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AN EXAMINATION OF PARENTAL STRESS AND COPING IN THE PEDIATRIC INTENSIVE CARE UNIT (PICU)

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Please use this identifier to cite or link to this item: http://hdl.handle.net/1928/11987

AN EXAMINATION OF PARENTAL STRESS AND COPING IN THE PEDIATRIC INTENSIVE CARE UNIT (PICU)

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dc.contributor.author Gallegos, Cara Michelle
dc.date.accessioned 2011-02-03T19:49:32Z
dc.date.available 2011-02-03T19:49:32Z
dc.date.issued 2011-02-03
dc.date.submitted December 2010
dc.identifier.uri http://hdl.handle.net/1928/11987
dc.description.abstract Advances in medical science have increased the number of children surviving illnesses and injuries that would have otherwise been fatal. Parents who have a critically ill child in the Pediatric Intensive Care Unit (PICU) often experience extreme levels of stress and poor coping. The purpose of this exploratory study was to explore parental stress and coping in a diverse group of parents of a critically ill child. This exploratory study used a descriptive-comparative and correlational research design. The Resiliency Model of Family Stress, Adjustment, and Adaptation (McCubbin & McCubbin, 1993) was used as a theoretical framework for the study. A convenience sample consisted of 86 participants (84 parents, one aunt, and one foster parent) and of the participants, 48 were lone respondents and 38 were from 19 2-parent dyads. Data were collected in a large freestanding children’s hospital in the Southwest. Parental stress was measured by the Parental Stressor Scale:PICU (PSS:PICU; Carter & Miles, 1983). Parental coping was measured by the Coping Health Inventory for Parents (CHIP) (McCubbin, McCubbin et al., 1983). Results demonstrated that both mothers and fathers rated the PICU experience as stressful and rated parent roles and child behaviors/emotions as the most stressful aspects of having a critically ill child. There was no statistical difference between mothers and fathers in total stressor scores. Both mothers and fathers used three coping patterns of CHIP, listed from most helpful to least helpful: Coping Pattern I, II, and III. There was a statistically significant difference in the mean scores on Coping Pattern I and Coping Pattern II between mothers and fathers which indicated that mothers found the coping strategies more helpful than fathers. Regression results indicated that income and whether the hospitalization was planned accounted for 19% of the total stressor score. In terms of coping, gender, income, and child age accounted 41% of the variance in Coping Pattern I scores. Whereas, income, parent gender, and nursing acuity accounted for 40% of the variance in Coping Pattern II scores. Neither the parent demographic variables nor the child demographic or clinical variables significantly predicted Coping Pattern III scores. en_US
dc.language.iso en_US en_US
dc.subject parental stress en_US
dc.subject parental coping en_US
dc.subject PICU en_US
dc.subject pediatric intensive care unit en_US
dc.title AN EXAMINATION OF PARENTAL STRESS AND COPING IN THE PEDIATRIC INTENSIVE CARE UNIT (PICU) en_US
dc.type Dissertation en_US
dc.description.degree Nursing en_US
dc.description.level Doctoral en_US
dc.description.department University of New Mexico. College of Nursing en_US
dc.description.advisor Lobo, Marie
dc.description.committee-member Lobo, Marie
dc.description.committee-member Mendelson, Cindy
dc.description.committee-member Parshall, Mark
dc.description.committee-member Brewer, Melanie


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