The social gradient of taking a family history

Ingles, Jodie; Burns, Charlotte

doi:10.1177/1474515114560953

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…In this way, while fostering opportunities for family members to express feelings about the acute situation, care providers can enable them to draw forth their own strengths and resources to support one another. Earlier studies confirm that accurate, well-constructed family histories provide valuable information about the patient's situation and family members' need for support [36]. It has been reported that care providers do not always have the courage to face and address the family members' needs [37,38].…”

Section: Discussionmentioning

confidence: 78%

Mari Helena Salminen-Tuomaala, PÃÂ¤ivi Leikkola, Riitta Mikkola, Eija Paavilainen

Salminen‐Tuomaala¹,

Leikkola²

2015

Fam Med Med Sci Res

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IntroductionEmergency medical services and out-of-hospital care are important areas in health services, providing urgent care for acutely ill patients and supporting their family members on site. In previous studies, the quality of emergency care has been mainly approached from the patient perspective [1][2][3][4][5] and some studies have discussed the counselling provided for family members of acutely ill patients in emergency departments as an important contributor to quality [6][7][8]. The perspective of care providers working in out-of hospital care, however, has not been studied much, so this paper will contribute to filling this research gap by a qualitative approach based on semistructured interviews.The purpose of this study is to describe emergency care providers' experiences of factors that affect counselling and support for family members in out-of-hospital emergency medical care. The study aims at producing new research knowledge that can be used to develop the counselling and support for family members in out-of-hospital emergency medical care. This study is a part of larger project on the quality and safety of emergency medical services in one hospital district serving 200, 000 inhabitants in Finland. Counselling is defined as goaloriented, research and evidence-based support and advice, whose purpose is to enhance the coping of patients and their family members during follow-up care at home [9,10].Earlier studies have primarily focused on family counselling interventions for chronic illness [11][12][13][14]. Three general goals that familyfocused interventions have been found to involve are: helping families cope with the challenges of chronic illness management, mobilizing family support and reducing intrafamilial suffering [15]. A number of studies have also discussed the usefulness of family interventions that examine the influence of each family member's illness experiences on other family members [16][17][18]. Besides the usefulness of the family interventions, their effectiveness in the treatment of physical illness has been examined in 2 integrative reviews [19,20]. Support was found for the effectiveness of interventions directed to the family rather than just the individual diagnosed with the illness.Support from care providers has been found to be a significant contributor the coping of patient and families [21,22]. However, a study revealed that family members received very little support in how to become involved in the patient's care [23]. Counselling and support are required to strengthen the family's resources, so that they can trust their ability to care for patients at home [24]. This is especially important in acute home care situations, which do not require hospitalization.According to some previous studies, the most important needs in family members of patients experiencing a critical illness involve assurance, information, communication, proximity, support and comfort [25][26][27]. Good communication between care providers and families can reduce the family members' experience...

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Section: Discussionmentioning

confidence: 78%

Mari Helena Salminen-Tuomaala, PÃÂ¤ivi Leikkola, Riitta Mikkola, Eija Paavilainen

Salminen‐Tuomaala¹,

Leikkola²

2015

Fam Med Med Sci Res

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“…It has been touted as a “tried-and-true” method for cheaply assessing a patient’s susceptibility to chronic diseases, based on an assessment of genetic, environmental, and social predictors [ 1 ]. It provides both patients and providers with knowledge to personalize disease prevention plans [ 1 , 2 , 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Community-Based Family Health History Education: The Role of State Health Agencies in Engaging Medically Underserved Populations in Understanding Genomics and Risk of Chronic Disease

et al. 2015

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Although family health history (FHH) collection has been recognized as an influential method for assessing a person’s risk of chronic disease, studies have shown that people who are low-income, from racial and ethnic minorities, and poorly educated are less likely to collect their FHH or share it with a medical professional. Programs to raise public awareness about the importance of FHH have conventionally targeted patients in primary care clinics or in the general community, but few efforts have been made to coordinate educational efforts across settings. This paper describes a project by the Connecticut Department of Public Health’s Genomics Office to disseminate training materials about FHH as broadly as possible, by engaging partners in multiple settings: a local health department, a community health center, and two advocacy organizations that serve minority and immigrant populations. We used a mixed methods program evaluation to examine the efficacy of the FHH program and to assess barriers in integrating it into the groups’ regular programming. Our findings highlight how a state health department can promote FHH education among underserved communities.

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The social gradient of taking a family history

Cited by 2 publications

References 11 publications

Mari Helena Salminen-Tuomaala, PÃÂ¤ivi Leikkola, Riitta Mikkola, Eija Paavilainen

Mari Helena Salminen-Tuomaala, PÃÂ¤ivi Leikkola, Riitta Mikkola, Eija Paavilainen

Community-Based Family Health History Education: The Role of State Health Agencies in Engaging Medically Underserved Populations in Understanding Genomics and Risk of Chronic Disease

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The social gradient of taking a family history

Cited by 2 publications

References 11 publications

Mari Helena Salminen-Tuomaala, PÃÂ¤ivi Leikkola, Riitta Mikkola, Eija Paavilainen

Mari Helena Salminen-Tuomaala, PÃÂ¤ivi Leikkola, Riitta Mikkola, Eija Paavilainen

Community-Based Family Health History Education: The Role of State Health Agencies in Engaging Medically Underserved Populations in Understanding Genomics and Risk of Chronic Disease

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Mari Helena Salminen-Tuomaala, PÃÂ¤ivi Leikkola, Riitta Mikkola, Eija Paavilainen

Mari Helena Salminen-Tuomaala, PÃÂ¤ivi Leikkola, Riitta Mikkola, Eija Paavilainen