scholarly journals CAREGIVERS OF OLDER VIETNAMESE REFUGEES: FINDINGS FROM THE VIETNAMESE AGING AND CARE SURVEY (VACS)

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S187-S187
Author(s):  
Christina E Miyawaki ◽  
Nai-Wei Chen ◽  
Oanh L Meyer ◽  
Mindy T Tran ◽  
Kyriakos S Markides
Keyword(s):  
Social Services ◽  
Healthcare Professionals ◽  
Financial Burden ◽  
Adult Child ◽  
Good Health ◽  
Spousal Caregivers ◽  
Vulnerable Group ◽  
Vietnamese Refugees ◽  
Excellent Health ◽  
Care Survey

Abstract Since the fall of Saigon, over 1.3 million Vietnamese immigrated to the U.S. making Vietnamese the 4th largest Asian ethnic but most vulnerable group to disparities. There is a paucity of knowledge on the health of elders and their caregivers. The Vietnamese Aging and Care Survey (VACS) was developed, and health data on 67 caregivers were collected in Houston, Texas. Adult-child caregivers (n=44) were on average, 45.3 years old, married (64%), working (91%), female (61%) in good/excellent health (90%). Spousal caregivers (n=23) were 70.6 years-old, retired (57%), female (78%) in fair/good health (73%). Adult-child received more help (43%) than spousal caregivers (29%), however, felt more caregiver burden (p=0.01) and perceived stress (p=0.05). Living in a multi-generation household, sharing caregiving, and working may alleviate their financial burden and provide psychological support. Findings suggest healthcare professionals to encourage caregivers to utilize available culturally-relevant social services to further ease their caregiving experiences.

scholarly journals HEALTH STATUS OF OLDER VIETNAMESE REFUGEES: RESULTS FROM THE VIETNAMESE AGING AND CARE SURVEY (VACS)

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S375-S376
Author(s):  
Christina E Miyawaki ◽  
Nai-Wei Chen ◽  
Oanh L Meyer ◽  
Mindy Thy Tran ◽  
Kyriakos S Markides
Keyword(s):  
Health Status ◽  
Vietnam War ◽  
Social Services ◽  
Healthcare Professionals ◽  
Health Data ◽  
High School Education ◽  
Health Conditions ◽  
Vietnamese Refugees ◽  
Care Survey ◽  
The U.S

Abstract Over 1.3 million Vietnamese including refugees migrated to the U.S., after the Vietnam War. Vietnamese are the 4th largest Asian ethnic group in the U.S. Despite the number, little is known about their health conditions. To fill this gap, the Vietnamese Aging and Care Survey (VACS) was developed, and sociodemographic and health data on 132 refugees (≥65 years) were collected in Houston, Texas. They were on average 75.4 years-old, retired (77%), married (58%), female (55%) with less than high school education (86%) in poor/fair health (76%). They immigrated around age 49 years-old, and have hypertension (74%), arthritis (48%), and diabetes (41%). They manage their lives by living in a multi-generation tightly-knit enclaves, and show resilience to their low sociodemographic status (≤25K, 94%). Findings suggest healthcare professionals to introduce more social services such as adult daycare programs in culturally-sensitive ways to ease their transition to new lives in the U.S.

Vietnamese Adult-Child and Spousal Caregivers of Older Adults in Houston, Texas: Results from the Vietnamese Aging and Care Survey (VACS)

2020 ◽  
Vol 63 (1-2) ◽  
pp. 5-18
Author(s):  
Christina E. Miyawaki ◽  
Nai-Wei Chen ◽  
Oanh L. Meyer ◽  
Mindy Thy Tran ◽  
Kyriakos S. Markides
Keyword(s):  
Older Adults ◽  
Adult Child ◽  
Spousal Caregivers ◽  
Care Survey

scholarly journals Understanding what matters most to patients in acute care in seven countries, using the flash mob study design

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eva S. van den Ende ◽  
◽  
Bo Schouten ◽  
Marjolein N. T. Kremers ◽  
Tim Cooksley ◽  
...  
Keyword(s):  
Acute Care ◽  
Patient Perspective ◽  
Large Scale ◽  
Healthcare Professionals ◽  
Well Being ◽  
Good Health ◽  
Care Needs ◽  
Patient Centred Care ◽  
Trial Register ◽  
What Matters

Abstract Background Truly patient-centred care needs to be aligned with what patients consider important, and is highly desirable in the first 24 h of an acute admission, as many decisions are made during this period. However, there is limited knowledge on what matters most to patients in this phase of their hospital stay. The objective of this study was to identify what mattered most to patients in acute care and to assess the patient perspective as to whether their treating doctors were aware of this. Methods This was a large-scale, qualitative, flash mob study, conducted simultaneously in sixty-six hospitals in seven countries, starting November 14th 2018, ending 50 h later. One thousand eight hundred fifty adults in the first 24 h of an acute medical admission were interviewed on what mattered most to them, why this mattered and whether they felt the treating doctor was aware of this. Results The most reported answers to “what matters most (and why)?” were ‘getting better or being in good health’ (why: to be with family/friends or pick-up life again), ‘getting home’ (why: more comfortable at home or to take care of someone) and ‘having a diagnosis’ (why: to feel less anxious or insecure). Of all patients, 51.9% felt the treating doctor did not know what mattered most to them. Conclusions The priorities for acutely admitted patients were ostensibly disease- and care-oriented and thus in line with the hospitals’ own priorities. However, answers to why these were important were diverse, more personal, and often related to psychological well-being and relations. A large group of patients felt their treating doctor did not know what mattered most to them. Explicitly asking patients what is important and why, could help healthcare professionals to get to know the person behind the patient, which is essential in delivering patient-centred care. Trial registration NTR (Netherlands Trial Register) NTR7538.

scholarly journals Role of Psychosocial Factors In Vicarious Traumatization: A Comparative Study

2022 ◽  
Vol 9 (1) ◽  
pp. 53-57
Author(s):  
Nazia Mustafa ◽  
Hina Iqbal
Keyword(s):  
Psychosocial Factors ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Vicarious Traumatization ◽  
Cross Sectional Study ◽  
Personal History ◽  
Vulnerable Group ◽  
Cross Sectional ◽  
History Of

OBJECTIVES: The present study aimed at investigating the role of psychosocial factors such as, gender, marital status, profession, and personal history of trauma in vicarious traumatization (VT). METHODOLOGY: Cross sectional study was conducted at various hospitals in Rawalpindi and Islamabad over the period of 6 months from January 2018 to June 2018. A sample of 170 healthcare professionals (doctors=39, psychiatrists=27, psychologists=36, nurses=30 and others=38) (men=67, women=103) was taken from various hospitals in Rawalpindi and Islamabad. Data were collected by using the Secondary Traumatic Stress Scale. RESULTS: Results revealed significant differences have been found among various groups of healthcare professionals (doctors, psychiatrist, psychologists, nurses and others) in whom psychiatrists are the most vulnerable group for vicarious traumatization and psychologists are the least vulnerable group. Moreover, healthcare professionals who are married and have personal history of trauma are more vulnerable for vicarious traumatization as compared to those who are unmarried and without personal history of trauma. No significant gender differences have been found among health care professionals on vicarious traumatization. CONCLUSION: The findings of present research have emphasized that vicarious traumatization must be addressed and identified in a health setting.

Somali asylum seekers’ perceptions of privacy in healthcare

2016 ◽  
Vol 23 (5) ◽  
pp. 535-546 ◽  
Author(s):  
Niina Eklöf ◽  
Hibag Abdulkarim ◽  
Maija Hupli ◽  
Helena Leino-Kilpi
Keyword(s):  
Social Services ◽  
Asylum Seekers ◽  
Healthcare Professionals ◽  
Informational Privacy ◽  
Human Right ◽  
Strongly Connected ◽  
Ethical Approval ◽  
Group Interviews ◽  
The Individual ◽  
Visual Privacy

Background: Privacy has been recognized as a basic human right and a part of quality of care. However, little is known about the privacy of Somali asylum seekers in healthcare, even though they are one of the largest asylum seeker groups in the world. Objectives: The aim of the study was to describe the content and importance of privacy and its importance in healthcare from the perspective of Somali asylum seekers. Research design: The data of this explorative qualitative study were collected by four focus group interviews with 18 Somali asylum seekers with the help of an interpreter. The data were analysed by inductive content analysis. Ethical considerations: Research permissions were obtained from the director of the reception centre and from the Department of Social Services. Ethical approval was obtained from the Ethics Committee of Turku University. Findings: The content of privacy includes visual privacy, physical privacy and informational privacy. All contents can be shared with healthcare professionals. The importance of privacy includes respect, dignity and freedom. Discussion: Privacy is strongly connected to the collectivism of Somali culture and religion. Unlike the Western cultures, privacy is not important only for the individual; most of all, it is seen to support collectivism. Conclusion: Even though all contents of privacy can be shared with healthcare professionals, it is important to recognize the cultural aspect of privacy especially when using interpreters with Somali background.

scholarly journals Qualitative exploration of emotional and social changes from diagnosis to bereavement for spousal caregivers of persons with dementia

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031423 ◽  
Author(s):  
Kirstian Gibson ◽  
Shelley Peacock ◽  
Melanie Bayly
Keyword(s):  
Social Inclusion ◽  
Social Connectedness ◽  
Good Health ◽  
Emotional Reactions ◽  
Spousal Caregivers ◽  
Social Changes ◽  
Canadian Prairie ◽  
Qualitative Interview Study ◽  
Reactions To Change ◽  
Qualitative Exploration

ObjectivesTo understand how bereaved spousal caregivers of persons with dementia perceive and respond to changes over the course of their spouse’s disease, from diagnosis into bereavement.DesignQualitative interview study with convenience sampling and thematic analysis approach.ParticipantsParticipants included eight women and two men (n=10) who had been spousal caregivers for a person with dementia prior to his/her death. Participants were older adults who self-reported good health and were bereaved longer than a year.SettingData collected in a small Canadian prairie city between fall 2014 and winter 2015.FindingsTwo overarching themes were developed as important components of participants’ caregiving journey: emotional reactions to change and variation in social connectedness throughout the caregiving and bereavement journey. Four key sub-themes developed through the analysis of emotional reactions to events: memorable grief overshadows persistent grief, a progressive feeling of hopelessness and overwhelmed, relief is common but hidden and gratitude is a milestone in a constructive bereavement. Three key variations of social connectedness throughout the caregiving and bereavement journey were developed: the importance of social inclusion throughout a caregiving and bereavement journey, the repeated loss of companionship and withdrawing from social interactions is contingent on needs.ConclusionsThe findings suggest that emotional changes throughout caregiving and bereavement are not linear. The need for support from family, friends and new social supports is influential in enabling the caregiver to move forward during caregiving and bereavement.

What’s in a smile? A review of the benefits of the clinician’s smile

2019 ◽  
Vol 95 (1120) ◽  
pp. 91-95 ◽  
Author(s):  
Andrew James Beamish ◽  
Jessica Jane Foster ◽  
Harry Edwards ◽  
Torsten Olbers
Keyword(s):  
Healthcare Professionals ◽  
Good Health ◽  
Communication Device ◽  
Happy Marriage ◽  
The Many ◽  
Relationship Of

For millennia, the smile has been recognised as a powerful communication device, offering benefits to both giver and receiver with few drawbacks. A sign of compassion, empathy and friendliness, smiling can benefit healthcare professionals and their patients, helping to build a relationship of trust. But beware the false smile, which is all too easily identified and may do more harm than good. In this review, we explore the literature surrounding smiling in healthcare and beyond, discussing the many reasons to be cheerful, from good health to a happy marriage, among aviators, table waiters, doctors, dentists and even dogs.

The impact of chemotherapy use on financial strain among stage III colorectal cancer patients: A population-based survey.

2014 ◽  
Vol 32 (3_suppl) ◽  
pp. 505-505
Author(s):  
Christine Marie Veenstra ◽  
Scott E. Regenbogen ◽  
Sarah T. Hawley ◽  
Mousumi Banerjee ◽  
Ikuko Kato ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Social Services ◽  
Credit Card ◽  
Financial Burden ◽  
Population Based ◽  
Financial Strain ◽  
Stage Iii ◽  
Catchment Areas ◽  
The Impact ◽  
Population Based Survey

505 Background: Many colorectal cancer (CRC) patients suffer personal financial hardship from the disease and its treatment. We hypothesized that chemotherapy use is associated with even greater financial burden and worry. Methods: We analyzed data from a population-based survey of patients with stage III CRC in the Georgia and Detroit SEER catchment areas focusing on the effects of CRC and its treatment on personal finances. The primary outcomes were financial burden, assessed with a seven-component composite measure, and financial worry, assessed with a 5 point Likert scale. The primary independent variable was chemotherapy use. We evaluated relationships between chemotherapy use and individual components of financial burden, as well as composite financial burden and worry, using chi square analyses. Logistic regression was used to examine the effect of chemotherapy use on financial burden and worry, after controlling for patient characteristics. Results: Financial burden scores and financial worry were significantly higher among chemotherapy users (P<0.001). Financial burden and worry were associated with younger age, lack of insurance, and lower education. After controlling for these factors, chemotherapy use remained significantly associated with both financial burden and financial worry. 717/844 respondents (85%) reported chemotherapy use. Chemotherapy users were more likely to use savings (34% vs 20%, P=0.001), borrow money/take out loans (14% vs 4%, P=0.001), fail to make credit card payments (14% vs 5%, P=0.003), reduce spending for food and/or clothing (31% vs 14%, P<0.0001), decrease recreational activities (38% vs 15%, P<0.0001), and reduce general expenses (51% vs 24%, P<0.0001) than those who did not use chemotherapy. Conclusions: Adjuvant chemotherapy confers significant survival benefit in stage III colorectal cancer (CRC), but is associated with significantly increased personal financial burden and worry. Because financial stress has the potential to preclude adherence to recommended care, CRC patients who receive chemotherapy may require additional social services and economic support.

scholarly journals The contribution of healthcare services to quality at the end of a patient’s life cycle

2020 ◽  
Vol 13 (3) ◽  
pp. 29-42
Author(s):  
Aggeliki Katsarou ◽  
George Intas ◽  
Charalampos Platis ◽  
Evgenia Polidoropoulou ◽  
George Pierrakos
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Family Environment ◽  
Quantitative Methods ◽  
Healthcare Professionals ◽  
Good Health ◽  
Home Care Services ◽  
Healthcare Services ◽  
Quality Model ◽  
Qualitative And Quantitative Methods

Introduction: Over the last decade it has been highlighted that palliative care is important for all life- threatening diseases. Purpose: The purpose of this study was to explore the perception of end-of-life patients and their carers about existing health care structures and healthcare professionals. Methods: This study adopted a mixed research methodology using both qualitative and quantitative methods. The population of this study was end-of-life patients and their caregivers. For data collection and interviews, a questionnaire was used which was created within the research part of the project “Development of a model of quality model in health education, self-care and rehabilitation of patients with neoplasms”. Results: The study sample consisted of 46 patients. Relatively limited activity, but ambulatory, were the 32.6% of patients. About half of the patients (56.5%) had access to home care services. Patients argued that healthcare professionals can guide them to better control their pain (93.5%) and symptoms (89.1%). Most carers were women (69.6%). Emotional disturbances were recorded in 23.9% and 53.3% rated good health. To improve care, most caregivers reported psychological support, more frequent contact with the family environment, and knowledge of the existence of specific structures/services. Conclusions: It is important to develop healthcare policies, which will include the development of palliative care, especially for family caregivers of end-of-life cancer patients.

scholarly journals Facilitating Factors of Professional Health Practice Regarding Female Genital Mutilation: A Qualitative Study

2020 ◽  
Vol 17 (21) ◽  
pp. 8244
Author(s):  
M Idoia Ugarte-Gurrutxaga ◽  
Brígida Molina-Gallego ◽  
Laura Mordillo-Mateos ◽  
Sagrario Gómez-Cantarino ◽  
M. Carmen Solano-Ruiz ◽  
...  
Keyword(s):  
Social Services ◽  
Female Genital Mutilation ◽  
Healthcare Professionals ◽  
African Women ◽  
Cross Sectional ◽  
Genital Mutilation ◽  
Middle East Countries ◽  
Professional Health ◽  
Structural Adaptations ◽  
Female Genital

Introduction: According to figures released by UNICEF (United Nations Children’s Fund), more than 200 million girls and women have suffered female genital mutilation (FGM) in 30 African and Middle East countries. An increasing number of African women who come from ethnic groups where FGM is practised are arriving in Western countries. Healthcare professionals play a fundamental role in its prevention. Goals: To learn about the factors that healthcare professionals consider as facilitators for prevention and action when faced with female genital mutilation. Methods: A cross-sectional descriptive study developed on the basis of the qualitative methodological perspective, where 43 healthcare professionals participated. A series of analysis dimensions were established, based on which, the interview and discussion group scripts were designed. Results: Addressing FGM requires a series of structural adaptations of the healthcare system that facilitate the recording and monitoring of cases, both for treatment and for prevention. In addition, it is necessary to establish coordination between the healthcare, social services and education sectors. Conclusions: The existence of a protocol of action and training in its use is one of the key tools to take into account.

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