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dc.contributor.authorGallegos, Cara Michelle
dc.date.accessioned2011-02-03T19:49:32Z
dc.date.available2011-02-03T19:49:32Z
dc.date.issued2011-02-03
dc.date.submittedDecember 2010
dc.identifier.urihttp://hdl.handle.net/1928/11987
dc.description.abstractAdvances 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.isoen_USen_US
dc.subjectparental stressen_US
dc.subjectparental copingen_US
dc.subjectPICUen_US
dc.subjectpediatric intensive care uniten_US
dc.titleAN EXAMINATION OF PARENTAL STRESS AND COPING IN THE PEDIATRIC INTENSIVE CARE UNIT (PICU)en_US
dc.typeDissertationen_US
dc.description.degreeNursingen_US
dc.description.levelDoctoralen_US
dc.description.departmentUniversity of New Mexico. College of Nursingen_US
dc.description.advisorLobo, Marie
dc.description.committee-memberLobo, Marie
dc.description.committee-memberMendelson, Cindy
dc.description.committee-memberParshall, Mark
dc.description.committee-memberBrewer, Melanie
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Parents who have a critically\nill child in the Pediatric Intensive Care Unit (PICU) often experience extreme levels of\nstress and poor coping.\nThe purpose of this exploratory study was to explore parental stress and coping in\na diverse group of parents of a critically ill child. This exploratory study used a\ndescriptive-comparative and correlational research design. The Resiliency Model of\nFamily Stress, Adjustment, and Adaptation (McCubbin & McCubbin, 1993) was used as\na theoretical framework for the study. A convenience sample consisted of 86 participants\n(84 parents, one aunt, and one foster parent) and of the participants, 48 were lone\nrespondents and 38 were from 19 2-parent dyads.\nData were collected in a large freestanding children\u2019s hospital in the Southwest.\nParental stress was measured by the Parental Stressor Scale:PICU (PSS:PICU; Carter &\nMiles, 1983). Parental coping was measured by the Coping Health Inventory for Parents\n(CHIP) (McCubbin, McCubbin et al., 1983).\nResults demonstrated that both mothers and fathers rated the PICU experience as\nstressful and rated parent roles and child behaviors/emotions as the most stressful aspects\nof having a critically ill child. There was no statistical difference between mothers and\nfathers in total stressor scores. Both mothers and fathers used three coping patterns of\nCHIP, listed from most helpful to least helpful: Coping Pattern I, II, and III. There was a\nstatistically significant difference in the mean scores on Coping Pattern I and Coping\nPattern II between mothers and fathers which indicated that mothers found the coping\nstrategies more helpful than fathers. Regression results indicated that income and whether\nthe hospitalization was planned accounted for 19% of the total stressor score. 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