This paper is only available as a PDF. To read, Please Download here.
Abstract
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.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric Nursing: Nursing Care of Children and FamiliesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Patient and situational factors that affect nursing students' like or dislike of caring for patients.Nursing Research. 1987; 36: 298-302
- Vocabulary of affective adjectives.in: Gazda G. Childers W. Walters R. Interpersonal communication: A handbook for health professionals. Aspen Publications, Rockville, MD1982: 265-269
- From novice to expert: Excellence and power in clinical nursing practice.Addison-Wesley, Menlo Park, CA1984
- Berrey L.V. Roget's international thesaurus. 3rd ed. Thomas Y. Crowell, New York1962
- Stress management training for parents and their children undergoing cardiac catheterization.American Journal of Orthopsychiatry. 1986; 56: 234-243
- Coping in hospitalized children: An analysis of published case studies.Nursing Research. 1984; 33: 277-282
- Coping with stresses of illness.in: Stone G.C. Stone F. Adler N.E. Health psychology: A handbook. Jossey-Bass, San Francisco1979: 217-254
- Identifying coping strategies in children.Journal of Clinical Child Psychology. 1985; 14: 61-69
- Achieving health for all: A framework for health promotion.Health and Welfare, Canada, Ottawa1986
- An analysis of coping in a middle-aged community sample.Journal of Health and Social Behavior. 1980; 21: 219-239
- The role of bodily illness in the mental life of children.Psychoanalytic Study of the Child. 1952; 7: 69-81
- Stress, competence, and development: Continuities in the study of schizophrenic adults, children vulnerable to psychotherapy, and the search for stress-resistant children.American Journal of Orthopsychiatry. 1987; 57: 159-174
- A preschool child's use of language in coping with hospitalization.Maternal-Child Nursing Journal. 1979; 8: 39-47
- Coping and defending.Academic Press, New York1977
- A review of current approaches used to help children and parents cope with health care procedures.Maternal-Child Nursing Journal. 1984; 13: 145-165
- Going to the doctor: A developmental study of stress and coping.Journal of Child Psychology and Psychiatry. 1983; 24: 247-259
- Preventive interventions for children.in: Myers A.W. Craighead W.E. Cognitive behavior theory with children. Plenum Press, New York1984: 377-409
- Children's locus of control beliefs as predictors of preoperative coping behaviors.Nursing Research. 1984; 33: 76-85
- Children's preoperative coping: Replication and extension.Nursing Research. 1987; 36: 163-167
- The stress and coping paradigm.in: Bond L.A. Rosen J.C. Competence and coping during adulthood. University Press of New England, Hanover, NH1980: 28-69
- Stress-related transactions between person and environment.in: Pervin L.A. Lewis M. Perspectives in interactional psychology. Plenum Press, New York1978: 287-327
- Childhood stress and anxiety. Individualizing cognitive behavioral strategies in the reduction of medical stress.in: Myers A.W. Craighead W.E. Cognitive behavior therapy with children. Plenum Press, New York1984: 289-313
- The vital balance: The life process in mental health and illness.Viking Press, New York1963
- The widening world of childhood.Basic Books, New York1962
- Coping, vulnerability, and resilience in childhood.in: Coelho G.V. Hamburg D.A. Adams J.E. Coping and adaptation. Basic Books, New York1974: 69-100
- Vulnerability, coping and growth.Yale University Press, New Haven, CT1976
- The structure of coping.Journal of Health and Social Behavior. 1978; 19: 2-21
- Fantasy in communicating concerns about body integrity.Maternal-Child Nursing Journal. 1972; 1: 117-126
- Coping in chronically ill and acutely ill children: Are there differences?.in: Paper presented at International Nursing Research Conference, Washington, DC1987
- The concepts of coping and vulnerability as applied to children with chronic conditions.Issues in Comprehensive Pediatric Nursing. 1984; 7: 177-186
- Psychosocial resilience and protective mechanisms.American Journal of Orthopsychiatry. 1987; 57: 317-331
- Coping strategies of hospitalized school-aged children.Western Journal of Nursing Research. 1981; 3: 371-383
- Child and family: Concepts of nursing practice.McGraw-Hill, New York1987
- Psychosocial research on pediatric hospitalization and health care. A review of the literature.Charles C. Thomas, Springfield, IL1985
- Adaptation to life.Little, Brown, Boston1977
- The existential plight in cancer: significance of the first 100 days.International Journal of Psychiatry in Medicine. 1976; 7: 1-15
- Measuring children's coping.American Journal of Orthopsychiatry. 1987; 57: 548-560
- Nursing care of infants and children.3rd ed. Mosby, St. Louis1987
Article info
Footnotes
☆Funded by the Research and Development Fund, School of Nursing, Dalhousie University.
Identification
Copyright
© 1988 Published by Elsevier Inc.