AN INDIGENOUS PSYCHO-EDUCATIONAL GROUP FOR CHINESE BEREAVED FAMILY MEMBERS

1998 ◽  
Vol 32 (01) ◽  
pp. 1-20 ◽  
Author(s):  
CECILIA L. W. CHAN ◽  
AMY Y. M. CHOW
Keyword(s):  
Personal Growth ◽  
Family Members ◽  
Growth Strategies ◽  
Chinese People ◽  
Practice Model ◽  
Educational Group ◽  
Letting Go ◽  
Bereaved Family ◽  
Anxiety Depression ◽  
The Impact

Detrimental effects of bereavement on physical, mental, social and psychological aspects of individuals can be found among bereaved Chinese. The authors have developed an indigenous practice model to work with bereaved family members among Chinese people in Hong Kong. The concept of bereavement was re-cast to include the idea that bereavement is a challenge that can aid in personal growth. Strategies were created to deal with the feelings of loss and separation positively. Programs in a "growth-oriented" psychosocial-educational group using multiple cognitive, behavioral and spiritual strategies were introduced. Throughout the sessions, messages of "Letting Go", "Self-Love", "Forgiveness" and "Transformation" were embedded in the programs by culturally relevant terms and concepts. A pre-group and post-group questionnaire as well as long interviews were used to evaluate the impact of the group on the participants. Participants of the bereavement groups showed significant improvements in somatic symptoms, anxiety, depression, mood, self-acceptance, letting-go and transformation.丧亲会损害家人的身、心、情绪健康。笔者们共同设计了一套本地化「善别」概念为香港华人服务。「善别」的建立是基于「去者能善终、留者能善别」的信念，希望丧亲家人能「妥善处理别离的经验」，明白「死亡」是生命的蜕变，而善别、是成长的挑战」，以积极的态度去面对丧亲所引致的别离，以个人成长及独立训练作为回报亲人的关顾。「善别」辅导小组以身、心、灵全面介入，推介「舍得」、「惜自己」、「宽恕」、和「升华」等传统观念。透过小组前、后对比及访问方式搜集善别小组成效的证据。组员在参加小组之后均于身心、情绪、自我接纳、「舍得」及「升华」方面有正面的改善。

The impact of bereavement support on psychological distress in family members: a systematic review and meta-analysis

2021 ◽  
Vol 23 (2) ◽  
pp. 225-233
Author(s):  
*Louise I Rait ◽  
◽  
*Nikki Y Yeo ◽  
*Equal first authors ◽  
Yasmine Ali Abdelhamid ◽  
...  
Keyword(s):  
Systematic Review ◽  
Psychological Distress ◽  
Meta Analysis ◽  
Family Members ◽  
Risk Of Bias ◽  
Bereavement Support ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Bereaved Family ◽  
The Impact

BACKGROUND: Persistent psychological distress occurs frequently in family members of patients who die in an intensive care unit (ICU). OBJECTIVE: To determine the effectiveness of bereavement interventions in reducing persisting psychological distress in bereaved family members after death in an adult ICU. DESIGN: Systematic review and meta-analysis of studies that assessed the effect of bereavement interventions on persisting psychological distress in bereaved family members of ICU patients. DATA SOURCES: MEDLINE and APA Psycinfo databases were searched until April 2020. REVIEW METHODS: Two of us independently screened titles and abstracts of identified studies, and then completed full text evaluation of selected studies. We assessed risk of bias using version 2 of the Cochrane risk-of-bias tool for randomised trials and the Newcastle-Ottawa Scale, which is designed to assess the quality of non-randomised studies in meta-analyses. We also used random effects meta-analysis to assess the effect of various interventions on total Hospital Anxiety and Depression Scale (HADS) scores. RESULTS: From 664 citations, five studies were included — three multicentre randomised clinical trials and two single centre observational studies. Three studies tested the intervention of written bereavement support materials and two studies used narration of family members' experiences in the ICU. All studies reported HADS scores. Scores for Impact of Event Scale, Impact of Event Scale–Revised and Inventory of Complicated Grief were measured in some but not all studies. There was no effect of an intervention on HADS scores (weighted mean difference, −0.79 [95% confidence interval, −3.81 to 2.23]; Ι2 = 65.8%). CONCLUSIONS: Owing to limited data, and clinical and statistical heterogeneity, there is considerable uncertainty regarding whether bereavement support strategies reduce, increase or have no effect on psychological distress in bereaved family members.

scholarly journals Grupo de orientação multiprofissional para pacientes transplantados renais e familiares

2021 ◽  
Vol 11 (34) ◽  
pp. 296-306
Author(s):  
Beatriz Pinheiro da Mota Costa ◽  
Alessandra Rosa Vicari ◽  
Carla Elisabete da Silva Oliveira ◽  
Fernanda Guarilha Boni ◽  
Isabel Cristina Echer
Keyword(s):  
Kidney Transplantation ◽  
Kidney Transplant ◽  
Personal Growth ◽  
Family Members ◽  
Structured Interview ◽  
University Hospital ◽  
Transplant Patients ◽  
Group I ◽  
Kidney Transplant Patients ◽  
The Impact

Conhecer a percepção de pacientes e familiares acerca do grupo de orientação multiprofissional para transplantados renais. Método: trata-se de um estudo qualitativo realizado em hospital universitário do sul do Brasil nos meses de fevereiro a maio do ano de 2019. As informações foram coletadas pelos pesquisadores por meio de entrevista estruturada com os participantes do grupo de orientação multiprofissional. Foi realizada a técnica de análise de conteúdo. Resultados: participaram 15 pacientes transplantados renais e quatro familiares. A análise dos depoimentos resultou em três categorias: “Motivação para participar do grupo”, “Sou transplantado renal, e agora?” e “Compreendendo as orientações: o impacto no autocuidado”. As orientações em grupo foram consideradas objetivas, claras e relevantes para a recuperação. Considerações finais: participar do grupo possibilitou estreitamento de laços familiares/profissionais, crescimento pessoal, maior conhecimento sobre o transplante renal, mudança de comportamento e comprometimento com o autocuidado.Descritores: Enfermagem, Transplante de Rim, Equipe de Assistência ao Paciente, Educação em Saúde. Multiprofessional guidance group for kidney and family transplant patientsAbstract: To know the perception of patients and family members about the multiprofessional guidance group for kidney transplant patients. Method: this is a qualitative study carried out at a university hospital in southern Brazil from February to May of 2019. The information was collected by the researchers through a structured interview with the participants of the multiprofessional guidance group. The content analysis technique was performed. Results: 15 kidney transplant patients and four family members participated. The analysis of the testimonies resulted in three categories: “Motivation to participate in the group”, “I am a kidney transplanted, what now?” and “Understanding the guidelines: the impact on self-care”. The group guidelines were considered objective, clear and relevant to recovery. Final considerations: to participate in the group allowed for closer family/professional ties, personal growth, greater knowledge about kidney transplantation, behavior change and commitment to self-care.Descriptors: Nursing, Kidney Transplantation, Patient Care Team, Health Education. Grupo de orientación multiprofesional para pacientes con trasplante renal y familiarResumen: Conocer la percepción de los pacientes y familiares sobre el grupo de orientación multiprofesional para pacientes con trasplante renal. Método: es un estudio cualitativo realizado en un hospital universitario del sur de Brasil de febrero a mayo de 2019. La información fue recolectada por los investigadores mediante una entrevista estructurada con los participantes del grupo de orientación multiprofesional. Se realizó la técnica de análisis de contenido. Resultados: participaron 15 pacientes con trasplante renal y cuatro familiares. El análisis de los testimonios resultó en tres categorías: “Motivación para participar en el grupo”, “Soy un trasplante de riñón, ¿ahora qué?” y “Comprender las pautas: el impacto en el autocuidado”. Las pautas del grupo se consideraron objetivas, claras y relevantes para la recuperación. Consideraciones finales: participar en el grupo permitió estrechar lazos familiares/profesionales, crecimiento personal, mayor conocimiento sobre trasplante de riñón, cambio de comportamiento y compromiso con el autocuidado.Descriptores: Enfermería, Trasplante de Riñón, Grupo de Atención al Paciente, Educación en Salud.

scholarly journals Teachers as Students in the (Literal) Field: A Service-learning Internship within a Developing Nation

2019 ◽  
Vol 28 (2) ◽  
pp. 64-81
Author(s):  
Daniel Bruce Robinson
Keyword(s):  
Service Learning ◽  
Personal Growth ◽  
Professional Growth ◽  
Global Education ◽  
Research Study ◽  
Field Experiences ◽  
Comfort Zone ◽  
Safe Learning Environment ◽  
Letting Go ◽  
The Impact

This paper provides an account of a recent research study that investigated an international field experience—labelled as a service-learning internship—for in-service teachers. Relying upon what we know to be the advantages and benefits of similar international field experiences for pre-service teachers to frame our investigation, we explored the impact upon in-service teachers, particularly as they relate to both professional and personal growth. Analysis of questionnaire responses revealed several prominent themes. Stories and accounts of professional growth were related to: 1) creating an engaging and safe learning environment, 2) (over)planning for the unexpected, and 3) teaching with (and in front of) others. Stories and accounts of personal growth were related to: 1) letting go of control, 2) facing fears and confronting anxieties outside of one’s comfort zone, and 3) recognizing privilege and the excess of possessions. Results from this study might be of interest to those who similarly share an interest in international field experiences, service-learning, in-service teacher education, and international or global education.

Family Perspectives on Aggressive End-of-Life Care (DRAFT)

2018 ◽  
Author(s):  
Ravi B. Parikh ◽  
Oreofe Odejide
Keyword(s):  
End Of Life ◽  
Cancer Care ◽  
End Of Life Care ◽  
Family Members ◽  
Life Care ◽  
Aggressive Cancer ◽  
Care Family ◽  
Bereaved Family ◽  
The Impact

The chapter describes the study by Wright and colleagues examining the impact of aggressive cancer care on bereaved family members’ perceptions of end-of-life care. Family members of patients with advanced-stage lung or colorectal cancer were interviewed after their loved ones died to elicit perceptions of care. This chapter presents family-member reported rating of quality of end-of-life care and the association of such rating with aggressive cancer care, including intensive care unit admission within 30 days of death, and no hospice or late hospice admission. It also reviews family members’ perception of whether patients received end-of-life care that was concordant with their wishes. This chapter highlights the downstream impact of aggressive cancer care on family members and the resulting implications for end-of-life care.

Qualitative Examination of the Impact of Rural Veterans' Functioning on Their Family Members

2013 ◽  
Author(s):  
Michelle M. Kawasaki ◽  
Julia Whealin ◽  
Dawna Nelson ◽  
Jui-Feng Tatekawa-Chen
Keyword(s):  
Family Members ◽  
The Impact

Stress, anxiety, depression and burnout in frontline health care workers during COVID-19 pandemic: a brief systematic review and new data from Russia

2021 ◽  
Author(s):  
Ekaterina Mosolova ◽  
Dmitry Sosin ◽  
Sergey Mosolov
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Female Gender ◽  
Assessment Tools ◽  
Care Workers ◽  
Younger Age ◽  
Wide Range ◽  
Associated Risk Factors ◽  
Anxiety Depression ◽  
The Impact

During the COVID-19 pandemic, healthcare workers (HCWs) have been subject to increased workload while also exposed to many psychosocial stressors. In a systematic review we analyze the impact that the pandemic has had on HCWs mental state and associated risk factors. Most studies reported high levels of depression and anxiety among HCWs worldwide, however, due to a wide range of assessment tools, cut-off scores, and number of frontline participants in the studies, results were difficult to compare. Our study is based on two online surveys of 2195 HCWs from different regions of Russia during spring and autumn epidemic outbreaks revealed the rates of anxiety, stress, depression, emotional exhaustion and depersonalization and perceived stress as 32.3%, 31.1%, 45.5%, 74.2%, 37.7% ,67.8%, respectively. Moreover, 2.4% of HCWs reported suicidal thoughts. The most common risk factors include: female gender, nurse as an occupation, younger age, working for over 6 months, chronic diseases, smoking, high working demands, lack of personal protective equipment, low salary, lack of social support, isolation from families, the fear of relatives getting infected. These results demonstrate the need for urgent supportive programs for HCWs fighting COVID-19 that fall into higher risk factors groups.

scholarly journals EFFECT OF ADVERSE CHILDHOOD EXPERIENCES ON DAILY SUPPORT TO FAMILY AND EMOTIONAL WELL-BEING IN ADULTHOOD

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S235-S235
Author(s):  
Jooyoung Kong ◽  
Yin Liu ◽  
David Almeida
Keyword(s):  
Negative Affect ◽  
Family Relationships ◽  
Emotional Support ◽  
Adverse Childhood Experiences ◽  
Family Members ◽  
Well Being ◽  
National Study ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
The Impact

Abstract Extensive evidence suggests that adverse childhood experiences (ACEs) can lead to negative health effects across a lifetime. This study examines the impact of ACEs on the frequency of providing daily support (i.e., unpaid assistance, emotional support, and disability-related assistance) to family members and the moderating effects of ACEs in the association between providing daily support to family and daily negative affect. Using the National Study of Daily Experiences II, we analyzed a total of 14,912 daily interviews from 2,022 respondents aged 56 on average. Key results showed that a greater number of ACEs were associated with providing more frequent emotional support to family. We also found the significant interaction effect that adults with more ACEs showed greater negative affect on the days when they provided assistance to family members with disabilities. The findings underscore the long-term negative impact of ACEs on daily well-being in the context of family relationships.

scholarly journals Family reported outcomes, an unmet need in the management of a patient's disease: appraisal of the literature

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
R. Shah ◽  
F. M. Ali ◽  
A. Y. Finlay ◽  
M. S. Salek
Keyword(s):  
Quality Of Life ◽  
Family Members ◽  
Unmet Need ◽  
Reliability And Validity ◽  
Chronic Health Condition ◽  
Family Quality Of Life ◽  
Good Reliability ◽  
Huge Impact ◽  
The Impact

Abstract Background A person’s chronic health condition or disability can have a huge impact on the quality of life (QoL) of the whole family, but this important impact is often ignored. This literature review aims to understand the impact of patients' disease on family members across all medical specialities, and appraise existing generic and disease-specific family quality of life (QoL) measures. Methods The databases Medline, EMBASE, CINHAL, ASSIA, PsycINFO and Scopus were searched for original articles in English measuring the impact of health conditions on patients' family members/partner using a valid instrument. Results Of 114 articles screened, 86 met the inclusion criteria. They explored the impact of a relative's disease on 14,661 family members, mostly 'parents' or 'mothers', using 50 different instruments across 18 specialities including neurology, oncology and dermatology, in 33 countries including the USA, China and Australia. These studies revealed a huge impact of patients' illness on family members. An appraisal of family QoL instruments identified 48 instruments, 42 disease/speciality specific and six generic measures. Five of the six generics are aimed at carers of children, people with disability or restricted to chronic disease. The only generic instrument that measures the impact of any condition on family members across all specialities is the Family Reported Outcome Measure (FROM-16). Although most instruments demonstrated good reliability and validity, only 11 reported responsiveness and only one reported the minimal clinically important difference. Conclusions Family members' QoL is greatly impacted by a relative's condition. To support family members, there is a need for a generic tool that offers flexibility and brevity for use in clinical settings across all areas of medicine. FROM-16 could be the tool of choice, provided its robustness is demonstrated with further validation of its psychometric properties.

A Jungian Analysis of the Chinese Kitchen God Image

2021 ◽  
pp. 002216782110208
Author(s):  
Jingyu Liang ◽  
Yancui Zhang ◽  
Ruitong Guo ◽  
Heyong Shen
Keyword(s):  
God Image ◽  
Chinese Society ◽  
Chinese People ◽  
Sandplay Therapy ◽  
Jungian Analysis ◽  
Graphic Symbol ◽  
Psychological Significance ◽  
Conscious Level ◽  
God Imagery ◽  
The Impact

This article studies the impact of Kitchen God beliefs and worship on Chinese mentality and behavior, both consciously and unconsciously. At the conscious level, the evolution of the Kitchen God beliefs has gone through four stages; Nature God, Animal God, Half-animal/Half human God, and finally Human God. The evolution of the Kitchen God in China displays the features of a couple, aging and secularization. The experience of “returning to the sacred origin” can be obtained through Kitchen God worship by burning an old paper image of the Kitchen God and pasting of a new one of him beside the kitchen stove year after year during the Kitchen God festival. The secret to continuity of life lies in repetition. The image of the Kitchen God as an important graphic symbol is formed by a constellation of images; good pot and evil pot, two dragons playing with a bead, rooster and dog, the psychological archetypes as yin and yang, unity of opposites, transformation and integration. This ritual serves as a bridge between Chinese people and their “ancestors,” “the other realm” (nirvana), and “the Self.” On an unconscious level, the psychological significance of Kitchen God beliefs is analyzed through “the family hexagram.” The collective unconscious for the Chinese can be revealed by a continuous pattern of concentric circles structure, that is, “heaven and earth—the Kitchen God—ancestors—parents—offspring.” Through a clinical case using Sandplay Therapy, this article will show that Kitchen God imagery unconsciously shows the constellation of “family.” Family is the place of belonging and home for Chinese people, helping the client return to his inner source and gain strength through acceptance and transformation. The implication of Kitchen God beliefs for today’s Chinese society is to return to the most primitive “Tao,” which presents a possible cure for many kinds of psychological problems we are facing. It suggests that researchers pay attention to the psychological phenomenon of clients’ using the Kitchen God image to express their cultural feelings toward family in psychological practice.

scholarly journals Course and predictors of posttraumatic stress-related symptoms among family members of deceased ICU patients during the first year of bereavement

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Siew Tzuh Tang ◽  
Chung-Chi Huang ◽  
Tsung-Hui Hu ◽  
Wen-Chi Chou ◽  
Li-Pang Chuang ◽  
...  
Keyword(s):  
Social Support ◽  
Posttraumatic Stress ◽  
End Of Life ◽  
End Of Life Care ◽  
Family Members ◽  
Life Care ◽  
Ptsd Symptoms ◽  
Icu Patients ◽  
Clinically Significant ◽  
Bereaved Family

Abstract Background/Objective Death in intensive care units (ICUs) may increase bereaved family members’ risk for posttraumatic stress disorder (PTSD). However, posttraumatic stress-related symptoms (hereafter as PTSD symptoms) and their precipitating factors were seldom examined among bereaved family members and primarily focused on associations between PTSD symptoms and patient/family characteristics. We aimed to investigate the course and predictors of clinically significant PTSD symptoms among family members of deceased ICU patients by focusing on modifiable quality indicators for end-of-life ICU care. Method In this longitudinal observational study, 319 family members of deceased ICU patients were consecutively recruited from medical ICUs from two Taiwanese medical centers. PTSD symptoms were assessed at 1, 3, 6, and 13 months post-loss using the Impact of Event Scale-Revised (IES-R). Family satisfaction with end-of-life care in ICUs was assessed at 1 month post-loss. End-of-life care received in ICUs was documented over the patient’s ICU stay. Predictors for developing clinically significant PTSD symptoms (IES-R score ≥ 33) were identified by multivariate logistic regression with generalized estimating equation modeling. Results The prevalence of clinically significant PTSD symptoms decreased significantly over time (from 11.0% at 1 month to 1.6% at 13 months post-loss). Longer ICU stays (adjusted odds ratio [95% confidence interval] = 1.036 [1.006, 1.066]), financial insufficiency (3.166 [1.159, 8.647]), and reported use of pain medications (3.408 [1.230, 9.441]) by family members were associated with a higher likelihood of clinically significant PTSD symptoms among family members during bereavement. Stronger perceived social support (0.937 [0.911, 0.965]) and having a Do-Not-Resuscitate (DNR) order issued before the patient’s death (0.073 [0.011, 0.490]) were associated with a lower likelihood of clinically significant PTSD symptoms. No significant association was observed for family members’ satisfaction with end-of-life care (0.988 [0.944, 1.034]) or decision-making in ICUs (0.980 [0.944, 1.018]). Conclusions The likelihood of clinically significant PTSD symptoms among family members decreased significantly over the first bereavement year and was lower when a DNR order was issued before death. Enhancing social support and facilitating a DNR order may reduce the trauma of ICU death of a beloved for family members at risk for developing clinically significant PTSD symptoms.

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