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At least 19 recordsLinked to original sources
PubMedDate not supplied

Caregiver mental health and family health outcomes following critical hospitalization of a child.

Changes in caregiver and family health and in family health behavior patterns were examined 9 weeks after the hospitalization of a child for an acute, first-time illness in a pediatric intensive care unit (PICU). Family and caregiver health included reports of physical, mental, role, and social functioning as well as perceptions of health, pain, and changes in health behavior patterns at 3-7 days after admission to PICU and 9 weeks later. A convenience sample of 20 primary caregivers (all mothers) of children aged 2 days to 17 years served as subjects for the study. Results showed a decrease in mental health scores of all subjects over the 9-week period. Further, those caregivers whose child was rated as having a greater potential for chronicity had a significantly greater decline and were in the range of poor mental health at the 9-week posttest. Seventy percent of subjects reported new health problems in the family posthospitalization, and 43% reported at least one change in family health behavior patterns. Implications for testing the efficacy of mental health nursing consultation and case management during and after critical childhood illness are discussed.

Adolescent↗
PubMed1991

Family paradigm theory and family rituals: implications for child and family health.

Family paradigm theory explains variations in families that are based on their shared beliefs about the social world and their family's place within it. Key concepts of the theory and some of the supporting research are presented. Family rituals provide a window for viewing the family's efforts to maintain this shared concept of family identity. Suggestions for evaluating ritual use in families during times of stress and/or transition are provided. Ritual evaluation may give clues to difficulties families face in maintaining a shared identity during challenging periods of change or conflict.

Adolescent↗
PubMedDate not supplied

[Nursing work in primary health care -- family health care].

This article is part of an integrated research project called The Organization of Primary Health Care (a perspective for nursing practice). Its objective is to investigate the perception of nursing personnel concerning their practice in family-centered primary health care. This article presents a case study focuses on nursing personnel workers from the Family Health Program (PSF), in the city of Batatais. Data collection was done through semi-structured interviews with those professionals. Thematic analysis of the data was realized in which initial categorization was done with the help of the Ethnograph software. The topics identified in the workers' narratives were: comprehensiveness, health care, bonding and active case-frading. These themes suggested that the work in family-centered care is difficult, therefore it leads to a more comprehensive health care practice in which decision-making is shared with clientele.

Brazil↗
PubMed2004

[Family health centers in Israel: to change or not to be].

As reported in this issue, the Ministry of Health Family Health Centers (FHC) in Israel is not fulfilling some of the requirements of the Ministry of Health. For example, hemoglobin levels are not checked in all of the babies and at least 31% of the babies do not receive supplemental iron. Universal neonatal screening for hearing loss by objective methods is not conducted nor recommended by the Ministry of Health, as advised by pediatric professional organizations, while screening for hearing loss is conducted in the second half of the first year by a method which is not currently recommended. FHC physicians conduct initial screening for suspected developmental dysplasia for only some of the children, while too many children go directly to the orthopedic specialist. Previous studies have shown that only 20% of Jewish women residing in larger townships in Israel use the FHC for prenatal care. Based on all the above the government policy makers are facing hard decisions regarding FHC services. One option is to transfer all services to the health maintenance organizations. A second option is to maintain the FHC with the following modifications: 1) revise and update the health management guidelines to meet universal recommendations; 2) improve compliance to guidelines; 3) improve outreach and acceptance by the public of the services of the FHC.

Community Health Services↗
PubMed2006

[Primary health care, basic health care, and family health program: synergies and singularities in the Brazilian context].

This article analyzes the concepts of primary health care, basic health care, and family health care as used in official documents by the Brazilian Ministry of Health, final reports of the National Conferences on Health and Human Resources, the Basic Operational Ruling on Human Resources, and texts accessed on-line by BIREME. The data analysis, through double-entry matrices, showed a lack of these references in Brazilian health policy formulation and implementation. Basic Operational Ruling 96 (NOB/96) plays a distinct role in this regard; the national conference reports show an important gap in this debate, and most of the published articles present the concepts of primary care and basic care with the meaning of health unit or local service. Articles on the Family Health Program refer to it more as a program than a strategy, and the articles analyzing such concepts show the influence of rationalities underlying the different strategies for organization of health services in the Brazilian scenario, namely Health Surveillance and Programmatic Actions in Health and in Defense of Life.

Brazil↗
PubMedDate not supplied

Concept analysis of family+health = a new definition of family health.

In this article, the authors explore references to family and health in the nursing literature and compare them with their own perceptions to propose a new definition of family health. Focusing on connectedness, energy, and hope for the future, this definition and its conceptual model can help nurses care for families in the rehabilitation setting.

Family Health↗
PubMed2006

[Study of primary care health needs through family health diagnosis].

OBJECTIVE: To assess the health needs of the eligible public population of the Mexican Institute of Social Security (IMSS). DESIGN: Observational, descriptive, transversal study. SETTING: Family Medicine Unit number 8 of the IMSS, in the city of Tlaxcala, Mexico. PARTICIPANTS: A sample of 1200 families using multi-stage sampling, between October 1999 and March 2000. MAIN MEASUREMENTS: The designed and validated questionnaire on "Family health diagnosis" was used. RESULTS: A 19.2% of the families had a very low socio-economic level, and 14.9% of subjects were not entitled to Social Security. Functional illiteracy in at least one member was found in 12.6% of the families. According to the family Apgar, 93% of families were functional and two-thirds of the families were classified as nuclear. About 51.1% and 36.9% of women used programs for detection of cervical/uterine and breast cancer, respectively. Only 25% of the adult population underwent the detection tests for diabetes mellitus and hypertension and 10.9% had a chronic disease. 56.4% of families considered the quality of health care good, and only 18.13% were satisfied with the care received. CONCLUSIONS: Identification of health needs through diagnosis of family health is useful as a basis for establishing a hierarchy of problems as well as for developing health programs that may facilitate greater equity in attention.

Adolescent↗