficiencies in cash utilization under SFO ownership. Our study contributes to the small but growing literature on (single) family offices. It also extends the family firm cash holdings literature. Practical implications exist for business-owning families with a family office or seeking to set up one.

Assessment of Physician Knowledge and Practices Regarding Familial Hypercholesterolemia Screening and Management: A Survey Study

Assessment of Physician Knowledge and Practices Regarding Familial Hypercholesterolemia Screening and Management: A Survey Study

Impacto social de un proyecto agroecológico en dos municipios de Ricaurte, Boyacá (Colombia)

The social evaluation of the impacts of agroecological projects is an important way to improve the sustainability and social resilienceof agroecosystems. The objective of the research was to assess the social impacts of the Boyacá-Agro project in two municipalitiesof upper and lower Ricaurte in the Department of Boyacá. A 10-question questionnaire was applied to the fifteen beneficiaries of each farm per municipality to measure the impact in four dimensions: knowledge management, technology, farm management, family and community management, and farmer leadership. The vast majority of beneficiaries (more than 55%) believed that the impacts were high or very high in knowledge management, the adoption of new technologies, the improvement of families and farms, and the growth of heads of farms as agroecological leaders, however, this was not the case in terms of recognition before the community.

Using FRAME Documentation to Achieve RE-AIM Goals During Iterative, Stakeholder-Engaged Refinement of a Family Management Intervention for Parents of Preterm Infants.

To co-identify adaptations with key stakeholders needed to optimise elements of a video-based intervention (i.e., PREEMIE PROGRESS [PP]), which trains parents in evidence-based family management skills to care for their very preterm infant in the neonatal intensive care unit (NICU). Descriptive qualitative study oriented with a pragmatic philosophy, informed by the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework and the framework for reporting adaptations and modifications-expanded (FRAME). Semistructured interviews to identify potential adaptations with key stakeholders: family management researchers (n = 5), clinicians (n = 9), technology experts (n = 5) and parents of preterm infants (n = 17). Weekly design team meetings to select and implement high-priority adaptations necessary for the next research phase. Monthly NICU parent partnership meetings to review adaptations and make recommendations for potential adaptations with conflicting data. Stakeholders (N = 36) suggested 98 potential adaptations: 32 (33.0%) were completed, 8 (8.2%) were abandoned, 5 (5.2%) have work that is ongoing and 52 (53.6%) were tabled for future research phases. Content adaptations (70, 71.4%) were the most frequently suggested adaptation type. Potential adaptations mostly addressed RE-AIM dimensions of effectiveness (43, 43.9%), and implementation (46, 46.9%) and were directed at the parent (i.e., intervention recipient) level (79, 81.4%). Use of the RE-AIM framework ensured we systematically identified needed adaptations with key stakeholders across a range of dimensions that would improve PP for parents now and in future phases of this research. Co-identifying potential adaptations with key stakeholders, paired with FRAME documentation, can help nurses prioritise adaptations most appropriate for each phase of implementation. Our paper highlights for nurse clinicians and researchers how FRAME documentation of potential adaptations can support stakeholder engagement and a systematic approach to incorporating adaptations throughout all phases of the research process, thereby shortening the evidence to practice gap. COREQ guidelines for qualitative reporting. The research team was supported by members of the NICU's Parent Partnership Council (PPC), whose mission is to promote family-centred care improvement projects and research within the NICU. This committee is comprised of nursing, physician, allied health leadership and parents of infants previously hospitalised in the NICU. The NICU PPC met monthly to review conflicting data on potential adaptations and provide recommendations on adaptation decisions.

Double Burden of Working Mothers in Balancing Family and Workplace: A Qualitative Analysis

Women's empowerment has attracted the attention of all people worldwide, which is considered to be one of the main parts of development. Independence, financial solvency, and decision-making power trigger women to join the workforce mostly. People often overlook the unsaid struggles and sacrifices associated with women's empowerment. This primary goal of the study is to draw attention to the little-known tales, difficulties, and barriers that working mothers had to deal with on a daily basis. The study was based on qualitative methodology, and primary data were collected from Dhaka with several case studies. The in-depth interview method was applied to conduct the study to have a better understanding. It was found that the increasing number of working mothers joining the workforce had implications for family, children, and the mental and physical health of women. The study also took into account the possible causes of joining the workforce, with an emphasis on familial, household responsibilities, and child management.

Does family culture hamper corporate deceptive green behavior decision-making?

Different categories of cultural traits have acknowledged that culture matters for a multiplicity of decisions made regarding economic outcomes. In response to the increasing awareness of cultural traits and their relationship to corporate sustainable behavior, this paper focused on one specific aspect of the relevance of culture: the association of family culture to green behaviors. This paper explored the nexus between family culture, the deceptive behavior of greenwashing, and firm performance in China, which provided original evidence that family culture firms have a significantly lower likelihood in participating in deceptive green behaviors as measured by greenwashing. By collecting the listed Chinese firms during 2011 to 2021, we estimated empirical models and drew a variety of conclusions accordingly. First, family culture firms have a negative and significant impact on greenwashing behaviors, leading to a decline in deceptive green production decision-making. Second, we further provided mechanisms which hamper family firms’ greenwashing behaviors into two perspectives: financial constraint and agency cost between shareholders and family managers. We recognized that financial constraints motivate family culture firms to greenwash, whereas the low agency cost related to family culture discourages family firms from greenwashing decision-making. Third, we provide very rich dimensions in discussion of heterogeneous effects. Specifically, within the internal family culture structure heterogeneities, family managers without overseas backgrounds, no generational or descendant involvement, and high family-controlled firms are even less involved in greenwashing decision-making. Moreover, with respect to external heterogeneities, family culture in pollution-intensive industries, highly regulated environmental firms, and Confucian social culture intensive regions, can significantly reduce greenwashing behaviors.

Development of Microsatellite Markers from Transcriptome of Eriocheir sinensis and Their Application in Multiplex PCR Panels.

The development of genetic markers is crucial for aquaculture and population genetics. Polyallelic microsatellite markers are widely used for breeding and family management of Eriocheir sinensis (E. sinensis), contributing to the sustainable development of the industry. Through transcriptome analysis, 100 highly polymorphic SSR markers were identified and developed. From these, four multiplex PCR panels, each containing 16 markers, were constructed and applied to parentage assignment in six E. sinensis families. The number of alleles (Na) ranged from 7 to 21, the observed heterozygosity (Ho) varied from 0.356 to 0.951, and the expected heterozygosity (He) varied from 0.656 to 0.909. The polymorphism information content (PIC) ranged from 0.633 to 0.900. The CERVUS analysis showed that using only the two most informative multiplex PCR panels, assignment success rates exceeded 90.34%, with 100% accuracy in assigning offspring to parents when three or four panels were used. This method significantly enhances the efficiency of microsatellite marker analysis, which provides a convenient and cost-effective method for breeding programs and family management of E. sinensis.