Choosing Wisely

2021 ◽  
Author(s):  
Angela Duckworth ◽  
Keyword(s):  
Decision Makers ◽  
Choosing Wisely ◽  
Kitchen Table ◽  
The Family ◽  
Changing Schools ◽  
Native Tongue

I was about 10 years old when my parents decided to move our family across town. Why? I had no idea. I don't think my older brother and sister had a clue, either. The decision was announced one night at dinner and, without discussion or debate, the three of us learned that we'd be packing up our house, changing schools, and settling into a new neighborhood within the month. As a little girl, I had very little visibility into the choices my parents made for themselves and for the family. Though my dad was happy to talk to me about chemistry and my mom would have sacrificed anything for my benefit, the process by which they arrived at life's big decisions was a mystery. Instead of sharing their thinking, Mom and Dad would sit alone at the kitchen table, whispering to each other in Mandarin. Whether it was just easier to think in their native tongue, I don't know, but it also seemed strategic. Children were not active decision makers in our family. As I got older, things changed. I listened to my parents debate whether to buy a new car, how they were going to vote that November, and which relative should host Thanksgiving.

scholarly journals Men’s perceptions of sexual and reproductive health education within the context of pregnancy and HIV in Zambia: a descriptive qualitative analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tulani Francis L. Matenga ◽  
Joseph Mumba Zulu ◽  
Sharon Nkwemu ◽  
Perfect Shankalala ◽  
Karen Hampanda
Keyword(s):  
Reproductive Health ◽  
Antenatal Care ◽  
Health Care Providers ◽  
Sexual And Reproductive Health ◽  
Decision Makers ◽  
Care Providers ◽  
Convenience Sample ◽  
Essential Information ◽  
Women Living With Hiv ◽  
The Family

Abstract Background Although health care providers are beginning to focus on men’s roles as fathers and husbands, there is limited understanding of how men view their ability to promote sexual and reproductive health in families affected by HIV and their experiences with receiving education through antenatal care. This paper aims to explore men’s perceptions of the education they need regarding sexual and reproductive health within the family in the context of HIV. Methods We interviewed a convenience sample of 18 male partners of pregnant women living with HIV in Lusaka, Zambia. Atlas.ti was used to facilitate data management and content analysis. Results Men reported being the primary decision-makers regarding sexual and reproductive issues in the family; however, they admitted far-reaching unmet needs in terms of information on sexual and reproductive health in the context of HIV. Most men felt that antenatal care was not a conducive setting to fully educate men on sexual and reproductive health because it is a woman’s space where their health concerns were generally neglected. There was a strong desire for more education that was specific to men’s sexual and reproductive health, especially because all the couples were affected by HIV. Men especially requested education on sexual preparedness, safe sex, the use of condoms in sero-concordant and sero-discordant relationships and general health information. Although men stated they were the main decision-makers regarding sexual and reproductive issues such as pregnancy, most men were not confident in their ability to promote sexual and reproductive health in the family because of limited knowledge in this area. Conclusion There is need to change the environment and messaging of antenatal care, as well as offer relevant education opportunities outside health facility settings to empower men with essential information for meaningful involvement in sexual and reproductive health in the context of HIV.

Willing and Able? The Screening and Adoption of Habitual Family Venture Opportunities

2021 ◽  
pp. 089448652110594
Author(s):  
James M. Vardaman ◽  
Erik T. Markin ◽  
Christopher R. Penney ◽  
Laura E. Marler ◽  
D’Lisa N. Mckee
Keyword(s):  
Theoretical Framework ◽  
Decision Makers ◽  
Image Theory ◽  
New Venture ◽  
Future Research ◽  
Socioemotional Wealth ◽  
The Family ◽  
Family Decision

This article develops a two-part theoretical framework synthesizing the socioemotional wealth (SEW) perspective with image theory to explain the ways in which family decision makers screen and potentially adopt habitual new venture opportunities. The model theorizes that opportunities are initially screened according to their ability to preserve SEW and fit with the family’s value images and subsequently explains how SEW willingness interacts with the family entrepreneur’s trajectory and strategic images to predict whether the venture will be pursued as a serial or portfolio opportunity. Theoretical implications and directions for future research are also discussed.

Decisions Made by Family Members of Patients with Severe Head Injury

1991 ◽  
Vol 2 (2) ◽  
pp. 242-251 ◽  
Author(s):  
Michaelene P. Mirr
Keyword(s):  
Head Injury ◽  
Severe Head Injury ◽  
Family Members ◽  
Decision Makers ◽  
Acute Injury ◽  
Decision Making Process ◽  
The Family ◽  
The One ◽  
Family Nurses ◽  
Made In

An acute injury in which a family member requires critical care creates a period of intense stress for families. During such time, family members are often faced with decisions about the patient or the family. The ability of families to make decisions during this stressful period is not addressed in the literature. The purpose of this study was to determine what decisions families made in the one-month period after a patient’s admission. Families of patients with severe head injury were chosen because these families are often forced to make decisions quickly and to act as proxy decision-makers for the injured person. Nurses can make important contributions to assist family members in making decisions about the patient or the family. Nurses need to understand what decisions family members need to make and the circumstances surrounding the decision-making process to intervene appropriately

scholarly journals Influence of Food Purchase Decision Maker on the Nutritional Status of Indian Households With Adolescents

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 557-557
Author(s):  
Vaijayanthi Kanabur ◽  
Uma Jayasimha
Keyword(s):  
Nutritional Status ◽  
Decision Maker ◽  
Fruits And Vegetables ◽  
Family Members ◽  
Decision Makers ◽  
Purchase Decisions ◽  
Chi Square ◽  
Food Purchase ◽  
The Family ◽  
Chi Square Test

Abstract Objectives To know the decision maker in the family with respect to purchase of foods and to understand the influence of the decision maker on the nutritional status of family members of households with adolescents. Methods Families (n = 60) residing in urban Bangalore, India, with at least one adolescent family member (13–17 years) were selected by purposive sampling. An interviewer administered questionnaire was developed and pre-tested on ten % of the subjects and was used for collecting the data. For studying the food purchase decisions the food items were divided into 5 categories:1) Fruits and vegetables(n = 18) 2) Ready to cook or raw ingredient (n = 13) 3) ready to eat foods (n = 9), 4) dairy products (n = 6) and 5) non vegetarian foods (n = 4). Any family member who made the highest number of food purchase decisions over a period of one month was considered as the decision maker of the family. Nutritional status of family members was assessed based on their Body Mass Index (WHO, 2004). Chi square test was used to know the influence of decision maker on the nutritional status of family members. Results The results of the study show that mother is the decision maker in 61% families in case of fruits and vegetables and in 59% families in case of raw ingredients. In case of ready to eat foods it is the adolescents who are the major decision makers and in case of dairy products both mother and father together were decision makers and purchasing decisions with respect to non-vegetarian foods was dominated by fathers (51%). Overall it was found that in 52% families mother was decision maker, 19% families father was decision maker and only in 9% families adolescent family members were major food decision makers. Based on results of Chi square test the hypothesis that the decision maker has no effect on the nutritional status is accepted. Conclusions The decision maker is different for different category of foods. The decision maker and the nutritional status of family members are two independent attributes. Funding Sources It is a self financed study as part of Masters Program in Dietetics and Food Service Management from Indira Gandhi National Open University, New Delhi.

scholarly journals DISORIENTASI PENDIDIKAN MADRASAH DI INDONESIA

2017 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Hasan Basri
Keyword(s):  
School Culture ◽  
Secular Education ◽  
The Family ◽  
The Status ◽  
The Will ◽  
And Function ◽  
Changing Schools ◽  
Further Development

Madrasah in the Middle East has known eight or nine centuries before madrasah in Indonesia, which emerged as a reaction to the reform movement as well as a response to the policy of Dutch colonizers secular education. Madrasah got a decent place in Indonesia after rising SKB 3 minister (Minister of Interior, Minister of Education and Culture, and the Minister of Religious Affairs) in 1975, where madrasas equated with other schools in terms of the status of the diploma, graduates continuing education opportunities and changing schools. In a further development, the school as disoriented. It is caused by two things: first, a paradigm shift towards sekularistik. Education implementation has marred even be interpreted as a partial instead of a holistic paradigm as desired by Islam. Supposedly, the madrasa education as a whole should make Islam as a principle in the determination of educational objectives, the formulation of the curriculum and standard of value of science and the learning process, including determining the qualifications of teachers and school culture that will be developed in the madrasas. Second, the functional institutional weakness as a result of shifting the orientation and function of the family and their influence and societal demands materialistic-hedonistic.The weakness seen in a mess madrasa curriculum, not optimal role of teachers as well as school culture that is not in line with the will of Islam.

scholarly journals The Effect Of Determinant Factors In The Family On The Arrival Time Of Patients Stroke In Emergency Installation

2020 ◽  
Vol 9 (1) ◽  
pp. 44-53
Author(s):  
Muhammad Ikhwan Kosasih ◽  
Nugrahaeni Firdausi ◽  
Erwin Yektiningsih ◽  
Zauhani Kusnul
Keyword(s):  
Significant Relationship ◽  
Arrival Time ◽  
Decision Makers ◽  
Time Interval ◽  
Stroke Patients ◽  
The Family ◽  
Result Show ◽  
Important Health ◽  
Level Of Knowledge ◽  
The Right

Stroke is an important health problem. The speed with which a stroke sufferer gets the right treatment cause a big influence on stroke management. This study analyze the influence of various factors in the family on the arrival time of stroke patients in the emergency department of the Kediri district hospital. The study was conducted during May-July 2019 and found stroke patients as many as 88. The result show that educational factors have a significant relationship with the level of knowledge, and  the family age, job, people who knew the stroke and decision-makers in the family have a significant relationship with the time interval between the stroke attack with the arrival of patients in the emergency room. From this study, it can be concluded that family factors play an important role in the time interval between a stroke and the arrival of a patient on IGD to get proper treatment.

scholarly journals THE CHARACTER VALUE IN THE FAIRY TALE "CERITA CALON ARANG" BY PRAMOEDYA ANANTA TOER AS A MEANS OF EARLY CHILDHOOD EDUCATION

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Iswan Afandi
Keyword(s):  
Character Education ◽  
Fairy Tales ◽  
Fairy Tale ◽  
Decision Makers ◽  
Good Decision ◽  
Community Environment ◽  
The Family ◽  
Pramoedya Ananta Toer ◽  
Data Validity ◽  
Using Data

The purpose of this study is to describe the value of characters found in fairy tales. This type of research is descriptive qualitative research with content analysis techniques. The theory used is the theory of children's literature and character education. Source of research data in the form of a fairy tale entitled The Story of Candidate Charcoal by Pramoedya Ananta Toer totaling 100 pages published by PT. Lantern Dipantara in 2003. Data validity was tested using data triangulation and method triangulation. Data analysis is carried out in stages: a) identification of fairy tales as research objects; b) data reduction; c) data presentation; d) interpretation of data according to children's literary theory and character education; e) inference (Miles & Huberman, 1994). The results of the study found fourteen character values, namely: wise, socially caring, fond of reading, prominence, compassion, democratic, good decision-makers, good citizens, care for the environment, religious, respectful, cooperation, curiosity, and brave character. This research shows that fairy tales can be used as teaching materials for character education. However, development research needs to be done regarding increasing crime in the community. Various efforts in transmitting the values of character education to students have been carried out both in the family, school, and community environment.

scholarly journals Collaborative innovation in the family SME: conceptualization, goals, and success factors

2019 ◽  
Vol 9 (2) ◽  
pp. 102-114 ◽  
Author(s):  
Unai Arzubiaga ◽  
Amaia Maseda ◽  
Amaia Uribarri ◽  
Jesús Manuel Palma Ruiz
Keyword(s):  
Organizational Behavior ◽  
Knowledge Creation ◽  
Success Factors ◽  
New Product ◽  
Decision Makers ◽  
Cognitive Factors ◽  
Time To Market ◽  
Collaborative Innovation ◽  
The Family ◽  
Innovation Processes

In a constantly changing environment, collaborative innovation enables the knowledge creation and new product designs, the improved efficiency of the production process and the reduction of time-to-market. However, the achievement of such results in the family SME depends mainly on the unique characteristics of this type of organization, which in turn represent the most widespread kind of business worldwide. Therefore, the objective of this article is to analyze how the composition of the management team, and the factors related to the capabilities –cognitive factors, absorptive capacity, and innovative trajectory- and the attitudes –preservation of SEW legacy and intra-organizational behavior- of the decision makers, mediated mainly by the influence of the family, affect when designing and implementing collaborative innovation processes in a successful way.

scholarly journals Austerity in a disadvantaged West Midlands neighbourhood: Everyday experiences of families and family support professionals

2019 ◽  
Vol 40 (3) ◽  
pp. 389-409
Author(s):  
Demelza Jones ◽  
Pam Lowe ◽  
Karen West
Keyword(s):  
Family Support ◽  
Support Services ◽  
Third Sector ◽  
Decision Makers ◽  
Disadvantaged Communities ◽  
The Family ◽  
West Midlands ◽  
The Uk ◽  
Families With Children ◽  
Family Support Services

This article examines everyday effects of austerity in Kingshurst – a disadvantaged urban neighbourhood in the West Midlands. It draws on qualitative data gathered from local families with children, and public and third sector professionals working in the area in family support services. While some of the issues raised are common to other disadvantaged communities across the UK, we recognise that austerity is experienced in specific socio-spatial contexts: in this case, Kingshurst’s circumstance of deprivation within a local authority borough that (as a whole) is above averagely affluent. This shaped the ways that residents and professionals framed the disadvantage they encountered in their everyday lives and work, in particular strengthening understandings of austerity as unfairly and unevenly experienced on the bases of geography and social class, and highlighting territorial stigma towards the neighbourhood by professionals and decision-makers which impeded residents’ engagement with the family support services available to them locally.

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