The findings of this review provide evidence to help health professionals to assess the needs of the siblings to enhance their sense of self within the family. Providing the siblings with suitable resources should result in better adjustment.
Parents who give birth to an unexpected preterm infant not only suffer a psychological impact, but, in addition, their roles as parent are full of uncertainty. As part of family‐centered care, kangaroo care is an important way to support premature infants and their family. This review synthesizes qualitative studies on the experiences of parents who have used kangaroo care for preterm infants in neonatal intensive care units. English and Chinese databases were searched for relevant studies from 1970 to July 2018. The findings of qualitative studies were extracted and pooled using the Joanna Briggs Institute Qualitative Assessment and Review Instrument. A total of 731 studies were screened, and 9 were included. Five synthesized findings were identified: sense of emptiness of the parent's role, barriers in the translation of parental roles in kangaroo care, preparation enhances parental role expectations, kangaroo care enhances parental competency, and encouragement and support from family and friends. Through the implementation of kangaroo care, nurses are able to help prepare and guide parents, fit parents’ needs, and help improve their ability and self‐confidence in their parental roles.
Public health and school nurses can apply our findings to educate school teachers and parents about epilepsy and encourage activities that allow children with and without epilepsy to interact, thus improving peer relationships and reducing stigmatisation. Children with and without epilepsy would also benefit from an age-appropriate education manual that includes causes of epilepsy, treatment, dealing with seizures and psychological and social adaptation.
Background
The experiences of teenagers with cancer are related to falling ill, receiving treatment, and the way they exist in the world. The understanding of the meaning of teenagers coexisting with cancer must be placed in the social context with the teenagers at the core.
Objective
By using an interpretive ethnographic research method, this study applied the body perception view of Merleau-Ponty to how teenagers with cancer understand self through the body in a social and cultural context.
Methods
Participant observation and individual semistructured interviews of 18 teenagers diagnosed with cancer were conducted over a 20-month period.
Results
The illness experience of teenagers undergoing chemotherapy was described as self-integration. Five themes emerged: boundary ambiguity of body, medical equipment as part of the body, confined body space, from self-dissociation toward self-integration, and healing power formed by self and others.
Conclusion
In the face of the adjustments of body disorder, the teenagers with cancer initiated motility of the body, self-displacement, and integration in order to regain control of the body.
Implications for Practice
The provision of correct disease knowledge to strengthen teenagers’ understanding and their sense of mastery of their bodies throughout the participation in their cancer treatment is essential. Discussions on making decisions, self-management, and social identification are related to the relationship between body and self as well as between healthcare and otherness. Providing culture and social sensitivity support systems and resources to teenagers and families can strengthen them to face the disease and promote positive healing.
Despite decades of lively debate about Taiwan’s role in the spread of early agriculture, crops and cultivation practices to the Indo-Pacific region, there is little archaeobotanical data from the island. Here we present the first directly dated and systematically analysed macrobotanical records from Taiwan obtained by flotation at the archaeological site Sanbaopi 5 (23°07′03′′N, 120°15′32′′E), representing the Dahu (1400 BCE–100 CE) and Niaosong (100–1400 CE) culture periods. The results suggest that Middle Dahu (900–100 BCE) communities in the study area practiced rainfed crop cultivation with mainly foxtail ( Setaria italica) and broomcorn ( Panicum miliaceum) millet and rice ( Oryza sativa). Pulses ( Vigna angularis, Glycine soja/ max) were also part of the subsistence of local farmers and used as supplementary food and/or green manure. The archaeobotanical record together with archaeological site data for prehistoric China substantiates evidence that the Dahu culture originates in the Lower Yellow River region and migrated to Taiwan along the East China Sea coast. The emergence of the Dahu culture coincided with the spread of mixed millet-rice farming to the Korean Peninsula and Japan and was possibly related to enhanced economic and political expansion of the Shang and Western Zhou dynasties and the long-term weakening of summer monsoon precipitation. Pigeon pea ( Cajanus cajan) and mung bean ( V. radiata var. radiata) assemblages from the sixth century CE Niaosong period highlight the influx of goods, crops, knowledge and people from South and Southeast Asia via southern routes in the context of enhanced exchange across the South China Sea region.
Breast cancer has the highest incidence among all cancers for women in Taiwan. The current screening policy in Taiwan provides biennial mammogram tests for all women aged 45 to 69 years. A recommendation for further investigation is sent via post to women with a BI-RADS result of 0. The proportion of women who followed-up with a recall request for further investigation after an abnormal mammogram has been below 92.5% in recent years. Therefore, we aimed to explore the experiences of these women who refused recall for further investigation despite an abnormal mammogram. Purposive sampling was conducted on 13 women who refused recall for further examination of abnormal screening mammograms. Data collection included inductive, in-depth interviews or telephone interviews. A content analysis was applied. Three themes were identified: (1) negative screening experiences, (2) struggling with ’to go or not to go’, and (3) rationalizing without a follow-up examination. The first theme included three subthemes: (1) pain of examination, (2) the inconvenience of medical treatment; waiting, and (3) dissatisfaction with having to pay for further examination. The second major theme included three subthemes: (1) perceiving one’s susceptibility to breast cancer as very low, (2) questioning the accuracy of the results, and (3) procrastinating with a “head-in-the-sand” mentality. The third major theme included two subthemes: (1) fatalism and (2) paying attention to self-cultivation. In conclusion, the findings provide important information to healthcare providers involved in case management related to the actual living experiences of women with abnormal screening mammogram results and the additional education required to raise breast cancer awareness in the general public to achieve overall caring goals.
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