Family Satisfaction Research Articles

Balancing Act: Examining the Relationship Between Role Conflict and Marital Satisfaction in Dual-Earner Families

Balancing Act: Examining the Relationship Between Role Conflict and Marital Satisfaction in Dual-Earner Families

Social experiences, life satisfaction, and social support of immigrant families with young children in a highly urban city

ABSTRACT Grounding this study in Bronfenbrenner’s ecological framework, the authors used a survey that includes psychometrically sound measures, to investigate the social experiences of 54 immigrant families with young children and the factors that shape their perceptions of life satisfaction and social support in a highly urban city. Results show persistent challenges related to discrimination and access to resources. Despite these challenges, participants’ overall satisfaction with life was rated high and positively correlated with their comfort with practicing their culture and with their perceived social support. Implications involve the need to design evidence-based policies and programmes that promote immigrant families’ wellbeing.

The Effectiveness of Model KEDUSIA-RSM based on Android against Knowledge, Attitude and Skills of Family, Family Satisfaction, and Cognitive Function for Older Adults

Older adults with dementia can be a burden to the family. Family nursing interventions through android applications in the digital era are very important to improve family coping skills in caring for elderly with risk of dementia. Objective: The research objective aims to obtain an android-based model of KEDUSIA-RSM which is effective for improving knowledge, attitude and skill of family, family satisfaction, and cognitive function of the older adults. Method: This study uses quasi experiment with pre and post test design with the control group. The sampling strategy used a multistage cluster with a total sample size of 168, namely 84 families in the intervention group and 84 families in the control group. Results: There is a significant difference in the average ability to care for the family such as knowledge, attitudes, skills and care satisfaction between measurements (before, 2 months and 4 months after the model intervention) in the intervention group (p value <0.05; repeated measure ANOVA). There was a significant difference in the mean cognitive function of the elderly between the two groups in the measurement before and after 4 months (p value <0.05; independent t-test). Conclusion: The KEDUSIA-RSM nursing model is effective in increasing the ability to care for and satisfaction in caring as well as improving cognitive function in the elderly.

Telephone-based mindfulness intervention positively impacts family communication and stress within rural, African American dementia caregiving teams

Objectives The objective of this paper is to explore how telephone-delivered mindfulness training impacts family conflict and communication within the informal dementia caregiving team, including primary caregivers, their care partner, and the care recipient. Method Primary caregivers and their care partners participated in an eight-week telephone-delivered mindfulness-based intervention (MBI). This study used mixed methods and a pre-post design to evaluate the intervention’s effect on family satisfaction, perceived support, and family conflict. Results Both family satisfaction and perceived informational support increased significantly, and qualitative analysis revealed four key themes illustrating how the mindfulness intervention served to positively impact family conflict and communication among participating caregivers. Conclusion This study provides preliminary evidence for the beneficial effects of an MBI on family functioning among rural African American caregivers of people with Alzheimer’s disease and related dementias.

Revisiting the Link between Workplace Support for Families, Family Support, Diet Quality, and Satisfaction with Food-Related Life in the Second Year of the Pandemic.

The main objective of this study was to examine the actor and partner effects between Perceived Workplace Support for Families (PWSFs) and family support (PFS), diet quality, and satisfaction with food-related life (SWFoL) in households with both parents working and adolescents, along with the role of the three family members' diet quality as a mediator. During the second year of the pandemic in Chile, 860 dual-earner parents of different sexes and their adolescent child (average age 13 years, with 50.7% being male) were recruited from two cities. Parents responded to a measure of PWSFs and the Perceived Family Support Scale. Mothers, fathers, and adolescents answered the Adapted Healthy Eating Index (AHEI) and the satisfaction with food-related life Scale. The examination employed the mediation Actor-Partner Interdependence Model and structural equation modeling for the analyses. Results showed that mothers' PWSFs improved their and their teenage children's SWFoL, while fathers' PWSFs only improved their SWFoL. The mothers' PFS improved their and the fathers' diet quality while enhancing their SWFoL and the adolescents' SWFoL. The fathers' PFS enhanced their and the adolescents' SWFoL. The mothers' PFS also indirectly enhanced their and the fathers' SWFoL via each parent's diet quality. Each family member's diet quality was positively related to their SWFoL, while mothers' diet quality was positively related to the fathers' SWFoL. These results imply that resources obtained by parents from PFS positively impact the SWFoL of the three family members through different mechanisms. They also highlight the importance of maternal family support for SWFoL during the pandemic.

Safety and feasibility of enhanced recovery after surgery-based management model for ambulatory pediatric surgical procedures.

There is still some room for optimizing ambulatory pediatric surgical procedures, and the preoperative and postoperative management quality for pediatric patients needs to be improved. To discuss the safety and feasibility of the enhanced recovery after surgery (ERAS)-based management model for ambulatory pediatric surgical procedures. We selected 320 pediatric patients undergoing ambulatory surgery from June 2023 to January 2024 at The First People's Hospital of Liangshan Yi Autonomous Prefecture. Of these, 220 received ERAS-based management (research group) and 100 received routine management (control group). General information, postoperative ambulation activities, surgical outcomes (operation time, postoperative gastrointestinal ventilation time, and hospital stay), postoperative pain visual analogue scale, postoperative complications (incision infection, abdominal distension, fever, nausea, and vomiting), and family satisfaction were compared. The general information of the research group (sex, age, disease type, single parent, family history, etc.) was comparable to that of the control group (P > 0.05), but the rate of postoperative (2 h, 4 h, and 6 h after surgery) ambulation activities was statistically higher (P < 0.01), and operation time, postoperative gastrointestinal ventilation time, and hospital stay were markedly shorter (P < 0.05). The research group had lower visual analogue scale scores (P < 0.01) at 12 h and 24 h after surgery and a lower incidence of total postoperative complications than the control group (P = 0.001). The research group had higher family satisfaction than the control group (P = 0.007). The ERAS-based management model was safe and feasible in ambulatory pediatric surgical procedures and worthy of clinical promotion.

Relationships between work-family conflict and family structure in the lives of working mothers in Hungary – a pilot study

BackgroundThe family, as the basic socialization environment, is a complex dynamic system that - as a whole and through its subsystems - is in relationships with other social systems (Bagdy in Family socialization and personality disorders. Nemzeti Tankönyvkiadó, Budapest, 2002; Lakatos et al. in Mentálhigiéné és Pszichoszomatika 21(1):56–85, 2020). The system with which the family system has long-term relationships is the work system/environment. Creating and maintaining a work-life balance has become a central issue in our societies, as they are two of the most organising forces, and reconciling them is a very difficult task due to the demands and expectations coming from both directions, often simultaneously (Makra et al. in Magyar Pszichológiai Szemle 67(3):491–518, 2012). This kind of “double burden” primarily affects women, but their increasing role in the labour market is not necessarily followed by an equal sharing of work within family life (Engler et al. in Work-life balance in women’s careers. In: Tardos K, Paksi V, Fábri Gy (eds) Scientific careers in the early 21st century. Belvedere Meridionale, Szeged, pp 114–126, 2021). We hypothesise that involvement in work negatively correlates with work-life balance, making it more difficult to integrate into the family. It was expected that the relationship between the number of children and mothers’ professional involvement would be negative. A positive correlation was expected between the age of the youngest child and the mothers’ work involvement. On the other hand, a family united by cohesion and resilience leads to higher job satisfaction.MethodsFor the present analysis, we analysed the relationships between work-family conflict and family structure in working mothers with children in a sample of 273 participants. The self-reported questionnaire included demographic data and 2 standard questionnaires: the Work-Family Conflict Questionnaire and the Olson-Family Test (FACES-IV.). The study was conducted in Hungary.ResultsNo significant relationship was found between work involvement and work-family conflict. A negative relationship was observed between work involvement and family involvement. Similiarily, no significant relationship was found between the number of children, the age of the youngest child and work involvement, contrary to expectations. The findings indicate a positive relationship between good family cohesion, flexibility and job satisfaction.ConclusionStriking a work-family balance is a challenging process for families with young children, especially working mothers. A mutually negative relationship between work and family involvement has been shown. The importance of a well-functioning family, with adequate cohesion and flexibility, is reflected in family and job satisfaction. The relationship between work-to-family conflict and job involvement is moderated significantly only when family flexibility is low. The results from the present pilot study indicate important relationships between variables and point to further research directions worth investigating in a larger sample in the future.

Psychometric properties of Self-Compassion Scale Short Form (SCS-SF) in Spanish adolescents

BackgroundSelf-compassion, individual's ability to treat oneself kindly, is important for mental well-being. The Self-Compassion Scale (SCS) is the most used instrument to measure self-compassion, but the short form does not have validity evidence in adolescents. MethodsWe examined the psychometric properties of the SCS-SF (12 items) in 955 Spanish adolescents (Mage = 13.95) using Confirmatory Factor Analysis (CFA) and reliability tests. The life satisfaction, family satisfaction, and reactive-proactive aggression were used for convergent validity. ResultsCronbach's alpha reliability value for the total scale was .723. CFA confirmed that the six-factor model showed good fit indices with three positive dimensions: self-kindness, common humanity, and mindfulness; and three negative components: self-judgment, isolation, and over-identification (χ2 = 114.730; CFI = .966; GFI = .98; RMSEA = .045). The bifactorial model also showed an adequate fit, although with weaker values than the six-factor (ꭓ2 = 247.108; CFI = .914; GFI = .95; RMSEA = .06). The unifactorial model showed an inadequate fit. Total SCS score correlated positively with family satisfaction (r = .43; p < .001) and life satisfaction (r = .48; p < .001) and negatively with reactive aggressiveness (r = −.27; p < .001) and with proactive aggressiveness (r = −.18; p < .001). Self-kindness, common humanity, and mindfulness were associated with higher family and life satisfaction (p < .001) Self-judgment, isolation, and over-identification were associated with lower family and life satisfaction (p < .001). Self-judgment and isolation positively correlated with both reactive and proactive aggression (p < .001), while mindfulness negatively correlated with both reactive and proactive aggression (p < .01). ConclusionThe SCS-SF is a valid and reliable instrument for assessing self-compassion in Spanish adolescents. Results suggest the six-factor model in its first validation in an adolescent population with convergent validity. The findings of this study corroborate the significance of self-compassion for the mental health of adolescents, particularly in relation to their family and life satisfaction.

Flexible Work Arrangements, Job Satisfaction and Family Satisfaction: The Spillover Effect of Work-Family Conflict

Since its beginning, the pandemic has forced many organizations to adopt new norms, offering more flexible work arrangements. Yet, there is limited knowledge on how these arrangements, particularly flextime, could affect the work-family conflict (WFC) and its consequences on both job and family satisfaction. Despite this, there has been limited research on the spillover effect of WFC, concentrating on cross-domain effects on both job and family satisfaction in Eastern culture. Hence, the aim of this study is to investigate the spillover effect of WFC on job and family satisfaction among academicians from selected Malaysian public universities. The web-based survey questionnaire was employed, and statistical analyses were performed using SPSS software. Flextime was found to have a significant negative association with both WIF and FIW. Furthermore, the findings revealed that WIF has a stronger spillover effect on cross-domains, notably family satisfaction. FIW has a greater impact on its own domain specificity, namely family satisfaction. Thus, the study contributes to our understanding of the spillover effect of WFC on cross-domains, particularly in Eastern contextual cultures, and helps to provide additional insight into family-friend policies intended to reduce the occurrence of WFC, leading to a better balance of work and personal responsibilities.

Optimizing The Implementation of Nursing Credentials: A Literature Review

Introduction: The credentialing process is a series of expertise verifications to obtain clinical authority, especially for nurses. This literature review aimed to gain further exposure to implementing nursing credentials and determine whether the implementation is optimal.Methods: The method used a literature review. Article searches were carried out via PubMed, Google Scholar, and Wiley using the keywords “nursing credential” while searching in English articles and the keyword “kredensial perawat” in an article in Bahasa. A total of fifteen articles were extracted based on the inclusion and exclusion criteria.Results: Nurses are expected to provide services by their clinical competence and authority through the credentialing process. Many studies showed that the implementation of credentials still needs to be improved. The main challenge found in many studies regarding the implementation of credentials is the overlapping of duties by the credentials committee. Conclusion: If the credentialing process is carried out correctly and optimally following existing laws and regulations, it will benefit nurses and hospitals significantly. These benefits include, among others, the fact that nurses can optimize the nursing care provided and provide legal protection because nurses have carried out competencies by their authority. Meanwhile, hospitals can improve the quality of service, maintain patient safety, and increase patient and family satisfaction.

Family Satisfaction of Polytrauma Patients in Intensive Care Unit at a Tertiary Care Center.

Family members play a crucial role in ICU patients' treatment and decision-making, despite the stress and uncertainty they may experience, ensuring high-quality medical care. Providing comfortable spaces with noise-reducing techniques can boost family satisfaction. Further research is needed to support families in intensive care units (ICU). This study aims to evaluate family satisfaction and decision-making in polytrauma patients in the ICU, identify improvement opportunities, and analyze demographic and socioeconomic factors influencing satisfaction. This cross-sectional study was conducted at King George's Medical University, Lucknow, over a period of one year. A total of 66 patients, aged between 20 and 70, their family members, and those who gave written informed consent were included. Exclusion criteria included those who died within 48 hours of ICU admission or did not give consent. Patient characteristics, such as age, sex, Acute Physiology and Chronic Health Evaluation (APACHE) II score, and hospital stay length, were also collected. The family satisfactionin the intensive care unit (FS-ICU) questionnaire, consisting of 24 items with five Likert response options, was used to assess satisfaction levels in ICU care and decision-making. A study of 66 patients which included 78.79% male and 21.21% female. The majority of the patients (66.67%) lived with their family members. The mean ICU stay was 13.03 days, with an APACHEscore of 17.39. The results showed that families were very satisfied with a considerable portion of the ICU stay. The overall satisfaction score was 57.00. Families were less satisfied with the atmosphere in the ICU and involvement in the decision-making process. The satisfaction scores were comparable for both genders, except for the time taken to respond to questions, which was significantly higher for women. Although families were very satisfied with the ICU stay, several areas were identified as having potential for improvement. The present study shows that the quality of treatment and communication during hospitalization is a major factor in the need for follow-up care. This underlines the need for a constant focus on communication skills in the training of nurses and doctors and in their practical training in the ICU. Participation in decision-making, especially by family members of survivors, was identified as an area for improvement. We recommend more research to be conducted in India focusing on family satisfaction with involvement in the decision-making in ICU considering the unique racial, cultural, ethnic, and linguisticdifferences in India.

Value of combining targeted emergency nursing with psychological nursing in children with febrile convulsions.

Febrile convulsions are a common pediatric emergency that imposes significant psychological stress on children and their families. Targeted emergency care and psychological nursing are widely applied in clinical practice, but their value and impact on the management of pediatric febrile convulsions are unclear. To determine the impact of targeted emergency nursing combined with psychological nursing on satisfaction in children with febrile convulsions. Data from 111 children with febrile convulsions who received treatment at Nantong Maternal and Child Health Care Hospital between June 2021 and October 2022 were analyzed. The control group consisted of 44 children who received conventional nursing care and the research group consisted of 67 children who received targeted emergency and psychological nursing. The time to fever resolution, time to resolution of convulsions, length of hospital stays, Pittsburgh Sleep Quality Index, patient compliance, nursing satisfaction of the parents, occurrence of complications during the nursing process, and parental anxiety and depression were compared between the control and research groups. Parental anxiety and depression were assessed using the Hamilton Rating Scale for Depression (HAMD) and the Hamilton Rating Scale for Anxiety (HAMA). The fever resolution, convulsion disappearance, and hospitalization times were longer in the control group compared with the research group (P < 0.0001). The time to falling asleep, sleep time, sleep quality, sleep disturbance, sleep efficiency, and daytime status scores were significantly better in the research group compared with the control group (P < 0.0001). The HAMD and HAMA scores for parents of children in the research group were lower than the scores in the control group after nursing (P < 0.05). Compliance with treatment of children in the research group was higher than in the control group (P < 0.05). Parental satisfaction with nursing in the research group was higher than in the control group (P < 0.05). The total complication rate of children in the control group was higher than in the research group (P < 0.05). Combining psychological nursing with targeted emergency nursing improved the satisfaction of children's families and compliance with treatment and promoted early recovery of clinical symptoms and improvement of sleep quality.

Parental humors importance in supporting families with disabled children

There is a lack of research on the humor preferences and family dynamics of parents of disabled children. To address this gap, this book adopts an unbiased approach to examining these topics. The participants in this study are parents of children with disabilities, aiming to shed light on the connections between humor preferences and family functioning. A total of 77 parents participated in the research. They were asked to complete two surveys: the Humor Styles Questionnaire (HSQ) and the Family Adaptability and Cohesion Evaluation Scales IV (FACES IV), which assess various aspects of family dynamics. This investigation yielded several interesting findings. Notably, there were significant correlations between positive humor preferences and beneficial family interactions and satisfaction. This research underscores the need for further studies on the relationships between humor preferences and family dynamics among parents of children with disabilities.

Transition to Parenthood: The Association Between Expectations and Family-Life Satisfaction

Parenthood is often assumed to profoundly impact well-being. Yet, few studies have explored how the transition to parenthood relates to parent’s family-life satisfaction, and existing research has produced conflicting results. We propose that expected costs and rewards of having children (individual differences in the perceived value of children in one’s life) could explain the mixed findings. Following respondents in a nationally representative panel study from Germany up to 11 years (N total = 6,850, N parents = 1,196), we found that positive expectations (i.e., higher reward/lower cost) were associated with a higher likelihood of parenthood. Among parents, negative expectations were associated with lower family-life satisfaction as measured by parenting pleasure and family satisfaction; however, expectations did not predict the trajectory post birth. This study underlines the role of expectations about being a parent for the transition to parenthood and for family-life satisfaction once a parent.

Unpacking Perceptions on Patient Safety: A Study of Nursing Home Staff in Italy.

Nursing homes (NHs) are crucial for de-hospitalization and addressing the needs of non-self-sufficient individuals with complex health issues. This study investigates the patient safety culture (PSC) in NHs within a northern Italian region, focusing on factor influencing overall safety perceptions and their contributions to subjective judgements of safety. A cross-sectional study was conducted on 25 NHs in the Autonomous Province of Trento. The Nursing Home Survey on Patient Safety Culture (NHSPSC) was utilized to assess PSC among NH staff. Multilevel linear regression and post hoc dominance analyses were conducted to investigate variabilities in PSC among staff and NHs and to assess the extent to which PSC dimensions explain overall perceptions of PS. Analysis of 1080 questionnaires (44% response rate) revealed heterogeneity in PSC across dimensions and NHs, with management support, organizational learning, and supervisor expectations significantly influencing overall safety perceptions. Despite some areas of concern, overall safety perceptions were satisfactory. However, the correlation between individual dimensions and overall ratings of safety was moderate, suggesting the need to enhance the maturity level of PSCs. Promoting a shift in PSC could enhance transparency, prioritize resident safety, empower nursing staff, and increase family satisfaction with care provided in NHs. The support provided by management to PSC appears essential to influence NH staff perceptions of PS.

Implementing nursing interventions based on stress system theory alongside painting therapy for pediatric post-traumatic stress disorder following accidental injury

ObjectiveThe aim of this study is to examine the impact of a nursing intervention based on stress system theory, coupled with painting therapy, on children experiencing post-traumatic stress disorder (PTSD) subsequent to an accidental injury.MethodsThe clinical data of 100 children diagnosed with PTSD following accidental injuries were retrospectively analyzed for the period spanning April 2021 to May 2023. There were 48 children who received standard nursing care between April 2021 and April 2022 in the control group, and 52 children who received nursing intervention based on stress system theory combined with painting therapy between May 2022 and May 2023 in the observation group. Scores of PTSD Self-evaluation Scale (PTSD-SS), post-traumatic growth, coping style, quality of life, and family satisfaction were compared between the two groups.ResultsPrior to nursing care, the scores of each dimension in the PTSD-SS, post-traumatic growth, coping style, and quality of life were similar between the two groups (P > 0.05). Following nursing intervention, the observation group exhibited lower scores in each dimension of the PTSD-SS compared to the control group. Moreover, the scores in each dimension of the children’s version of the Post-Traumatic Growth Inventory (PTGI) were higher in the observation group than in the control group. Additionally, the Confrontation scores in the Medical Coping Modes Questionnaire (MCMQ) were higher in the observation group than in the control group, while the scores of Avoidance and Resignation were lower in the observation group than in the control group. The scores of each dimension in the Pediatric Quality of Life Inventory Measurement Models (PedsQL4.0) were higher than those in the control group (P < 0.05), and the family satisfaction in the observation group (96.15%) was higher than that in the control group (81.25%), with P < 0.05.ConclusionThe implementation of nursing intervention based on stress system theory combined with painting therapy in children with PTSD following an accidental injury can alleviate stress, help them actively cope with the condition, promote post-traumatic growth, and improve the quality of life and family satisfaction.

Value of improved nursing measures and enhanced nursing management to reduce the occurrence of adverse events in pediatric infusion.

Intravenous infusion is a common method of drug administration in clinical practice. Errors in any aspect of the infusion process, from the verification of medical orders, preparation of the drug solution, to infusion by nursing staff, may cause adverse infusion events. To analyzed the value of improving nursing measures and enhancing nursing management to reduce the occurrence of adverse events in pediatric infusion. The clinical data of 130 children who received an infusion in the pediatric department of our hospital from May 2020 to May 2021 were analyzed and divided into two groups according to the differences in nursing measures and nursing management: 65 patients in the control group received conventional nursing and nursing management interventions, while 65 patients in the observation group received improved nursing measure interventions and enhanced nursing management. The occurrence of adverse events, compliance of children, satisfaction of children's families, and complaints regarding the transfusion treatment were recorded in both groups. The incidence of fluid extravasation and infusion set dislodgement in the observation group were 3.08% and 1.54%, respectively, which were significantly lower than 12.31% and 13.85% in the control group (P < 0.05), while repeated punctures and medication addition errors in the observation group were 3.08% and 0.00%, respectively, which were lower than 9.23% and 3.08% in the control group, but there was no significant difference (P > 0.05). The compliance rate of children in the observation group was 98.46% (64/65), which was significantly higher than 87.69% (57/65) in the control group, and the satisfaction rate of children's families was 96.92% (63/65), which was significantly higher than 86.15% (56/65) in the control group (P < 0.05). The observation group did not receive any complaints from the child's family, whereas the control group received four complaints, two of which were due to the crying of the child caused by repeated punctures, one due to the poor attitude of the nurse, and one due to medication addition errors, with a cumulative complaint rate of 6.15%. The cumulative complaint rate of the observation group was significantly lower than that of the control group (P < 0.05). Improving nursing measures and enhancing nursing management can reduce the incidence of fluid extravasation and infusion set dislodgement in pediatric patients, improve children's compliance and satisfaction of their families, and reduce family complaints.

The Impact of Personal Satisfaction on the Environmental, Social, and Governance Practices of Chinese Accounting Managers

The accounting profession plays an important role in upholding ethical standards and environmental integrity. This study examines the impact of personal life, career, and family satisfaction on the environmental, social, and governance practices of Chinese accounting professionals in Hong Kong. Drawing on the theories of moral identity and self-determination, this study hypothesises that professional ethical behaviours, such as corporate social responsibility (CSR) and environmental protection, are positively correlated with well-being in the workplace and the family and personal lives of individuals. For the research methodology, this study employs a combination of rating scales, namely, the satisfaction with life scale, the generic job satisfaction scale, the family satisfaction scale, the CSR orientation (CSRO) scale, and the environmental motive scale. The responses of 478 accounting professionals in Hong Kong were analysed. SPSS Version 26.0 was used for data analysis. Significantly positive correlations between personal satisfaction and CSRO and between personal satisfaction and motivations for environmental sustainability were detected. In contrast to family satisfaction, life and job satisfaction were more intricately correlated with enhanced CSR commitment and environmental concern. Job satisfaction was a significant predictor of both CSR commitment and environmental responsibility, although this study has limitations, including potential response biases, cultural specificity, and self-reporting inaccuracies. Ethical practices and sustainability in accounting can be significantly enhanced by improving personal well-being. Professionals in this type of work environment may enhance their ethical engagement and environmental stewardship. This study offers theoretical and practical contributions to the research on the accounting profession in Hong Kong.

Prehospital emergency care family satisfaction scale for care provided by emergency medical technicians: Scale development and validation.

To date, family satisfaction with emergency medical technicians (EMTs) has only been reported through narrative statements in subjective evaluations. Although a quantitative assessment of healthcare professional satisfaction is desirable, no specific measures have been devised to assess family satisfaction with the healthcare and care provided by EMTs. This study aimed to develop and validate an EMT care family satisfaction scale to measure patient satisfaction with prehospital emergency care. The study population comprised 216 family members (N = 216) of patients who used ambulances between November 2020 and May 2021 in a single region in Japan. Questionnaires were distributed to the participants who provided informed consent. An exploratory factor analysis of construct validity was performed to validate the Family Satisfaction Scale. The Cronbach's alpha was used to validate the internal consistency reliability of the scale. The exploratory factor analysis results revealed a four-factor structure: 'explanation and communication,' 'physical treatment,' 'psychological support,' and 'environment in the ambulance.' The Cronbach's range (0.80-0.93) for the total score for each of these four factors and the overall total score confirmed favorable internal reliability of this study. The family satisfaction scale developed in this study was constructed and validated to highlight the role of EMTs and needs of the families in the prehospital care settings. Moreover, this scale can be applied in the evaluation and consideration of interventions to improve family satisfaction with EMTs.

Improving pressure ulcer care in intensive care units: Evaluating the impact of bundled care and silver nanoparticle dressings.

Pressure ulcer (PU) are prevalent among critically ill trauma patients, posing substantial risks. Bundled care strategies and silver nanoparticle dressings offer potential solutions, yet their combined effectiveness and impact on patient satisfaction remain insufficiently investigated. To assess the impact of bundled care along with silver nanoparticle dressing on PUs management and family satisfaction in critically ill trauma patients. A total of 98 critically ill trauma patients with PUs in intensive care unit (ICU) were included in this study. Patients were randomly assigned to either the control group (conventional care with silver nanoparticle dressing, n = 49) or the intervention group (bundled care with silver nanoparticle dressing, n = 49). The PU Scale for Healing (PUSH) tool was used to monitor changes in status of pressure injuries over time. Assessments were conducted at various time points: Baseline (day 0) and subsequent assessments on day 3, day 6, day 9, and day 12. Family satisfaction was assessed using the Family Satisfaction ICU 24 questionnaire. No significant differences in baseline characteristics were observed between the two groups. In the intervention group, there were significant reductions in total PUSH scores over the assessment period. Specifically, surface area, exudate, and tissue type parameters all showed significant improvements compared to the control group. Family satisfaction with care and decision-making was notably higher in the intervention group. Overall family satisfaction was significantly better in the intervention group. Bundled care in combination with silver nanoparticle dressings effectively alleviated PUs and enhances family satisfaction in critically ill trauma patients. This approach holds promise for improving PUs management in the ICU, benefiting both patients and their families.