Parents’ experience of family-centred care in the post-anaesthetic care unit during non-clinical delays: A qualitative study

2021 ◽  
pp. 136749352110365
Author(s):  
Jessica Taranto ◽  
Rebecca Thornton ◽  
Sally Lima ◽  
Bernice Redley

The qualitative exploratory descriptive study explored parents’ experience of family-centred care during delayed transfer from a paediatric post-anaesthetic care unit to an inpatient ward. Data were collected in a tertiary children’s hospital in Melbourne, Australia, using in-depth, semi-structured interviews. Participants ( n = 15) were parents of children ( n = 10, aged 6 months to 16 years) delayed in a Stage 1 post-anaesthetic care unit for longer than 30 min. Elements of the family-centred care framework guided thematic analysis, the core concepts of which are respect and dignity, information sharing, participation and collaboration. Respect and dignity was most often identified, expressed in three subthemes: (1) the caring behaviour of staff, (2) being present with their child and (3) a journey shared with other families. Information sharing was also common, illustrated through (1) being told information and (2) being heard. Participation, the third element of the framework, was infrequently identified by participants; however, parents of children under 6 years of age alluded to contributing to their child’s care. The final element, collaboration, was not identified in the study data. Only two of four elements of the family-centred care framework were common in parents’ experiences: respect and dignity, and information sharing. ‘Being with’ their child emerged as a central concern for parents’ perceptions of family-centred care.

2021 ◽  
pp. 136749352110399
Author(s):  
Stephanie Allen ◽  
Stephen K Bradley ◽  
Eileen Savage

Parent programmes are often used in the clinical management of children with ADHD. Research into parent programmes has predominantly been concerned with their effectiveness and much less attention has been paid to the impact that they may be having on the family and the inter-relationships between family members. This study explores the perspectives and experiences of parents of children with ADHD, who participated in a parent programme, including its impact on the family unit. A purposive sample of six mothers of children with ADHD who completed a 1-2-3 Magic parent programme in Ireland was invited to take part in this qualitative study. Data were collected by means of individual in-depth, semi-structured interviews and a narrative inquiry approach further informed analysis of the interview data. Two major narrative constructions of experience: ‘parent programme as positive’ and ‘parent programme as negative’ were identified. Outcomes from this study illustrated some unintended consequences caused by the parent programme (i.e. sibling rivalry and conflict arising between family members). Mothers believed that the parent programme was a beneficial intervention, but it was not without its flaws and they felt it was helpful for their family when used in conjunction with other supports and mediations.


2007 ◽  
Vol 15 (2) ◽  
pp. 230-238 ◽  
Author(s):  
Ana Márcia Spanó Nakano ◽  
Márcia Cristina Guerreiro dos Reis ◽  
Maria José Bistafa Pereira ◽  
Flávia Azevedo Gomes

This study aimed to identify agents or institutions taken as reference by women when breastfeeding. A qualitative study was carried out on 20 primiparous who were assisted, for reasons not related to breastfeeding, in the five health services selected by this study. Data were collected by semi-structured interviews carried out in the participants' households and were analyzed by content analysis in the thematic mode. We identified that health professionals play a standardize role of breastfeeding based on scientific knowledge. In the daily breastfeeding routine, the family is the first reference for women, transmitting beliefs, habits and behaviors. We believe in the valorization of the family context by the health professional, in which actions and interactions in the breastfeeding issue are developed in order to constitute the foundations for a new care model in breastfeeding. This model should, therefore, consider the practice diversity, adapting actions to the multiple roles of being mother/fortress/wife/worker in the social context.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Melati Sumari ◽  
Dini Farhana Baharudin ◽  
Ida Hartina Ahmed Tharbe ◽  
Norsafatul Aznin A. Razak ◽  
Norfaezah Md Khalid

Purpose This study aims to explore the family experiences of delinquent adolescents and uses a descriptive phenomenological research design. Design/methodology/approach The study explores the family experiences of delinquent adolescents and uses a descriptive phenomenological research design. Eight adolescents that were under detainment in a rehabilitation centre in Malaysia participated in the study. Data were gathered through semi-structured interviews and reflective journals. Findings Five themes common to the participants’ experience were inductively identified from the analysis. These were: life without guidance, alienation and isolation, conflict on how the family is managed; I am still a little child and prisoners at home. Originality/value Despite many studies on delinquent adolescents were conducted in Malaysia, no study has been conducted so far to explore and understand the experience of female adolescents in their families.


2014 ◽  
Vol 32 (1) ◽  
pp. 99-106 ◽  
Author(s):  
Nathalia Rodrigues Garcia-Schinzari ◽  
Franklin Santana Santos

Objective: To describe what has been published in Brazilian scientific literature regarding pediatric palliative care. Data sources: Bibliographic review with a descriptive approach. In LILACS and SciELO databases, the descriptors "palliative care", "child", "pediatrics", "terminal illness" and "death" were sought, from January 2002 to December 2011. The eight selected articles were analyzed according to year of publication, type of study, data collected, target population, pathology, professionals involved, types of care and main findings. Data synthesis: Regarding the year of publication, there was an increase in the number of publications related to pediatric palliative care. Regarding the type of study, four articles were literature reviews and four were qualitative researches. Data was collected mainly by semi-structured interviews. The participants of the majority of the studies were children's relatives and health professionals. The main pathology addressed was cancer and the nurses were the most frequently cited professionals. The types of care provided were related to physical aspects, general care and psychological, social and spiritual aspects (less emphasis). The main findings were: little emphasis on the children's needs, the importance of including the family in the care provided and the lack of preparation of the health team. Conclusions: Despite the difficulties and the challenges in establishing pediatric palliative care, many articles brought important considerations for the development of this practice in the country.


2020 ◽  
Vol 29 (2) ◽  
pp. 1-17
Author(s):  
Courtney Cadieux ◽  
Claire Crooks ◽  
Colin King

Mental health challenges are common among children, and can interfere with learning and adjustment to school. Although early intervention is crucial and the family–school partnership plays an integral role in the development and implementation of individual education plans (IEPs), there are few supports to assist families in navigating this partnership. This study describes the experiences of parents who participated in the Parents in Partnership with Educators (PIPE) program, an individualized intervention for families who are struggling to communicate and problemsolve with schools around the mental health needs of their children. File review and semi-structured interviews were conducted for ten families. Results indicated that the program gave parents unconditional support and guidance, as well as new skills to help them communicate their perspective in a meaningful way. Parents reported feeling empowered, informed, and prepared to advocate for their children.


Author(s):  
Marjeta Milloshi

In the area of Ex Keneta Durres after 90' was populated by rural residents coming from other provinces. It is a poor area, an informal area in construction and employment of residents. Not all residents are integrated in social life.Analysis of this study aims to study crime and domestic violence by first polidimension all related factors to explain the social roots of crime in families.Domestic crime is one of the social problems in our country. Statistical data for the City of Durres speak for counting crimes increased violence, and also show that the family is getting "dangerous place" of crime. The focus of the study is the overall situation of social, economic, cultural, emotional, psychological, former residents of the swamp. Factors which are sources that generate domestic violence or crimes in the family. In the area of Ex Keneta Durres in july of 2004 with the decision of the Municipal Council of Durres was approved as the new administrative unit , comprising Region No. 6 The area of Ex Keneta is a new residential area , increase the number of arrivals from day to day. in this structure combines elements of various subcultures. The analysis aims at studying the social roots of crime that will be done from the perspective of theoretical paradigms. It also focuses on the role of the state and other agencies to create socialization-economic stability, but also to create conditions for "mental health" of citizens. Social problems of contemporary society have their roots in the past, the consequences in the present and in the future. The importance of the study appear in several elements: -A heterogeneity area residents coming from different provinces have different subcultures. -An area dominated traditional families with a large number of members, with some garland. -Domestic Relations built on customary mentality. -An area where there is fragmentation of families as the result of immigration. "The comunication matrix" is very imported in the socilism of the family mambers.For the realization of this study i have selected qualitative methods,such as:free intervists,structured. The study data are based on some searching methods: Quantitative methods,qualitative; Structured interviews; Official data from the Police Departament of Durres; The review of printed media; Survey 200.


2018 ◽  
Vol 24 (4) ◽  
pp. 661-679
Author(s):  
Megan Wingfield ◽  
Ben Gurney-Smith

Dyadic developmental psychotherapy (DDP) is an attachment-focused therapy frequently used with adoptive and foster families. While the evidence base for DDP is building, national guidance has called for further trials and qualitative evidence. This study aimed to understand the experience of adoptive parents who have completed DDP therapy. Semi-structured interviews with 12 adoptive parents were analysed using interpretative phenomenological analysis. Four superordinate themes were identified: (1) increased understanding, (2) ‘It’s a different method of parenting generally’, (3) the DDP journey and (4) ‘It’s a shared kind of experience you go through and come out together’. Parents felt they had increased insight into their child’s mind and how to better support their child. They felt DDP was a good fit to their unique situations and it appeared to promote acceptance. The DDP journey started with parents feeling uncertainty and questioning the effectiveness of DDP. However, generally parents became committed to the therapy once they saw change and expressed fear and sadness at ending. Parents acknowledged the dyadic nature of DDP, feeling it helped build trust and security and supported co-regulation. Parents also acknowledged the therapist’s role in conveying the core DDP principles. Further implications for practice and research are highlighted.


Author(s):  
A.D. Hyatt

Bluetongue virus (BTV) is the type species os the genus orbivirus in the family Reoviridae. The virus has a fibrillar outer coat containing two major structural proteins VP2 and VP5 which surround an icosahedral core. The core contains two major proteins VP3 and VP7 and three minor proteins VP1, VP4 and VP6. Recent evidence has indicated that the core comprises a neucleoprotein center which is surrounded by two protein layers; VP7, a major constituent of capsomeres comprises the outer and VP3 the inner layer of the core . Antibodies to VP7 are currently used in enzyme-linked immunosorbant assays and immuno-electron microscopical (JEM) tests for the detection of BTV. The tests involve the antibody recognition of VP7 on virus particles. In an attempt to understand how complete viruses can interact with antibodies to VP7 various antibody types and methodologies were utilized to determine the physical accessibility of the core to the external environment.


2008 ◽  
Author(s):  
Christopher Layne ◽  
Abigail Gewirtz ◽  
Chandra Ghosh Ippen ◽  
Renee Dominguez ◽  
Robert Abramovitz ◽  
...  
Keyword(s):  
The Core ◽  

2020 ◽  
Author(s):  
Sandra Célia Coelho Gomes da Silva

This work is the result of the doctoral thesis entitled Pilgrimage of Bom Jesus da Lapa: Social Reproduction of the Family and Female Gender Identity, specifically the second chapter that talks about women in the Pilgrimage of Bom Jesus da Lapa, emphasizing gender relations, analyzing the location of the pilgrimage as a social reproduction of the patriarchal family and female gender identity. The research scenario is the Bom Jesus da Lapa Pilgrimage, which has been held for 329 years, in that city, located in the West part of Bahia. The research participants are pilgrim women who are in the age group between 50 and 70 years old and have participated, for more than five consecutive years in the Bom Jesus da Lapa Pilgrimage, belonging to five Brazilian states (Bahia, Minas Gerais, São Paulo, Espírito Santo and Goiás) that register a higher frequency of attendance at this religious event. We used bibliographic, qualitative, field and documentary research and data collection as our methodology; we applied participant observation and semi-structured interviews as a technique. We concluded that the Bom Jesus da Lapa Pilgrimage is a location for family social reproduction and the female gender identity, observing a contrast in the resignification of the role and in the profile of the pilgrim women from Bom Jesus da Lapa, alternating between permanence and the transformation of gender identity coming from patriarchy.


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