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Biomedical subjects

S Caty

Publications and source records attributed to S Caty.

At least 19 recordsLinked to original sources
PubMed2000

Palliative care on Manitoulin Island. Views of family caregivers in remote communities.

OBJECTIVE: To describe family caregivers' experiences with palliative care services in rural communities. DESIGN: Qualitative study. SETTING: Manitoulin Island, Ont. PARTICIPANTS: Thirteen family caregivers of 12 deceased patients who had received palliative care services. METHOD: Twenty-five family caregivers were recruited by mail and local newspaper. Eight were excluded because they lived off the Island or were too recently bereaved; one declined an interview; and three were excluded by researchers. Initial contact was by telephone; those retained (13 people) were interviewed at home. Interviews were conducted by the same researcher using a semistructured interview guide. All interviews were audiotaped and transcribed, and content was analyzed. MAIN FINDINGS: Three interwoven themes were identified: access to services, quality of services, and support and caring. Hospital and community-based services were accessed with ease at the local level; difficulties were noted when accessing services in tertiary care centres. Participants were generally grateful for and pleased with services received. Two areas of concern raised by participants were communication and pain and symptom control. Participants suggested to the Ministry of Health ways to improve rural palliative care services. More public funding for in-home palliative care services was identified as a priority. CONCLUSION: Participants thought good services and supportive care at the local level made up for difficulties in accessing and using palliative services in tertiary care centres. Community spirit and culture were seen as making situations more bearable.

Aged↗
PubMed1997

Graduating students' initial career plans.

As recent as six years ago, a shortage of nurses in Canadian hospitals meant that graduating nursing students had little difficulty finding work to begin their careers. But the realities of provincial budgetary deficits and extensive restructuring of the health care system have translated into downsizing of hospital staff, a shift to casual and part-time work, a loss of nursing positions, a surplus of RNs, and limited employment opportunities for graduating students. Today, things are slowly starting to turn around.

Career Choice↗
PubMed1995

Assessment and management of children's pain in community hospitals.

Registered nurses (n = 72) working in 10 paediatric units in community hospitals in north-eastern Ontario, Canada, participated in a descriptive study investigating how nurses assess and manage pain in children. A four-part questionnaire was used to collect the self-reported data. Twenty-five (36%) of the respondents defined pain as an individual and personal experience and another 25 (36%) respondents defined pain as a more or less localized sensation or discomfort resulting from the stimulation of specialized nerve endings. In response to three different clinical situations, the subjects' mean pain ratings were: 5.72 for an infant; 7.34 for a 3-year-old; and 7.29 for a 12-year-old child. The criterion 'nurses' judgment' was cited as being used frequently in both the assessment and decision making process; however, there was indication that some of the current knowledge in the assessment and management of pain in children was not known or being used.

Analgesics↗
PubMed1992

[A career in nursing sciences?].

A research study was conducted in a francophone high school in Northern Ontario to examine students' perceptions of nursing and the influence of these perceptions on nursing as a career choice. All students in grades 11, 12 and 13 were invited to participate. Fifty-eight percent (n = 268) completed the questionnaire. Results showed that 37 percent of the respondents considered pursuing a career in the health sciences. Only 14% percent were interested in nursing. Respondents' comments suggest that the nurse is viewed favorably but the profession is perceived as a career that does not involve pleasant tasks, good working conditions or opportunities for professional advancement. Reasons advocated for choosing nursing were altruistic rather than career-oriented. Students saw nursing practice as occurring mainly in a hospital setting. Half of the respondents who had chosen nursing as a career opted to enroll in a university program and the other half chose a college program. Results suggest that nursing continues to face an image problem regarding its role in the health care system. In these times of job losses and budget cuts, the profession still needs to attract young recruits. This is the challenge we have to face.

Adolescent↗
PubMed1989

Helping hospitalized preschoolers manage stressful situations: the mother's role.

This study examined mothers' perceptions of the most stressful situation their children experienced during hospitalization and how they and the children responded in these situations. The mothers described four types of situations; the most prevalent were intrusive procedures and separation events. The most frequent coping behaviors they described were seeking others, eliciting help, controlling, and self protection behaviors. The predominant strategies the mothers used to help their children were Providing Comfort and Providing Information. The mothers' emotional responses to their children's behaviors included both pleasant and unpleasant affective states. Implications for practice and research are addressed.

Child, Hospitalized↗
PubMed1989

Mothers' perceptions of coping behaviors in hospitalized preschool children.

This study determined mothers' perceptions of coping in their hospitalized preschool children. Thirty-two mothers were interviewed using open-ended questions to determine their views of coping, what behaviors they described their children using in difficult situations, and what they did to help their children cope. They indicated which of the 40 items on the Children's Coping Strategies Checklist (CCSC) they considered to be coping behaviors. The answers to the open-ended questions were content analyzed. Twenty-two mothers described coping as an outcome--that is, as the degree of adaptational success. Seventy-five percent or more of the mothers identified 22 of the CCSC behaviors as coping; 15 of these behaviors were from the subscales of Information Seeking, Seeking Comfort/Help, and Growth/Independence. Eight items were viewed by fewer than half of the mothers as coping, and included regression, denial, withdrawal, and control by preventing events. The mothers described the strategies they used to help their children manage difficult situations; the predominant strategies were providing information and comfort. The implications of the findings are discussed.

Adaptation, Psychological↗
PubMed1989

Nurses' perceptions of coping behaviors in hospitalized preschool children.

This study examined nurses' perceptions of coping in hospitalized preschool children. Thirty nurses were interviewed using a structured questionnaire and open-ended questions. Analysis included content analysis of the nurses' definitions of coping, strategies used to help children during stressful procedures, and classification of nurses' emotional responses to specific coping behaviors. The majority of nurses defined coping as an outcome, fewer than one third as a process, and none as a trait. Over 80% saw 21 of 40 coping behaviors as coping. Most of these included information-seeking, direct action, seeking help, and movement toward growth or independence. Behaviors that 80% or more of the nurses saw as coping elicited pleasant emotional responses; those that fewer than 50% saw as coping elicited unpleasant responses. Overall, the nurses described 10 types of strategies to help children cope. Only six nurses described more than five types. The clinical implications of these findings are discussed.

Adaptation, Psychological↗
PubMed1988

Coping behaviors of hospitalized preschool children.

This study examined the coping behaviors of 208 hospitalized preschoolers during high stress and low stress events. The children were observed during 722 events and their behaviors were recorded on the Children's Coping Strategies Checklist (CCSC). The group included acutely and chronically ill children. While the preschoolers used more coping behaviors in low-stress events than they did in high-stress events, there were very few differences between the number of coping behaviors used by chronically ill and acutely ill children. The tendency to use fewer coping behaviors in high-stress events was more marked in the acutely ill children. There were larger differences in the specific coping behaviors used in high-stress and low-stress events. The types of coping behaviors used most frequently were Information Seeking (watching and visual examination) and Direct Action (tension reducing involving self, control by active participation, and control by preventing or delaying an event). The children used very few Independence/Growth and Intrapsychic coping behaviors. The research and clinical implications of the findings are discussed.

Adaptation, Psychological↗
PubMed1984

Concerns of acutely ill, chronically ill, and healthy preschool children.

The study was designed to determine if the concerns of 2- to 5-year-old children hospitalized for chronic illness differ from the concerns of other children. Interviews were conducted with 32 short-stay chronically ill, 10 long-stay chronically ill, 20 acutely ill, and 20 healthy children. Narrative recordings were analyzed using a categorical system of 10 developmental and hospital-related concerns. Differences between groups in mean proportion of concerns expressed were examined for each interview using analysis of variance techniques. The major concerns expressed by each group on all interviews were Autonomy and Exploration and, in the chronically ill children, Intrusion. Increased age was associated with increased expression of Intrusion in all groups except the long-stay chronic illness group.

Acute Disease↗