A new viral illness called coronavirus disease 2019 (COVID-19) is currently spreading throughout the world at an alarming rate (Dong et al., 2020). As family nursing practitioners, educators, and researchers, we work from a guiding assumption that health and “illness is a family affair” (Wright & Bell, 2009, p. ix). Patients, clients, residents, and their families are inextricably connected. The science and practice of Family Nursing is based on a systemic premise offered by Wright and Leahey (2013) that serious illness and life challenges impact the family unit, and reciprocally, the functioning of the family unit (including their structure, development, and function) influences the health and well-being of each family member. This especially holds true for the current coronavirus pandemic which is creating unique hardships and suffering in an alarmingly large number of patients and their families around the world.
In dit rapport wordt verslag gedaan van een verkennend onderzoek naar de wijze waarop de invoering en borging van drie basismethodieken en drie evidence-based interventies in de Amsterdamse jeugdzorg zijn aangepakt. Het onderzoek is een project van het Lectoraat implementatie in de jeugdzorg, dat per 1 februari 2010 van start is gegaan. Het doel van het onderzoek was drieledig: 1) het in kaart brengen van de strategieën voor invoering en borging van interventies en basismethodieken; 2) het in kaart brengen van de ervaring met de gehanteerde strategieën; 3) het doen van aanbevelingen over de ondersteuningsstructuur in de jeugdzorginstellingen in de stadsregio Amsterdam. De besproken evidence-based interventies in dit onderzoek betreffen Signs of Safety, Positief Pedagogisch Programma (Triple P), Functional Family Parole Service (FFPS), Multidimensional Treatment Foster Care for pre-schoolers (MTFC-P), Parent Management Training Oregon (PMTO), Multi System Therapy (MTS), Multidimensional Family Therapy (MDFT), Incredible Years (Pittige jaren) en Orthopedagogische Gezinsbehandeling (IOG).
Background: In Europe, cardiovascular disease is one of the predominant causes of mortality and morbidity among older people over 65 years. The occurrence of cardiovascular disease can have a negative impact on the quality of life of older patients and their families and family health overall. Assuming that illness is a family affair shaped by culture and health care systems, we explored European health care practices and interventions toward families of older patients with cardiovascular disease and heart failure.Aims: This paper aimed to determine the extent, range, and variety of practices and interventions in Europe directed to families of older patients and to identify knowledge gaps.Materials & Methods: A scoping review was conducted including studies published in Medline, CINHAL, or Cochrane library between 2009 and mid-2020.Results: A total of 22 articles from 17 studies were included, showing diverse practices and interventions. The interventions targeted the family as a unit (six studies), dyads (five studies), patients alone, but assessed family members’ reactions (five studies) or the family member primarily, but assessed the reaction of the patient (one study). Target outcomes were family caregiver burden; health-related QoL; and perceived control in patients; and family functioning and changes in health behavior or knowledge in both, family members and patients. Most studies did not include an integral view of the family as the unit of care but rather had a disease-centered approach.Discussion: This scoping review provides insight into a variety of healthcarepractices towards families of older patients with cardiovascular disease in Europe. Clarifying underlying assumptions to involve families is needed. More studies with family-focused approaches as integral models could lead to practices that improve families’ well-being. Exploring integral models for their acceptance in health care and family systems appears pertinent to develop European policy to support and add to family health.
