Blenderized tube feeding for children: an integrative review

ABSTRACT Objective: To analyze scientific evidence on the use of blenderized tube feeding in children regarding nutritional composition, family satisfaction, and health outcomes. Data source: Survey was conducted in the PubMed, Scopus, Embase, and Virtual Health Library (VHL) databases using the following search terms: blenderized tube feeding OR blended tube feeding OR homemade OR pureed AND enteral nutrition AND enteral tube. The methodological quality of the selected articles was evaluated using the Critical Appraisal Skill Programme and Hierarchical Classification of Evidence. Data synthesis: After analysis, 11 articles were included in the present review. Most studies demonstrated improvements in health outcomes and greater family satisfaction after replacing the commercial enteral feeding with blenderized tube feeding. Conclusions: When guided and monitored by the healthcare team, a blenderized tube feeding ensures an adequate nutritional composition. The use of this method is also associated with positive health outcomes such as reductions in gastrointestinal symptoms and hospitalizations. Moreover, a high frequency of family satisfaction was verified.%

Corporate Governance and the Future of Work, Work-Family Satisfaction, and Employee Well-Being

This chapter examines the issues of work satisfaction, employee well-being, and the future of work from the perspective of and as impacted by two prominent and contemporary models of corporate governance. It begins with an examination of work satisfaction and leadership, informed by motivation, leadership, and workplace attachment theories, then discusses how these theories have been impacted by changes in corporate governance. Present-day implications of corporate governance on work satisfaction and well-being are examined, followed by the implications of these considerations for the future of work in the fourth industrial revolution.

Parents and Siblings of Children With Autism Spectrum Disorder

The presence of a child with autism spectrum disorder (ASD) has impact on members of the family. This study explored social, behavioral, and emotional characteristics and perceptions of parents and typically developing (TD) siblings of children with ASD, sibling relationship, and family satisfaction of parents. Of 21 families who participated in study, mother, father, and one TD sibling of school age provided demographic information and completed a series of questionnaires. The majority of parents and TD children showed positive adjustment, moderate level of family satisfaction, and satisfying sibling relationships. Various difficulties were recorded by a small percentage of participants, including high and clinically significant parenting stress, mothers with severe degree of negative emotional status, and a few TD children with externalizing and internalizing problems. The study provided preliminary overview of Greek families of children with ASD, which indicates that the majority cope well with the situation, but some family members could benefit from identification of related problems and professional intervention.

Differential effect of work-centrality

This study examines the nature of work centrality by targeting married office workers. The results show that separated influences depend on which sphere (work/family) is perceived as more important. More specifically, work–family conflict, which is experienced through multitasking, influences work satisfaction and family satisfaction, and work centrality has different functions in each domain. Through hierarchical regression, we found that, in the work domain, work centrality has a buffering effect on the relationship between WIF and work satisfaction, although it does not enhance the relationship between social support and work satisfaction. In contrast, in the family domain, the mediation effect of WIF between work centrality, which is the preceding variable, and family satisfaction is significant. Spousal support also has a mediating effect on the relationship between work centrality and family satisfaction. The implications and limitations of this study are also discussed.

Aggressiveness of Participants in Educational Relations and Psychological Safety of School Environment

The problem of aggression and violence in the educational space is currently quite serious. Illustrative examples of it are numerous publications in the media about acts of aggression exhibited by students against their peers and teachers, about the use of violence by teachers against their students, acute conflicts between the parents of students, sometimes leading to tragic consequences. In this regard, the works devoted to the problem of the psychological safety of the educational environment become very important. The purpose of our research is to identify the factors of psychological safety of the educational environment in the context of the aggressiveness of the participants in educational relations. The study involved 15 292 respondents, including 945 teachers, 6478 parents and 7869 students of grades 7-11 from 34 schools in Ulan-Ude. The following psychodiagnostic techniques were used: Cook - Medley Hostility Scale (CMHS); Questionnaire of Legitimized Aggression by S.N. Enikolopov and N.P. Tsibulsky; Bass - Perry Aggressiveness Questionnaire BPAQ (LA-44) in Russian adaptation by S.N. Enikolopov and N.P. Tsibulsky; questionnaire for students, teachers and parents Psychological diagnostics of the safety of the educational environment at school by I.A. Baeva. The empirical data obtained were subjected to correlation and factor analysis. As a result of the study, the following conclusions were formulated: (1) the psychological safety of students is associated with the peculiarities of the relationships between the teachers and students, between the parents of students and the school, between the parents and other students, between the parents and their children in the context of school education; (2) aggressiveness of students is associated with the level of aggression of their teachers and is not closely related to the level of aggression of their parents; (3) there is an inverse relationship between the aggressiveness of students and their sense of security in relationships with their teachers; (4) aggressiveness of teachers is associated with their satisfaction with the school. There are five areas of relationships that need to be taken into account when designing a safe educational environment: (1) the relationship between parents and students at school; (2) the relationships among teachers and accepted rules of conduct at school; (3) the relationships between teachers and students; (4) family satisfaction with school; (5) teachers satisfaction with the school.

One-Stop Surgery: An Innovation to Limit Hospital Visits in Children

Introduction One-stop surgery (OSS) allows for same-day outpatient clinic visit, preoperative assessment, and surgical repair. This study aims to determine the efficiency, (cost-)effectiveness, and family satisfaction of one-stop inguinal hernia surgery compared with usual care. Material and Methods Children (≥ 3 months) with inguinal hernia and American Society of Anesthesiologists (ASA) grades I–II, scheduled for OSS (intervention) or regular treatment (control) between March 1, 2017, and December 1, 2018, were eligible for inclusion. Exclusion criteria consisted of age less than 3 months and ASA grades III–IV. The primary outcome measure was treatment efficiency (i.e., total number of hospital visits and waiting time [days] between referral and surgery). Secondary outcome measures were the effectiveness in terms of complication and recurrence rate, and parent-reported satisfaction and cost-effectiveness using the Dutch Pediatric Quality of Life Healthcare Satisfaction and Institute for Medical Technology Assessment Productivity Cost Questionnaire. Results Ninety-one (intervention: 54; control: 37) patients (56% boys) were included. Median (interquartile range) number of hospital visits was lower in the intervention group (1 vs 3; p < 0.001). All but one of the OSS patients (98%) were discharged home on the day of surgery. Postoperative complication (1.9% vs 2.7%; p = 0.787) and recurrence rates (0% vs 2.7%; p = 0.407) did not differ between the intervention and control patients. “General satisfaction,” “satisfaction with communication,” and “inclusion of family” were higher after OSS, while satisfaction about “information,” “technical skills,” and “emotional needs” were similar. Median (range) follow-up was 28 (15–36) months. Conclusions Pediatric one-stop inguinal hernia repair seems to be an effective treatment strategy that limits the number of hospital visits and provides enhanced family satisfaction without compromising the quality of care.

Knowledge, attitude, and associated factors towards older people care among nurses working at public hospitals in West Shoa zone, Oromia region, Ethiopia

Background Nurses’ knowledge and attitude regarding the care of older people can have an impact on patient outcomes such as reduced length of hospital stays, reduced readmission rates, and increased patient and family satisfaction. However, evidence is scarce in Ethiopia, particularly in the study area. Therefore, the study aimed to assess the knowledge, attitude, and associated factors towards the care of older people among nurses working at public hospitals in West Shoa Zone, Ethiopia. Methods Institutional based cross-sectional study was conducted from April1–30, 2021 among 423 nurses who were working in adult care units. Data were collected through a self-administered questionnaire. The sample was selected using simple random sampling. The logistic regression analysis model was fitted and the Adjusted Odds Ratio at 95% confidence interval was used. P-values less than or equal to 0.05 were considered statistically significant. Results A total of 411 nurses participated in the study with a 97.16% response rate. The mean age of the participants was 29.11 (SD ± 3.84) years. The study showed that 37.2% (95% CI: 33, 42%) of the participants had good knowledge and 45.7% (95% CI: 40.9, 50.6%) had a favorable attitude toward the care of older people. The significantly associated factors positively affected both the knowledge and the attitude of nurses. Age greater than 30 years (AOR:2.37, 95% CI: 1.18, 4.75), experience greater than 5 years (3.00: 1.21, 7.41), being BSc degree holder and above (3.57: 1.40, 9.09), lived with older people (2.14: 1.34, 3.42), and nurses working in adult intensive care unit (3.03: 1.03, 8.91) were significantly associated with knowledge. Likewise, being female (2.04: 1.33, 3.12), being BSc degree holder and above (2.77: 1.35, 5.65), lived with older people (1.59: 1.03, 2.44), and care for older people (1.63: 1.06, 2.53) were significantly associated with attitude. Conclusion In this study, less than half of the nurses had good knowledge and a favorable attitude towards the care of older people. Continuous professional development regarding the care of older people is important to enhance nurses’ knowledge and attitude.