School Performance After Pediatric Intensive Care—Association of Mental Well-Being, Chronic Illnesses, and Family Socioeconomic Status

2020 ◽  
Vol 21 (12) ◽  
pp. e1099-e1105
Author(s):  
Elina Kyösti ◽  
Outi Peltoniemi ◽  
Janne H. Liisanantti ◽  
Pasi Ohtonen ◽  
Hanna Ebeling ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Intensive Care ◽  
School Performance ◽  
Pediatric Intensive Care ◽  
Well Being ◽  
Chronic Illnesses ◽  
Family Socioeconomic Status ◽  
Care Association ◽  
Mental Well Being

scholarly journals Contributing Factors in Adolescents’ Mental Well-Being—The Role of Socioeconomic Status, Social Support, and Health Behavior

2020 ◽  
Vol 12 (22) ◽  
pp. 9597
Author(s):  
Gabriella Nagy-Pénzes ◽  
Ferenc Vincze ◽  
Éva Bíró
Keyword(s):  
Social Support ◽  
Socioeconomic Status ◽  
Life Satisfaction ◽  
Health Behavior ◽  
Mental Health Problems ◽  
Well Being ◽  
Cross Sectional ◽  
Unhealthy Eating ◽  
The Impact ◽  
Mental Well Being

Mental disorders are common in adolescents, and for effective interventions we should be aware of their determinants. However, there are only a small number of studies investigating the combined effect of multiple factors. Therefore, our aim is to assess the impact of socioeconomic status, social support, and health behavior on adolescents’ mental well-being. A cross-sectional health survey of 1641 children was carried out in accordance with the study protocol of the Hungarian Health Behavior in School-aged Children survey. Multivariate multiple regression was used to analyze the main determinants of mental well-being. The boys’ mental well-being was favorable compared to girls; lower subjective family wealth was associated with lower life satisfaction and depressive mood. Life satisfaction was positively related to healthy eating, social support, and physical activity. Unhealthy eating, sedentary lifestyle, and lower social support were associated with higher depression scores. Higher social support reduces psychosomatic symptoms, while unhealthy eating and spending a lot of time in front of the computer increase them. Both social support and healthy lifestyle seem to be protective against mental health problems among adolescents, and thus interventions should focus on these factors regardless of the socioeconomic status of the participants, with special attention given to girls.

scholarly journals The sound of potency: An observation study of nurses’ approach to sound in a pediatric intensive care unit

2017 ◽  
Vol 5 (2) ◽  
pp. 46
Author(s):  
Emma Mellgren ◽  
Janet Mattsson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Well Being ◽  
High Tech ◽  
Noise Levels ◽  
Observation Study ◽  
Care Environment ◽  
High Noise

Objective: The objective of this study was to investigate the nurses’ approach to three sources of sound that contribute to high noise levels; alarms, doors that open and conversation.Methods: Methods used derived from a theoretical perspective based on interpretive phenomenology and caring culture. In the pediatric intensive care, the caregivers of the children work in a high-tech environment as they are surrounded by sound from several sources. How caregivers understand and acknowledge how these sounds negatively affect a child’s well-being depends on their individual knowledge and awareness of how children are affected by sound. In most cases, coming into an intensive care unit is a new experience for a child. This causes greater stress, both from the environment itself as well as from sound levels. The method was built on a phenomenological perspective and an interpretive non-participation, semi-structured observations were conducted in a pediatric intensive care unit (PICU) of one of Sweden’s metropolitan regions in the winter of 2014-2015.Results: The results show that noise is an overlooked phenomenon in the pediatric intensive care environment as it has given way to other priorities in the nurse’s work. It is also apparent that this depends on the department’s caring culture as it prioritizes other things, resulting in normalizing high levels of noise as a part of the pediatric intensive care environment.Conclusions: Noise levels are not a priority in the department’s caring culture. High noise levels are permitted unreflectedly and appears to be a token of potency and an accepted part of the health care environment.

scholarly journals Family Representations of Preschool Age Children Living in Families of Different Socio-Economic Status

2016 ◽  
Vol 21 (4) ◽  
pp. 83-101
Author(s):  
A.A. Shvedovskaya ◽  
T.Yu. Zagvozdkina
Keyword(s):  
Socioeconomic Status ◽  
Economic Status ◽  
Family Members ◽  
Well Being ◽  
Preschool Age ◽  
Family Socioeconomic Status ◽  
Her Family ◽  
Financial Anxiety ◽  
Economic Well Being ◽  
Family Representation

A child’s family representation is one of the crucial factors of psychological and social development in older preschoolers. The article emphasizes that the relationships between a child’s family socioeconomic status (SES) and family representation are mediated. Family members’ perception and evaluation of their socioeconomic status are conditioned with subjective economic well- being. It influences family functioning which, in its turn, conditions particular characteristics of a child’s emotional experiences in family situation and his/her family representations. The analysis of relationships between subjective economic well-being of family members and a child’s family representations demonstrates the trend to increase in severity of poor well-being markers in case of increase of parental markers of financial stress, financial deprivation and financial anxiety. An empirical classification of family representation types in children from families with various SES is provided. It includes positive family representation “Favorable family”, family representation with some elements of disharmony “Unstable family”, representation of a distant family “Distant family”, conflict family representation “Conflict family”, negative family representation “Unfavorable family”.

scholarly journals Learning Inequality in Francophone Africa: School Quality and the Educational Achievement of Rich and Poor Children

2020 ◽  
Vol 93 (3) ◽  
pp. 256-276
Author(s):  
Rob J. Gruijters ◽  
Julia A. Behrman
Keyword(s):  
Socioeconomic Status ◽  
Learning Outcomes ◽  
Social Inequalities ◽  
School Quality ◽  
Educational Achievement ◽  
Family Background ◽  
Well Being ◽  
African Countries ◽  
Unequal Distribution ◽  
Family Socioeconomic Status

Influential reports about the “learning crisis” in the global South generally pay insufficient attention to social inequalities in learning. In this study, we explore the association between family socioeconomic status and learning outcomes in 10 francophone African countries using data from the Programme for the Analysis of Education Systems, a standardized assessment of pupils’ mathematics and reading competence at the end of primary school. We start by showing that learning outcomes among grade 6 pupils are both poor and highly stratified. We then develop and test a conceptual framework that highlights three mechanisms through which family socioeconomic status might contribute to learning: (1) educational resources at home, (2) health and well-being, and (3) differences in school quality. We find that most of the effect of family background on learning outcomes operates through school quality, which results from a combination of the unequal distribution of resources (such as teachers and textbooks) across schools and high socioeconomic segregation between schools. On the basis of these results, we suggest that most countries in the region could improve equity as well as overall performance by “raising the floor” in school quality.

scholarly journals A Web-Based Recovery Program (ICUTogether) for Intensive Care Survivors: Protocol for a Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Beverley Ewens ◽  
Helen Myers ◽  
Lisa Whitehead ◽  
Karla Seaman ◽  
Deborah Sundin ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Critical Illness ◽  
Family Support ◽  
Well Being ◽  
Web Based ◽  
Time Points ◽  
Recovery Program ◽  
The Impact ◽  
Mental Well Being

BACKGROUND Those who experience a critical illness or condition requiring admission to an intensive care unit (ICU) frequently experience physical and psychological complications as a direct result of their critical illness or condition and ICU experience. Complications, if left untreated, can affect the quality of life of survivors and impact health care resources. Explorations of potential interventions to reduce the negative impact of an ICU experience have failed to establish an evidence-based intervention. OBJECTIVE The aim of this study is to evaluate the impact of a Web-based intensive care recovery program on the mental well-being of intensive care survivors and to determine if it is a cost-effective approach. METHODS In total, 162 patients that survived an ICU experience will be recruited and randomized into 1 of 2 groups. The intervention group will receive access to the Web-based intensive care recovery program, ICUTogether, 2 weeks after discharge (n=81), and the control group will receive usual care (n=81). Mental well-being will be measured using the Hospital Anxiety and Depression Scale, The Impact of Events Scale-Revised and the 5-level 5-dimension EuroQoL at 3 time points (2 weeks, 6 months, and 12 months post discharge). Family support will be measured using the Multidimensional Scale of Perceived Social Support at 3 time points. Analysis will be conducted on an intention-to-treat basis using regression modeling. Covariates will include baseline outcome measures, study allocation (intervention or control), age, gender, length of ICU stay, APACHE III score, level of family support, and hospital readmissions. Participants’ evaluation of the mobile website will be sought at 12 months postdischarge. A cost utility analysis conducted at 12 months from a societal perspective will consider costs incurred by individuals as well as health care providers. RESULTS Participant recruitment is currently underway. Recruitment is anticipated to be completed by December 2020. CONCLUSIONS This study will evaluate a novel intervention in a group of ICU survivors. The findings from this study will inform a larger study and wider debate about an appropriate intervention in this population.

Caring for children in pediatric intensive care units

2013 ◽  
Vol 20 (5) ◽  
pp. 528-538 ◽  
Author(s):  
Janet Mattsson ◽  
Maria Forsner ◽  
Maaret Castrén ◽  
Maria Arman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Nursing Care ◽  
Pediatric Intensive Care ◽  
Well Being ◽  
Phenomenological Approach ◽  
Individual Child ◽  
Medical Needs ◽  
Pain And Suffering

Children in the pediatric intensive care unit are indisputably in a vulnerable position, dependent on nurses to acknowledge their needs. It is assumed that children should be approached from a holistic perspective in the caring situation to meet their caring needs. The aim of the study was to unfold the meaning of nursing care through nurses’ concerns when caring for children in the pediatric intensive care unit. To investigate the qualitative aspects of practice embedded in the caring situation, the interpretive phenomenological approach was adopted for the study. The findings revealed three patterns: medically oriented nursing—here, the nurses attend to just the medical needs, and nursing care is at its minimum, leaving the children’s needs unmet; parent-oriented nursing care—here, the nursing care emphasizes the parents’ needs in the situation, and the children are viewed as a part of the parent and not as an individual child with specific caring needs; and smooth operating nursing care orientation—here, the nursing care is focused on the child as a whole human being, adding value to the nursing care. The conclusion drawn suggests that nursing care does not always respond to the needs of the child, jeopardizing the well-being of the child and leaving them at risk for experiencing pain and suffering. The concerns present in nursing care has been shown to be the divider of the meaning of nursing care and need to become elucidated in order to improve the cultural influence of what can be seen as good nursing care within the pediatric intensive care unit.

Adolescent Socioeconomic Status and Parent-Child Emotional Bonds: Reexamining Gender Differences in Mental Well-being during Young Adulthood

2018 ◽  
Vol 9 (1) ◽  
pp. 95-110 ◽  
Author(s):  
Renae Wilkinson ◽  
Matthew A. Andersson
Keyword(s):  
Gender Differences ◽  
Socioeconomic Status ◽  
Young Adult ◽  
Young Adulthood ◽  
Parental Education ◽  
Well Being ◽  
Economic Resources ◽  
Emotional Bonds ◽  
Mental Well Being ◽  
Parent Child

Links between elevated mental well-being in adulthood and higher social and economic resources growing up are well established. However, the role of gender remains unclear, especially whether gender influences how social and economic resources interact to produce disparities in mental well-being across young adulthood. Drawing on nationally representative longitudinal data, we illuminate gender differences in mental well-being, finding that young adult mental health advantages based in adolescent socioeconomic status pivot on parent-child emotional bonds for young men only. That is, for young adult men, lessened depressive symptom frequency linked to higher parental education only appears when perceived parent-child bonds are at least moderately close. This holds even after adjusting for earlier adolescent mental well-being, suggesting a stable mechanism across the transition to adulthood. Overall, our results uphold the argument that familial social and economic resources predict mental well-being during young adulthood while revealing that relevant mechanisms may differ by gender.

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