摘要:

Environment plays a critical role in supporting families, but the influence of the environment on families with a chronically ill child has remained relatively unexplored. This paper presents a study that examined the role of the environment in families with a chronically ill child. This study, using a secondary analysis of two existing data bases (Holaday&Turner-Henson, 1991; U.S. Bureau of the Census, 1980), examined the influence of selected environmental factors on mothers' perceptions of the environment as supportive, resourceful, safe, and accessible. A presentation of the study findings, as well as implications for nursing practice, is presented.

ISSN:0146-0862    

DOI:10.3109/01460869309084022

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

The purpose of this qualitative study was to describe the process that employed mothers used to make child care decisions for children who became ill while enrolled in day care and the factors that influenced those decisions. Responding to an investigator-developed interview schedule, 20 married, employed mothers of preschoolers in day care each described a recent experience when her child was ill on a work day, her feelings, advantages and disadvantages of available options, preferences, job characteristics, and demographics. Inductive analysis of narrative data revealed themes of anxiety and decisional conflict between work and motherhood responsibilities and limited care options. These mothers usually cared for their sick children, sometimes sharing the duty with another caregiver. Data were categorized by actually selected and usually selected modes of care: mother; mother and father; mother and grandparent; mother and sitter; and mother and day care center. Influencing factors included: certainty and severity of illness, relative advantages and disadvantages of available options, job flexibility, and availability of paid leave. A model describing the decision-making process is proposed. While further research is needed, this model provides some guidance for nursing practice with families who face this dilemma and for evaluation of workplace policies.

ISSN:0146-0862    

DOI:10.3109/01460869309084023

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

The purpose of this study was to determine if well siblings in families with a child with cystic fibrosis receive less dependent care, as defined by Orem, than well siblings in families without children with chronic illness. Nineteen mothers of children with cystic fibrosis and a well sibling and 19 mothers of only well children completed the Dependent Care Agent Instrument. In this population, no significant differences were found in a mother's performance of dependent-care activities for well siblings of children with cystic fibrosis and well siblings in families without children with a chronic illness. The possiblity of a difference in a child's and mother's perception of parenting and the use of a questionnaire to study parenting is discussed. The implication that the child's perception of dependent care received is overlooked by focusing only on the mother's perception warrants further consideration.

ISSN:0146-0862    

DOI:10.3109/01460869309084024

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

The rapid increase in the number of homeless children and families has focused attention on understanding the health and related needs of this vulnerable group. This paper describes challenges associated with providing health care to homeless children and evaluation of those services. Data are presented from the Nursing Center for the Homeless of the School of Nursing at the State University of New York at Buffalo. Health services provided to homeless children and families (N= 470) documented that more than half (56%) were covered by health insurance and had received age-appropriate preventive health care. Of the children seen, 50% were considered well and 30% were diagnosed as having upper respiratory infections, skin problems, and/or gastrointestinal disorders. Health teaching for parents was the most frequent nursing intervention (50%), while 20% of the children were referred to community agencies. Factors that impede data collection and provision of health services for the homeless population are discussed, including suggestions for treatment and research approaches.

ISSN:0146-0862    

DOI:10.3109/01460869309084025

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

The purpose of this article is to compare fathers' and mothers' perceptions of a child's chronic condition and to compare strategies used by fathers and mothers to support themselves during critical times. Analysis of data focused on questionnaires from 38 fathers and mothers (19 paired parents) who had children with chronic conditions. Results showed that, although parental perceptions of the child's chronic condition were similar, their responses to the situation were not the same. Fathers and mothers relied on different strategies to support themselves during critical times.

ISSN:0146-0862    

DOI:10.3109/01460869309084026

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

ISSN:0146-0862    

DOI:10.3109/01460869309084021

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor