scholarly journals Family-witnessed resuscitation: focus group inquiry into UK student nurse experiences of simulated resuscitation scenarios

2016 ◽  
Vol 2 (3) ◽  
pp. 73-77 ◽  
Author(s):  
David Pontin ◽  
Gerard Kenny ◽  
Issy Bray ◽  
John Albarran
Keyword(s):  
Focus Group ◽  
Research Ethics ◽  
Family Member ◽  
Family Members ◽  
Student Nurses ◽  
Student Nurse ◽  
Data Generation ◽  
Making Sense ◽  
Qualitative Focus Groups ◽  
The Impact

AimsTo describe the impact of family members’ presence on student nurse performance in a witnessed resuscitation scenario. To explore student nurses’ attitudes to simulated family-witnessed resuscitation and their views about its place in clinical practice.BackgroundFamily-witnessed resuscitation remains controversial worldwide. Hospital implementation remains inconsistent despite professional organisation support. Systematic reviews of international literature indicate family members wish to be involved and consulted; healthcare professionals express concerns about being observed while resuscitating. Student nurse perspectives have not been addressed.DesignQualitative, focus groups.MethodsParticipants: UK university second-year student nurses (n=48) who participated in simulated resuscitation scenarios (family member absent, family member present but quiet or family member present but distressed). Data generation 2014: focus group interview schedule—five open-ended questions and probing techniques. Audio recordings transcribed, analysed thematically. Research ethics approval via University Research Ethics committee.FindingsOverarching theme=students’ sense making—making sense of situation (practically/professionally), of themselves (their skills/values) and of others (patients/family members). Students identify as important team leader allocating tasks, continuity of carer and number of nurses needed. Three orientations to practice are identified and explored—includes rule following, guidance from personal/proto-professional values and paternalistic protectionism.DiscussionWe explore issues of students’ fluency of response and skills repertoire to support family-witnessed resuscitation; explanatory potential to account for the inconsistent uptake of family-witnessed resuscitation. Possible future lines of inquiry include family members’ gaze as a motivational trigger, and management of guilt.

scholarly journals Validation of the German version of the Family Reported Outcome Measure (FROM-16) to assess the impact of disease on the partner or family member

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Susanne A. Elsner ◽  
Sam S. Salek ◽  
Andrew Y. Finlay ◽  
Anna Hagemeier ◽  
Catherine J. Bottomley ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Family Member ◽  
Internal Consistency ◽  
Outcome Measure ◽  
Test Validity ◽  
Family Members ◽  
German Version ◽  
The Family ◽  
The Difference ◽  
The Impact

Abstract Background The Family Reported Outcome Measure (FROM-16) assesses the impact of a patient’s chronic illness on the quality of life (QoL) of the patient’s partner or family members. The aim of the study was to translate, explore the structure of and validate the FROM-16. Methods The questionnaire was translated from English into German (forward, backward, four independent translators). Six interviews with family members were conducted to confirm the questionnaire for linguistic, conceptual, semantic and experiential equivalence and its practicability. The final German translation was tested for internal consistency, reproducibility and test validity. Criterion validity was tested by correlating the scores of the FROM-16 and the Global Health Scale (GHS). Principal component analysis, factor analysis, and confirmatory factor analysis was used to assess the questionnaire’s structure and its domains. Reliability and reproducibility were tested computing the intraclass correlation coefficient (ICC) using one sample t-test for testing the hypothesis that the difference between the scores was not different from zero. Results Overall, 83 family members (61% female, median age: 61 years) completed the questionnaire at two different times (mean interval: 22 days). Internal consistency was good for the FROM-16 scores (Cronbach’s α for total score = 0.86). In those with stable GHS, the ICC for the total score was 0.87 and the difference was not different from zero (p = 0.262) indicating reproducible results. A bi-factor model with a general factor including all items, and two sub-factors comprising the items from the original 2-factor construct had the best fit. Conclusions The German FROM-16 has good reliability, test validity and practicability. It can be considered as an appropriate and generic tool to measure QoL of a patient’s partner or family member. Due to the presence of several cross-loadings we do not recommend the reporting of the scores of the two domains proposed for the original version of FROM-16 when using the German version. Thus, in reporting the results emphasis should be put on the total score. Trial registration: Retrospectively registered: DRKS00021070.

scholarly journals Making Sense of an Unknown Terrain

2016 ◽  
Vol 27 (2) ◽  
pp. 215-225 ◽  
Author(s):  
Nicholas D. Hughes ◽  
Louise Locock ◽  
Sue Simkin ◽  
Anne Stewart ◽  
Anne E. Ferrey ◽  
...  
Keyword(s):  
Young People ◽  
Thematic Analysis ◽  
Sense Of Self ◽  
Family Members ◽  
Sense Making ◽  
Narrative Interviews ◽  
Considerable Effort ◽  
Making Sense ◽  
Self Harm ◽  
The Impact

Self-harm is common in young people, and can have profound effects on parents and other family members. We conducted narrative interviews with 41 parents and other family members of 38 young people, aged up to 25, who had self-harmed. Most of the participants were parents but included one sibling and one spouse. This article reports experiences of the parent participants. A cross-case thematic analysis showed that most participants were bewildered by self-harm. The disruption to their worldview brought about by self-harm prompted many to undergo a process of “sense-making”—by ruminative introspection, looking for information, and building a new way of seeing—to understand and come to terms with self-harm. Most participants appeared to have been successful in making sense of self-harm, though not without considerable effort and emotional struggle. Our findings provide grounds for a deeper socio-cultural understanding of the impact of self-harm on parents.

Cognitive Decline and the Changing Self in Relationship

2015 ◽  
pp. 61-75
Author(s):  
Darby Morhardt ◽  
Marcia Spira
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Decline ◽  
Family Member ◽  
Family Members ◽  
Well Being ◽  
Family Roles ◽  
The Family ◽  
Person With Dementia ◽  
The Impact

When a member of a family is diagnosed with Alzheimer's disease, the impact of the disease reverberates throughout the relationships within the family. This paper explores the challenges and strengths within one family as members manage and cope with Alzheimer's disease. The person with dementia and his family members are individually interviewed and each person explores the consequences of the disease on personal well-being as well as the relationships within the family. The family demonstrates how dementia in one family member demands flexibility in family roles as they navigate life through the challenges of living with dementia.

Responding to Homicide

2016 ◽  
Vol 73 (4) ◽  
pp. 355-373 ◽  
Author(s):  
Christine M. Englebrecht ◽  
Derek T. Mason ◽  
Peggy J. Adams
Keyword(s):  
Focus Group ◽  
Coping Strategies ◽  
Family Members ◽  
Practical Applications ◽  
Group Data ◽  
Focus Group Data ◽  
The Impact

After a homicide, family members of the victim must cope with their loss and find ways to continue on with their lives. Research suggests that as “secondary victims,” this group may experience grief and cope in ways unique from other victims. Using focus group data, this article examines the impact of homicide on surviving family members. Our findings highlight the divergent ways in which individuals respond to homicide as well as the varying coping strategies families implement. Practical applications of these findings are discussed.

Dementia families: Relinquishing home care to aged care services: Guilt, traumatic loss and growth

Dementia ◽  
2020 ◽  
pp. 147130122097078
Author(s):  
Bruce D Walmsley ◽  
Lynne McCormack
Keyword(s):  
Home Care ◽  
Family Member ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Study ◽  
Care Home ◽  
Family Members ◽  
Well Being ◽  
Aged Care ◽  
Structured Interviews ◽  
The Impact

Background and Objectives Few studies explore both negative and positive perspectives of family members who relinquish home care of a family member with dementia for systemic aged care. Research Design and Methods This phenomenological study sought the ‘lived’ experience of relinquishing the role of home carer for a family member with mild to severe dementia to others within care home settings, by seeking to understand the impact of aged care on family members’ psychological well-being. Using semi-structured interviews, positive and negative subjective interpretations from 17 families (27 individuals) provided data for analysis, following the protocols of interpretative phenomenological analysis. Results One superordinate theme, mistrust/integrity, overarched oscillation between mistrust of the aged care system and a struggle for personal integrity in caring for these participants. Two sub-themes emerged: intrinsic trauma and extrinsic trauma. Intrinsic trauma explained feelings of helplessness and guilt, and internally directed responses that triggered a retreat into submission ultimately reducing the participant’s role in advocacy. Extrinsic trauma represented externally directed responses such as anger and frustration, where family members became more engaged and watchful and recognised a need for vigilance and advocacy. Paradoxically oscillating between these personal struggles, participants exhibited growth, a third theme that defined assertive/advocacy utilised to nurture hope, gratitude, courage and change. Discussion and Implications Family members experienced complex distress as they relinquished home care to others within systemic aged care for a member with dementia. By developing adaptive responses as appropriate, for example, advocating for their family member or accepting compliance with treatment, collaborative care between family and staff created better outcomes for the family member with dementia.

scholarly journals Dampak Pemutusan Hubungan Kerja di Masa Pandemi Covid-19 Terhadap Ketahanan Keluarga

2021 ◽  
Vol 4 (1) ◽  
pp. 61
Author(s):  
Nabila Luthvita Rahma ◽  
Anisa Yuniar ◽  
Fatimah Qurrotu A'yun ◽  
Indri Kurniati ◽  
Dania Saferina Ifada
Keyword(s):  
Family Member ◽  
Interpersonal Communication ◽  
Family Law ◽  
Family Members ◽  
Divorce Rate ◽  
Family Resilience ◽  
The Family ◽  
Islamic Family Law ◽  
The Impact

<p><em>The purpose of this study was to determine the impact of termination of employment during the Covid-19 pandemic on family resilience. This study uses a case approach and a law approach with primary legal sources and secondary legal sources in the form of books or legal journals related to the research title. The results of this study indicate that the termination of employment experienced by the head of the family or family member during the Covid-19 pandemic did not significantly affect family resilience, as evidenced by the divorce rate which did not increase significantly and was not caused by termination of employment. As for maintaining family resilience during the Covid-19 pandemic can be done by carrying out the rights and obligations of each family member in accordance with the study of Islamic family law, in addition to maintaining interpersonal communication between family members. </em></p>

Abstract 351: Current Barriers for College Students to Perform Cardiopulmonary Resuscitation on Strangers and Family Members

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_4) ◽  
Author(s):  
Daniela Dluzynski ◽  
Trey Baird ◽  
Trevor Short ◽  
Rachel VanScoy ◽  
Ashish R Panchal
Keyword(s):  
College Students ◽  
Family Member ◽  
Undergraduate Students ◽  
Demographic Data ◽  
Family Members ◽  
College Campuses ◽  
Ohio State University ◽  
State University ◽  
The Ohio State University ◽  
The Impact

Background: As opioid associated cardiac arrests increase on US college campuses, there is a need for students to learn and perform CPR. These arrests are respiratory in origin and require provision of compressions with rescue breathing (conventional CPR) over hands-only CPR. Unfortunately, only some college students will provide rescue breaths as mouth to mouth contact is a leading barrier to initiate CPR. The objective of this study was to evaluate the barriers of college students to performing conventional CPR on strangers and family members. Methods: Undergraduate students at The Ohio State University were recruited from Jan 2018 to Dec 2019 to participate in a survey. Respondents’ demographic data were collected, and they were asked about their attitudes concerning performing conventional CPR on strangers and family. This was followed by identifying their potential barriers to performing conventional CPR. Inclusion criteria were age > 17 and missing < 10% of survey data. Barriers were compared between respondents who were unlikely to perform CPR (unlikely) and those likely to perform CPR (likely). Descriptive statistics were calculated. Results: A total of 883 surveys were included in the analysis (response rate 74%). Of these respondents, 495 (56%) were likely to perform CPR on a stranger and 743 (84%) were likely to perform CPR on a family member. When performing CPR on a stranger, the barriers of fear of an incorrect method (unlikely: 81% vs likely: 61%, P<0.001) and mouth to mouth contact (unlikely: 31% vs likely: 24%, p=0.03) were different between groups while facing legal risk and causing harm to the victim were not. In contrast, when performing CPR on a family member, there were no differences between groups except for the fear of applying an incorrect method, which persisted as a larger barrier for those unlikely to perform CPR (unlikely: 72% vs likely: 62%, p<0.05). Conclusion: There are many barriers that influence college students’ intention to perform CPR. Surprisingly, the most significant barrier reported by both groups was fear of performing CPR incorrectly, while the fear of mouth-to-mouth contact was not as prevalent. Further evaluation is necessary in the post-COVID-19 era to understand the impact of increased fear of infectious diseases.

scholarly journals The effects of concept mapping on student nurses’ learning of medical-surgical nursing

2020 ◽  
Vol 10 (7) ◽  
pp. 1
Author(s):  
Sze Wing Julia Wong ◽  
Baaska Anderson ◽  
Martin Gough
Keyword(s):  
Academic Performance ◽  
Focus Group ◽  
Prior Knowledge ◽  
Concept Mapping ◽  
Student Nurses ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
The Difference ◽  
The Impact ◽  
Medical Surgical Nursing

Background and objective: Many student nurses are weak in studying medical-surgical nursing because higher-order skills are required to understand and incorporate prior knowledge with new knowledge. Hence, this study tried to employ concept mapping (CM) in teaching one medical-surgical nursing course to enhance their learning. The aims of this study are to explore the effects on student nurses’ learning experience and examine the difference in academic performance of students who learned this subject by using CM and those who did not.Methods: This was a mixed research study conducted in 2017. The overall grade and pass rate were used to compare the differences between CM and non-CM groups. Moreover, focus group discussions after semesters were used to explore the impact of CM on student nurses’ learning.Results: The difference of marks between the CM group (M = 77.90 and SD = 8.09) and non-CM group (M = 57.56 and SD = 10.16) was statistically significant (p = .000) with a large effect (Cohen’s d = 2.21). Twenty-six student nurses were interviewed in focus group discussions. The advantages and shortcomings of CM were identified. After new and prior knowledge was bridged, students used their own perceived effective method to re-organise knowledge and enhance their memory to prepare for written examinations.Conclusions: To conclude, CM seems able to improve students’ academic performance, and students gained a good understanding of the relationships between concepts in medical-surgical nursing, especially for the students who were new to the subject. The results of this study will provide insights for nurse educators who teach Chinese student nurses.

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