The prevalence of mental health disorders among the nursing home population is well recognized. However, providing adequate mental health services for nursing home residents who need them remains a challenging endeavor. The social support of family has long been recognized as a key resource for older adults with a mental health history and older adults residing in nursing homes. The purpose of this study is to examine the quality of mental health care provided for nursing home residents with a mental health history and to determine if family support influences the quality of their mental health care accounting for other facility resident and facility organizational characteristics. The study utilized a retrospective, cross-sectional design with 2003 national Online Survey Certification and Reporting (OSCAR) facility data merged with the resident-level Minimum Data Set (MDS) resulting in N=2,499 nursing homes. Guided by the convoy model of social support and socioemotional selectivity theory, descriptive statistics and exploratory factor analysis were used to create a profile of facility level data of nursing home residents with a mental health history, explore the role of family support, and determine if items within the OSCAR and MDS databases could respectively be used to measure mental health care quality and family support. Overall, it was found that families have a positive relationship with their relatives and are involved in their lives. Additionally, items within the OSCAR and MDS databases could be used to measure mental health care quality and family support. Finally, facility organizational characteristics explained more variation in the quality of mental health care than did facility resident, family support, or market characteristics. In sum, to enhance the quality of mental health care in nursing homes, partnering with families may be an important tool to meet resident needs.

No description available.

Second-generation immigrants are increasingly embracing their biculturalism, equally identifying as American and "other" (Yazykova & McLeigh, 2015). While this allows for ethnic diversity as well as other social and linguistic advantages, the internalization of two different cultures has been linked to causing tensions related to identity development and mental health (Huynh et al., 2018; Ceri et al., 2017; Ritsner & Ponizovsky, 1999). Previous research has shown a link between parental support and an individual's acculturation and psychological well-being (Pawliuk et al., 1996; Abad & Sheldon, 2008). This study seeks to further examine the influence of family on the bicultural identity integration and psychological distress in second-generation immigrants. Researchers recruited 39 participants to explore the relationship of family life satisfaction, family social support, bicultural harmony and blendedness, and self-reported symptoms of depression, anxiety, and stress. A bivariate correlation analysis showed that satisfaction with family life was negatively associated with depression, stress, and overall psychological distress. In addition, perceived social support from family appeared to have a positive relationship to higher scores of depression. Researchers also found that bicultural identity integration had a negative relationship with anxiety, stress, and overall psychological distress.

No description available.

Family support programs serve vulnerable families by providing various forms of support, such as education, health services, financial assistance, and referrals to community resources. A major feature of evaluation involves assessing program effectiveness and learning from evaluation findings (Mertens and Wilson, 2012). Collaboration and cultural responsiveness are important topics in evaluation which remain largely distinct in the literature. However, evaluation capacity building provides a context for exploring possible intersections. Data about seven programs were collected via semi-structured interviews and document analysis. This study revealed that the program leaders feel that their programs are unique, complex, and misunderstood. The findings also suggest that program leaders believe that evaluation is important for program improvement and funding. Although participants did not anticipate evaluation capacity building and did not readily express a desire to develop their own evaluation skills, participants from all seven programs enthusiastically expressed interest in evaluation capacity building once explained. Although participants did not discuss cultural responsiveness as it relates to race, they expressed a need to overcome a community culture of reluctance to participate in programs and aversion to educational pursuits. Given the programs' shared population of interest, similar outcomes, and common challenges, evaluation capacity building in a group setting may give Roanoke family support program leaders the evaluation knowledge, skills, and peer support to engage in program evaluation that is both collaborative and culturally responsive. / Master of Science in Life Sciences

Hjärtstopp uppstår när hjärtaktiviteten plötsligt upphör och kroppens olika organsystem  inte längre försörjs med blod. Om inte hjärt- och lungräddning samt andra åtgärder vidtas omedelbart kan detta tillstånd leda till plötslig död. I Sverige drabbas cirka 10 000 individer av hjärtstopp utanför sjukhus varje år, ungefär en av tio överlever. Tack vare “överlevnads kedjan” har antalet överlevande ökat. Sjuksköterskan kommer möta dessa patienter i olika vårdenheter, därför är det av betydelse att hen etablerar ett personcentrerat förhållningssätt i bemötandet eftersom hjärtstoppöverlevande uppvisar både fysiska och psykiska besvär till följd av hjärtstoppet som behöver uppmärksammas. Syftet med studien är att sammanställa och beskriva evidens om patienters upplevelser av att överleva ett hjärtstopp utanför sjukhus. Val av metod är en litteraturöversikt som grundar sig i elva studier av empirisk forskning med både kvalitativ och kvantitativ studiedesign. Resultatet genererade tre huvudteman och nio subteman. Slutsatsen är att hjärtstoppet upplevs som en traumatiserande och omvälvande händelse för den drabbade individen, eftersom den orsakar långvariga fysiska och psykiska funktionsnedsättningar. Den drabbade står inför existentiella utmaningar som ger upphov till psykiska besvär såsom ångest, depression och posttraumatisk stressyndrom. Hjärtstoppspatienter uttryckte att omställningen till vardagslivet var påfrestande på grund av informationsbrist som skulle ha hjälpt de att bättre förstå och hantera sina symtom. De efterfrågade en bättre individanpassad vård och uppföljning som tar större hänsyn till deras psykiska lidande eftersom detta kan bidra till snabbare återhämtning. Sjuksköterskan kan genom en personcentrerad vård uppenbara patientens behov och i samverkan med denne och sin närstående finna strategier som underlättar återhämtningen och ökar välbefinnandet. / Cardiac arrest occurs when the heart's activity suddenly stops, and the body's various organ systems are no longer supplied with blood. If cardiopulmonary resuscitation and other measures are not taken immediately, this condition can lead to sudden death. In Sweden, approximately 10,000 individuals suffer cardiac arrest outside of a hospital each year, approximately one in ten survives. Thanks to the "chain of survival", the number of survivors has increased. The nurse will meet these patients in different care units, therefore it is imperative that they establish a person-centered approach in the treatment because cardiac arrest survivors exhibit both physical and psychological problems as a result of the cardiac arrest that needs attention. The aim of the study is to compile and describe evidence about patient’s experiences of surviving a cardiac arrest outside a hospital. Choice of method is a literature review based on eleven studies of empirical research with both qualitative and quantitative study design. The results generated three main themes and nine subthemes. The conclusion is that cardiac arrest is experienced as a traumatizing and upheaval event by the affected individual, as it causes long-term physical and mental impairments. The sufferer faces existential challenges that give rise to psychological problems such as anxiety, depression, and post-traumatic stress disorder. Cardiac arrest patients expressed that the transition to everyday life was stressful due to a lack of information that would have helped them better understand and manage their symptoms. They requested better individualized care and follow-up that takes greater account of their mental suffering because this can contribute to faster recovery. Through person-centred care, the nurse can identify the patient's needs and, in collaboration with the patient and their loved ones, find strategies that facilitate recovery and increase their well-being.

Despite the fact that a lot of information exist in the literature regarding factors leading to drug abuse, consequences of drug abuse for adolescents; little exists that focuses on family support for adolescents after rehabilitation. The purpose of this study was to explore family support for adolescents after rehabilitation for drug abuse. The study was based on semi-structured interview based qualitative research. Findings during interviews was that the families have no clear understanding or are not skilled as to how to continue supporting the adolescents after they are discharged from the rehabilitation centre. What was also interesting according to the participants was that even in the rehabilitation centres families are not made part of or involved during the rehabilitation process. There is a need to make the rehabilitation centres aware that families need to be involved during the rehabilitation process of the adolescent so that it becomes easy for the families to continue supporting the adolescents after they have completed the rehabilitation process. / Health Studies / M.A. (Health Studies)

Since 2010, Swedish municipalities have been required by law to provide support for relatives and family members. The purpose of this study is to understand how three municipalities in Sweden have chosen to implement and design their support for family members and relatives, as previous research shows that the support varies widely between municipalities. This study is qualitative and we have interviewed eight officials who somehow work with relatives and family members in the municipality's activities. Our findings show that the interviewees' experience is that relatives and family members of close relatives with some form of nursing need are often burned out, suffer from high mental stress and make high demands on themselves. The results also show that the municipalities have chosen to prioritize the support to a different extent, and that the support for relatives and family members of the elderly has a longer tradition than the support offered to other family categories.

One of the major issues concerning old age security is the adequacy of support systems for the aged population. Population aging and economic development in the People's Republic of China have raised the question about the ability of the family to take care of the elderly. Using the latest data collected by the Research Center on Aging in China of a national representative sample of the aged population, this study develops a model to examine the effectiveness of family support for the elderly during the current socio-economic transition of the society. The model also examines the adequacy and effectiveness of state welfare systems on the aged population and the effect of select socio-demographic factors on the well-being of the elderly in China. The investigation into the social, economic, and health aspects of the life of the elderly provides the background knowledge for understanding the support systems for the elderly in China. The multivariate analyses of the effects of the elderly support systems within the framework of shared functions of the primary groups, and the bureaucracy in achieving social goals, identify the important effects of the economic conditions of the family and the state income maintenance programs on the sense of well-being of the elderly. The findings lead to the conclusion that the cooperation of the family and the state is necessary to provide a secure life for an aged population. The patterns and trends of old age support in China are found to be constrained by the interplay of various social forces, among which the effect of politicalization of the social and economic conditions of the elderly is crucial. Policy recommendations include public assistance to the family, encouragement of the local effort, and national legislation on old age security.

Made available in DSpace on 2016-07-27T14:22:09Z (GMT). No. of bitstreams: 1 Simony Bruziguessi.pdf: 3724395 bytes, checksum: 10fa9ea58e76ac8da1f9afd4891cdc00 (MD5) Previous issue date: 2010-12-03 / The goal of this research was to investigate the correlation between adherence to treatment after bariatric surgery and socio-economic factors, social support, family support, selfefficacy, and personality traits of obese patients. To accomplish this, a theoretical review of the literature about the aforementioned constructs was performed, followed by an empirical study. The group of participants in the study was composed of 87 patients presenting class II obesity and associated co-morbidities or class III obesity, who were being prepared to undergo bariatric surgery, from December 2008 to March 2009, at a private clinic specialized in this treatment. In order to obtain the data, the following instruments were applied: Perception of Family Support Inventory, Social Support Scale, markers for personality assessment within the framework of the Big Five Personality Factors, General Self-Efficacy Scale, and a demographic questionnaire. The results of this work revealed that the socio-economic factors sex and income influenced adherence to treatment after bariatric surgery, whereas the marital status of the patients did not interfere with continuity of treatment. Furthermore, correlations between adherence to treatment in the post-operative period and social support, family support, and personality were observed. Regarding the factors related to the health system and staff, the distance between the patient s residence and the health service influenced adherence to post-operative therapy. / Esta pesquisa teve como objetivo investigar a correlação existente entre adesão ao tratamento após a cirurgia bariátrica e fatores socioeconômicos, apoio social, suporte familiar, autoeficácia e traços de personalidade do paciente obeso. Para esse fim, foi realizada revisão teórica envolvendo os construtos citados, seguida de estudo empírico. Participaram do estudo 87 pacientes apresentando obesidade grau II e comorbidez ou obesidade grau III, em fase de preparação interdisciplinar para a realização de cirurgia bariátrica, no período de dezembro de 2008 a março de 2009, em uma clínica particular especializada neste tipo de tratamento. Para a obtenção dos dados, foram utilizados os seguintes instrumentos: Inventário de Percepção do Suporte Familiar, Escala de Apoio Social, Marcadores para Avaliação da Personalidade, Escala de Percepção de Autoeficácia Geral e questionário sociodemográfico. Os resultados deste trabalho revelaram que os fatores socioeconômicos sexo e renda influenciaram na adesão ao tratamento após a cirurgia bariátrica, enquanto o estado civil do paciente não interferiu na continuidade do tratamento. Ademais, observou-se correlação entre adesão ao tratamento da obesidade no período pós-cirúrgico com apoio social, suporte familiar e personalidade. No que se refere aos fatores relacionados ao sistema e à equipe de saúde, a distância entre a residência do paciente e o serviço de saúde influenciou em sua adesão à terapêutica pós-cirúrgica.