Effect of social networks and well-being on acute care needs

2013 ◽  
Vol 22 (1) ◽  
pp. 87-95 ◽  
Author(s):  
Sanna Sintonen ◽  
Aini Pehkonen
Keyword(s):  
Social Networks ◽  
Acute Care ◽  
Well Being ◽  
Care Needs

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.

Do the companionship and community networks of older LGBT adults compensate for weaker kinship networks?

2016 ◽  
Vol 17 (1) ◽  
pp. 36-49 ◽  
Author(s):  
Marcus Green
Keyword(s):  
Social Networks ◽  
Social Contact ◽  
Well Being ◽  
Network Capacity ◽  
Community Networks ◽  
Care Needs ◽  
Content Type ◽  
Kinship Networks ◽  
The Social ◽  
Using Data

Purpose – The purpose of this paper is to compare the supportive capacity of social networks of older lesbian, gay, bisexual and transsexual (LGBT) and heterosexual adults using data from Understanding Society. The principal research objective is to discern whether the companionship and community networks of older LGBT adults compensate for weaker kinship networks. Design/methodology/approach – Understanding Society has data on the frequency of interaction with and proximity to family, friends and the wider community to quantify supportive capacity. Bivariate analyses reveal similarities and differences in network supportive capacity between older LGBT and heterosexual adults. Findings – The study finds that older LGBT adults have significantly weaker kinship networks than do older heterosexual adults. Further to this, the companionship and community networks of older LGBT adults do not compensate for weaker kinship networks. Social implications – In essence, this means that many older LGBT adults have weak social networks which increases the likelihood of receiving little or no social contact and informal support which may have implications for their physical and mental well-being. This could be especially problematic for individuals who have care needs where in the context of England, the provision of state funded social care is patchy. Originality/value – This study contributes evidence to an under researched area of social network analysis. Little research has explored the social networks of older LGBT adults compared with older heterosexual adults; specifically the supportive network capacity of different types of network.

Comparing the social networks of service users with long term mental health needs living in community with those in a general adult in-patient unit

2021 ◽  
pp. 002076402110175
Author(s):  
Roberto Rusca ◽  
Ike-Foster Onwuchekwa ◽  
Catherine Kinane ◽  
Douglas MacInnes
Keyword(s):  
Mental Health ◽  
Social Networks ◽  
Social Network ◽  
Patient Group ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Practical Support ◽  
The Social

Background: Relationships are vital to recovery however, there is uncertainty whether users have different types of social networks in different mental health settings and how these networks may impact on users’ wellbeing. Aims: To compare the social networks of people with long-term mental illness in the community with those of people in a general adult in-patient unit. Method: A sample of general adult in-patients with enduring mental health problems, aged between 18 and 65, was compared with a similar sample attending a general adult psychiatric clinic. A cross-sectional survey collected demographic data and information about participants’ social networks. Participants also completed the Short Warwick Edinburgh Mental Well-Being Scale to examine well-being and the Significant Others Scale to explore their social network support. Results: The study recruited 53 participants (25 living in the community and 28 current in-patients) with 339 named as important members of their social networks. Both groups recorded low numbers in their social networks though the community sample had a significantly greater number of social contacts (7.4 vs. 5.4), more monthly contacts with members of their network and significantly higher levels of social media use. The in-patient group reported greater levels of emotional and practical support from their network. Conclusions: People with serious and enduring mental health problems living in the community had a significantly greater number of people in their social network than those who were in-patients while the in-patient group reported greater levels of emotional and practical support from their network. Recommendations for future work have been made.

scholarly journals Virtual Reality Representations of Nature to Improve Well-Being amongst Older Adults: a Rapid Review

2021 ◽  
Author(s):  
Josca Van Houwelingen-Snippe ◽  
Somaya Ben Allouch ◽  
Thomas J. L. Van Rompay
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Technological Development ◽  
Intervention Strategy ◽  
Well Being ◽  
Rapid Review ◽  
Health Concern ◽  
Psychological Processes ◽  
Care Needs ◽  
Representations Of Nature

Abstract Poor well-being amongst older adults poses a serious health concern. Simultaneously, research shows that contact with nature can improve various facets of well-being, including physical, social, and mental well-being. However, nature is not always accessible for older adults due to mobility restrictions and related care needs that come with age. A promising strategy aims at bringing nature inside through pervasive technologies. However, so far, there is little academic understanding of essential nature characteristics, psychological processes involved, and means for implementation in practice. The current study used a three-folded rapid review to assess current understanding and strategies used for improving well-being for older adults through virtual reality representations of nature. Searches were performed across three databases, followed-up by content-based evaluation of abstracts. In total, a set of 25 relevant articles was identified. Only three studies specifically focus on digital nature as an intervention strategy for improving well-being amongst older adults. Although these studies provide useful starting points for the design and (technological) development of such environments, they do not generate understanding of how specific characteristics of virtual nature representations impact social well-being measures in particular, and of the underlying psychological processes involved. We conclude that follow-up research is warranted to close the gap between insights and findings from nature research, gerontology, health research, and human-technology interaction.

scholarly journals Acceptance and Commitment Therapy for Children with Special Health Care Needs and Their Parents: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (15) ◽  
pp. 8205
Author(s):  
Arpita Parmar ◽  
Kayla Esser ◽  
Lesley Barreira ◽  
Douglas Miller ◽  
Leora Morinis ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Well Being ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Psychological Inflexibility ◽  
Special Health Care ◽  
Acceptance And Commitment ◽  
Meta Analyses ◽  
Special Health

Context: Acceptance and Commitment Therapy (ACT) is an emerging treatment for improving psychological well-being. Objective: To summarize research evaluating the effects of ACT on psychological well-being in children with special health care needs (SHCN) and their parents. Data Sources: An electronic literature search was conducted in PubMed, Web of Science, Ovid/EMBASE and PsycINFO (January 2000–April 2021). Study Selection: Included were studies that assessed ACT in children with SHCN (ages 0–17y) and/or parents of children with SHCN and had a comparator group. Data Extraction: Descriptive data were synthesized and presented in a tabular format, and data on relevant outcomes (e.g., depressive symptoms, stress, avoidance and fusion) were used in the meta-analyses to explore the effectiveness of ACT (administered independently with no other psychological therapy) compared to no treatment. Results: Ten studies were identified (child (7) and parent (3)). In children with SHCN, ACT was more effective than no treatment at helping depressive symptoms (standardized mean difference [SMD] = −4.27, 95% CI: −5.20, −3.34; p < 0.001) and avoidance and fusion (SMD = −1.64, 95% CI: −3.24, −0.03; p = 0.05), but not stress. In parents of children with SHCN, ACT may help psychological inflexibility (SMD = −0.77, 95% CI: −1.07, −0.47; p < 0.01). Limitations: There was considerable statistical heterogeneity in three of the six meta-analyses. Conclusions: There is some evidence that ACT may help with depressive symptoms in children with SHCN and psychological inflexibility in their parents. Research on the efficacy of ACT for a variety of children with SHCN and their parents is especially limited, and future research is needed.

Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

2021 ◽  
pp. 1-19
Author(s):  
Jonathan Plante ◽  
Karine Latulippe ◽  
Edeltraut Kröger ◽  
Dominique Giroux ◽  
Martine Marcotte ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Length Of Stay ◽  
Acute Care ◽  
Scoping Review ◽  
Research Question ◽  
Positive Association ◽  
Well Being ◽  
Future Research ◽  
Care Hospital ◽  
The Impact

Abstract Older persons experiencing a longer length of stay (LOS) or delayed discharge (DD) may see a decline in their health and well-being, generating significant costs. This review aimed to identify evidence on the impact of cognitive impairment (CI) on acute care hospital LOS/DD. A scoping review of studies examining the association between CI and LOS/DD was performed. We searched six databases; two reviewers independently screened references until November 2019. A narrative synthesis was used to answer the research question; 58 studies were included of which 33 found a positive association between CI and LOS or DD, 8 studies had mixed results, 3 found an inverse relationship, and 14 showed an indirect link between CI-related syndromes and LOS/DD. Thus, cognitive impairment seemed to be frequently associated with increased LOS/DD. Future research should consider CI together with other risks for LOS/DD and also focus on explaining the association between the two.

scholarly journals Development of a Remote Assessment and Dynamic Response Intervention for Dementia-Related Care Needs

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 626-626
Author(s):  
Lyndsey Miller ◽  
Christina Reynolds ◽  
Carol Whitlatch ◽  
Joel Steele ◽  
Jeffrey Kaye
Keyword(s):  
Needs Assessment ◽  
Well Being ◽  
Behavioral Data ◽  
Sleep Habits ◽  
Care Needs ◽  
Assessment Protocol ◽  
Age In Place ◽  
Individual Care ◽  
Remote Assessment ◽  
The Individual

Abstract Unmet dementia-related care needs are highly prevalent, and are detrimental to the care dyad’s health and well-being, safety, and ability to age in place. The goal of this study was to develop an ecologically-valid needs assessment and integrate it with aspects of the SHARE intervention to inform values-based care planning. Using digital behavioral data collected via an actigraphy watch and multimodal sensors installed in the homes of 76 older adult couples with and without dementia, we created a prototype of the objective measures informing READyR: time spent together or separate as a dyad, exits from the home, sleep habits, physical activity, daily weight, driving habits, and medication taking behavior. These digital behavioral data were then mapped onto care values (e.g. safety, avoiding burden & autonomy) to create a values-based needs assessment protocol that is tailored to the individual care dyad. Discussion will focus on future testing and applications of READyR.

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