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Biomedical subjects

S Caty

Publications and source records attributed to S Caty.

26 records · Page 2Linked to original sources
PubMedDate not supplied

Use of a projective technique to assess young children's appraisal and coping responses to a venipuncture.

PURPOSE: To examine the appraisal, emotional and coping responses of young hospitalized children to three phases of a venipuncture procedure. DESIGN: Exploratory, descriptive. SETTING: Pediatric unit of a community hospital. PARTICIPANTS: Four- to 9-year-old hospitalized children (N = 45). MAIN OUTCOME MEASURES: Data were obtained by means of a projective technique and interview format. Content analysis of the children's responses was guided by the use of four published measures (appraisal, behavioral coping strategies, cognitive coping strategies, and helpful interventions). RESULTS: The children appraised each phase of the venipuncture as a threat, a benefit, or a threat/benefit. The most frequently identified behavioral coping strategies were self-protective behaviors and returning to normal activities. The most frequently identified cognitive coping behaviors were reality-oriented working through, emotion-regulating cognitions, and diversionary thinking. The children reported the most helpful intervention as providing information about the event. CONCLUSION: The children were able, through a projective technique, to appraise a venipuncture and spontaneously identify many cognitive and behavioral coping strategies and interventions to help them manage a venipuncture.

Adaptation, Psychological↗
PubMedDate not supplied

Family-centered care in Ontario general hospitals: the views of pediatric nurses.

Registered nurses and registered practical nurses working on pediatric units in 35 Ontario general hospitals participated in a study that examined their perceptions and practices of family-centered care (FCC). The Family-Centered Care Questionnaire-Revised (FCCQ-R) was used to collect the data. The participants were asked to rate their level of agreement regarding necessary elements (perceptions) of family-centered care and whether these elements are part of their current work (practice). The participants had a reasonable knowledge of the necessary elements of family-centered care, but were not consistently including these in their every day work. A number of barriers to the implementation of family-centered care were also identified. Perception and practice scores were higher among those who had participated in continuing education on family-centered care than those who had not. The findings suggest that some nurses may be having difficulties shifting from a medical helping model of care to an enabling helping model of care, which is considered the foundation of family-centered care. Difficulties in implementing family-centered care appear to be systemic, both at the unit and organizational level. Based on the findings, implications for practice, education and research are suggested.

Adult↗
PubMedDate not supplied

Coping in hospitalized children: an analysis of published case studies.

This study examined the range of coping behaviors identified by the authors of 39 published case studies of hospitalized children age 20 months to 10 years and the pattern of coping revealed when the behaviors described in the published studies were analyzed according to the category system based on the Lazarus stress and coping paradigm. The behaviors reported in the case studies were subjected to a content analysis of the various labels attributed by the authors to the behaviors and then to a detailed content analysis according to the Type of Coping Behavior Category System. The range of labels of coping behavior used in the case studies showed that there had been no systematic and consistent approach to analysis of the children's coping strategies. The results of the analysis using the category system indicated that the coping strategies could be categorized in a systematic way. The pattern of coping revealed indicates that the system is sensitive to the influence of level of development.

Adaptation, Psychological↗
PubMedDate not supplied

Factors influencing young children's coping behaviors during stressful healthcare encounters.

The authors examined the coping behaviors of 80 preschool children during venipuncture, and selected situational and personal variables thought to influence their coping. The children's behaviors were recorded on the Children's Coping Strategies Checklist-Intrusive Procedures; the helpful behaviors of health professionals were recorded on the Nursing Actions Checklist. Information about specific influencing variables was gathered through questionnaires and parent interviews. The children's report of procedural pain was correlated with the number of coping behaviors used, with the children's attempts to protect themselves, and with helpful nursing interventions. Socioeconomic status, nursing interventions, and preparation for the procedure had low to moderate correlations with number and type of the children's coping behaviors. The results indicate that a child's coping is related to the situation, and the actions of professionals in that situation rather than to the characteristics of the individual child.

Adaptation, Psychological↗
PubMedDate not supplied

Coping behaviors of children hospitalized for cardiac surgery: a secondary analysis.

While the coping behaviors of hospitalized children continue to be an area of interest for researchers, systematic documentation in the literature concerning children's coping remains limited. In this descriptive secondary analysis, 23 master's thesis case studies were analyzed to determine how researchers described the range of coping behaviors that children used while hospitalized for cardiac surgery. The analysis sought to determine patterns of coping in both preschool and school-age children. A second aim was to validate further and refine the dimensions and items of the Children's Coping Behaviors Category System developed by Ritchie, Caty, and Ellerton in 1987. Results revealed that a broad range of names and labels of behavior was used to describe children's coping. The predominant patterns of behavior that emerged were direct action and information-seeking. Differences between preschool and school-age children's reported behaviors were evident. The coping category system was validated further and refinements are suggested.

Adaptation, Psychological↗