Significance of Social Attachment in Primate Infants: The Infant-Caregiver Relationship and Volition

While calling for culturally sensitive healthcare services in migrant communities, the international nursing literature on intercultural care predominantly describes nursing staff as lacking cultural competences and immigrant customers as lacking cleverness to navigate the labyrinths of national healthcare systems. Congruences in language, culture and religion in the customer-caregiver relationship can decisively improve the quality of care. However, they do not automatically guarantee smooth working processes in monocultural in-home settings. On the contrary, new problems occur here for Turkish caregivers which are unknown to the legions of native professionals who feel challenged by migrants and which go beyond differences such as age, sex, income or education. While no cultural or religious brokering is necessary between customers and personnel in the given context in Germany, new challenges arise when caregivers are expected to legally broker between customers and insurance companies or doctors. Conflicting expectations of customers and management as well as their own colliding social and professional roles put the caregivers in a quandary and must be competently managed.

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Sexual Healing: Grounding Eros, Social Attachment, and the Perfectionist Impulse

SSRN Electronic Journal ◽

10.2139/ssrn.2123521 ◽

2012 ◽

Author(s):

John Werner

Keyword(s):

Social Attachment

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Predictors of Caregiver Burden in Delirium: Patient and Caregiver Factors

Innovation in Aging ◽

10.1093/geroni/igaa057.818 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 254-255

Author(s):

Patricia Tabloski ◽

Franchesca Arias ◽

Nina Flanagan ◽

Tamara Fong ◽

Eva Schmitt ◽

...

Keyword(s):

Caregiver Burden ◽

Living Arrangements ◽

Living Arrangement ◽

Patient Characteristics ◽

Confusion Assessment Method ◽

Assessment Method ◽

Functional Domain ◽

Medical Patients ◽

Patient Factors ◽

Caregiver Relationship

Abstract Delirium — an acute disorder of attention and cognition — is a common, life-threatening and costly syndrome occurring frequently in older hospitalized persons. The unexpected, rapid, and volatile nature of delirium can be difficult for family caregivers to experience and may contribute to subjective feelings of distress (i.e. “delirium burden”). The aim of this study was to examine whether pre-admission patient characteristics or patient-caregiver relationship and living arrangements were associated with caregiver burden as measured by the delirium burden scale for caregivers (DEL-B-C; score 0-40, higher score is more burden). Our sample consisted of 208 older adults and their caregivers from the Better Assessment of Illness (BASIL) study, an ongoing prospective, observational study of surgical and medical patients ≥70 years old; 22% of patients experienced delirium by the Confusion Assessment Method (CAM) and the average DEL-B-C score was 7.9, 95% CI(6.95-8.88). Results indicated that neither patient-caregiver relationship and living arrangement or patient factors including pre-admission pain, sleep disturbance, or new onset incontinence were significantly correlated with delirium-related caregiver burden. However, DEL-B-C scores were significantly higher in caregivers of patients with any ADL impairment (mean 8.5 vs. 5.2, p = .016) during hospitalization although none of the individual functional deficits alone were statistically significant. This finding suggests that the association of ADL impairment and DEL-B-C scores is not driven by a single functional domain. Future studies are needed to further understand how caregiver characteristics and patient factors occurring before and during hospitalization contribute to caregiver burden after the occurrence of delirium.

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Family involvement and patient-experienced improvement and satisfaction with care: a nationwide cross-sectional study in Danish psychiatric hospitals

BMC Psychiatry ◽

10.1186/s12888-021-03179-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Marie Louise Svendsen ◽

Trine Ellegaard ◽

Karoline Agerbo Jeppesen ◽

Erik Riiskjær ◽

Berit Kjærside Nielsen

Keyword(s):

Psychiatric Hospital ◽

Hospital Care ◽

Psychiatric Hospitals ◽

Cross Sectional Study ◽

Satisfaction With Care ◽

Sectional Study ◽

Cross Sectional ◽

Caregiver Relationship ◽

Patient Reported ◽

Caregiver Involvement

Abstract Background Randomised controlled trials suggest that family therapy has a positive effect on the course of depression, schizophrenia and anorexia nervosa. However, it is largely unknown whether a positive link also exists between caregiver involvement and patient outcome in everyday psychiatric hospital care, using information reported directly from patients, i.e. patient-reported experience measures (PREM), and their caregivers. The objective of this study is to examine whether caregiver-reported involvement is associated with PREM regarding patient improvement and overall satisfaction with care. Methods Using data from the National Survey of Psychiatric Patient Experiences 2018, we conducted a nationwide cross-sectional study in Danish psychiatric hospitals including patients and their caregivers who had been in contact with the hospital (n = 940 patients, n = 1008 caregivers). A unique patient identifier on the two distinct questionnaires for the patient and their caregiver enabled unambiguous linkage of data. In relation to PREM, five aspects of caregiver involvement were analysed using logistic regression with adjustment for patient age, sex and diagnosis. Results We consistently find that high caregiver-reported involvement is statistically significantly associated with high patient-reported improvement and overall satisfaction with care with odds ratios (OR) ranging from 1.69 (95% confidence interval (CI) 0.95–2.99) to 4.09 (95% CI 2.48–6.76). This applies to the following aspects of caregiver-reported involvement: support for the patient-caregiver relationship, caregiver information, consideration for caregiver experiences and the involvement of caregivers in decision making. No statistically significant association is observed regarding whether caregivers talk to the staff about their expectations for the hospital contact. Conclusion This nationwide study implies that caregiver involvement focusing on the patient-caregiver relationship is positively associated with patient improvement and overall satisfaction with care in everyday psychiatric hospital care.

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Disaster Mythology and Fact: Hurricane Katrina and Social Attachment

Public Health Reports ◽

10.1177/003335490812300505 ◽

2008 ◽

Vol 123 (5) ◽

pp. 555-566 ◽

Cited By ~ 36

Author(s):

Binu Jacob ◽

Anthony R. Mawson ◽

Payton Marinelle ◽

John C. Guignard

Keyword(s):

Hurricane Katrina ◽

Social Attachment

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Effects of social attachment on social media continuous usage intention: The mediating role of affective commitment

Human Systems Management ◽

10.3233/hsm-201057 ◽

2020 ◽

pp. 1-13

Author(s):

Maosheng Yang ◽

Shangui Hu ◽

Bagna Essohanam Kpandika ◽

Lei Liu

Keyword(s):

Social Media ◽

Structural Equation ◽

Affective Commitment ◽

Underlying Mechanism ◽

Equation Model ◽

Three Dimensions ◽

Future Research ◽

Social Attachment ◽

Mediating Role ◽

Continuous Usage Intention

BACKGROUND: Social attachment has been identified as a key antecedent motivating users’ social media involvement. However, there is a scarcity of research investigating whether and how three dimensions of social attachment exert impacts on users’ continuous usage intention of social media. OBJECTIVE: Based on structural equation model analysis, the current research clarifies the relationships between social attachment, affective commitment and social media continuous usage intention, which unveils the underlying mechanism through which three dimensions of social attachment influence users’ continuous usage intention of social media. METHODS: A survey was conducted with 536 informative responses obtained from TikTok public users for hypothesis testing analysis. RESULTS: Results indicate that three dimensions of social attachment (social connections, social dependence and social identity) are all positively related to users’ continuous usage intention of social media. Affective commitment partially mediates the relationship between social attachment and users’ continuous usage intention of social media. CONCLUSIONS: The current research makes an in-depth study about the underlying mechanism whereby social attachment exerts impacts on social media continuous usage intentionand provides several managerial and theoretical implications. Future research directions are discussed as well.

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Paradox of self-care gender differences among Italian patients with chronic heart failure: findings from a real-world cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-021966 ◽

2018 ◽

Vol 8 (9) ◽

pp. e021966 ◽

Cited By ~ 10

Author(s):

Federica Dellafiore ◽

Cristina Arrigoni ◽

Francesco Pittella ◽

Gianluca Conte ◽

Arianna Magon ◽

...

Keyword(s):

Heart Failure ◽

Gender Differences ◽

Chronic Heart Failure ◽

Real World ◽

Self Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Caregiver Relationship

AimThe aim of this study was to critically analyse and describe gender differences related to self-care among patients with chronic heart failure (HF).Methods and resultsA monocentric real-world cohort of 346 patients with chronic HF in follow-up was used for this cross-sectional study. We report data related to the cohort’s demographic and clinical characteristics. Self-care was assessed using the Self-Care of Heart Failure Index before patients’ discharge. After bivariate analysis, logistical regression models were used to describe the relationship between gender, self-care behaviours and self-care confidence. While men were found to have more than quadruple the risk of poor self-care than women (OR 4.596; 95% CI 1.075 to 19.650), men were also found to be approximately 60% more likely to have adequate self-care confidence than women (OR 0.412; 95% CI 0.104 to 0.962). Considering that self-care confidence is described as a positive predictor of behaviours, our results suggest a paradox. It is possible that the patient–caregiver relationship mediates the effect of confidence on behaviours. Overall, adequate levels of self-care behaviours are a current issue, ranging 7.6%–18.0%.ConclusionThis study sets the stage for future research where elements of the patient–caregiver relationship ought to be considered to inform the planning of appropriate educational interventions. We recommend routinely measuring patients’ self-care behaviours to guide their follow-up and as a basis for any changes in their daily life behaviours.

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