scholarly journals Factors associated with surrogate families’ life-sustaining treatment preferences for patients at home or in a geriatric health service facility: A cross-sectional study

2021 ◽  
pp. 1-8
Author(s):  
Fumio Shaku ◽  
Madoka Tsutsumi ◽  
Asumi Nakamura ◽  
Hiroshi Takagi ◽  
Takahiro Otsuka ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Service ◽  
Response Rate ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Service Facility ◽  
Group Response ◽  
Living Together ◽  
Life Sustaining Treatment

Abstract Objective Recently, end-of-life preference in palliative care has been gaining attention in Japan. The Ministry of Health, Labor, and Welfare established the Japanese basic policy in November 2018. Patients’ decision-making is recommended; however, patients with dementia or other disorders cannot make such decisions by themselves. Thus, healthcare providers may contact surrogates and consider their backgrounds for better decision-making. Hence, the preferences of home caregivers’ and geriatric health service facility (GHSF) residents’ families on patient life-sustaining treatment (LST) were investigated. Method This cross-sectional study involved home caregivers’ and GHSF residents’ families in Japan. We distributed 925 self-reported questionnaires comprising items, such as the number of people living together, care duration, comprehension of doctor's explanations, the Patient Health Questionnaire (PHQ)-9 and Short Form (SF)-8, and families’ LST preference for patients. Results In all, 619 valid responses were obtained [242 men and 377 women (309 in the HOME Caregivers Group, response rate = 61.1%; 310 in the GHSF Group, response rate = 74.0%)]. LST preference was significantly associated with sex, the number of people living together, care duration, and comprehension of doctors’ explanations in the HOME Caregivers Group but was not significantly associated with the GHSF Group. Furthermore, PHQ-9/SF-8 scores were not significantly associated with LST preference. Significance of results There were many differences in opinions about LST preference between home caregivers’ and GHSF residents’ families. The results suggested that the burden of nursing care was greater and harder in home caregiver families, and these factors may be related to the LST preference for a patient.

scholarly journals Comparison of the factors associated with preference of life-sustaining treatment by caregivers’ and health facility tenants’ families: a cross-sectional study

2020 ◽  
Author(s):  
Fumio Shaku ◽  
Madoka Tsutsumi ◽  
Asumi Nakamura ◽  
Hiroshi Takagi ◽  
Takahiro Otsuka ◽  
...  
Keyword(s):  
Home Care ◽  
Health Facility ◽  
Response Rate ◽  
Cross Sectional Study ◽  
Care Group ◽  
Cross Sectional ◽  
Factors Associated ◽  
Group Response ◽  
Living Together ◽  
Life Sustaining Treatment

Abstract Background: Recently, advance care planning (ACP) in palliative care has been attracting attention in Japan. The Japanese counterpart was established by the Ministry of Health, Labor and Welfare in November 2018. Moreover, discussions on end-of-life treatment are an important part of ACP It is suggested that individual feelings at the end-of-life are different; ACP depends on various situations. Decision making by patients themselves is recommended; however, there are cases where patients with dementia or other disorders cannot make decisions by themselves. Health providers may contact surrogates and consider their background for better ACP. We focused on patents’ families and examined factors related to the preferences of home caregivers’ and old-age health facility tenants’ families on patient ACP, including life-sustaining treatment (LST) at end-of-life.Methods: This cross-sectional study involved home caregivers’ and old-age health facility tenants’ families in Japan. We distributed 925 self-reported questionnaires comprising items such as number of people living together, comprehension of doctor’s explanations, nursing care level and duration, the Patient Health Questionnaire (PHQ)-9 and Short Form (SF)-8, and caregivers’ LST preference.Results: A valid response was obtained from 619 respondents [242 men and 377 women (309 in the home-care group, response rate = 61.1%; 310 in the facility-care group, response rate = 74.0%)]. The mean age of the respondents was 65.29 ± 12.09 years in the home-care group and 63.24 ± 10.39 years in the facility-care group. LST preference was significantly associated with sex, number of people living together, care duration, and comprehension of doctors’ explanations in the home-care group but was not significantly associated in the facility-care group. Furthermore, PHQ-9/SF-8 scores were not significantly associated with LST preference of the groups.Conclusions: Factors associated with decision on ACP differed between home caregivers’ families and health facility tenants’ families. In ACP, healthcare providers should be aware of the nature of each patient’s caregiving situation and living environment when discussing LST preference.

Violence Against Women During COVID-19 Pandemic

2021 ◽  
pp. 088626052199795
Author(s):  
Marwan Akel ◽  
Jana Berro ◽  
Clara Rahme ◽  
Chadia Haddad ◽  
Sahar Obeid ◽  
...  
Keyword(s):  
Violence Against Women ◽  
Married Couples ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Economic Factors ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Living Together ◽  
Stress Score

The objectives of this study were to correlate several factors - including depression, anxiety, stress and self-esteem levels in both men and women - with the occurrence of domestic violence against women (VAW) during quarantine. This cross-sectional study was carried out in April 2020, in the midst of the COVID-19 pandemic when lockdown procedures were implemented; 86 married couples participated in this study amounting to 172 responses in total. A different questionnaire was set for women and men; the couple filled out their respective questionnaire simultaneously, but privately where one did not see the answers of the other. Inclusion criteria included married couples of all ages that are living together during the lockdown of COVID-19. The results of this study showed that a higher total abuse score was found in 39 females (45.3%; CI: 0.34 - 0.56). Being a Muslim female (Beta =24.80) and females having higher anxiety (Beta=0.97) were significantly associated with higher total abuse scores, whereas higher stress score in female (Beta=-0.61) was significantly associated with lower total abuse scores. In conclusion, this study focuses on VAW as a serious problem while demonstrating its further emergence during quarantine. This study also focused on the effects brought on by lockdown policies, including social and economic factors, and their implications in the increase of VAW during this pandemic.

scholarly journals Prelicensure Nursing Students’ COVID-19 Attitude Impact on Nursing Career Decision during Pandemic Threat in Taiwan: A Cross-Sectional Study

2021 ◽  
Vol 18 (6) ◽  
pp. 3272
Author(s):  
Shu-Chun Lin ◽  
Lee-Fen Ni ◽  
Yu-Ming Wang ◽  
Shu Hsin Lee ◽  
Hung-Chang Liao ◽  
...  
Keyword(s):  
Decision Making ◽  
Nursing Students ◽  
Perceived Control ◽  
Career Decision ◽  
Cross Sectional Study ◽  
Attitude Scale ◽  
Sectional Study ◽  
Career Decision Making ◽  
Cross Sectional ◽  
Prelicensure Nursing

The COVID-19 pandemic may cause a nursing shortage. Prelicensure nursing students who are exposed to high-stress COVID-19 events are related to defective career decision-making. This study validated the COVID-19 attitude scale and clarified how their attitudes about COVID-19 affected their behavioral intentions toward career decision-making. We conducted a cross-sectional study and recruited a convenience sample of 362 prelicensure nursing students from Northern and Central Taiwan. Two measurements were applied, including the Nursing Students Career Decision-making instrument and COVID-19 attitude scale. We used AMOS (version 22.0) to perform a confirmatory factor analysis. The Cronbach α of the COVID-19 attitude scale was 0.74 and consisted of four factors. The most positive attitude was the nursing belief factor, and the least positive factor was emotional burden. Prelicensure nursing students’ COVID-19 attitudes were significantly positively associated with their career decision-making attitudes and perceived control (ß = 0.41 and ß = 0.40, respectively; p < 0.001). All the key latent variables explained significantly 23% of the variance in the career decision-making behavioral intentions module. In conclusion, the COVID-19 attitude scale is valid. Although the prelicensure nursing students’ COVID-19 attitudes had no direct effect on career decision-making intentions, they had a direct effect on career decision-making attitudes and the perceived control.

scholarly journals Preferences for life-sustaining treatment in Korean adults: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e039470
Author(s):  
HyunChul Youn ◽  
Suk-young Lee ◽  
Han-yong Jung ◽  
Shin-Gyeom Kim ◽  
Seung‑Hyun Kim ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Left Ventricular ◽  
Self Report ◽  
Ventricular Assist Devices ◽  
Optimal Time ◽  
Left Ventricular Assist Devices ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ventricular Assist ◽  
Life Sustaining Treatment

ObjectivesLife-sustaining treatment is any treatment that serves to prolong life without reversing the underlying medical conditions, and includes cardiopulmonary resuscitation, mechanical ventilation, haemodialysis and left ventricular assist devices. This study aimed to investigate the thoughts on life-sustaining treatment of Koreans and to assess the factors associated with deciding to not receive life-sustaining treatment if they develop a terminal disease.DesignCross-sectional study.SettingGuro-gu centre for dementia from 1 May 2018 to 31 December 2019.ParticipantsIn total, 150 individuals participated in this study.Outcome measuresThe questionnaire consisted of self-report items with some instructions, demographic characteristics, thoughts on life-sustaining treatment and psychosocial scales. The preferences of the participants were investigated on the assumption that they develop terminal cancer. The psychosocial scales included the Generalised Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Connor–Davidson Resilience Scale and Multidimensional Scale of Perceived Social Support (MSPSS).ResultsWe classified our participants into two groups: individuals who wanted to receive life-sustaining treatment (IRLT) and individuals who wanted to not receive life-sustaining treatment (INLT). There were twice as many participants in the INLT group than there were in the IRLT. In making this decision, the INLT group focused more on physical and mental distress. Additionally, 32.7% of participants responded that terminal status was an optimal time for this decision, but more participants want to decide it earlier. The GAD-7 and PHQ-9 scores were significantly higher in the INLT group than in the IRLT group. However, the INLT group had significantly lower MSPSS family scores.ConclusionOur findings can help assess issues regarding advance directives and life-sustaining treatment, and will be a reference for designing future studies on this issue.

scholarly journals Chlamydia Detection during the Menstrual Cycle: A Cross-Sectional Study of Women Attending a Sexual Health Service

PLoS ONE ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e85263 ◽  
Author(s):  
Dana S. Forcey ◽  
Jane S. Hocking ◽  
Sepehr N. Tabrizi ◽  
Catriona S. Bradshaw ◽  
Marcus Y. Chen ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Health Service ◽  
Sexual Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexual Health Service

scholarly journals Factors influencing decision-making to accept elective caesarean section: A descriptive cross-sectional study

Heliyon ◽  
2021 ◽  
pp. e07755
Author(s):  
Victoria Bam ◽  
Alberta Yemotsoo Lomotey ◽  
Abigail Kusi-Amponsah Diji ◽  
Hayford Isaac Budu ◽  
Dorothy Bamfo-Ennin ◽  
...  
Keyword(s):  
Decision Making ◽  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing

Continuing Professional Development: Views and Barriers Toward Participation Among Malaysian Pharmacists

2013 ◽  
Vol 4 (1) ◽  
pp. 45-55
Author(s):  
Zoriah Aziz ◽  
Chong Nyuk Jet ◽  
Sameerah Shaikh Abdul Rahman
Keyword(s):  
Professional Development ◽  
Continuing Education ◽  
Lifelong Learning ◽  
Response Rate ◽  
Continuing Professional Development ◽  
Cross Sectional Study ◽  
Learning Approach ◽  
Sectional Study ◽  
Cross Sectional ◽  
Current Role

Continuing professional development (CPD) is a lifelong learning approach to maintain and enhance professional competencies. This cross-sectional study aimed to examine the pharmacists’ preferred CPD activities and barriers to CPD participation. A survey instrument was distributed to all government pharmacists (N=3876) in Malaysia. The response rate was 29.2 %. The majority of the pharmacists (92%) believed that engaging in CPD would improve their performances in their current role. Almost 90% of the respondents preferred to participate in CPD activities associated with continuing education such as workshops and conferences attendance. Barriers to CPD participation were current job constraints, lack of time, and accessibility in terms of travel and cost. It is important to address these issues before the implementation of mandatory CPD for pharmacists in Malaysia.

scholarly journals Impacto del grado de satisfacción en las expectativas del estudiante universitario. El caso de la Universidad Autónoma de Chiapas (UNACH)

2019 ◽  
pp. 20-27
Author(s):  
Marco Antonio Ovando Díaz ◽  
Octavio Grajales Castillejos
Keyword(s):  
Decision Making ◽  
Human Resources ◽  
Cross Sectional Study ◽  
Academic Training ◽  
Sectional Study ◽  
Cross Sectional ◽  
Institutional Services ◽  
Bachelor's Degrees ◽  
Degree Of Satisfaction ◽  
The University

The general objective of the article is to determine the degree of satisfaction of the students of the Autonomous University of Chiapas, Mexico, through a cross-sectional study to assess the institutional services offered and their impact on their academic training. The specific objectives are: 1) Analyze the opinion of students regarding their curriculum and teachers, 2) Analyze the opinion of students regarding the knowledge of university regulations and 3) Describe the conditions of University infrastructure: physical and technological. The methodology used was the explanatory method of qualitative-quantitative and transverse cutting, for this it was necessary to design and apply a Likert-type survey, which was applied to 3,842 enrolled students of the 5th. to the 8th. semester of 22 Bachelor's degrees from the various UNACH headquarters. The contribution that this research has is: a) Provide academic elements to university authorities for decision making in their accreditation processes, b) Training of human resources through the participation of students in the development of research and c) Sensitize the university community through the publication of research results.

Sign in / Sign up

Export Citation Format

Share Document