Family Perceptions Research Articles

Student nurse perceptions of family nursing practices in South Africa: A descriptive survey.

Family nursing practices (FNPs) are gaining momentum in global literature, but the available research has targeted qualified nursing professionals. There are limited studies exploring this phenomenon in undergraduate student nurses in South Africa. The study aimed at exploring the undergraduate student nurse perceptions of FNPs. The study was conducted at a selected university in KwaZulu-Natal, South Africa. A descriptive survey design was used to purposively select undergraduate nursing students. The Family Nursing Practice Scale (FNPS) was used to collect data online. Descriptive and inferential statistics were used to analyse quantitative data. Open ended questions were analysed using content analysis. Out of 154 participants, 77 responded to the questionnaire, translating to a response rate of 50%. Compared with other studies in literature, student nurses rated their overall FNP as being low (M = 3.43, s.d. = 0.99). A further descriptive analysis revealed better FNPs (2.97) for 3rd year compared to 2nd year (3.90) nursing students with significance differences in the means (p < 0.0001). While family conflict, maintaining confidentiality, ill prepared and absent family were challenges experienced in FNP, advantages included obtaining detailed information, ability to plan individualised care and enhanced student nurse-family relationship. A lower critical practice appraisal and lower perceptions of interaction and reciprocity in the nurse-family relationship were identified. There is need for an inclusive curriculum that promotes and advocates for family nursing within the undergraduate programme. This study highlights the importance of teaching family nursing to undergraduate student nurses.

The development and psychometric analysis of Uskudar family perception and attitudes scale

Today, the increasing use of digital media transforms relationships, family perceptions and attitudes. This situation poses a risk to the family institution and children. In this context, measurement tools aimed at determining family perceptions and attitudes should be reconsidered in current studies. The aim of this study was to develop a valid and reliable measurement tool that can measure family perceptions and attitudes dimensionally. The sample of the research consisted of 495 participants in Turkey. As a result of the study, 3-dimensional (Family concept, Fears affecting relationships, Individualization and freedom) and 20-item Uskudar Family Perception and Attitudes Scale (USFPAS) was developed. The scale explained 51.18% of the total variance. The Cronbach Alpha value of the scale was found to be .75. In the modeling and confirmatory factor analysis study, goodness of fit values was found to be in acceptable range. According to the results of psychometric analysis: (1) Women have higher fears that affect family relationships than men, (2) As daily social media use increases, the level of individualization and freedom increases, and family perception and attitude levels decrease, (3) Those who have children have higher fears that affect relationships than those who do not, and their perceptions of individualization and freedom are lower. The valid and reliable scale developed in this research will provide concrete data to the literature.

Challenges for palliative care in times of COVID-19: a scoping review.

Many of the essential practices in palliative care (PC) had to be adapted to the COVID-19 pandemic. This global spread of the infectious respiratory disease, caused by SARS-CoV-2, created unprecedented obstacles. The aim of this research was to comprehensively assess the experiences and perceptions of healthcare professionals, individuals, and families in palliative and end-of-life situations during the COVID-19 pandemic. A scoping review was conducted using the databases CINAHL Complete, MEDLINE, Scopus, SciELO, Cochrane Central Register of Controlled Trials, Psychology and Behavioral Sciences, MEDIClatina, and Portugal's Open Access Scientific Repository. The review followed the JBI® methodological approach for scoping reviews. Out of the initially identified 999 articles, 22 studies were included for analysis. The deprivation of relationships due to the safety protocols required to control the spread of COVID-19 was a universally perceived experience by healthcare professionals, individuals in PC, and their families. Social isolation, with significant psychological impact, including depersonalization and despair, was among the most frequently reported experiences by individuals in palliative situation. Despite healthcare professionals' efforts to mitigate the lack of relationships, the families of these individuals emphasized the irreplaceability of in-person bedside contact. https://osf.io/xmpf2/.

Post-Pandemic Health Communication: Adoption of Digital Technologies in Healthcare by Residents of Mumbai

Digitalization has become an important part of human lives in many fields, ranging from education to healthcare. Digital technologies are one of the priorities in the development of the healthcare sector worldwide. During the COVID-19 pandemic, patients became more engaged about medical communication and used digital technologies than ever. Health professionals started using more online/digital platforms to provide patients prescriptions and check patients’ reports. This paper is aimed at examining various forms of digital platforms on healthcare, which patients use for consultation with health professionals. This study is an exploratory observational study in which researcher conducted a semi-structured interviewsin Mumbai suburban housing society. The objectives were to understand nature of health communication post pandemic, perception of family about health and which digital platforms they are using? How are igital platforms being helpful in day-to-day life ? The Study found that most respondents still use an online consultation option with their doctors, pharmacy and lab investigation. The reasons for using digital platforms in spite of scope for physical outreach are time, money and energy savings. They visit hospital or doctor’s clinic in emergency or on unavoidable situations. It was also found that some organizations that pay medical benefits to their staff also started collecting medical prescriptions via WhatsApp. The study emphasizes the importance of digital platform, time and health communication in post pandemic world. The majority of respondents were satisfied with the digital platforms and would like to continue in the future. Among all digital platforms “WhatsApp” was most popular and used, which is still getting used in India. The respondents had significant impact by the use of digital platforms. Although some respondents showed concern related to data privacy. This also indicate shift from oral, face to face communication to mediated digital communication in Asian societies.:Digitalization has become an important part of human lives in many fields, ranging from education to healthcare. Digital technologies are one of the priorities in the development of the healthcare sector worldwide. During the COVID-19 pandemic, patients became more engaged about medical communicationand used digital technologies than ever. Health professionals started using more online/digital platforms to provide patients prescriptions and check patients’ reports. This paper is aimed at examining various forms of digital platforms on healthcare, which patients use for consultation with health professionals. Thisstudy is an exploratory observational study in which researcher conducted a semi-structured interviews in Mumbai suburban housing society. The objectives were to understand nature of health communication post pandemic, perception of family about health and which digital platforms they are using? How are digital platforms being helpful in day-to-day life ? The Study found that most respondents still use an online consultation option with their doctors, pharmacy and lab investigation. Thereasons for using digital platforms in spite of scope for physical outreach are time, money and energy savings. They visit hospital or doctor’s clinic in emergency or on unavoidable situations. It was also found that some organizations thatpay medical benefits to their staff also started collecting medical prescriptions via WhatsApp. The study emphasizes the importance of digital platform, time and health communication in post pandemic world. The majority of respondents were satisfied with the digital platforms and would like to continue in thefuture. Among all digital platforms “WhatsApp” was most popular and used, which is still getting used in India. The respondents had significant impact by the use of digital platforms. Although some respondents showed concern related to data privacy. This also indicate shift from oral, face to face communication to mediated digital communication in Asian societies.:

Caring for Patients with Functional Impairment in Middle Age: Perspectives from Primary Care Providers and Geriatricians.

The prevalence of functional impairment is increasing among middle-aged adults and is associated with adverse health outcomes. Primary care providers (PCPs) and geriatricians may have important insights about optimal approaches to caring for these patients, but little is known about their perspectives. To examine PCPs' and geriatricians' perspectives on clinical needs and optimal approaches to care for middle-aged patients with functional impairment. Qualitative study using semi-structured interviews. PCPs and geriatricians from outpatient practices in the San Francisco Bay area. Interviews focused on characteristics and care needs of middle-aged patients with functional impairment and models of care to address these needs. We analyzed interviews using hybrid deductive-inductive qualitative thematic analysis. Clinicians (14 PCPs, 15 geriatricians) described distinct characteristics of functional impairment in middle-aged versus older adults, such as different rates of onset, but similar clinical needs. Despite these similar needs, clinicians identified age-specific barriers to delivering optimal care to middle-aged patients. These included system-level challenges such as limited access to insurance and social services; practice- and clinician-level barriers including inadequate clinician training; and patient-level factors including less access to family caregivers and perceptions of stigma. To overcome these challenges, clinicians suggested clinical approaches including addressing health-related social needs within healthcare systems; implementing practice-based models that are multi-disciplinary, team-based, and coordinated; training clinicians to effectively manage functional impairment; and expanding community-based services and supports to help patients navigate the medical system. Identified needs, challenges, and solutions were generally similar across geriatricians and PCPs. Clinicians face challenges in delivering optimal care to middle-aged patients who have functional impairments similar to their older counterparts but lack access to services and supports available to older people. These findings suggest the importance of increasing access to care models that address functional impairment regardless of age.

THE IMPACT OF SUBJECTIVE PERCEPTION OF FAMILY ON THE EMOTIONS IN ADOLESCENTS

The article analyzes peculiarities of adolescent subjective perception of family and parent-child relationship, demonstrates its impact on the expressiveness of such emotional features and personality conditions as anxiety, aggressiveness, fear, emotional maladjustment. It also notes the role of the psychologist in early detection of such emotional changes with the purpose of further integrated activities aimed at correcting parent-child relationship and creating favorable social and psychological family climate. The authors draw conclusions on the development of adolescent emotional sphere under the influence of internal factors (typological and age features) as well as external ones - the conditions of social environment.

Parental Depression and Self-Stigma Among Chinese Young People Living With Depression: A Qualitative Study.

Self-stigma is detrimental to psychosocial well-being and the recovery journey among people living with depression. However, there has been limited research exploring the experience of stigma internalization when depression runs in families. This study aims to address this gap by (1) characterizing the manifestations of self-stigma among individuals living with depression whose parent(s) also have depression and (2) exploring the potential mechanisms underlying the impact of parental depression on self-stigma. Essential principles of the constructivist grounded theory approach were adopted to collect data through in-depth interviews with 27 participants aged 15-30, living in Mainland China. Many participants perceived depression running in their family as an endless disaster and an incurable illness. These beliefs further led to stigmatizing emotions (such as suppression, anger, and guilt) and behaviors (such as concealment and social withdrawal). Participants also highlighted ambivalent intergenerational relationships, tense family atmospheres, lower parental emotional involvement and support, and a lack of family flexibility due to parental depression. Furthermore, parental depression impacted participants' self-stigma by interfering with family relationships, family functioning, and parenting styles. It also shaped their perceptions of family, illness attribution, and public stigma. Additionally, parental depression had an impact on participants' social functioning, self-esteem, and personality, making them more susceptible to self-stigma. This study emphasizes the crucial role that the family plays in the internalization of stigma among individuals living with depression. It suggests that family dynamics, rather than family structure or economic backgrounds alone, shape this process.

Perceptions of family functioning impact smoking during pregnancy

Background Although socio-environmental factors are known to contribute to the maintenance of smoking behavior, few studies have examined the impact of family functioning on smoking during pregnancy. Objective The current study examined the relationship between perceptions of family functioning and smoking during pregnancy. Methods Pregnant women (N = 345, 59% ethnic/racial minority) completed the Family Assessment Device, a gold-standard assessment examining perceptions of family functioning in seven domains. Multinomial logistic regressions analyzed associations between clinically determined suboptimal levels of family functioning by domain and smoking status during pregnancy (smoking, ≥28 continuous days quit, nonsmoking), with stratified analyses exploring ethnic/racial differences (non-Hispanic/White vs. racial/ethnic minority). Results Participants who reported suboptimal levels of family functioning in domains of Affective Involvement, Affective Responsiveness, Behavioral Control, and Roles were significantly more likely to have been smoking than nonsmoking during pregnancy. Stratified analyses revealed differing effects by ethnic/racial identity, with perceptions of Roles remaining the only significant effect on smoking outcomes for both groups. No significant effects were found regarding the impact of family functioning on whether participants were smoking vs. quit during pregnancy. Conclusions Suboptimal family functioning may contribute to smoking during pregnancy, but effects may differ based on domain of family functioning and by ethnic/racial identity.

Daily Rumination Among Older Men and Women: The Role of Perceived Family and Nonfamily Social Partner Life Stress.

Women tend to ruminate more than men, and are generally more hypervigilant to the emotions of others in order to maintain positive social ties. Thus, compared to men, women may ruminate more when their social partners have greater life stresses. However, the literature on stressful events typically focuses on individuals' experiences and perceptions of stressors experienced by specific social ties such as spousal partners and adult children. The purpose of this study was to examine links between perceptions of a broad array of family and nonfamily social partner stresses and daily rumination among older men and women. Adults aged 65 and older (N = 293, 55% women) completed baseline assessments of family and nonfamily life stressors and 5-6 consecutive nightly assessments regarding rumination, interpersonal tensions, worries, and support provision. Multilevel structural equation models revealed that perceptions of greater family and nonfamily life stressors were associated with greater rumination. The links between family stress and rumination varied by gender: family stress was related to greater rumination among women and not men. Moreover, among women, family and nonfamily stress-rumination links were accounted for by greater daily worries about others, and among men, the nonfamily stress-rumination link was due to greater interpersonal tensions as well as daily worries. These findings may be due in part to gender role socialization and women's greater kin-keeping and investment in family ties.

Pragmatic skills in people with Williams syndrome: the perception of families

BackgroundOne of the most challenging linguistic areas in people with Williams Syndrome throughout their evolutionary stage is the development of pragmatic skills. The research conducted so far highlights specific problems concerning adaptation to the linguistic context and interlocutors, language comprehension, as well as other aspects interfering with verbal communication. However, until now, most scientific evidence has been based on personal assessments of this group. In a complementary manner, the goal of this study was to discover the level of pragmatic skills of people with Williams Syndrome from the point of view of the families. The sample consisted of 34 families belonging to the Williams Syndrome Association of Spain. The assessment instrument was the pragmatic awareness questionnaire, which includes 26 items related to different aspects that are part of the pragmatic area on a Likert-type scale.ResultsThe results indicate that, families consider there to be a regular to low level in all the areas assessed. The strong points seem to lie in the paralinguistic aspects, while the weakest factors are those related to the understanding of figurative language.ConclusionsTherefore, it is necessary to continue insisting on the importance of language intervention in this group throughout its development to improve its level of linguistic competence.

A Study of Factors Influencing Happiness in Korea: Topic Modelling and Neural Network Analysis

The aim of this study is to derive the important factors that influence levels of happiness in Korea, and to identify which factors are particularly important among these influencing factors. To achieve this goal, topic modelling analysis, machine learning analysis and neural network analysis methods were utilized. The Netminer 4.5 program was used for topic modelling analysis and machine learning analysis, and SPSS MODELER 18 was used to perform neural network analysis. Two types of analysis data were used in this study. The first consisted of 1 000 papers relating to happiness published in academic journals managed by the Springer publishing company, which were used to derive happiness-influencing factors. The second consisted of a survey conducted in 2020 by the Community Well-being Center of the Graduate School of Public Administration at Seoul National University in Korea. A total of 16 655 people responded to this survey. The analysis results of the study are as follows. Important variables that affect the level of happiness of Korean residents are: family life, social status, income, health, and perceptions of inequality. Analysis using neural network analysis of the most important factors influencing happiness showed that satisfaction with family life had the most important influence. This suggests that policies that can improve the quality of family life, such as family-friendly work environments, childcare support, and domestic violence prevention and response programmes, will become important in the future

Family Perceptions of Virtual Family-Centered Rounds in a Quaternary Cardiac Intensive Care Unit.

Background: Family-centered rounds (FCR) reduce the risk of psychological comorbidities of family members and improve the quality of communication between providers and families. Materials and methods: We conducted a pilot quality improvement study analyzing family perceptions of virtual FCR. Family members of previously admitted cardiac ICU patients who participated in at least one session of virtual FCR between April 2020 and June 2021 at Massachusetts General Hospital were surveyed post-ICU discharge. Results: During the study, 82 family members enrolled and participated in virtual FCR with 29 completing the post-admission telephone survey. Many cardiac ICU patients were male (n = 53), and a majority were discharged home (43%) with the patient's wives being the most common respondents to the questionnaire (n = 18). Across all questions in the survey, more than 75% of the respondents perceived the highest level of care in trust, communication, relationship, and compassion with their provider. Participants perceived the highest level of care in trust (96%), explanation (88%), as well as care and understanding (89%). Conclusions: Family members of cardiac ICU patients positively rated the quality of communication and perceived a high level of trust and communication between their providers on the virtual format.

PERSEPSI KELUARGA TENTANG DUKUNGAN PERAWAT CRITICAL CARE DI RUANG INTENSIVE RSUD ARIFIN ACHMAD PROVINSI RIAU

Intensive care unit is hospital care that has the goal of treating patients with life-threatening conditions due to disease, trauma, or surgery. The purpose of this research is to determine family perceptions about the support of critical care nurses in the intensive care unit at RSUD Arifin Achmad Pekanbaru. The design is Quantitative research with descriptive research design. The sampling technique in this study was accidental sampling technique. The measuring tool used is a family perception questionnaire about nurse support. The analysis used is the analysis of frequency distribution data. The results of this study indicate family perceptions about critical care nurse support from 45 respondents, namely sufficient perceptions (60%), perceptions based on relationships with patients obtained sufficient perceptions (52,4%) and perceptions based on recent education also showed sufficient perceptions (58,3%). Overal it was concluded that the perceptions held by the patient's family in this study were in the sufficient category, the family viewed and assessed treatment in the intensive care unit not in accordance with the needs, expectations and desired circumstances. The result can be used as basic data, information, evidence based to carry out further research and it is hoped that the hospital will provide religious leaders and spiritual support to help families in facing critical conditions.

Perceção da família sobre a segurança nos cuidados à criança hospitalizada: scoping review

Introduction Patient safety is one of the fundamental pillars of the quality of healthcare. The perception of families of hospitalized children allows for an expanded understanding of the factors contributing to the occurrence of safety incidents, raising awareness among healthcare professionals and organizations for implementing safer practices. Objective To map the available scientific evidence regarding the family's perception of the safety of care provided to hospitalized children. Methods A scoping review was conducted following the Joanna Briggs Institute recommendations (2020), adhering to the PRISMA-ScR checklist. Searches were performed on the CINAHL and MEDLINE databases (via EBSCOhost), SciELO, Scopus, and RCAAP, using descriptors and free terms in Portuguese, English, Spanish, and French, from 1999 onwards. Two independent reviewers carried out the search, study relevance analysis, data extraction, and synthesis between March and May 2022. Results Out of the 1,590 studies obtained, 29 were included as they met the eligibility criteria and addressed the objectives of the scoping review. Families reported various safety incidents, with a higher prevalence related to therapeutic administration. They frequently cited lack of communication as a contributing factor to unsafe care. Family members provided diverse suggestions for promoting safety, emphasizing increased vigilance, attention, and information transmission. Conclusion Family members of hospitalized children can identify safety incidents and contributing factors to unsafe care, offering suggestions for improvement. Understanding family members' perceptions and involving them are essential for enhancing the safety of hospitalized children. This scoping review allows healthcare professionals to reconsider their practices and recognize the importance of family involvement in care.

An exploratory study of parent perceptions of community resources and parenting support

ABSTRACT Objective Supporting parents of young children as they navigate their children’s developmental needs is critical for the overall well-being of the family. Positive and supportive parenting is an essential foundation for parents and children; however, often parents may need some help in knowing what parenting practices to use to support their children. To this end, the overall goal for this study was to explore the perceptions of families in terms of parenting resources, challenges, barriers, as well as comfort seeking support for parenting challenges. Method A total of 300 parents were randomly selected from the community and asked a series of questions during a phone interview about community level support for parenting, perceptions on parenting in general, and perceptions about seeking help for their children’s challenging behaviour. Results One in 4 parents reported that they felt others would think they were a bad parent if they sought assistance and 34% felt they would be embarrassed if they sought help. Importantly, additional analyses documented that individuals who are Black, Indigenous, People of Colour were 4 times more likely than White parents to report perceptions that others would think they were a bad parent if they sought help for their children’s behaviour problems. Discussion Descriptive results indicated that parents overwhelmingly reported they felt supported in their community. An important finding indicated that perceptions related to stigma were different for racial groups. The implications of these findings are discussed.

Family Caregiver Communication and Perceptions of Involvement in Hospice Care.

Background: The burden of caregiving for family members is significant and becomes particularly challenging at end of life, with negative effects on mental health, including anxiety and depression. Research has shown caregivers need better communication with their health care team. Objectives: To evaluate the relationship between hospice team communication with caregivers and caregiver involvement in care. Methods: The purpose of this secondary analysis of data collected from a U.S.-based cluster crossover randomized trial was to evaluate whether caregiver-centered communication (Caregiver-Centered Communication Questionnaire) is associated with a caregiver's perceptions of involvement in care (Perceived Involved in Care Scale). A block-wise approach was used to estimate linear models, which were created using total scores and subscale scores. Results: Caregiver-centered communication was positively associated with perceptions of involvement in care. Conclusion: Skilled communication between hospice clinicians and family caregivers is critical in helping family members perception they are involved in the care of their loved one. There could be similar benefit in caregiver-centered communication during cancer treatment as well.

Healthcare Professionals' Perspectives on Improving Family-Centred Pain Care in a Tertiary Pediatric Centre.

Despite being a core component of family-centered and compassionate care, children's pain is often undertreated in Canadian hospitals. Nurses' and other healthcare professionals' (HCPs) ability to understand and respond to a child and their family's pain care needs is integral to improving this care in a family-centered manner. To understand nurses' and other HCPs' perceptions of child and family needs to make care more collaborative and patient- and family-centered. Eighteen participants were recruited and represented the specialties of nursing (n = 8), psychology (n = 1), child life services (n = 2), medicine/surgery (n = 3), and administration/leadership (n = 4); 3 of the administrators had a nursing background. Transcripts were analysed using a semantic, inductive approach with two coders using a codebook to ensure reliability. Participants felt that pain care was important, but that it needs to take greater priority in the hospital. In our analysis, we identified four core needs that nurses and other HCPs have to provide better pain care: 1. Better acknowledgement of child and family experiences; 2. Better visual and written knowledge translation tools for patients and families; 3. Better provision of verbal pain education to children and families by nurses and other HCPs; and 4. Help for patients and families to advocate for better pain care when they feel their needs are not being met. Nurses and other HCPs value patient- and family-centered pain care, and wish to empower families to advocate for it when it is sub-optimal.

Tilting at Windmills – A Qualitative Study about Family Caregiver Interactions and Perceptions in Forensic Mental Health Care

In forensic mental health care (FMHC), family caregivers perceive themselves as burdened in their relationships with the service user (the family member with mental illness) and by difficult collaboration with healthcare professionals (HCPs). There is a political objective to involve this group in the care and treatment of the service user in mental health care. To improve family caregiver involvement in care and treatment in FMHC, research about their perceptions is needed. This study aims to explore family caregivers’ perceptions of their interactions with the service user and HCPs. The method used was qualitative. Semi-structured, in-depth interviews with 12 family caregiver participants were carried out and analyzed thematically. The analysis resulted in three interrelated main themes: Strategies to normalize everyday living; Distrust of the quality of care; and Loss and grief. Family caregiver feelings of loss and grief may be suppressed, which additionally could prevent them from supporting the service user.

Considering the Influence of Social Determinants of Health on Parent Feeding Practices: A Case Example.

Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. SDOH can be grouped into 5 domains: economic stability, education access and quality, healthcare access and quality, neighborhood and built environment, and social and community context. SDOH impact people's health and quality of life but may also contribute to disparities in access to food, education, and healthcare. SDOH uniquely influence parent feeding practices in the neonatal intensive care unit (NICU) in a variety of ways, ranging from logistical considerations for parent visitation to cultural beliefs such as family perception of human milk feeding. A hypothetical case example of a preterm infant with a feeding disorder in the NICU is used to connect SDOH that influence prenatal health, parental lived experience, and postnatal medical care to maternal and infant outcomes with implications for feeding practices. Barriers and facilitators to successful feeding practices in the NICU and at discharge are considered for each SDOH domain. This case example increases awareness of SDOH and how they influence parent feeding practices in the NICU, focusing on the intersection of SDOH, parent stress, and oral feeding outcomes. Examples were provided for how to support applying findings into practice. By being creating a culture of SDOH awareness, NICU staff can assist families in overcoming barriers by putting supports in place to increase equitable participation in developmentally supportive feeding practices during the NICU stay.

Family's Perception of Death of Foreign Labour Migrants and Its Impact on Their Economy

This study explores the perceptions of families of foreign labour migrants who have experienced an increasing number of deaths in their workplaces. Nearly one thousand foreign labour migrants died in their workplace in the year 2019, this number is increasing day by day. This study analyzed the family’s perceptions of the death of foreign labour migrants and its impact on their families. It uses a sequential mixed method to show the experiences of schooling children (age 8–18 years). Purposive sampling was used to choose the Bagmati province and districts, while simple random sampling was used to choose schools and students. The reason for selecting the province and districts was the higher foreign labour migration in 2019. About 77 respondents were selected by using simple random sampling, and a semi-structured questionnaire was used for quantitative data collection. The death of parents in foreign labour migration raises many difficulties for the persons left behind at home. Nearly thirty per cent of families, including children, were suffering sensitively from the loss of parents. Missing remittance from the death of the breadwinner hurt the family's food consumption, accommodation, and health facilities. Some families could not get government support and insurance due to the loss of legal documents. Parental death also impacts children's schooling like attendance and academic achievement. It also raises family complications like remarriage, separation, and divorce. The demise of a family member increases the social and economic burden on the migrant community. It negatively impacts family harmony and child education. To support family migrants, an awareness programme is recommended to slow down the psychological stress on families, and a special support mechanism is recommended for orphan children’s education.