Suchergebnisse

AbstractThe aim is to describe parents' worries about their family's life situation during pregnancy and when their children are very young. The aim is to form a better understanding of parental worries for being able to better help them in child and family services. Previous research indicates that parental worries and concerns are not always addressed. Data consisted of parents' open answers (N  = 98) to questionnaires carried out at two time points: during pregnancy and the early childhood of the family's children. The data were analyzed by inductive content analysis. The results show that families had six different types of worries. The parents described worries concerning health, parental challenges, relationships, sufficiency of resources, standard of living, and difficulties in obtaining support. Challenges related to family life or parenthood could emerge suddenly or develop slowly and cumulate. Either kinds of challenges were often difficult to solve without outside assistance. Identifying and intervening in parental worries sufficiently early is crucial and effective. It is difficult for the professionals who work with families to form a comprehensive perception of children's and family's life situation without systematic evaluation and discussions on parental worries.

Perhesurmat aiheuttavat paljon inhimillistä kärsimystä perheen lähipiirissä sekä koko yhteiskunnassa. On tärkeää, että perhesurmia voidaan ennaltaehkäistä taustatekijöitä tunnistamalla. Tämän tutkimuksen tarkoituksena on kuvata perhesurman uhrien läheisten kokemuksia perhesurmien taustatekijöistä ja ennaltaehkäisystä. Tavoitteena on tuotetun tiedon avulla tunnistaa riskiä perhesurmaan ja auttaa kehittämään perhesurmaa ehkäiseviä tukimuotoja perheille. Tutkimuksessa kerättiin tietoa sähköisellä kyselyllä perhesurman uhrien 17 läheiseltä, joista 11 osallistui myös teemahaastatteluun. Aineisto analysoitiin induktiivisella sisällönanalyysilla. Läheiset kuvailivat perhesurmien taustalle perheeseen ja parisuhteeseen, perhesurmaajan henkilökohtaiseen ja sosiaaliseen tilanteeseen sekä lapsuuteen ja ammattilaisiin liittyviä tekijöitä. Läheiset kokivat, että perhesurmia voidaan ennaltaehkäistä avunsaamiseen, ammattilaisiin ja yhteiskuntaan liittyvillä tekijöillä. Läheisten kokemukset tuovat esiin ja vahvistavat tietoa niistä taustatekijöistä, joita tunnistamalla ja huomioimalla voidaan edistää perhesurmien ennaltaehkäisyä. Läheiset toivat esille myös konkreettisia keinoja, jotka heidän kokemuksensa mukaan olisivat hyödyksi ennaltaehkäisyssä.

This article describes the structure and content of a degree program for master's-level specialists infamily nursing, which was started at the University of Tampere in 1993. Students of nursing science enrollingat the University of Tampere have completed a bachelor's-level, 3-to 5-year undergraduate program in nursing. The family nursing curriculum at the University of Tampere is oriented toward strengthening students' capacities for critical thought and promoting an investigative and inquisitive attitude. The need for specialist education infamily nursing has arisenfrom a mandate to providefamilycentered care in Finland's modern health system. Specialists in family nursing are needed in both primary health care settings and hospitals. Graduates from this specialist degree program are recruited to research, administrative, and teaching positions infamily nursing at several levels of the health care system.

Diabetes mellitus is a common chronic disease all over the world. Self-management plays a crucial role in diabetes management. The purpose of this systematic review was to summarize what is known about the interactions between adult persons with diabetes, their family, and diabetes self-management. MEDLINE, CINAHL, PSYCHINFO, LINDA, and MEDIC databases were searched for the years 2000 to 2011 and for English language articles, and the reference lists of the studies included were reviewed to capture additional studies. The findings indicate that family members have influence on the self-management of adult persons with diabetes. The support from family members plays a crucial role in maintaining lifestyle changes and optimizing diabetes management. Diabetes and its treatment also affect the life of family members in several ways, causing, for example, different types of psychological distress. More attention should be paid to family factors in diabetes management among adult persons.

The purpose of the study was to ascertain health care providers' perspectives about interaction with patients' family members. Data were collected by questionnaire from health care providers who worked in a Finnish acute care hospital (N = 320). The response rate was 51%. The hospital staff perceived the interaction with the patient's family to be important. Family members were primarily seen as informants of the patient's condition and family situation, and the interaction was marked by dissemination of information. The support provided by family members to the patient was also seen as important. The interaction with hospital staff was mainly initiated by a family member. Further research should explore family members' perceptions of the interaction with health care providers to enable comparisons between perceptions. Application of qualitative study methods would also deepen the existing knowledge of the family-health care provider interaction.

The spouse of a patient who has experienced a myocardial infarction (MI) reportedly has psychological and social needs and challenges during the patient's hospitalization but there is a lack of knowledge regarding spouses' coping experiences and resources. The aim of this study was to develop a substantive theory to help explain the coping experiences of the spouse during the patient's hospitalization following an acute MI. Twenty eight spouses of patients in two Finnish hospitals participated in an open-ended interview within 2 to 5 days of the MI and included 12 husbands and 16 wives. The core category "Seeking balance" included the spouses' emotional, cognitive, and social coping experiences following an acute MI. This study adds new information about spouses' coping experiences as well as tensions and problems in interaction between the patient and the spouse. Challenges were reported in talking about serious illness concerns between the spouse and patient and also with other family members.

This article describes the relationship between adolescent subjective well-being and experiences of family violence reported by a sample of 14- to 17-year-old adolescents living in one Finnish municipality ( N = 1,393). Survey results found that experiences of family violence were common. The logistic regression model showed that experiences of violence were associated with adolescents' feeling of inner disequilibrium and markedly strong relationships with friends. In additional, adolescents who experienced family violence rated their health as poorer than adolescents from nonviolent homes. They also surprisingly reported being satisfied with their life and did not necessarily identify their need for help. Although adolescents are resilient and have some resources to cope with violence, nurses and other professionals should attend more carefully to adolescents' reports of health and behavioral problems and assess for the presence of family violence and school bullying.

Funding: This study is part of the ERICA project funded by the European Union's Rights, Equality and Citizenship Programme (2014–2020). GA 856760. ; The responsiveness of professionals working with children and families is of key importance for child maltreatment early identification. However, this might be undermined when multifaceted circumstances, such as the COVID-19 pandemic, reduce interdisciplinary educational activities. Thanks to technological developments, digital platforms seem promising in dealing with 30 new challenges for professionals' trainings. We examined a digital approach to child maltreatment training through the ERICA project experience (Stopping Child Maltreatment through Pan-European Multiprofessional Training Programme). ERICA has been piloted during the pandemic in seven European centers involving interconnected sectors of professionals working with children and families. The training consisted of interactive modules embedded in a digital learning frame-work. Different aspects (i.e., technology, interaction, and organization) were evaluated and trainers' feedback on digital features was sought. Technical issues were the main barrier. However, these did not significantly disrupt the training. The trainers perceived reduced interaction between participants although distinct factors were uncovered as potential favorable mediators. Based on participants' subjective experiences and perspectives, digital learning frameworks for professionals working with children and families, like the ERICA model nested in its indispensable adaptation to an e-learning mode, can represent a novel interactive approach to empower trainers and trainees to tackle child maltreatment during critical times like a pandemic and as an alternative to more traditional learning frameworks. ; Publisher PDF ; Peer reviewed