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ABSTRACT This study investigated family mechanisms through which pandemic stressors affect parental stress using the Double ABC‐X model of family stress and adaptation. Specifically, this study examines the moderated mediation effects to test the conditional indirect influence of a moderating variable (i.e., family resilience beliefs) on the relationship between a predictor (i.e., stressor pile‐up) and an outcome variable (i.e., stress) through potential mediators (i.e., family satisfaction and relationship satisfaction). The analytic sample included 9269 participants from 10 sub‐Saharan countries. The findings do not support the hypothesis predicting a second‐stage moderating mediation model where family resiliency beliefs would moderate the second‐stage indirect paths of family satisfaction and relationship satisfaction, creating conditional indirect effects. The findings suggest that interventions should involve community‐based programmes that emphasize family support and access to resources while recognizing the complex interplay between family resilience beliefs, cultural values and beliefs of African families. [ABSTRACT FROM AUTHOR]

To increase the number of family‐based interventions and deal directly with the family dynamic that creates maladaptive manners of coping and connection, structural family therapy (SFT) for autism spectrum disorder (ASD) was developed. The model slowly supports families in being more flexible in their relationships and dynamics while imparting interpersonal skills which enhance communication particularly between the children with ASD and their parents by reforming and supporting an appropriate family structure and family dynamic. [ABSTRACT FROM AUTHOR]

Background: Regularly measuring family satisfaction with intensive care unit (ICU) experience is crucial for ensuring high‐quality care and identifying areas for improvement. This study aimed to evaluate family satisfaction with the ICU in Saudi Arabia. Methods: A cross‐sectional survey was conducted among 248 family members of patients admitted to various ICUs. The survey assessed family satisfaction via a validated questionnaire, the Critical Care Family Satisfaction Survey (CCFSS), which includes five subscales: assurance, information, comfort, proximity, and support. Demographic data were also collected. Descriptive and inferential statistics were calculated. Results: The demographic distribution revealed that a majority of the participants were female (70.97%, n = 176), with the relationships with the patients predominantly being parents (41.94%, n = 104) or offspring (33.87%, n = 84). The overall satisfaction score was 3.79 ± 1.26, with 66.13% of the participants reporting high satisfaction, 20.97% reporting intermediate satisfaction, and 12.90% reporting low satisfaction. The mean subscale scores were as follows: assurance (3.82 ± 1.2), information (3.83 ± 1.25), comfort (3.81 ± 1.27), proximity (3.72 ± 1.28), and support (3.78 ± 1.28). The highest satisfaction scores were observed for sharing in decisions, noise levels, and staff honesty, whereas the lowest scores were for visiting hours flexibility, transfer preparation, and staff responsiveness. Males reported significantly greater satisfaction (4.24 ± 1.20) than females did (3.61 ± 1.11, p = 0.007). Conclusions: This study revealed moderate to high levels of family satisfaction with the ICU, with significant differences based on sex. The findings highlight the importance of effective communication, family involvement in decision‐making, and supportive ICU policies. ICUs should regularly assess family satisfaction and use the results to guide quality improvement efforts, with a focus on areas with lower satisfaction scores. [ABSTRACT FROM AUTHOR]

The prevalence of information communication technology (ICT) enables employees to conveniently communicate with coworkers and clients regardless of time and place. However, recent studies have revealed a negative side of ICT use, especially its capacity to invade the family domain. This study was developed based on the spillover–crossover model (SCM) to test how ICT availability demand shapes employees' family experiences and how this demand crosses over to spouses. A total of 961 cases nested in 101 dual‐earner couples were collected using a 10‐week experience sampling method. Multilevel structural equation modelling revealed that (1) employees' work interference with family (WIF) mediated the indirect impact of employees' ICT availability demand on their family satisfaction and family undermining; (2) employees' WIF mediated the indirect impact of employees' ICT availability demand on their spouses' family satisfaction and family undermining; and (3) employees' ICT control buffered these two indirect relationships by which employees' ICT availability demand impacted their own and their spouses' family satisfaction and family undermining. This research elaborates on the spillover and crossover process through which ICT availability demand shapes family experience, thus contributing to the literature on ICT availability demand and the SCM. [ABSTRACT FROM AUTHOR]

Organizational and family support may be invested to reduce workers' family-to-work conflict and increase their and their family members' family satisfaction. However, data on the extent to which workplace and family support, family-to-work conflict, and family satisfaction were linked during the COVID-19 pandemic for workers and their families is still limited. This study explored the actor and partner effects between perceived workplace support for families and perceived family support, family-to-work conflict, and family satisfaction, in different-sex dual-earner parents with adolescents and the mediating role of parents' family-to-work conflict. In the Metropolitan Region of Chile, 430 dual-earner parents and their adolescent child (mean age of 12.8 years, 53.7% female) were recruited for the study. Mothers and fathers responded to measures of family-to-work conflict and perceived workplace support for families and the Perceived Family Support Scale. The three family members answered the Satisfaction with Family Life Scale. Analyses were conducted using the Actor-Partner Interdependence Model and structural equation modeling. Results showed that mothers' and fathers' perceived workplace support for families and perceived family support helped reduce their family-to-work conflict; no other association involving parents' perceived workplace support for families was significant. By contrast, direct actor and partner effects were found between parents' perceived family support and the three family members' family satisfaction. Family-to-work conflict showed two significant mediating roles: One intraindividual in fathers and one intraindividual from fathers to adolescents. These findings indicate that resources both parents gain from perceived family support positively affect the three family members' family satisfaction by different mechanisms and underscore the importance of family support for family satisfaction during the pandemic. [ABSTRACT FROM AUTHOR]

Background: The family is one of the most important pillars of society. They provide strong feelings of security, emotional support, and belonging. Family health has a significant impact on the welfare of people and society as a whole. Objectives: This study aimed to create the Satisfaction with Family Life Scale (SWFLS) for Türkiye by modifying the well-known Satisfaction with Life Scale (SWLS) first developed by Diener et al. (1985) and to evaluate its psychometric properties. Method: The present study examined the factor structure, measurement invariance, convergent validity, and internal consistency of the SWFLS. Confirmatory factor analyses (CFA) were performed on data from a research group of 646 participants aged 18–71 years (M = 31.71, SD = 11.79) in Study 1. As part of the validity assessment, CFA confirmed the unidimensional structure of the SWFLS. The reliability of the scale was assessed using Cronbach's alpha (α), composite reliability, and the McDonald 0mega (ω). In Study 2, the scale was administered to a new group of 555 participants aged 18 to 67 years (M = 36.4, SD = 9.73) to assess its criterion validity. Test-retest reliability was assessed using a sample of 48 undergraduate students via the intraclass correlation coefficient model 2.1 (ICC2,1). Results: The CFA's results verified the SWFLS's single-factor model. The internal consistency coefficients of Cronbach's α and McDonald's ω were both 0.93. The composite reliability value was 0.94. The result of test-retest reliability (ICC2,1) was 0.96 and ranged from the ICC2,1 value of 0.85 to 0.90 for items of the SWFLS. Multigroup analysis supported full measurement invariance across genders for the SWFLS. Corrected item correlations ranged from 0.75 0.85. The Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) and SWFLS were shown to have a positive correlation (r =.483, p 0.001), which supports the idea that the two scales have similar convergent validity. Conclusions: Based on these results, the Turkish SWFLS version can be utilized to measure family life satisfaction in the Turkish sample and has appropriate psychometric validity and reliability. [ABSTRACT FROM AUTHOR]

Objective To explore the application effect of operating room nursing based on quality control group management mode in laparoscopic surgery for pediatric hernia. Methods A total of 100 children with hernia admitted to the hospital from January 2021 to December 2022 were selected and randomly divided into the observation group and the control group using a random number table method, with 50 cases in each group. The children in the observation group were given operating room nursing based on quality control group management mode, while the children in the control group were given routine nursing. Both groups continued nursing until the children were discharged from hospital. The perioperative index level, adverse events, quality of life and family satisfaction were compared between the two groups. Results The operation time, hospitalization time [ (17. 24±4. 96) min, (3. 17±0. 41) d] in the observation group were shorter than those in the control group [ (27. 21±5. 33)min, (4. 68±0. 45) d], and the blood loss during the operation [ (5. 24±1. 23) mL] was less than that of the control group [ (9. 33±2. 05) mL], and the differences were statistically significant (P＜0. 05). The incidence of adverse events in the observation group (4. 00%) was lower than that in the control group (16. 00%), and the difference was statistically significant (P＜0. 05). Compared with the control group after nursing, the children in the observation group scored higher in all dimensions of quality of life, with statistical significance (P＜0. 05). The family satisfaction in the observation group (96. 00%) was higher than that in the control group (84. 00%), and the difference was statistically significant (P＜0. 05). Conclusion The operating room nursing based on the quality control group management mode has a good application effect in laparoscopic surgery for pediatric hernia, which is beneficial for shortening the surgical time and hospital stay, reducing intraoperative bleeding, reducing the risk of adverse events, improving quality of life, and have high family satisfaction. [ABSTRACT FROM AUTHOR]

Introduction: A family operates as a dynamic system comprising various subsystems and is continually interacting with its environment. Therefore, it is essential to comprehend the underlying principles of family functioning. One of the most commonly used models for describing family functioning is the Circumplex Model of Marital and Family Systems (Olson & Gorall, 2003). Aims: In this study, we aimed at examining the factor structure and internal consistency reliability in the Croatian version of the Family Adaptability and Cohesion Evaluation Scale IV Package, which measures family functioning through family cohesion and flexibility at the balanced and unbalanced levels, as well as family communication and family satisfaction. Methods: Confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were performed using a convenient sample of 528 participants. Results: CFA revealed that the Croatian version of the FACES IV Package does not fit the theoretical model of the original factor structure in this preliminary study. The exceptions were the Family Communication Scale and Family Satisfaction Scale, which showed satisfactory parameters. The results of the EFA of FACES IV showed a 5-factor model solution. Conclusions: The Croatian version of the FACES IV Package is not completely suitable for use in the national context. Thus, given these preliminary findings, further testing on a more representative or clinical sample is recommended.

Abstract Background The family is one of the most important pillars of society. They provide strong feelings of security, emotional support, and belonging. Family health has a significant impact on the welfare of people and society as a whole. Objectives This study aimed to create the Satisfaction with Family Life Scale (SWFLS) for Türkiye by modifying the well-known Satisfaction with Life Scale (SWLS) first developed by Diener et al. (1985) and to evaluate its psychometric properties. Method The present study examined the factor structure, measurement invariance, convergent validity, and internal consistency of the SWFLS. Confirmatory factor analyses (CFA) were performed on data from a research group of 646 participants aged 18–71 years (M = 31.71, SD = 11.79) in Study 1. As part of the validity assessment, CFA confirmed the unidimensional structure of the SWFLS. The reliability of the scale was assessed using Cronbach’s alpha (α), composite reliability, and the McDonald 0mega (ω). In Study 2, the scale was administered to a new group of 555 participants aged 18 to 67 years (M = 36.4, SD = 9.73) to assess its criterion validity. Test-retest reliability was assessed using a sample of 48 undergraduate students via the intraclass correlation coefficient model 2.1 (ICC2,1). Results The CFA’s results verified the SWFLS’s single-factor model. The internal consistency coefficients of Cronbach’s α and McDonald’s ω were both 0.93. The composite reliability value was 0.94. The result of test-retest reliability (ICC2,1) was 0.96 and ranged from the ICC2,1 value of 0.85 to 0.90 for items of the SWFLS. Multigroup analysis supported full measurement invariance across genders for the SWFLS. Corrected item correlations ranged from 0.75 0.85. The Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) and SWFLS were shown to have a positive correlation (r = .483, p 0.001), which supports the idea that the two scales have similar convergent validity. Conclusions Based on these results, the Turkish SWFLS version can be utilized to measure family life satisfaction in the Turkish sample and has appropriate psychometric validity and reliability.

Introduction: The hospice-in-place program at Vanderbilt University Medical Center (VUMC) is available to patients and families who elect for hospice benefits and are too unstable to be transported for hospice care. The goal of this study was to assess the satisfaction of family members of patients who died while hospitalized at VUMC and received hospice-in-place compared to the families of patients who did not receive hospice care. Methods: Next-of-kin satisfaction was measured through the administration of qualitative interviews and quantitative questionnaires. Semi-structured interviews were audio-recorded, and transcripts were analyzed using an iterative inductive-deductive approach to develop a conceptual framework. Participants were also asked to respond to a 10-question satisfaction questionnaire. Results: Forty participants were enrolled: 20 next-of-kin of patients who received hospice-in-place and 20 next-of-kin of patients who passed without hospice. Factors influencing satisfaction were organized into a conceptual framework with three categories: individual-level factors, systems-level factors, and modifying factors. For the questionnaires, the hospice-in-place group had a mean satisfaction score of 4.54 (0.76) out of five, while the non-hospice group had a mean score of 4.14 (1.00). A comparison of the two groups' responses did not show a statistically significant difference (P = 0.06). Discussion: Quantitative findings of this study showed improved satisfaction but were unable to show a significant difference in satisfaction with hospice-in-place compared to traditional care. Questionnaire results suggest that both types of care yield high satisfaction scores and are successfully supporting patients and families. The conceptual framework also adds to the understanding of end-of-life experiences at VUMC. [ABSTRACT FROM AUTHOR]

Politics-related tension has been affecting many families worldwide, and Hong Kong is no exception. Given the lack of scientific research on such a topic, we aimed to advance understanding on the roles of family conflict over political issues by examining our proposed model of parent-child political value discrepancies—family conflict—family relationships. From 2018 June to 2019 May (right before the social movement in the summer of 2019), we successfully collected data from 299 parent-child dyads across two waves of survey, 9-months apart. Our analyses confirm that political value discrepancies with children predicted parents' conflict experienced at home, which in turns predicted their family satisfaction/well-being 9 months later. Similar effects were also found for children, except that value discrepancies did not seem to be as relevant in predicting these teenagers' conflict with parents. More importantly, the aforementioned effects were qualified by parents' personality (i.e., neuroticism) and parents' and children's communication styles (i.e., destructive styles). That is, detrimental effects of political value discrepancies and family conflict can actually be reduced if parents are less neurotic and parents and/or children adopt appropriate communication styles at home. Our research design allows us to delineate the inter-influences between a parent and his/her child on politics-related conflict, generating both conceptual and practical implications. Interventions for promoting family welfare may target on modifying learners' neurotic personality and reinforcing constructive communication styles. Plain language summary: Politics-related tension has been affecting many families worldwide, and Hong Kong is no exception. Given the lack of scientific research on such a topic, we aimed to advance understanding on the roles of family conflict over political issues by examining our proposed model of parent-child political value discrepancies—family conflict—family relationships. From 2018 June to 2019 June (right before the social movement in the summer of 2019), we successfully collected data from 299 parent-child dyads across two waves of survey, 9-months apart. Our analyses confirm that political value discrepancies with children predicted parents' conflict experienced at home, which in turns predicted their family satisfaction/well-being 9 months later. Similar effects were also found for children, except that value discrepancies did not seem to be as relevant in predicting these teenagers' conflict with parents. More importantly, the aforementioned effects were qualified by parents' personality (i.e., neuroticism) and parents' and children's communication styles (i.e., destructive styles). That is, detrimental effects of political value discrepancies and family conflict can actually be reduced if parents are less neurotic and parents and/or children adopt appropriate communication styles at home. Our research design allows us to delineate the inter-influences between a parent and his/her child on politics-related conflict, generating both conceptual and practical implications. Interventions for promoting family welfare may target on modifying learners' neurotic personality and reinforcing constructive communication styles. [ABSTRACT FROM AUTHOR]

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Background: Hospice care is an underused form of intervention at the end of life. The experiences of patients, families, and other caregivers are important to consider in thinking about how to encourage greater use of hospice care, through policies and advocacy that promote its benefits. Specifically, patient, family, and other caregiver satisfaction with hospice care is important to understand better. Methods: A PRISMA-guided review of the research on hospice care satisfaction and its correlates among patients, families, and other caregivers. Included in the review is research published over the time period 2000-2023 identifying a hospice care satisfaction finding. Results: Thirty-eight studies were included in the review. Key findings were: (a) higher levels of hospice care satisfaction among patients, families, and other caregivers; and (b) correlates of hospice care satisfaction falling into the categories of communication, comfort, and support. The published literature had fewer findings related to demographic correlates of satisfaction such as age or race/ethnicity and was lacking in comparative research examining satisfaction across different types of hospice care settings. Discussion: Extant research demonstrates a consistently higher level of hospice care satisfaction among patients, families, and other caregivers. This satisfaction appears related to specific aspects of care delivery that involve effective care coordination and communication; pain and symptom management; and emotional support. Strengthening future research involves testing additional interventions aimed at enhancing satisfaction; including more comparative research across hospice care settings; and more studies that include patients as the key respondents. [ABSTRACT FROM AUTHOR]

Temesgen Misganaw Liyew, Abraham Tarekegn Mersha, Belete Muluadam Admassie, Nurhusen Riskey Arefayne Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, North Gondar, EthiopiaCorrespondence: Belete Muluadam Admassie, Email uogbelete@gmail.comBackground: Healthcare provided in medical facilities should prioritize the needs of families, as it enhances the quality of care for the patients. Family satisfaction gauges how effectively healthcare professionals address the perceived needs and expectations of family members. Numerous factors, including information dissemination, communication, family dynamics, patient characteristics, hospital facilities, and the caregiving process, serve as predictors of family satisfaction. Thus, this study seeks to evaluate the satisfaction of families with the care received by patients admitted to the intensive care unit.Methods: A hospital-based cross-sectional study involving 400 participants was conducted across multiple centers from March to June 2023. Multicollinearity was assessed by examining variance inflation factors (VIF), while the goodness-of-fit was evaluated using the Hosmer and Lemeshow test. Both bivariable and multivariable logistic regression analyses were utilized to identify factors correlated with family satisfaction. Variables with a p-value below 0.2 in the bivariable logistic regression were included in the multivariable logistic regression analysis. Adjusted Odds Ratios (AORs) with 95% Confidence Intervals were computed to indicate the strength of association. In the multivariable analysis, variables with a p-value less than 0.05 were deemed statistically significant.Results: The overall family satisfaction with the care provided in the intensive care unit was 58.6%, with a 95% confidence interval ranging from 55.882% to 61.241%. Families expressed higher satisfaction levels with patient care (64.8%) and professional care (67.4%). However, they reported lower satisfaction levels regarding care provided for families (52.2%), the ICU environment (56.8%), and involvement of families in decision-making (55.8%). Lack of formal education (AOR: 1.949, 95% CI: 1.005, 4.169), completion of primary education (AOR: 2.581, 95% CI: 1.327, 5.021), and completion of grades 9– 12 (AOR: 2.644, 95% CI: 1.411, 4.952) were found to be significantly associated with overall family satisfaction.Conclusion and recommendation: The overall level of satisfaction is satisfactory. To enhance service quality and family satisfaction, healthcare providers should prioritize effective and regular communication with family members. Keeping them well informed about the patient’s condition and treatment plan is essential.Keywords: critical care, family satisfaction, intensive care unit, quality care, satisfaction

In recent years, Ohio nursing homes (NHs) have received an increasing number of complaints. The current study aims to gain a better understanding of the relationship between NH organizational characteristics and the number of complaints. Secondary data analysis was used. Four data sources on Ohio NHs were merged. Ohio NH complaints data reported in 2018 and 2019 was linked with the 2017 Ohio Biennial Survey of Long-Term Care Facilities, 2017 Ohio Nursing Home Resident Satisfaction Survey, and 2018 Ohio Nursing Home Family Satisfaction Survey. Descriptive analysis, bivariate tests (ie, analysis of variance and χ2 test), and multinomial logistic regression analyses were conducted. Findings included that urban location, NH administrator (NHA) and director of nursing (DON) turnover in the previous 3 years, NH size, occupancy rate, certified nursing assistant (CNA) retention, and overall family satisfaction were significantly associated with total complaints. NHA and DON turnover, NH size, CNA retention, and overall family satisfaction were found to be significantly associated with substantiated complaints. The importance of leadership (ie, NHA and DON) turnover, CNA retention, and family satisfaction indicates that specifically targeted efforts to improve in these areas can have a positive impact on NH quality. [ABSTRACT FROM AUTHOR]

The pandemic response allowed many parents in the United States and globally to work remotely for the first time ever which, for many, continued into the recovery. It is unclear whether, after a period when a large segment of the United States labor force worked remotely, remote work is viewed favorably or unfavorably among employed parents. We present results from a survey experiment assessing whether employed parents in the United States perceive that remote work will impact a hypothetical employed parents' job and family satisfaction and, critically, whether perceptions of work-family conflict and anticipated job rewards mediate this relationship. We find that respondents who are also employed parents perceive that hypothetical employed parents who access remote work will report lower job satisfaction and higher family satisfaction. Perceptions of work-family conflict do not mediate this association. Rather, we find that job rewards (e.g., pay, promotion, etc.) fully mediate the relationship between remote work and perceived job satisfaction. Ultimately, this indicates that employed parents perceive that remote work will bring workers like them less pay and thus lower job satisfaction but greater family satisfaction. This extends arguments about remote work in the light of the conceptualization of a flexibility stigma and a flexibility paradox. Implications for practice and theory are discussed. [ABSTRACT FROM AUTHOR]

During the COVID-19 lockdown, with social distancing measures in place and a decrease in social activities, emotional states are more likely to be transferred between family members via increased interactions and communication. However, longitudinal evidence, particularly for early adolescents, is lacking. This study investigated family pre-pandemic influences on parental stress and adolescent psychosocial wellbeing during the COVID-19 pandemic. Data were collected from 233 adolescents and their parents before and during the initial phase of the pandemic. Parents reported their own stress level and perception of adolescent adjustment problems, whereas adolescents reported their own psychological distress level. In addition, adolescents also reported their satisfaction with family life in the pre-pandemic survey. Cross-lagged path models indicated reciprocal associations between parental stress and perception of adolescent adjustment problems. Compared to adolescents low in pre-pandemic family life satisfaction, those adolescents with higher levels of family life satisfaction before the pandemic reported lower levels of anxiety and stress only when parental stress showed no increase during the pandemic. Findings provide support for the mutual influences between parental stress and perceived adolescent adjustment problems during the pandemic. Special attention should be paid to those adolescents who undergo significant family life changes during the pandemic. [ABSTRACT FROM AUTHOR]

It is well known that the Covid-19 that hit the world caused a global economic crisis. This present study aimed at examining the economic impact of this crisis with respect to families with both quantitative and qualitative approaches. In this study, we intended to demonstrate how families (n=247) met their basic needs, how they coped with financial stress, how financial stress relates to family characteristics and how it affects marital, family, and life satisfaction. The impact of family characteristics on financial stress was examined through regression analysis. The impact of financial stress on marital, family, and life satisfaction was determined through content analysis. The results of the regression analysis showed that the influence of education, debt, minimum wage employment, and fear of being laid off on financial stress was significant. The qualitative results show that individuals' marital, family and life satisfaction were negatively affected due to the financial stress they experienced during the Covid-19. [ABSTRACT FROM AUTHOR]

Objective: To determine whether self-esteem and family satisfaction predict life satisfaction in university students from the Peruvian highlands. Methods: A cross-sectional, predictive design study with the participation of 848 Peruvian university students of both sexes (31.7% male and 68.3% female) whose ages ranged from 17 to 41 years old (M =20.31 and SD =3.66). The instruments used were Rosenberg's self-esteem scale (RSE; 2000), Olson's family satisfaction scale (FSS; 2006) and Diener's life satisfaction scale (SWLS; 1985). Results: Show that the proposed model had a fit of χ² (269) = 1709.6, p< 0.001, CFI = 0.957, RMSEA = 0.080, SRMR = 0.061, evidencing that positive self-esteem (β = 0.21, p< 0.001) and family satisfaction (β = 0.57, p< 0.001) significantly predict life satisfaction. Unlike negative self-esteem, which does not predict life satisfaction (β = -0.09, p = 0.003). Conclusion: Self-esteem, family satisfaction, life satisfaction, university students, Peru. [ABSTRACT FROM AUTHOR]

Parenting stress can cause psychological changes such as anxiety and failure to assume the maternal role, which affects family satisfaction. The present study used a classic experimental design with a pretest and post-test and a control group. The convenience sampling method was employed to randomly select 40 individuals, who were then equally divided into experimental and control groups. The experimental group underwent fourteen sessions (90-minute sessions per week) of positive psychotherapy. The results indicated that positive psychotherapy had significant effects on the improvement of parenting stress and family satisfaction (p < 0.001) in the experimental group at the post-test stage. [ABSTRACT FROM AUTHOR]

Background: Increased childhood cancer survival rates have spurred a new body of research pertaining to the cancer-survivorship continuum. Literature suggests a lack of research and guidelines for care at the end of treatment (EOT). To improve the transition to survivorship and determine any posttreatment challenges, this study explored the experiences of childhood cancer survivors (CCSs), parents/caregivers, and pediatric oncology health care professionals (HCPs) at EOT. Method: This study employed a mixed methods design. EOT Questionnaires were completed by CCSs and parents/caregivers within 6 months of completing treatment, and by pediatric oncology HCPs. Results: A total of 75 CCSs and parents/caregivers and 21 HCPs completed the study. The majority of parents/caregivers (78%) and older CCSs (94%) recalled having an EOT "meeting." Most were satisfied with the meeting, but described unexpected worries/problems following EOT. Family members stating they were "very satisfied" with the EOT meeting increased significantly relative to the number of EOT topics addressed. In contrast, the omission of certain psychosocial discussion topics negatively correlated with satisfaction. Oncologists provided the majority of EOT services, with infrequent provision by other HCPs. Less than 20% of HCPs characterized families as "very satisfied" with EOT services and suggested improvements to meet families' needs. Discussion: This study found unmet psychosocial and anticipatory guidance needs, indicating a lack of preparedness. The results suggest that end of cancer treatment requires a more standardized, comprehensive, and multidisciplinary approach. Enhanced education and support services are needed to promote the successful navigation of all families through this period of transition. [ABSTRACT FROM AUTHOR]

The present study proposes a moderated mediation model that examines how and when unethical pro-supervisor behavior is related to employees' family satisfaction. The two-wave study design consisted of 207 full-time employees in China. The study results indicate that unethical pro-supervisor behavior is negatively related to family satisfaction, and that workplace ostracism mediates the influence of unethical pro-supervisor behavior on family satisfaction. In addition, the relationship between workplace ostracism and family satisfaction as well as the indirect influence of unethical pro-supervisor behavior on family satisfaction through workplace ostracism, are moderated by employees' work–home segmentation preference. The study findings not only enrich the literature on unethical pro-supervisor behavior, but also have important practical implications for organizational managers. [ABSTRACT FROM AUTHOR]

Objective: The goal was to explore mechanisms linking cumulative stressors with parent stress during COVID‐19. Background: Public health measures helped contain COVID‐19 spread, but disrupted family life and increased parents' stress. Positive family relationships and beliefs about the impact of challenges can foster psychological resilience during adversity and may influence parents' stress. Method: Participants included parents from the U.S. sample of the internet‐based Covid Family Life Study survey who indicated they were married or living with a romantic partner (n = 1,386). We tested a moderated mediation model predicting parent stress from the pileup of stressors, family and couple relationship satisfaction, and parent resilience beliefs. Results: High stressor pileup was associated with lower family and couple relationship satisfaction, and higher parent stress. Relationship satisfaction mediated the effect of stressor pileup on parent stress, and the indirect effects were similar across all levels of parent resilience beliefs. Family satisfaction mediated the effect of stressor pileup on parent stress only for parents with low resilience beliefs. Parent resilience beliefs moderated the relations between relational well‐being and parent stress. Higher family satisfaction was associated with lower stress for parents with low and moderate levels of resilience beliefs, but higher stress for parents with high resilience beliefs. Conclusion: Relationship satisfaction may explain how stressor pileup affects parent stress. Resilience beliefs may affect the explanatory role of family satisfaction. Implications: Interventions to improve family satisfaction may be most impactful for parents who have low confidence in their ability to adapt to change and bounce back from adversity. [ABSTRACT FROM AUTHOR]

BACKGROUND: Being admitted to the intensive care unit (ICU) is stressful for both patients and families, in addition to being very costly. Therefore, the ICU was chosen for the conduct of the study in this university hospital, the New Kasr Al-Ainy Hospital (NKHICU), Egypt. This was the first such study for this facility. OBJECTIVE: Identify NKHICU patient and family satisfaction in order to prioritize opportunities for quality improvement. METHODS: This was health-system research involving exploratory design. Work began by providing training for selected NKHICU administrative staff to help with data collection activities. Next, a well-prepared checklist was used to observe some quality dimensions. Finally, satisfaction was identified using two ICU-designed interview questionnaires for patients and family members who matched the study eligibility criteria. Quantitative and qualitative findings were analyzed independently and combined in the discussion. The mean percentage satisfaction scores of the participants were calculated. The reliability of questionnaires was measured using Cronbach's Alpha. RESULTS: The observation revealed 'excellent' results, except for some inconvenient conditions in the family waiting areas. The highest mean percentage score of patient and family satisfaction was for the neat appearance of NKHICU staff (96.4%, and 97.1%, respectively) and the continuous availability of nurses to respond to patient needs (94.7%, and 94.3%, respectively). The least mean percentage score of patient and family satisfaction was for the shortage of required drugs/supplies (51.5%, and 40.7%, respectively). The top suggestions raised by the participants were for increasing the availability of medications/supplies and the reduction in hospital bills. CONCLUSION: The provision of adequate drugs/supplies, reduction in bills, and addressing patients' and families' concerns will improve their satisfaction with services. [ABSTRACT FROM AUTHOR]

The pandemic response allowed many parents in the United States and globally to work remotely for the first time ever which, for many, continued into the recovery. It is unclear whether, after a period when a large segment of the United States labor force worked remotely, remote work is viewed favorably or unfavorably among employed parents. We present results from a survey experiment assessing whether employed parents in the United States perceive that remote work will impact a hypothetical employed parents’ job and family satisfaction and, critically, whether perceptions of work–family conflict and anticipated job rewards mediate this relationship. We find that respondents who are also employed parents perceive that hypothetical employed parents who access remote work will report lower job satisfaction and higher family satisfaction. Perceptions of work–family conflict do not mediate this association. Rather, we find that job rewards (e.g., pay, promotion, etc.) fully mediate the relationship between remote work and perceived job satisfaction. Ultimately, this indicates that employed parents perceive that remote work will bring workers like them less pay and thus lower job satisfaction but greater family satisfaction. This extends arguments about remote work in the light of the conceptualization of a flexibility stigma and a flexibility paradox. Implications for practice and theory are discussed.

Obtaining feedback from the patient and their family members regarding their experience of the care they received in the emergency department is important. This provides an extremely valuable opportunity for healthcare professionals to assess the quality of care and serves to highlight any areas of weakness or strength in the care experience. Through a synthesis of available literature, this article describes the challenges in measuring such an experience especially in emergency departments in Africa, and outlines tools that are currently available in literature to measure the patient and family experience and or satisfaction. Implementation considerations are outlined in order to provide recommendations for emergency department healthcare professionals wanting to undertake such assessments.

ObjectiveTo determine whether self-esteem and family satisfaction predict life satisfaction in university students from the Peruvian highlands.MethodsA cross-sectional, predictive design study with the participation of 848 Peruvian university students of both sexes (31.7% male and 68.3% female) whose ages ranged from 17 to 41 years old (M = 20.31 and SD = 3.66). The instruments used were Rosenberg’s self-esteem scale (RSE; 2000), Olson’s family satisfaction scale (FSS; 2006) and Diener’s life satisfaction scale (SWLS; 1985).ResultsShow that the proposed model had a fit of χ2 (269) = 1709.6, p

The aim of this study is to provide evidence to support the measurement of psychological concepts of family functioning in Slovakia. The first objective was to verify the psychometric properties of two scales assessing family quality of life and family satisfaction: the Beach Center Family Quality of Life Scale (BFQOLS) and the Family APGAR in people from a standard population (without disabilities). The second objective was to determine the relationship between family quality of life and family satisfaction with life satisfaction, self-esteem, income, and socio-economic status. The sample of participants comprised 499 adult respondents from Slovakia, 250 men and 249 women aged 18–60 years. In addition to the BFQOLS and the Family APGAR, scales were used to measure socioeconomic status, self-esteem, and satisfaction with life. As the results indicate, the factor structure of scales with acceptable fit indices was confirmed using confirmatory factor analysis. The scales showed good reliability and further analyses appear to support convergent and discriminatory validity of the scales. Based on the results obtained, the Slovak translation of the scales can be recommended for further verification and use in the standard population (without disabilities). [ABSTRACT FROM AUTHOR]

Objective: Through this study, we aimed to categorize marital conflict in middle adulthood and examine its effect on family satisfaction. Background: Marital conflict is detrimental to family satisfaction in the middle age. Despite the increasing dissolution of marriage and the intensification of marital conflict among middle‐aged couples, little research has examined this issue. Method: This study used data from the 2018 Korean Retirement and Income Study (KreIS). A total of 1,581 married people aged between 40 and 65 years were analyzed. We conducted latent class analysis (LCA) to categorize the sample and performed multiple regression analysis to verify the effect of various marital conflict types on family satisfaction. Results: Three latent classes of marital conflict were identified using the LCA: the lifestyle conflict (LC), the infrequent conflict (IC), and the financial conflict (FC) group. Examining family satisfaction by group revealed that there was no significant difference between IC and FC, whereas LC experienced significantly lower family satisfaction. Conclusions: This study suggested the need for a new approach to resolving marital conflict for middle‐aged couples, especially according to the conflict aspect. [ABSTRACT FROM AUTHOR]

Answering calls to further explore the role of cognition in the work‐family interface, this study examines the cognitive work‐family spillover of satisfaction. Moreover, to date, theories have proposed identical effects and moderators for the work‐to‐family and the family‐to‐work directions of spillover, an assumption termed the bidirectional parallelism thesis, which we will test. The objective of this study is therefore to examine work‐family boundary strength and domain identity salience as moderators of the spillover of satisfaction from work to family and from family to work. First, while the literature has mostly focused on the positive consequences of boundary strength, we draw on boundary theory to posit that boundary strength of the receiving domain limits satisfaction spillover. Second, in accordance with the enactment effect derived from boundary theory, we argue that spillover originates more strongly from domains that are salient in one's identity. To test these hypotheses, 2637 Canadian workers participated in a two‐wave study. Structural equation modelling analyses showed that job satisfaction had a lagged relationship with family satisfaction irrespective of the levels of home boundary strength and work identity salience. Inversely, family satisfaction had a significant lagged relationship with job satisfaction only when work boundary strength was low or when family identity salience was high. This study contributes to work‐family theories by extending their propositions to satisfaction as a cognitive component of subjective well‐being, as well as testing its spillover in a time frame consistent with the greater stability of cognitive evaluations. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the effectiveness of biomedical treatments on the symptoms and satisfaction of families with autism spectrum disorder. The present research method was a semi-experimental pre-test-post-test type with a control group. The statistical population of this research was the autistic children of the autism group in virtual space, from which thirty autistic children aged four to twelve with autism, fifteen in the experimental group and fifteen in the control group were randomly assigned. The Autism Treatment Evaluation Checklist (ATEC) was used to collect research data. The program was conducted in three months by parents and the supervision of the researcher, and the research data was analyzed using the covariance analysis method. The results of covariance analysis showed that biomedical treatments in reducing the symptoms in the Autism Treatment Evaluation Checklist (ATEC) have caused families to be satisfied. It seems that with the continuation of this method and reaching higher stages of treatment, more changes can be made in reducing the symptoms of autism and following it, reducing the challenges of the families, leading to the families' satisfaction with the treatment. [ABSTRACT FROM AUTHOR]

• Obtaining feedback from the patient and their family regarding their experiences in the ED is important for Africa as an opportunity to monitor performance, provide benchmarking and suggest quality improvement initiative and highlight uniqueness. • It may assist with research as well as developing recommendations/policy related instruments to improving the experiences for patients and families in the ED's throughout Africa. Such tools are needed for ongoing quality monitoring and improvement in the ED's especially in low-resource countries such as those found in Africa. • This article outlines tools that are currently available for African ED healthcare professionals to use and provides information guiding their administration. Obtaining feedback from the patient and their family members regarding their experience of the care they received in the emergency department is important. This provides an extremely valuable opportunity for healthcare professionals to assess the quality of care and serves to highlight any areas of weakness or strength in the care experience. Through a synthesis of available literature, this article describes the challenges in measuring such an experience especially in emergency departments in Africa, and outlines tools that are currently available in literature to measure the patient and family experience and or satisfaction. Implementation considerations are outlined in order to provide recommendations for emergency department healthcare professionals wanting to undertake such assessments. [ABSTRACT FROM AUTHOR]

The average trend of intensive care unit (ICU) patients increases every day across the globe, including in Indonesia. Patients and their families have various needs during intensive care in the ICU. Based on these needs, we classify them into care, hope, information, participation, and assurance. In order to fulfill these needs, support and involvement of family members are needed. If the needs are fulfilled, this will have an effect on the satisfaction of family members. Therefore, this study aims to investigate the relationship between family involvement and family satisfaction of critical patients in Intensive Care Unit of Sumber Waras Hospital, West Jakarta. Descriptive and analytic research design with a quantitative approach is used in this study. Samples were collected using a consecutive sampling method and a questionnaire was used as a data collection instrument. Pearson Chi-Square correlation test was performed to determine the relationship among variables. This study showed the average scores of family involvement and family satisfaction were 4.0-4.3 out of 5 on a Likert scale. From 49 respondents, 29 respondents had a higher level of involvement in information and 34 respondents had a higher level of satisfaction in assurance. Family involvement in care, hope, information, participation, and assurance had a significant positive association with family satisfaction, with the effect exerted at 42%, 56%, 51%, 49%, and 49%, respectively. From this study, we can conclude that the patient’s family members had a moderately to very high level of involvement and satisfaction. There is a significant positive association between family involvement and family satisfaction in the Sumber Waras Hospital, West Jakarta. [ABSTRACT FROM AUTHOR]

The purpose of this study was to explore the relationships between sociodemographic, clinical, and psychological variables and their contribution towards family functioning during the first wave of COVID-19 in Portugal. The COVID-19 pandemic was an overwhelming and stressful life event with social consequences that impacted family functioning and contributed to multilevel disruptions. The study used a cross-sectional design and included 110 participants (94 women), with a mean age of 35.71 (SD = 13.53). Participants answered self-report measures assessing family satisfaction, hope, psychological well-being, risk perception, and family functioning. Hope (pathways subscale) played a moderating role in the relationship between family satisfaction and family functioning. Family satisfaction and psychological well-being partially mediated the relationship between hope and family functioning. Clinical relevance and implications for further research are addressed. Intervention should focus on increasing psychological well-being and hope together with family satisfaction in order to promote family functioning. For those individuals struggling with COVID-19 issues, mental health interventions are paramount.

Despite a growing body of research regarding the detrimental effect of negative workplace gossip on employee outcomes, few studies have linked gossip to employee experiences outside work. Drawing on spillover theory and job demands and resources theory, we hypothesized that employee experiences of negative workplace gossip could undermine family satisfaction via a work-family conflict. This relationship depends on ability-based emotional intelligence. We tested this moderated mediation model using three-wave randomized data collected over 6 weeks from 286 hotel employees in China. The results indicate that negative workplace gossip diminishes family satisfaction, and this process is mediated by work-family conflicts. Ability emotional intelligence moderates the negative effect of gossip on employees' family satisfaction such that the higher the ability emotional intelligence is, the weaker the undermining effect is. Finally, we discussed the theoretical and practical implications of our research. [ABSTRACT FROM AUTHOR]

Both men and women are confronted with the fulfillment of different roles, thus creating the need to balance work and family. In the Latin American working population, no evidence has been found on the use of the Work-Family Balance Scale (BTF) to measure negotiated role-related expectations. The purposes of this study were to examine construct validity in 480 Chilean paid workers, using a confirmatory factor analysis, and to test for invariance between dependent and independent workers. Additionally, we sought to determine the relationship between BTF, job satisfaction and family satisfaction in 380 dependent workers. The unidimensional structure of the scale, the configurational, metric and scalar invariance were demonstrated, and finally, the discriminant and predictive validity of the construct was tested. This study contributes to position the BTF Scale as a valid instrument that could guide the management of labor policies to improve the wellbeing of paid workers. [ABSTRACT FROM AUTHOR]

Quality measurement of the intensive care unit (ICU) should include families' perspectives, their satisfaction with the care process and outcomes, and the evaluation of actions to improve their psychological health and wellbeing. The current study was designed to validate the Italian version of the Family Satisfaction in the Intensive Care Unit (FS-ICU) using the Rasch model. Results included reliability and separation for items and persons, item fit statistics, unidimensionality, and item characteristic curve. The study was conducted between August 2022 and February 2023. A total of 108 family members (mean age 54.9 years) completed the FS-ICU questionnaire. The instrument had a moderate discrimination ability and only five items (#21, #23, #10, #22, and #24) exhibited a misfit. The Rasch dimension explained 52.1% of the variance in the data, while the unexplained variance in the first contrast is 7.2%, which indicates a possible second dimension. FS-ICU was shown to be beneficial as an assessment instrument for family member satisfaction in the ICU, despite some flaws that need to further be addressed to improve the scale. [ABSTRACT FROM AUTHOR]

It is challenging to be a nurse because you have to deal with patients' unstable states on the spot, especially during pandemics. There has been an escalation in the situation as a result of the spread of a novel Coronavirus, COVID-19, across the globe. The mental health and personal lives of nursing staff suffered as a result of overload and stress during this contagion. In this context, the current study aims to hinge on improving the family satisfaction and family life quality of frontline soldiers by mentoring quality through the mediating role of organization-based self-esteem. Against this backdrop, a sample of 450 nurse-family dyads was collected in a three-wave field survey to investigate the hypotheses concerning the subjects working in hospitals in Lahore, Pakistan. Data were analyzed through structural equation modeling using AMOS 26. The study results indicate that high mentoring quality positively impacts family satisfaction and family life quality. In light of the study findings, hospital administration has practical implications for improving the quality of mentoring in order to enhance the personal and professional lives of nurses. [ABSTRACT FROM AUTHOR]

Doctors are a profession that many people are interested in. However, most people don't understand that working as a doctor is not as easy as they imagine. Doctors are one of the jobs that have the highest level of stress compared to other jobs because other people's lives depend on their skills. Doctors must be ready whenever patients need them. Therefore, the aim of this research is to find out the role of moderation work related social support on relationships job demand work family conflict and family satisfaction. In this research, technique sampling which is used is nonprobability sampling. From the whole type in technique nonprobability sampling selected type purposive sampling which is in accordance with the research objectives. The sample in this study is a group that is believed to be able to provide the desired information, namely doctors who are married and have irregular working hours. The results of this research show that job demand provide a significant influence on work family conflict. work family conflict has an insignificant effect on family satisfaction [ABSTRACT FROM AUTHOR]

Recent developments in information and communication technology have blurred the line between the workplace and the home. This can have a negative influence on employees' well‐being and thus has gained increasing attention from academics and practitioners. In this study, we developed a research model based on the transactional perspective of stress and the challenge–hindrance stressor framework. We defined the two dimensions of work–family conflict as the perceptual stress resulting from a chronic challenge and hindrance technostressors, which ultimately affect employees' satisfaction in both the work and family domains. We tested our model using a three‐wave time‐lagged survey study with data collected from 268 employees. Challenge and hindrance technostressors had different effects on these two main forms of work–family conflict (time‐based and strain‐based) but further induced negative effects on both job and family satisfaction. Overall, we make both scientific and practical contributions to the fields of work‐related technology use and work–family conflict. [ABSTRACT FROM AUTHOR]

Family-friendly practices (FFP) are viewed as an important tool to achieve equal opportunities and a supportive culture, with potential benefits for the organizational image and its employer branding. To date, however, there is an imperfect understanding of whether FFP affect firm performance and what are the mechanism of the possible association. This study tests a comprehensive model to investigate whether FFP affect firm performance and analyzes the role played by work–life balance (WLB) as a mediator between the provision of FFP and employee attitudes and firm performance. Using a sample of 724 public and private Portuguese companies and Partial Least Squares (PLS) regression, the results show that the availability of FFP indeed has a positive influence on WLB, organizational commitment, and job satisfaction, but it does not impact family satisfaction. Moreover, WLB mediates the relationship between FFP and firm performance. It is noteworthy that men and women do not perceive the impact of these practices the same way, with FFP having a greater impact on female job satisfaction than on their male counterparts. In addition, participants with lower levels of education and lower levels of annual income perceive a stronger impact of FFP on organizational commitment and WLB than the remaining participants. Men and participants with lower levels of education also perceive a stronger impact of WLB on family satisfaction. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to specify whether family communication and satisfaction are predictors of a child's executive functions and whether attention deficit hyperactivity disorder (ADHD) severity lies in the pathway between these variables. Method: Two hundred Polish children with ADHD, aged 10 to 13, were tested using Conners 3, the PU1 Battery of Cognitive Tests and Stanford-Binet Intelligence Scale, Fifth Edition (SB5). Parents filled out the FACES IV-SOR questionnaire. Structural equation modeling (SEM) was used to test the hypotheses. Results: The quality of family communication and satisfaction did not predict executive functioning in children with ADHD, and ADHD severity did not play a mediating role neither in boys or in girls. Intelligent quotient was the only predictor of executive functioning in the group of boys. Conclusion: These results contrast with those of previous studies that have shown the existence of similar associations in other cultural contexts. [ABSTRACT FROM AUTHOR]

Malaysia requires a large group of skilled workers to build, expand and eventually sustain its economic growth to become a high-income country. However, current TVET institutions in Malaysia are far from being able to supply Malaysia with sufficient skilled workers in the future. This may be due to negative perceptions of the public regarding work-life balance and well-being when choosing TVET as a career pathway. Therefore, it is important to determine if TVET jobs are inferior to conventionally educated jobs in terms of family satisfaction, which refers to perceptions of family quality such as solidarity, happiness, and overall relational well-being. In this study, surveys distributed to 160 TVET graduates and 160 conventionally educated graduates are analysed using PLS-SEM analysis and PLS-SEM multigroup analysis. SmartPLS software version 3.2.7 was used for this research. The findings show that TVET jobs are no worse than conventionally educated graduates jobs in terms of family satisfaction.

Background: ICUs follow a restrictive companionship policy, especially after the COVID‐19 outbreak. This strategy often limits the time families spend with patients, hinders their knowledge and skills in caregiving, and the sudden transfer of ICU patients to assist with disease monitoring and daily care can be very stressful for families. It is beneficial to use the transition period of transferring ICU patients to help families adjust to the role of caregiver. Aim: To develop and implement a patient‐ and family‐centered transitional care intervention plan for patients transferred to the ICU. Design: Prospective, pretest and posttest design. Methods: The experimental group received an individualized family‐centered transition plan led by the ICU liaison nurse that included 1) communication with health care professionals; distribution of a transfer booklet; 2) identification of nursing issues and communication with the ward nurse; invitation of family members to participate in the patient's rehabilitation; 3) follow‐up instruction on bedside range of motion exercises; and provision of a patient rehabilitation diary. Patients in the control group received only routine care. Data were collected using the General Information Questionnaire, Family Satisfaction with ICU Patients (FS‐ICU), the Family Relocation Stress Scale (FRSS), and the Stanford Acute Stress Response Questionnaire (SASRQR). Results: After the intervention, the total family satisfaction score of ICU patients in the experimental group was significantly higher than that of the control group (87.18 ± 8.38 vs 78.74 ± 10.63, p<0.001), and the satisfaction with the care and information provided was significantly higher in the experimental group compared to the control group (p < 0.001), with no significant difference between the two groups in terms of satisfaction with decision making (p>0.001). The level of relocation stress of patients' families was significantly lower in the experimental group compared to the control group after the intervention (p < 0.001). And there was no statistically significant difference between the two groups in terms of patients' acute stress disorder scores (p>0.001). Conclusion: The implementation of a family‐involved transition care programme significantly improved the satisfaction of ICU patients' families and reduced the stress of relocation for patients' families. Relevance to clinical practice: Focusing on the transition of ICU patients to ensure continuity of critical care and improve the quality of care for ICU patient transfers can be accomplished through a family‐centered transition care plan led by the ICU liaison nurse. [ABSTRACT FROM AUTHOR]

Pediatric patients scheduled for procedures with anesthesia experience stress and feelings of anxiety, but frequently lack the opportunity to report their feelings. Pediatric patient anxiety may be related to internal (patient perceptions/emotions) or external (demographic/family knowledge/satisfaction) factors. The purpose of the study was to explore patient reports of anxiety in young school-age through adolescent ages, and factors of family satisfaction before a scheduled procedure with anesthesia. Cross-sectional, descriptive, and correlational. A voluntary survey including family-report of patient age and past anesthesia, type of procedure, family satisfaction factors (knowledge of anesthesia; perioperative concerns), and patient-report of anxiety with a visual analog scale (0-10) was offered to eligible families at their preanesthesia clinic appointment. Completed surveys from 80 families (mean age of patient = 12 years; range 7-17 years) showed legally authorized guardians (LAGs) felt the preanesthesia visit helped them understand anesthesia information, but they also had concerns, such as complications and pain. Patient anxiety ratings ranged from 0 to 10 (M = 3.3, SD = 3.1), and were slightly higher for patients 11 years and younger (M = 3.8; SD = 3.4). Anxiety ratings were not significantly correlated with other factors measured. Pediatric patients, ages 7-17, report preanesthesia anxiety levels ranging from "not at all" to "worst imaginable," unrelated to demographic or family factors. Family members have perioperative concerns that need to be addressed before scheduled procedures. There is an impetus for improvement in psychosocial assessment and health care team collaboration to meet needs in a family-centered preanesthesia care model. [ABSTRACT FROM AUTHOR]