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published_or_final_version / Real Estate and Construction / Master / Master of Science in Real Estate and Construction Development

Background: In Sweden about 19000 people fall victims of sudden death every year. This covers around 20% of all deaths. Relatives are those who are closest to the patient, regardless of the type of relationship. When a patient suddenly dies this affects the relatives and they can suffer from high risk of complicated grief reactions or crises. Being the nearest professional contact in these situations, the nurse has an important role in supporting and guiding the relatives. Aim: The aim of this literature review was to nominate the relatives' needs of support from the nurse when a loved person suddenly dies. Method: The literature review was based on seven articles with a quality approach. Results:The analysis resulted in four themes; "to be seen and confirmed", "information", "take farewell" and "follow-up ". To be able to give support both mentally and physically, it is important for the nurse to give proper attention to the relatives. The nurse supports according to individual circumstances, giving clear and concise information. With privacy, peace and quiet the nurse may create the conditions for a dignified farewell. Afterwards, when the shock phase subsides, many questions need to be answered and a follow-up meeting is important. Conclusion: As nurses we will meet with relatives of patients who have suddenly died. Our results are, however, useful in all types of care, not only in cases of sudden death. The nurse´s attention to the relatives is an important factor in health care. Knowledge about the benefits of taking care of relatives in a situation of sudden death is, currently insufficient. Knowledge of the reactions of relatives who are confronted with sudden death needs to be further explored and existing research needs to be conducted / implemented in health care.

In this Thesis, I investigate the social meaning of child support payments for members of separated families. Drawing on 21 interviews with members of separated families, I explore how payments from one parent to another shape family relationships. I focus on three main topics: how child support payments are different from other forms of money in the ways that they are discussed, earmarked and spent; what child support payments reveal about cultural expectations of motherhood and fatherhood; and how respondents regard the fairness and efficacy of state child support policy. I argue that child support payments reinforce class and gender inequality. Child support reifies mothers’ disproportionate responsibility for children and uneven child support enforcement further subjects the poor to the coercive power of the state. / text

Most acculturation research has been focused on the direct relationship between acculturation and mental health (Yoon, Langrehr, & Ong, 2011; Salanta & Lauderdaleb, 2003; Koneru, Weisman de Mamania, Flynn, & Betancourt, 2007). However, less is known about the mechanisms for this relationship. Social-cultural resources such as friend and neighbor support may have a beneficial impact on mental health, and acculturative stress such as the level of family conflict and perceived racial discrimination would be expected to be risk factors (Kawachi & Berkman, 2001; Wolff & Agree, 2004; Gong et al., 2003; Kerr-Correa, Igami, Hiroce, & Tucchi, 2007). The present study investigated the mediating roles of acculturative stress and social-psychological resources in the relationship between acculturation and psychological distress among first generation Asian Americans. Data were from 1528 Asian Americans who participated in the National Latino and Asian Americans Study (NLAAS), a nationally representative study of the Asian immigrant population in the U.S. Using structural equation modeling with latent variables, direct and indirect influences on Asian immigrant psychological distress were examined. The findings indicate that higher acculturation was not directly associated with psychological distress for Asian immigrants, but there was an indirect pathway from higher acculturation to poorer mental health through acculturative stress. Asian immigrants with higher levels of acculturation experienced more acculturative stress, which contributed to more psychological distress symptoms. However, this finding was moderated by gender, holding only for women. On the other hand, while a higher level of acculturation was also associated with more perceived social resources, the expected protective effect of these resources was not present. The findings show the complex relationship between acculturation and psychological distress during the acculturative process of Asian immigrants. / text

This thesis describes the relationship between adult attachment style, coping strategies, identity development and perception of social support. 107 participants answered four self-report questionnaires examining their attachment style, coping strategies, identity development status and perception of social support. Correlation analyses were used. Results showed secure attachment to significantly positively correlate with identity moratorium and to negatively correlate with identity foreclosure. Avoidant attachment significantly positively correlated with denial and mental disengagement and negatively correlated with seeking social support. Individuals with high avoidant attachment scores were more likely to have high scores for identity diffusion, more likely to perceive fewer available social supports and were less likely to be satisfied with this support. Anxious ambivalence positively correlated with denial and mental, behavioural and alcohol/drug disengagement, and negatively correlated with active and planning which are pro-active coping strategies. Anxious ambivalence positively correlated with identity diffusion and negatively with identity foreclosure. Individuals with high anxious ambivalence scores were more likely to be dissatisfied with social support. Overall, secure attachment was found to correlate with acknowledging the need for an identity search. Insecure attachment was found to relate to less effective coping methods, to correlate with not acknowledging the need for an identity search and dissatisfaction with social support. Results are considered in terms of attachment styles and applications, for example in therapeutic settings.

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