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Biomedical subjects

Carl Lacharité

Publications and source records attributed to Carl Lacharité.

3 recordsLinked to original sources

Perceived parental efficacy: concept analysis.

AIMS: This paper describes a concept analysis carried out to remove some of the ambiguity surrounding the conceptual meaning of perceived parental efficacy and to distinguish it from related concepts such as parental confidence and parental competence. BACKGROUND: Constructing parental efficacy is a crucial step for family members after the birth of their first child. For some authors, perceived parental efficacy is a motor for adequate parental practices. Confusion about the definition and measurement of this concept has hindered both psychology and nursing practice and research. Concept delineation and concept clarification are required in order to further the development of the concept of perceived parental efficacy. METHODS: A literature search using a variety of online databases yielded 113 articles between the years 1980 and 2000. The final sample (n=60) consisted of 30 articles from two disciplines: nursing and psychology. A content analysis of the literature was done using Rodger's evolutionary concept analysis method. FINDINGS: Content analysis of the literature yielded four contributors to perceived parental efficacy: positive enactive mastery experiences, vicarious experiences, verbal persuasion and an appropriate physiological and affective state. Perceived parental efficacy can thus be defined as 'beliefs or judgements a parent holds of their capabilities to organize and execute a set of tasks related to parenting a child'. CONCLUSION: This conceptual analysis has allowed perceived parental efficacy to be distinguished from parental confidence and parental competence. Both nursing and psychology research, practice and education will benefit from a more precise and delineated concept.

Child Rearing↗

A longitudinal study of the effects of chronic maltreatment on children's behavioral and emotional problems.

OBJECTIVE: The aim of the present longitudinal study was to examine the links between chronicity of maltreatment and child behavioral and emotional problems. METHOD: Forty-nine maltreated children (32 victims of continuous, or chronic, maltreatment; 17 victims of transitory maltreatment) and their mothers were evaluated in their homes three times over a period of 6 years: at the time of recruitment (T1), 3 years following the initial evaluation (T2) and 6 years following the initial evaluation (T3). The home visits were designed to obtain longitudinal assessments of different types of behavioral and emotional problems in the children, and of the mothers' self-reported potential for abuse to help determine the chronic/transitory aspect of the maltreatment situation. Child Protection Services (CPS) files were also consulted at each assessment time in order to obtain more accurate information regarding the chronic/transitory aspect of the maltreatment situation. RESULTS: The results show that over time the victims of chronic maltreatment (Chronic group; CH) had significantly more emotional problems (i.e., Anxiety/Depression) than those victims of transitory maltreatment (Transitory group; TR). There was also a tendency for CH children to exhibit more aggressive behavior and social withdrawal problems than the children in the TR group. Furthermore, at T3, the proportion of children in the CH group showing a clinical level of behavior problems in general was significantly higher than in the TR group. CONCLUSIONS: The study confirms that there are differences among maltreated children in levels of behavior and emotional problems and shows that chronicity must be taken into consideration in order to identify more clearly the impact of maltreatment on the child. Chronically maltreated children appear to be at high-risk for developing clinical levels of problems. The results also suggest that intervention efforts resulting in an improvement of the family situation (i.e., reduction or elimination of maltreatment), also lead to an improvement in the behavior of children.

Child Abuse↗

Fathers' perceptions of the immediate postpartal period.

PURPOSE: To describe the perceptions of first-time fathers regarding critical moments of the immediate postpartum period. DESIGN: Qualitative study. SETTING: Data were collected through semistructured interviews with the fathers, using the critical incident technique; this was done in their home, within the first 12 days following the birth of their child. PARTICIPANTS: Sample consisted of 13 first-time fathers. RESULTS: A qualitative analysis allowed for the identification of five domains, five categories, and 12 subcategories of critical incidents within the first 96 hours of the postpartum period. The five domains of incidents relate to self and others: as individuals, as a couple, and as parents in relationship with the environment and with the nursing personnel. On the basis of a combined score of fathers' presence on the maternity ward, we were able to define three subgroups. All groups of fathers were sensitive to interactions with their baby and with the nurses. Highly involved fathers reported not feeling supported by the hospital environment policies in regard to engaging in behaviors that could favor their involvement with their baby. CONCLUSIONS: Increased awareness of fathers' experiences during the immediate postpartum period will enable nurses to respond more effectively to the fathers' needs.

Adult↗