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Mestre TD, Lopes MJ, Mestre DM, Ferreira RF, Costa AP, Caldeira EV. Impact of family-centered care in families with children with intellectual disability: A systematic review. Heliyon 2024; 10:e28241. [PMID: 38560242 PMCID: PMC10981057 DOI: 10.1016/j.heliyon.2024.e28241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 03/13/2024] [Accepted: 03/14/2024] [Indexed: 04/04/2024] Open
Abstract
Background Family-Centered Care (FCC) is an approach to healthcare planning, delivery and evaluation, based on beneficial partnerships between health professionals, patients and families. FCC may be particularly relevant for families with children with intellectual disability (ID), given their needs of continuum care. Objective To identify which components of the FCC are practiced and which health outcomes are considered effective in families with children with ID. Method A systematic review guided by the PRISMA STATEMENT 2020 approach and the STROBE reporting guidelines was performed on specific databases through the EBSCOhost Web platform: MEDLINE with Full Text, CINAHL PLUS with Full Text, Academic Search Complete and Psychology and Behavioral Sciences Collection. Peer-reviewed articles published in English or Portuguese languages from 2018 to September 2023 were retrieved. Methodological quality was established using the Quality Assessment Tool for Observational, Cohort and Cross-Sectional Studies - NHLBI, NIH. Results Ten studies met the eligibility criteria and were synthetized. The results revealed nine components, reflecting the way FCC was developed: shared decision-making; family education; respect for culture; family engagement; recognition of the family's needs, characteristics and interests; specialized care support; social and emotional support; family functionality; and family seen as a unit. The health outcomes demonstrate effective gains in improving children's health through family satisfaction with health services. Also achieved psychological and social benefits, with improved family well-being and quality of life, favoring family empowerment. Conclusions The evidence suggests that FCC components involves an effective partnership between the family and health professionals as the main key in developing care plans, as well as the experience that the family unit brings to the delivery of care. FCC approach include all family members as decision-makers, providing emotional, physical and instrumental levels of support. Health outcomes emerged in three strands; for children with ID, families and health services.
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Affiliation(s)
- Teresa Dionísio Mestre
- Comprehensive Health Research Centre [CHRC], Portugal
- Polytechnic Institute of Beja – Health Department, Portugal
| | - Manuel José Lopes
- Comprehensive Health Research Centre [CHRC], Portugal
- University of Évora – Health Department, Portugal
| | | | - Rogério Ferrinho Ferreira
- Comprehensive Health Research Centre [CHRC], Portugal
- Polytechnic Institute of Beja – Health Department, Portugal
| | - Ana Pedro Costa
- Comprehensive Health Research Centre [CHRC], Portugal
- Local Health Unit of Lower Alentejo [ULSBA], Beja, Portugal
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Berhanu KZ, Shiferaw AA. The mediating role of healthy lifestyle behavior in the relationship between religious practice and academic achievement in university students. BMC Psychol 2023; 11:416. [PMID: 38012783 PMCID: PMC10683229 DOI: 10.1186/s40359-023-01455-1] [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: 02/19/2023] [Accepted: 11/19/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND The issues of religious practice, healthy lifestyle behavior and academic achievement are global agendas. Most previous research has focused on either one or two of the variables, not three of them (e.g. just the relationship between religious practice and healthy lifestyle behavior). And addressing these three issues, by and large, demands a systemic approach to re-thinking the current level and improving it. OBJECTIVE To examine the causal relationship between religious practice, healthy lifestyle behavior, and academic achievement in the case of Debre Markos University (DMU) and Injibara University (IU), Ethiopia. METHODS Four hundred forty students are participated voluntarily using random sampling techniques. To attain this objective, a cross-sectional research method design was used. RESULTS The mean scores of students' healthy lifestyle behavior is more than average in all aspects. MANOVA results revealed that batch, ethnicity (region), and the university did not display a statistically significant difference among the composite (or combined) scores of both students' healthy lifestyles and religious practice. However, religious affiliation and gender religious practice and have an effect on religious practice and healthy lifestyle behavior respectively. The correlation output informs that religious practice and healthy lifestyle behavior are positively and significantly correlated with each other. Religious practice also significantly predicted students' healthy lifestyle behavior. Despite this, the academic achievement of students didn't have any relationship with their religious practice and healthy lifestyle behavior. CONCLUSION University students' healthy lifestyle behavior doesn't play an intervening variable in the effect of religious practice on academic achievement. Possible practical implications and recommendations have been forwarded.
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Affiliation(s)
- Kelemu Zelalem Berhanu
- Department of Education Leadership and Management, Faculty of Education, University of Johannesburg, 524 Auckland Park, Johannesburg, South Africa, Gauteng
| | - Abraham Abeje Shiferaw
- Department of Psychology, Debre Markos University, 269, Debre Markos, Amhara Region, Ethiopia.
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Marcussen J, Madsen R, Bonner A, Agerskov H. Perceptions of haemodialysis nurses regarding patients' and families' loss and grief. J Ren Care 2023. [PMID: 37717218 DOI: 10.1111/jorc.12479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 08/21/2023] [Accepted: 09/01/2023] [Indexed: 09/19/2023]
Abstract
BACKGROUND The experience of loss and grief in patients' lives with life-long treatment in haemodialysis, and in their families' lives is a major cause of mental health problems. In practice, nurses often describe a lack of time and limited knowledge of how to provide nursing care in situations of loss and grief, thus finding out from nurses' perspectives of what competencies they need to provide care would be useful for the development of nursing practice. OBJECTIVES To develop knowledge in a nursing perspective of competencies to provide care for patients and their families, who experience grief linked to loss due to kidney failure, haemodialysis and/or death. DESIGN The study took a phenomenological-hermeneutical approach. Semi-structured interviews were conducted 12 nurses caring for patients receiving haemodialysis with no kidney transplantation option and family members. Ricoeur's interpretation theory involving naïve reading, structural analysis and critical interpretation and discussion was used for analysis. RESULTS Four themes emerged of nurse's experiences: (1) patient's loss and grief in everyday life, (2) dealing with supportive conversations when caring for patients, (3) families' losses are resulting in grief reactions and (4) importance of close relationships when caring for families. CONCLUSIONS To nurses, patients on haemodialysis and their families have multiple loss and grief experiences. Nurses' working in kidney care need to develop competencies to support patients and families to cope with grief and loss. Further research is needed to develop these competencies and then to implement in education and practice.
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Affiliation(s)
- Jette Marcussen
- OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
- Department of Health and Nature, University of Greenland, Nuuk, Greenland
- Faculty of Health Sciences, Health Science Research Center, UCL University College, Niels Bohrs Alle 1, Odense M, Denmark
| | - Rikke Madsen
- Faculty of Health Sciences, Faculty of Nursing, Health Science Research Center, UCL University College, Vejle, Denmark
| | - Ann Bonner
- School of Nursing and Midwifery, Griffith University, Brisbane, QLD, Australia
- Kidney Health Service, Townsvill University Hospital, Townsville, QLD, Australia
- Department of Public Health, Aarhus University, Aarhus, Denmark
| | - Hanne Agerskov
- Department of Nephrology, Odense University Hospital, Odense, Denmark
- Department of Clinical Institute and Family Focused Health Care Research Centre, University of Southern Denmark, Odense, Denmark
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Nursing care and nurses' understandings of grief and bereavement among patients and families during cancer illness and death - A scoping review. Eur J Oncol Nurs 2023; 62:102260. [PMID: 36610290 DOI: 10.1016/j.ejon.2022.102260] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 12/08/2022] [Accepted: 12/14/2022] [Indexed: 12/23/2022]
Abstract
PURPOSE Grief and bereavement is often present among patients and families during courses of cancer. Offering support for both patients and families is essential in the context of cancer nursing. Present scoping review offers an overview of existing knowledge, which can be used for inspiration in cancer-nursing. Hence, the objective of this study was to identify understandings of grief and bereavement, which is present in a cancer-nursing context and to develop insight on existing knowledge about nursing interventions targeted patients and their families' experiences of grief and bereavement due to cancer illness. METHOD The scoping review is conducted, inspired by the methodology of Joanna Briggs Institute. Sources of evidence are retrieved from a large number of databases and resources. RESULTS Twenty-two studies are included in the scoping review. The studies are retrieved from eight different countries. Findings are mapped in nine categories. Eight categories related to nursing care targeted patients and/or families experiencing grief and/or bereavement; One category related to understandings of grief and/or bereavement targeted patients and families. CONCLUSION Nursing interventions to support patients and their families during grief and bereavement covers a broad spectrum of interventions. E.g. communication; using artwork; cultural and spiritual care; bereavement care; supporting coping strategies. Different models and theoretical understandings were identified. E.g. The dual process model of coping with bereavement; A Divorced Family-focused Care Model; Family Strengths-Oriented Therapeutic Conversation (Fam-SOTC); and understandings of children's grieving process.
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Beckmeyer JJ, T Russell L. Family Structure Diversity and Youth Health Care Access and Interactions With Health Care Providers. JOURNAL OF FAMILY NURSING 2022; 28:308-320. [PMID: 36173123 DOI: 10.1177/10748407221124133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Using data from the 2019 National Survey of Children's Health, we evaluated family structure differences in youth health care access and experiences. We found youth living with their married biological/adoptive parents generally had greater health care access than youth living in structurally diverse families. Differences, however, varied based on which aspect of health care access was examined and the specific types of structurally diverse families youth were living in. Youth living in single-father and other relative-headed families showed the most consistent differences in health care access from youth living with their married biological/adoptive parents. In terms of health care experiences, youth living in several structurally diverse families were more likely to have had time alone with health care providers. Furthermore, there were differences in family-centered care, but the effect size and magnitude of the differences were small.
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Russell LT, Ganong L, Beckmeyer JJ. Understanding and Serving All Families: Introduction to the Special Issue on Supporting Structurally Diverse Families. JOURNAL OF FAMILY NURSING 2022; 28:299-307. [PMID: 36221247 DOI: 10.1177/10748407221131118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
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Russell LT, Su-Russell C. Family functioning, contributions to college expenses, access to mentors, and college student's health and flourishing: Examining moderation by family structure. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022:1-9. [PMID: 35944131 DOI: 10.1080/07448481.2022.2109035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 06/28/2022] [Accepted: 07/28/2022] [Indexed: 06/15/2023]
Abstract
Objective: To evaluate how family functioning, family contributions to college expenses, and access to mentors are associated with college student's self-reported health and flourishing, and to test for moderation by family structure. Participants: Undergraduate college students (N = 238) recruited through an email list-serve at a large midwestern state university. Methods: Participants completed an online survey (distributed through Qualtrics) in February 2020. Data were analyzed using linear regression (in SPSS 28) and simple slope analyses. Results: College students' access to mentors is associated with their self-reported health, and family structure moderates the association between family strengths and self-reported health. Family functioning and access to mentors are both associated with college students' flourishing. Conclusions: College students' health and flourishing may benefit from access to mentors and functional family dynamics. Though students from post-divorce families see fewer benefits from family strengths compared to peers in nuclear biological families.
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Affiliation(s)
- Luke T Russell
- Family and Consumer Sciences, Illinois State University, Normal, Illinois, USA
| | - Chang Su-Russell
- Family and Consumer Sciences, Illinois State University, Normal, Illinois, USA
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Botchway EN, Knight S, Muscara F, Greenham M, D'Cruz K, Bonyhady B, Anderson V, Scheinberg A. Rehabilitation models of care for children and youth living with traumatic brain and/or spinal cord injuries: A focus on family-centred care, psychosocial wellbeing, and transitions. Neuropsychol Rehabil 2020; 32:537-559. [PMID: 33108961 DOI: 10.1080/09602011.2020.1833945] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
To describe current rehabilitation models of care and programmes, in Australia and internationally, related to family-centred care, psychosocial support, and transitions used for children and youth who have sustained major traumatic brain and/or spinal cord injuries. Fourteen services were interviewed, including eight medical rehabilitation services, three community-based rehabilitation services, two insurance services, and one state-wide education service provider. Semi-structured interviews were transcribed and analysed using qualitative content analysis in NVivo. Compared to the number of services supporting children and youth with traumatic brain injury, a very limited number supported those with spinal cord injury. Although valued and often included in the model of care, family-centred care was rarely systematically evaluated by the services. Most services provided psychosocial and transition support to children and youth, and their families in the short-term post-injury, but not in the long-term. Several challenges also hindered the smooth delivery of these support services, including poor communication between service providers. These findings show that services aimed to provide the best possible care to these children and youth, and their families; guided by rehabilitation models of care. However, challenges persist with regards to delivering family-centred care, coordinating return to school, and providing long-term support for psychosocial problems and transition.
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Affiliation(s)
- Edith N Botchway
- Murdoch Children's Research Institute, Parkville, Australia.,The Royal Children's Hospital, Parkville, Australia.,The University of Melbourne, Parkville, Australia
| | - Sarah Knight
- Murdoch Children's Research Institute, Parkville, Australia.,The Royal Children's Hospital, Parkville, Australia.,The University of Melbourne, Parkville, Australia.,Victorian Paediatric Rehabilitation Service, Parkville, Australia
| | - Frank Muscara
- Murdoch Children's Research Institute, Parkville, Australia.,The Royal Children's Hospital, Parkville, Australia.,The University of Melbourne, Parkville, Australia.,Victorian Paediatric Rehabilitation Service, Parkville, Australia
| | | | - Kate D'Cruz
- Department of Occupational Therapy, Social Work and Social Policy, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Australia
| | | | - Vicki Anderson
- Murdoch Children's Research Institute, Parkville, Australia.,The Royal Children's Hospital, Parkville, Australia.,The University of Melbourne, Parkville, Australia
| | - Adam Scheinberg
- Murdoch Children's Research Institute, Parkville, Australia.,The Royal Children's Hospital, Parkville, Australia.,The University of Melbourne, Parkville, Australia.,Victorian Paediatric Rehabilitation Service, Parkville, Australia.,Department of Paediatrics, Monash University, Melbourne, Australia
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Marcussen J, Thuen F, O'Connor M, Wilson RL, Hounsgaard L. Double bereavement, mental health consequences and support needs of children and young adults—When a divorced parent dies. J Clin Nurs 2020; 29:1238-1253. [DOI: 10.1111/jocn.15181] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2019] [Revised: 10/08/2019] [Accepted: 12/20/2019] [Indexed: 12/30/2022]
Affiliation(s)
- Jette Marcussen
- OPEN – OPEN Patient Data Explorative Network Department of Clinical Research University of Southern Denmark Odense C Denmark
- Health Science Research Center University College Lillebaelt Odense M Denmark
- School of Nursing University College Lillebaelt Odense M Denmark
| | - Frode Thuen
- Center for Evidence‐based Practice Bergen University College Bergen Norway
| | - Maja O'Connor
- Department of Psychology and Behaviour Sciences University of Aarhus Aarhus C Denmark
| | - Rhonda L. Wilson
- School of Nursing and Midwifery University of Newcastle Newcastle New South Wales Australia
- College of Health Massey University Palmerston North New Zealand
- Adjunct University of England UK
| | - Lise Hounsgaard
- OPEN – OPEN Patient Data Explorative Network Department of Clinical Research University of Southern Denmark Odense C Denmark
- Center for Psychiatric Nursing and Health Research Institute of Regional Research University of Southern Denmark Odense C Denmark
- Head of Research Institute for Nursing and Health Sciences University of Greenland Nuuk Greenland
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Acosta Enríquez ME, Uribe Salas FJ, Baek J, Sierra Archbold JP, Carrillo G. Association between life-style behaviors and health outcomes in Adventist and non-Adventist adolescents in Mexico: a pilot study. BMC Public Health 2019; 19:1705. [PMID: 31856777 PMCID: PMC6924060 DOI: 10.1186/s12889-019-8042-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Accepted: 12/04/2019] [Indexed: 02/06/2023] Open
Abstract
Background Identifying lifestyle-related health predictors affecting adolescent behaviors is a matter of interest and study for diverse audiences, including the religious sphere. The Adventist religion recommends their followers to adopt a healthy diet, adequate rest, physical activity, sufficient water intake, and non-use of addictive substances such as alcohol, tobacco, and drugs, as well as fostering faith and hope to give meaning to life. Methods A cross-sectional and observational study was conducted among adolescent students aged 13 to 19 years old in Montemorelos City, Nuevo León, Northern Mexico, between September 14, 2017 and February 13, 2018. This study included 363 Mexican adolescents, consisting of 202 Adventists and 161 non-Adventists. The binomial logistic regression analysis was performed to examine the relationships between religious affiliation and life-style behaviors and evaluate the effect of life-style behaviors on health outcomes by religious affiliation. Age, gender, type of residence, and place of birth were controlled. Results We found that Adventist adolescents were more likely to be watching TV for 2 h or less per day (p < 0.001), have enough sleeping time for 7 h or more (p < 0.001), go to bed early at 11 o’clock or before (p < 0.001), and have breakfast (p = 0.006) than non-Adventist adolescents significantly. It indicates that Adventist students are more likely to have healthier life-style behaviors than non-Adventist students. The multiple binomial regression models showed that in the group of Adventist adolescents sporting activity and hours watching TV were significantly associated with obesity risk (p = 0.001) and risky eating patterns (p = 0.044), respectively, controlling for age, gender, type of residence, and place of birth. No relationship was found between life-style behaviors and health outcomes in non-Adventist adolescents. Conclusions Religious affiliation could serve as a predictor of healthy behaviors among adolescents. This study concluded that Adventist adolescents are more likely to have a healthier lifestyle behavior than non-Adventist adolescents and various health-related behaviors were specifically identified among Adventist participants.
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Affiliation(s)
- Maria Elena Acosta Enríquez
- Montemorelos University, Sciences of Health Faculty, Nutrition School, School of Public Health, Libertad 1300 Pte., C.P. 67500, Montemorelos, Nuevo Leon, Mexico
| | - Felipe Javier Uribe Salas
- Colegio de la Frontera Norte, Progreso 503, Seccion 1, Amp Tierra y Esperanza, C.P. 26020, Piedras Negras, Coahuila, Mexico
| | - Juha Baek
- Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, 212 Adriance Lab Road, Suite 110, College Station, TX, USA
| | - Jenny Patricia Sierra Archbold
- Montemorelos University, Sciences of Health Faculty, Nutrition School, School of Public Health, Libertad 1300 Pte., C.P. 67500, Montemorelos, Nuevo Leon, Mexico
| | - Genny Carrillo
- Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, 212 Adriance Lab Road, Suite 110, College Station, TX, USA.
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Marcussen J, Hounsgaard L, O'Connor M, Möller S, Wilson R, Thuen F. Parental death in young adults with divorced compared to non-divorced parents: The effect on prolonged grief and mental health. DEATH STUDIES 2019; 45:437-450. [PMID: 31402764 DOI: 10.1080/07481187.2019.1648337] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
This cross-sectional survey compares the risk of mental health problems like poor well-being, complicated and prolonged grief, and mental disorders between young adults experiencing a divorced or non-divorced parent's death. 190 participants were recruited from Facebook via the Danish National Center for Grief. Well-being was measured using WHO-5, prolonged grief using PG-13 and complicated grief using BGQ, and common mental disorders using CMDQ. Findings confirmed deleterious effects on mental health in young adults experiencing parental death, but higher risk, when losing a divorced parent compared to a non-divorced parent, was associated to prolonged grief, complicated grief, bodily distress syndrome, and alcohol misuse.
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Affiliation(s)
- Jette Marcussen
- OPEN-Open Patient data Explorative Network, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
- Health Science Research Center, University College Lillebaelt, Odense, Denmark
- School of Nursing, University College Lillebaelt, Odense, Denmark
| | - Lise Hounsgaard
- OPEN-Open Patient data Explorative Network, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
- Health Science Research Center, University College Lillebaelt, Odense, Denmark
- Center for Psychiatric Nursing and Health, Research Institute of Regional Research, University of Southern Denmark, Odense, Denmark
- Institute for Nursing and Health Sciences, University of Greenland, Nuuk, Greenland
| | - Maja O'Connor
- Department of Psychology and Behaviour Sciences, University of Aarhus, Aarhus, Denmark
| | - Sören Möller
- OPEN-Open Patient data Explorative Network, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Rhonda Wilson
- Center for Psychiatric Nursing and Health, Research Institute of Regional Research, University of Southern Denmark, Odense, Denmark
- School of Nursing, Midwifery and Public Health, Faculty of Health, University of Canberra, Canberra, Australia
| | - Frode Thuen
- Center for Evidence-Based Practice, Bergen University College, Bergen, Norway
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Marcussen J, Hounsgaard L, Bruun P, Laursen MG, Thuen F, Wilson R. The Divorced Family-Focused Care Model: A Nursing Model to Enhance Child and Family Mental Health and Well-Being of Doubly Bereaved Children Following Parental Divorce and Subsequent Parental Cancer and Death. JOURNAL OF FAMILY NURSING 2019; 25:419-446. [PMID: 31387426 DOI: 10.1177/1074840719863918] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The experience of parental death concomitant with parental divorce occurs for 46% of Danish children and 50% of American children who lose a parent to death. This experience of loss and double bereavement compounds increased risk of mental health problems. The aim of this study was to explore nursing interventions for double bereaved children that promoted their well-being. A phenomenological-hermeneutic approach was used to conduct 20 interviews with nurses in family cancer care. Ricoeur's theoretical framework was followed with naïve reading, structural analysis, and critical interpretation, resulting in the formulation of a new model of nursing care for these children: the Divorced Family-Focused Care Model. Four themes were apparent: (a) collection of information about family structure, (b) assessment of support needs, (c) initiation of well-being support, and (d) coordination and follow-up focused on the child's well-being. The new intervention model has implications for health care education and implementation of health care policies.
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Affiliation(s)
- Jette Marcussen
- 1 University of Southern Denmark, Odense, Denmark
- 2 University College Lillebaelt, Odense, Denmark
| | - Lise Hounsgaard
- 1 University of Southern Denmark, Odense, Denmark
- 2 University College Lillebaelt, Odense, Denmark
- 3 University of Greenland, Nuuk, Greenland
| | - Poul Bruun
- 2 University College Lillebaelt, Odense, Denmark
| | | | | | - Rhonda Wilson
- 1 University of Southern Denmark, Odense, Denmark
- 5 University of Canberra, Australia
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