摘要:

The purpose of this study was to test the effects of a self-help nursing intervention on adolescent psychosocial competence. A community sample of 139 adolescents was assigned to three conditions (intervention, delayed intervention, and control) within a pretest-posttest design. The self-help nursing intervention was a 9-page, 14-step self-help workbook for use by adolescents in dealing with upsetting situations in day-to-day living. After a self-assessment of coping, subsequent workbook steps aided adolescents in developing alternate coping responses and generating other ways to deal with the upsetting situation. Adolescents in the three conditions did not differ on pretest measures of psychosocial competence: problem-solving appraisal, adolescent self-perception, and general self-efficacy. After statistically controlling for pretest scores, gender, and age, the intervention group showed more favorable self-perceptions in scholastic competence, social acceptance, and conduct/morality compared with the control group. However, expected differences in the delayed intervention group failed to appear. Thus, anticipated benefits in psychosocial competence were found inconsistently. Although not predicted, significant reductions in the prevalence of negative affect occurred among adolescents in both intervention groups. Overall, the self-help format for delivering psychosocial competence training lacked the power needed to bring about consistent benefits for adolescents. Testing the self-help workbook in a group context is recommended in future nursing intervention research.

ISSN:0146-0862    

DOI:10.3109/01460869409078304

出版商:Taylor&Francis    

年代:1994

数据来源: Taylor

摘要:

Nurses often encounter situations in which they are called upon to assist in post-suicide community interventions with teachers, church youth group leaders, and mental health professionals. Controlled studies of interventions to aid adolescents coping with the loss of a peer are lacking. The purpose of this study, conditioned by an unanticipated suicide in an ongoing research study, was to document changes in psychosocial competence of adolescent peer suicide survivors. Following a supportive community intervention, the peer survivor group was compared with a similar group of adolescents who did not experience peer suicide. Both groups were in the control condition of a larger nursing study of social competence-building. The survivor group had significantly greater self-efficacy immediately after the community intervention and 2 months later when contrasted with the comparison group. In addition, the survivor group reported greater social acceptance and job competence immediately after the community intervention. Correlated t-tests showed the survivor group had significant gains in problem-solving appraisal and global self-worth after the community intervention, but significant declines in global self-worth and scholastic competence 2 months after the intervention. The findings support the belief that community interventions are initially worthwhile in helping adolescents to cope with peer suicide, but continued supportive intervention may be needed to offset declines noted over time in areas such as self-worth and academics.

ISSN:0146-0862    

DOI:10.3109/01460869409078305

出版商:Taylor&Francis    

年代:1994

数据来源: Taylor

摘要:

The purpose of this study was to uncover the meaning of engagement for nurses who care for children and their families. This study employed a hermeneutic-phenomenological methodology as specified by van Manen (1984, 1990) and Ray (1991). A convenience sample consisted of eight nurses who worked in a pediatric ambulatory care setting. Data were generated from audiotaped interviews and journaling. The first level of reflection revealed the themes and metathemes of the meaning of engagement: Making Connection: Becoming Aware of the Person; Perceiving the Other: Developing and Nurturing the Relationship; A Sense of Investment: Unfolding From Commitment; and Remaining Distant: Choosing Not To Engage. In the second level of reflection selected literature further illuminated the meaning of engagement. Through deeper reflection, the metaphor Creating a Safe Passage surfaced to capture the meaning of engagement. This research supports the transformation of health care delivery toward a greater emphasis on the caring relationship. Findings illuminate specific characteristics of an engaged relationship. Implications for sensitizing health care professionals in practice, education, and research are described.

ISSN:0146-0862    

DOI:10.3109/01460869409078306

出版商:Taylor&Francis    

年代:1994

数据来源: Taylor

摘要:

Chronic illness affects all members of the family, including siblings. Siblings of children with myelomeningocele have been studied infrequently. This descriptive study examined the perceptions and concerns of the school-age siblings of children with myelomeningocele and compared sibling responses with maternal perceptions of the sibling relationship. The effects of age, birth order, and gender were also examined. Fifteen children and their mothers participated in the study. Data were collected through a sibling interview and maternal survey. Qualitative analysis of the sibling responses revealed a high level of empathy and concern for their brothers and sisters with myelomeningocele. Maternal responses yielded similar findings. No statement could be made regarding the effects of age, birth order, or gender upon the sibling relationship. Nurses are in a unique position to assess the perceptions and concerns of siblings, and to intervene to ensure that their needs are met and their contributions to family life recognized.

ISSN:0146-0862    

DOI:10.3109/01460869409078307

出版商:Taylor&Francis    

年代:1994

数据来源: Taylor

摘要:

Homeless families are an increasing problem in the United States, with children representing 34% of the total homeless population. This retrospective study describes the demographic characteristics and health care problems and concerns of sheltered homeless children who used the services of a mobile health van over a 1-year period in a midwestern metropolitan area. The patterns of utilization, medications prescribed, and referrals are also described. Medical records of 175 sheltered homeless children who sought care from a mobile health van were reviewed. Forty-eight percent of the children were female; 52% were male. The majority were under 6 years of age (15% infants, 22% toddlers, 22% preschoolers, 23% school-age children, and 18% adolescents). The major reasons for seeking health care, the primary diagnoses, and treatments are presented. Recommendations for using a mobile van to provide efficient, quality health care for this population are discussed.

ISSN:0146-0862    

DOI:10.3109/01460869409078308

出版商:Taylor&Francis    

年代:1994

数据来源: Taylor

摘要:

Family-Centered Nursing Care of Children (Second Edition) Cecily Lynn Betz, Mabel Hunsberger, and Stephanie Wright W. B. Sounders Co., Philadelphia. 2318 pages, 1994.

ISSN:0146-0862    

DOI:10.3109/01460869409078309

出版商:Taylor&Francis    

年代:1994

数据来源: Taylor

ISSN:0146-0862    

DOI:10.3109/01460869409078303

出版商:Taylor&Francis    

年代:1994

数据来源: Taylor