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Marín-Maicas P, Ambrosio L, Corchon S, González-Moreno J, Portillo MC. Living with long-term conditions: validation of a new instrument for family caregivers in a Spanish-speaking population. BMJ Open 2024; 14:e088773. [PMID: 39306353 PMCID: PMC11418565 DOI: 10.1136/bmjopen-2024-088773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2024] [Accepted: 08/27/2024] [Indexed: 09/25/2024] Open
Abstract
INTRODUCTION Optimising the management of chronicity has been a global challenge for decades. Individuals with long-term conditions (LTCs) and their families live with them for years. Thus, it is necessary to include both of their perspectives in the management and adaptation of the interventions proposed. The psychometric properties of the living with LTCs scale from the perspective of the family caregiver are unknown. The objective of the present study is to describe the psychometric properties of the EC-PC-Fam in a Spanish-speaking population. METHODS An observational, cross-sectional study was performed with a retest of part of the sample. The fit of the model was optimised with a factorial analysis, and the psychometric properties were verified. RESULTS A sample of 311 caregivers was recruited. Most of them were women (68.2%) and had a mean age of 58.29±9.91 years (range: 32-84 years). The initial version did not obtain acceptable fit scores. To improve the fit, different versions were tested, refining the distribution of the items until optimisation was reached in V.10 (19 items). Cronbach's alpha was 0.81 for the scale as a whole. The intraclass correlation coefficient was 0.77. The EC-PC-Fam scale is strongly and inversely correlated with a scale that measures the burden of the caregiver (rs=-0.46), and moderately related to the health-related quality of life (rs=0.373) and social support (rs=0.38). CONCLUSIONS The EC-PC-Fam scale from a family perspective is defined as a promising tool for promoting personalised care and for optimising the management of LTCs, and a new approach that includes family caregivers is proposed for clinical practice. The scale is an instrument with a moderate fit and optimum psychometric properties to measure living with LTCs from the perspective of a family caregiver. New validation studies are recommended to verify the fit of the proposed factorial solution.
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Affiliation(s)
- Patricia Marín-Maicas
- Facultad de Enfermería y Podología, Universitat de Valencia, Valencia, Spain
- Faculty of Health Science, Valencian International University, Valencia, Spain
| | - Leire Ambrosio
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration Wessex, Southampton, UK, School of Health Sciences University of Southampton, Southampton, UK
| | | | | | - Mari Carmen Portillo
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration Wessex, Southampton, UK, School of Health Sciences University of Southampton, Southampton, UK
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Holmbom M, Andréasson F, Grundström H, Bernild C, Fålun N, Norekvål TM, Kikkenborg Berg S, Strömberg A. Young Spouses' Experiences of Having a Partner With Heart Disease and Adolescents Living at Home. Health Expect 2024; 27:e14129. [PMID: 38970211 PMCID: PMC11226407 DOI: 10.1111/hex.14129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Revised: 06/02/2024] [Accepted: 06/19/2024] [Indexed: 07/08/2024] Open
Abstract
AIM To describe the life situation of spouses having a partner with heart disease and adolescents living at home. DESIGN Qualitative inductive design. METHOD Participants (n = 22) were included from three Scandinavian countries. Semi-structured interviews were analysed using thematic analysis with an inductive and latent approach. RESULTS Three themes were derived. 'Being in spousal and parental role transition' described how daily life had been affected and parental responsibilities had been doubled due to their partner's heart disease. 'Living with unpredictability and insecurity' included how the unpredictable illness trajectory caused worries and affected the well-being of the family. 'Managing a challenging life situation' highlights how spouses coped with their partners' heart disease and adapted to a new life situation. CONCLUSION Young spouses' life situation was greatly affected by their partner's heart disease, resulting in increased responsibilities and double parenthood. Having a positive attitude and mindset towards life was used as a strategy to cope with the changed life situation and find a new way of life. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE All family members are affected by heart disease. Spouses needed additional professional support and guidance on how to involve the children when a parent is ill. IMPACTS This study highlights how young spouses, with adolescents living at home, experience their life situation. The life situation is unpredictable due to the partner's heart disease, as they must handle both caring for their partner and taking on double parenthood. Research involving family members can improve person- and family-centred care and treatment outcomes in health care and society. REPORTING METHOD COREQ checklist was used preparing the manuscript. PATIENT OR PUBLIC CONTRIBUTION Data collection included interviews with spouse. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: By highlighting the spouses changed life situation due to heart disease and the importance of including them in health care.
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Affiliation(s)
- Matilda Holmbom
- Department of Health, Medicine and Caring SciencesLinköping UniversityLinköpingSweden
| | | | - Hanna Grundström
- Department of Health, Medicine and Caring SciencesLinköping UniversityLinköpingSweden
- Department of Obstetrics and GynecologyNorrkopingSweden
- Department of Biomedical and Clinical SciencesLinköping UniversityLinköpingSweden
| | - Camilla Bernild
- The Heart Center, RigshospitaletCopenhagen University HospitalCopenhagenDenmark
| | - Nina Fålun
- Haukeland University HospitalBergenNorway
| | - Tone Merete Norekvål
- Haukeland University HospitalBergenNorway
- Department of Clinical ScienceUniversity of BergenBergenNorway
| | | | - Anna Strömberg
- Department of Health, Medicine and Caring SciencesLinköping UniversityLinköpingSweden
- Department of CardiologyLinköping UniversityLinköpingSweden
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Estrella E, Frazier PA. Healthcare experiences among adults with hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorder in the United States. Disabil Rehabil 2024; 46:731-740. [PMID: 36772820 DOI: 10.1080/09638288.2023.2176554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 01/29/2023] [Accepted: 01/31/2023] [Indexed: 02/12/2023]
Abstract
PURPOSE This cross-sectional mixed-method study examined healthcare experiences among individuals in the US with hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrum disorder (HSD), genetic connective tissue disorders. We hypothesized that many individuals with these conditions would report low satisfaction with healthcare and low health-related quality of life, and that lower healthcare satisfaction would be related to lower health-related quality of life and self-efficacy for symptom management. METHODS Adults living in the US with hEDS or HSD (N= 2125) completed an online survey assessing satisfaction with healthcare, health-related quality of life, and symptom management self-efficacy. Qualitative data also were gathered on desired changes to improve healthcare. RESULTS Participants reported low satisfaction with healthcare and lower health-related quality of life and symptom management self-efficacy than norm groups. Lower satisfaction with healthcare was associated with lower health-related quality of life and lower symptom management self-efficacy, ps <.001. The most common desired change to improve healthcare was more knowledge about hEDS and HSD among healthcare professionals. CONCLUSIONS U.S. adults with joint hypermobility report negative healthcare experiences and poor health-related quality of life. Future research should explore ways to improve the healthcare experiences and quality of care for individuals with hEDS and HSD.Implications for RehabilitationIndividuals with hypermobility spectrum disorder (HSD) and hypermobile Ehlers-Danlos syndrome (hEDS) score worse than the U.S. population on most health-related quality of life domains and symptom management self-efficacy.Individuals with HSD and hEDS report low levels of satisfaction with healthcare compared to norm groups.Participants particularly wanted to see improvements in the level of awareness and education about HSD and hEDS among healthcare professionals, provider attitudes about HSD and hEDS, and healthcare accessibility and convenience.Individuals who were less satisfied with their healthcare reported lower health-related quality of life and lower symptom management self-efficacy, underscoring the importance of improving healthcare experiences.
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Affiliation(s)
- Emma Estrella
- Department of Psychology, University of Minnesota Twin Cities, Minneapolis, MN, USA
| | - Patricia A Frazier
- Department of Psychology, University of Minnesota Twin Cities, Minneapolis, MN, USA
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O'Sullivan DJ, Bearne LM, Harrington JM, McVeigh JG. Can social prescribing put the 'social' into the biopsychosocial management of people with long-term musculoskeletal disorders? Musculoskeletal Care 2023; 21:1341-1352. [PMID: 37639305 DOI: 10.1002/msc.1810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 08/04/2023] [Accepted: 08/09/2023] [Indexed: 08/29/2023]
Abstract
BACKGROUND Chronic musculoskeletal disorders (MSD) are a significant burden on individuals' quality of life and society and are made more complex by the presence of multimorbidity. It is recommended that interventions targeting MSD be sustainable, equitable and incorporate the biopsychosocial model of care (BPS). AIMS A criticism of the BPS approach is that the social component of this model is not addressed adequately during the management of people with long-term MSD and that a gap exists between theory and implementation. The use of social prescribing (SP) as an intervention to bridge this gap is discussed. RESULTS AND DISCUSSION Social prescribing is a holistic non-medical person-centered approach to well-being that utilizes link workers (LW) to support individuals with long-term conditions (LTC) in the community. Social prescribing referrals are received from primary healthcare practitioners to LW and range from light touch signposting for employment or financial advice to more intensive support for LTC such as obesity, decreased physical activity and mental health needs. CONCLUSION There is evidence to suggest that SP interventions are effective in the management of LTC; however, due to the paucity of high-quality evidence, it is difficult to be conclusive. Large-scale randomised controlled trials are recommended to support the use of SP interventions in the management of LTC.
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Affiliation(s)
- Declan J O'Sullivan
- Discipline of Physiotherapy, School of Clinical Therapies, College of Medicine and Health, University College Cork, Cork, Ireland
| | - Lindsay M Bearne
- Population Health Research Institute, St George's, University of London, London, UK
| | - Janas M Harrington
- School of Public Health, College of Medicine and Health, University College Cork, Cork, Ireland
| | - Joseph G McVeigh
- Discipline of Physiotherapy, School of Clinical Therapies, College of Medicine and Health, University College Cork, Cork, Ireland
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Corchón S, Sánchez-Martínez V, Cauli O. Perceived mental health and emotional trajectories of long-term family caregivers of persons with mental conditions: A mixed-methods study. Arch Psychiatr Nurs 2022; 41:105-113. [PMID: 36428037 DOI: 10.1016/j.apnu.2022.07.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 06/10/2022] [Accepted: 07/03/2022] [Indexed: 11/02/2022]
Abstract
AIMS AND OBJECTIVES To explore the emotional experience and the perceived mental health of experienced family caregivers of people with mental disorders. BACKGROUND Family caregiving for individuals with mental disorders differs from other health conditions, as it implies a burden, deterioration in physical and mental health, stigma and a perceived lack of support from mental health services. METHODS A mixed-method study was undertaken with family caregivers of people diagnosed with mental disorders. RESULTS A total of 13 experienced family caregivers were included in the study. The qualitative data were classified into two major themes: emotions and perceived mental health. Emotions included five categories: irritability, painful emotions, pressure, emotions orientated towards coping, and positive emotions. The perceived mental health status embraced five categories: anxiety, burden and exhaustion, needing psychological or psychiatric treatment, insomnia and suicidal thoughts. An emotional path could be constructed from their discourses, starting with lack of control or irritation that evolved towards resignation, peace or satisfaction. The quantitative analysis partially replicated the qualitatively reported anxiety, depressive symptoms and insomnia. CONCLUSION Past and present emotions related to caregiving described by experienced family caregivers were identified. Their emotional trajectories converged in that negative emotions gave way to emotions towards coping, which in turn were followed by positive emotions. The participants' descriptions about their mental status were partially reflected through objective mental health measurements. RELEVANCE TO CLINICAL PRACTICE More support from mental health services could help caregivers to progress in their emotional trajectory towards coping, and improve their caregiving knowledge and skills. Mental health nurses have a role in patients and caregivers education and in the promotion of caregivers' psychological wellbeing.
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Affiliation(s)
- Silvia Corchón
- Department of Nursing, Faculty of Nursing and Chiropody, University of Valencia, Spain; Frailty and Cognitive Impairment Group (FROG), University of Valencia, Spain
| | - Vanessa Sánchez-Martínez
- Department of Nursing, Faculty of Nursing and Chiropody, University of Valencia, Spain; Frailty and Cognitive Impairment Group (FROG), University of Valencia, Spain.
| | - Omar Cauli
- Department of Nursing, Faculty of Nursing and Chiropody, University of Valencia, Spain; Frailty and Cognitive Impairment Group (FROG), University of Valencia, Spain
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Momeni P, Årestedt K, Alvariza A, Winnberg E, Goliath I, Kneck Å, Leksell J, Ewertzon M. A survey study of family members' encounters with healthcare services within the care of older people, psychiatric care, palliative care and diabetes care. Scand J Caring Sci 2022; 36:1228-1240. [PMID: 35808909 PMCID: PMC9796367 DOI: 10.1111/scs.13096] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 03/23/2022] [Accepted: 05/22/2022] [Indexed: 01/01/2023]
Abstract
The aim of this study was to describe and compare family members' experiences of approach in encounters with healthcare professionals and possible feelings of alienation in the professional care within four care contexts: the care of older people, psychiatric care, palliative care and diabetes care. The design was an explorative cross-sectional survey study. Data were collected in Sweden using the Family Involvement and Alienation Questionnaire-Revised (FIAQ-R). It measures family members' experiences of the healthcare professionals' approach and the family members' feeling of alienation from the provision of professional care. A total of 1047 questionnaires were distributed to family members using convenient sampling method, of which 294 were included. Data were analysed using rank-based, non-parametric statistical methods. The results indicated that most respondents experienced a positive actual approach from the healthcare professionals. Many participants rated the importance of approach at a higher level than their actual experience. Participants in the context of diabetes care reported a more negative actual approach from the healthcare professionals than did participants in the other contexts and considered the healthcare professionals' approach towards them as being less important. The results for the entire group indicated that the participants felt a low level of alienation from the professional care. Participants in the context of the care of older people reported significantly lower level of feeling of being alienated than did participants in the contexts of psychiatric care and diabetes care. The differences between participants in diabetes care and other care contexts can possibly be explained by a more fully implemented self-care approach among the patients in diabetes care than in the other care contexts. Even though the results are quite positive, it is still important that nurses consider a family-centred approach to better adapt to the needs of both the family members and the patients.
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Affiliation(s)
- Pardis Momeni
- Department of Health Care SciencesErsta Sköndal Bräcke University CollegeStockholmSweden
| | - Kristofer Årestedt
- Faculty of Health and Life SciencesLinnaeus UniversityKalmarSweden,Department of ResearchRegion Kalmar CountyKalmarSweden
| | - Anette Alvariza
- Department of Health Care SciencesErsta Sköndal Bräcke University CollegeStockholmSweden,Capio Palliative CareDalen HospitalStockholmSweden
| | - Elisabeth Winnberg
- Department of Health Care SciencesErsta Sköndal Bräcke University CollegeStockholmSweden
| | - Ida Goliath
- Stockholm Gerontology Research CenterStockholmSweden
| | - Åsa Kneck
- Department of Health Care SciencesErsta Sköndal Bräcke University CollegeStockholmSweden
| | - Janeth Leksell
- Department of Medical SciencesUppsala UniversityUppsalaSweden
| | - Mats Ewertzon
- Department of Health Care SciencesErsta Sköndal Bräcke University CollegeStockholmSweden,Swedish Family Care Competence CenterKalmarSweden
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Ness TM, Munkejord MC. "All I expect is that they accept that I am a Sami" an analysis of experiences of healthcare encounters and expectations for future care services among older South Sami in Norway. Int J Circumpolar Health 2022; 81:2078472. [PMID: 35612317 DOI: 10.1080/22423982.2022.2078472] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The aim of this study first aims to forward our empirical knowledge of how older Sami experience healthcare encounters in Norway and what they expect in terms of future care services, and second, to forward our understanding of how more culturally safe services could be offered to the Sami population, 30 years after they were officially recognised as an Indigenous People. A qualitative interpretative and constructivist research design was used. 12 older South Sami were interviewed about their experiences with healthcare encounters, and their expectations for future care services. The results showed that the participants sometimes felt deprioritised and misunderstood by healthcare professionals. Moreover, they sometimes experienced that healthcare professionals had little or no knowledge about Sami history, culture and cosmology. They worried that they would not be accepted for being Sami if one day they would have to move into a nursing home. To conclude, the participants of this study are situated in a colonising context characterised by personal and collective experiences of accumulated discrimination that have taken place over many generations. The concepts of health equity and accumulated discrimination provide useful insights in the further development of culturally safe services for Indigenous Peoples in Norway and beyond.
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Affiliation(s)
- Tove Mentsen Ness
- Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway.,Department for Child Welfare and Social work, UiT the Arctic University of Norway, Norway
| | - Mai Camilla Munkejord
- Centre for Care Research, West, Western Norway University of Applied Sciences, Norway.,NORCE, Norwegian Research Centre, Bergen, Norway
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Living with Atrial Fibrillation: A Family Perspective. Nurs Res Pract 2022; 2022:7394445. [PMID: 35280493 PMCID: PMC8916854 DOI: 10.1155/2022/7394445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 12/29/2021] [Accepted: 02/11/2022] [Indexed: 11/19/2022] Open
Abstract
Aim The aim of this study was to obtain insights from patients and their family members on how families are living with atrial fibrillation. Background Atrial fibrillation is the most common cardiac arrhythmia and is often described as an emerging global epidemic affecting an estimated 33.5 million people worldwide. Living with atrial fibrillation not only affects the patient but also may negatively influence family members' perceived health. The perspective of the family has previously been understudied, and more knowledge on how patients and their family members cope and adjust to life with atrial fibrillation may be helpful when developing future support for patients and their family members when coping with atrial fibrillation. Methods A qualitative phenomenological study with an inductive, descriptive research approach based on Giorgi's descriptive method was used. Data were gathered through 12 dyadic family interviews. The COnsolidated criteria for REporting Qualitative research checklist was followed while conducting the study. Results Three major themes emerged: emotional differences, changes in family life, and uncertainty about the future. Atrial fibrillation had multiple effects on the family. Frequently, several adjustments and adaptations had to be made to accommodate life with atrial fibrillation. Conclusion Patients with atrial fibrillation and their family members feel a need to talk about their emotions and worries. They required support and guidance to manage the challenges of living with atrial fibrillation. These results will be used in a family-focused intervention designed to support families in adjusting and managing their everyday lives with atrial fibrillation.
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Rosenstrøm S, Chou WX, Brødsgaard A. How Family Members Experienced a Family-Focused Atrial Fibrillation Intervention in an Outpatient Setting—A Qualitative Study. SAGE Open Nurs 2022; 8:23779608221114265. [PMID: 35938068 PMCID: PMC9350502 DOI: 10.1177/23779608221114265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 06/06/2022] [Accepted: 06/18/2022] [Indexed: 12/04/2022] Open
Abstract
Introduction Family-focused nursing has gained ground worldwide, and a range of healthcare
systems are now practicing family-focused nursing, which has been shown to
increase the quality of care. Even so, a lack of research remains into
family-focused nursing for various groups of patients in clinical
practice. Objectives The purpose of this study was to explore how family members (FMs) of patients
with atrial fibrillation (AF) experienced a family-focused nursing
intervention in a clinical outpatient setting. Methods This was a qualitative phenomenological interview study employing Reflective
Lifeworld Research (RLR) to explore humans’ lived experiences. The data
reported herein were derived from semi-structured interviews with seven FMs
of patients with AF who participated in a clinical trial which tested a
family-focused intervention in a Cardiology outpatient clinic treating
patients with AF. The transcribed interviews were analyzed in four phases
which is an iterative process as proposed by Dahlberg and Dahlberg. Findings The essence of the phenomenon was experiencing less panic and finding peace,
which emerged from the following four patterns. (1) The FMs’ post-AF
experience, (2) Enhanced understanding and knowledge of AF, (3) Personal
interaction with a nurse specialist and (4) AF becomes manageable. A space
facilitating reflection upon the disease and daily life with the disease was
established through group sessions and family conversations. Conclusion A family-focused nursing intervention facilitated by specialized nurses with
extensive communication skills filled a knowledge gap related to AF thereby
reducing panic and increasing peace among FMs. Furthermore, the intervention
facilitated family awareness of their resources to bring about change,
regain balance, and enhance well-being in their everyday lives and initiated
a healing process in the families. Future interventions for patients with AF
should consider FMs as well as patients as an entity of care.
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Affiliation(s)
- Stine Rosenstrøm
- Department of Cardiology, Copenhagen University Hospital, Amager
Hvidovre, Capital Region of Denmark
- Nursing and Health Care, Department of Public Health, University of
Aarhus, Denmark
- Stine Rosenstrøm, Department of Cardiology,
Hvidovre Hospital, Kettegård Allé 30, 2650 Hvidovre, Capital Region of Denmark.
| | - Wan Xui Chou
- Department of Cardiology, Copenhagen University Hospital
Glostrup, Capital Region of Denmark
| | - Anne Brødsgaard
- Nursing and Health Care, Department of Public Health, University of
Aarhus, Denmark
- Department of Paediatrics and Adolescent Medicine, Copenhagen
University Hospital, Amager Hvidovre, Capital Region of Denmark
- Department of Obstetrics and Gynaecology, Copenhagen University
Hospital, Amager Hvidovre, Capital Region of Denmark
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Marín-Maicas P, Corchón S, Ambrosio L, Portillo MC. Living with Long Term Conditions from the Perspective of Family Caregivers. A Scoping Review and Narrative Synthesis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7294. [PMID: 34299745 PMCID: PMC8305191 DOI: 10.3390/ijerph18147294] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 07/05/2021] [Accepted: 07/06/2021] [Indexed: 12/20/2022]
Abstract
(1) Background: When living with one or more long term conditions (LTCs), both the patient and the family experience the impact of the condition at different levels. The family's needs and perceptions should be considered in the process of caring for people with LTCs. The aim of this review is to understand "the process of living with LTCs" from a family perspective. (2) Methods: A scoping review and narrative synthesis were conducted using a systematic methodology in MEDLINE, CINAHL, Web of Science and PsycINFO, in English and Spanish, including evidence from 2018. (3) Results: A total of 28 articles were included in the review. Acceptance, coping, self-management, integration, and adjustment were key attributes in the process of living with LTCs from the perspective of family caregivers that interrelated in a dynamic way through different mechanisms: being aware of the changing situation, personal networks, information and education, personal conditions, attitude to life and communication. (4) Conclusions: The five attributes that comprise living with LTCs from the perspective of the family caregiver are closely connected of to those of patients living with LTCs; however, self-management and integration have a different meaning and application.
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Affiliation(s)
| | - Silvia Corchón
- Faculty of Nursing and Chiropody, University of Valencia, 46010 Valencia, Spain
| | - Leire Ambrosio
- NIHR ARC Wessex, School of Health Sciences, University of Southampton, Southampton SO17 1BJ, UK; (L.A.); (M.C.P.)
| | - Mari Carmen Portillo
- NIHR ARC Wessex, School of Health Sciences, University of Southampton, Southampton SO17 1BJ, UK; (L.A.); (M.C.P.)
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11
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Åberg C, Gillsjö C, Hallgren J, Berglund M. "It is like living in a diminishing world": older persons' experiences of living with long-term health problems - prior to the STRENGTH intervention. Int J Qual Stud Health Well-being 2020; 15:1747251. [PMID: 32275201 PMCID: PMC7178864 DOI: 10.1080/17482631.2020.1747251] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/23/2020] [Indexed: 12/21/2022] Open
Abstract
Introduction: Ageing is often associated with multiple long-term health problems influencing older persons' well-being in daily living. It is not unusual that the point of interest in research is often on the management of the actual health problem instead of being holistic and person-centred.Purpose: To describe the phenomenon of living with long-term health problems that influence daily living, from the older persons' perspective.Methods: Qualitative individual interviews were conducted with 34 older persons living with long-term health problems. The data were analysed using a Reflected Lifeworld Research (RLR) approach, grounded in phenomenology. Results: Life with long-term health problems entails living in a diminishing world. It entails living in uncertainty, not being able to trust one's own ability. The freedom to make decisions of your own is deprived by relatives and health-care providers. Living with long-term health problems entails being dependent on support in daily life and a strive to maintain meaningfulness in daily living.Conclusions: The results address a need for extended individual and holistic guidance and support in living with long-term health problems to increase the older person's sense of well-being and meaning in life.
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Affiliation(s)
- Cecilia Åberg
- School of Health Sciences, University of Skövde, Skövde, Sweden
- School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Catharina Gillsjö
- School of Health Sciences, University of Skövde, Skövde, Sweden
- College of Nursing, University of Rhode Island, Kingston, RI, USA
| | - Jenny Hallgren
- School of Health Sciences, University of Skövde, Skövde, Sweden
- School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Mia Berglund
- School of Health Sciences, University of Skövde, Skövde, Sweden
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12
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Haahr A, Norlyk A, Hall EOC, Hansen KE, Østergaard K, Kirkevold M. Sharing our story individualized and triadic nurse meetings support couples adjustment to living with deep brain stimulation for Parkinson's disease. Int J Qual Stud Health Well-being 2020; 15:1748361. [PMID: 32268846 PMCID: PMC7178889 DOI: 10.1080/17482631.2020.1748361] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Treatment with deep brain stimulation for Parkinson’s disease, leads to a rapid improvement in mobility, which may challenge patients and spouses when adjusting to everyday life. An intervention, developed to support the adjustment to everyday life with DBS, demonstrated that individualized meetings with a specialized nurse was experienced as important and fruitful by both patient and spouses. Purpose: The aim was to gain a deeper understanding of how the meetings contributed to the adjustment process. Method: 38 audio-recorded meetings and six written summaries from eight couples participating in the intervention, were analyzed in a hermeneutic process. Results: The analysis revealed four themes: A relational triad of co-creating personal knowing. Sharing and listening in an atmosphere of trust and openness. Unveiling the couple’s everyday life, coping strategies and expectations. Supporting adjustment through knowing their personal story. Conclusion: The triadic dynamics in the meetings were quite particular. The main focus was the patients’ and spouses’ stories, individually and as a couple. The DBS nurse pursues solutions based on professional and specialized knowledge of Parkinson’s disease and the couple’s everyday life. Thus, the intervention meetings offered tailored, individualized and specialized care in supporting adjustment to DBS for PD both individually and as couples.
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Affiliation(s)
- Anita Haahr
- Research Centre for Health and Welfare Technology, Programme for Rehabilitation, VIA University College, Aarhus, Denmark
| | | | - Elisabeth O C Hall
- Public Health, Nursing, Aarhus University, Aarhus, Denmark.,Faculty of Health Sciences and Nursing, University of the Faroe Islands, Tórshavn, Faroe Islands
| | | | - Karen Østergaard
- Department of Neurology, Aarhus University Hospital, Aarhus, Denmark
| | - Marit Kirkevold
- Department of Nursing Science, Faculty of Medicine, University of Oslo, Oslo, Norway.,Institute of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
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Gervais C, Verdon C, deMontigny F, Leblanc L, Lalande D. Creating a space to talk about one's experience of suffering: families' experience of a family nursing intervention. Scand J Caring Sci 2019; 34:446-455. [PMID: 31487072 DOI: 10.1111/scs.12748] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2019] [Accepted: 08/08/2019] [Indexed: 12/14/2022]
Abstract
STUDY RATIONALE The impacts of health problems on individual and family functioning, as well as the influence of family on health, are well documented. However, health care and services in the West are mostly oriented towards individuals, and the needs of families often receive little consideration. The Family Support Service (FSS) was developed to address this situation. Its aim is to improve the education of nursing students and contribute to the health of the community by offering family conversations to families whose members have a health problem or who have difficulty adjusting to certain transitions. AIMS AND OBJECTIVES The objective of this study was to explore families' experience of the family conversations in which they participated and their satisfaction with the FSS. METHODOLOGICAL DESIGN AND JUSTIFICATION This study used a descriptive qualitative design based on semi-structured interviews and thematic analysis. The study followed ethical codes of conduct and conformed to the Canadian Tri-Council Policy Statement (TCPS). RESEARCH METHODS Qualitative interviews were conducted with 22 participants who had participated in family conversations as interventions, to evaluate their experience of those family conversations and their satisfaction with the FSS. RESULTS The families reported a very positive experience of the family conversations. Three themes emerged from their statements and explained this satisfaction: (i) the nurse's attitudes and skills as the foundation for meaningful encounters; (ii) a family systems intervention where families feel recognised; and (iii) a structure adapted to the needs of families. CONCLUSIONS This study adds to the existing body of knowledge on families' experience of family system nursing and invites nurses to develop attitudes that are conducive to meaningful encounters with families.
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Affiliation(s)
- Christine Gervais
- Centre for Studies and Research on Family Intervention, Université du Québec en Outaouais, Gatineau, QC, Canada
| | - Chantal Verdon
- Centre for Studies and Research on Family Intervention, Université du Québec en Outaouais, Gatineau, QC, Canada
| | - Francine deMontigny
- Centre for Studies and Research on Family Intervention, Université du Québec en Outaouais, Gatineau, QC, Canada
| | - Lori Leblanc
- Centre for Studies and Research on Family Intervention, Université du Québec en Outaouais, Gatineau, QC, Canada
| | - Dominique Lalande
- Centre for Studies and Research on Family Intervention, Université du Québec en Outaouais, Gatineau, QC, Canada
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