Nursing science quarterly
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Nursing science quarterly · Jul 2003
Psychological distress: testing hypotheses based on Roy's adaptation model.
This study examined the relationships among social support, parenting stress, coping style, and psychological distress in parents caring for children with cancer. The hypothesis that coping style plays a mediating role between social support and parenting stress, and psychological distress was tested for both mothers and fathers. ⋯ The findings indicate that the hypotheses derived from the Roy adaptation model were supported for both mothers and fathers. A longitudinal study is suggested to examine the circular process of stimulus, coping process, and adaptation outcomes.
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Nursing science quarterly · Jul 2003
Case ReportsNurse-parent dialogue: illuminating the evolving pattern of families with children who are medically fragile.
Guided by Newman's theory of health as expanding consciousness, this study explored the pattern of nurse-parent interaction in families with children who were medically fragile by applying the hermeneutic, dialectic method of interviewing and analysis. Living with children who are medically fragile was manifested by continual uncertainity. Families changed from trying to gain control of their uncertainty to learning to live in the uncertainty, as they evolved through an initial p[eriod of disruption and disorganization to organization at another level. This required new ways of relating to friends, family, healthcare providers, and the community, expanding the consciousness of the family.