Families’ Description of the Nursing Intervention in a Randomized Control Trial

Families’ Description of the Nursing Intervention in a Randomized Control Trial

Families’ Description of the Nursing Intervention in a Randomized Control Trial

Families’ Description of the Nursing Intervention in a Randomized Control Trials

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Référence bibliographique [7343]

Ezer, Hélène, Bray, Caroline et Gros, Catherine. 1997. «Families’ Description of the Nursing Intervention in a Randomized Control Trial». Dans A Perspective on Health, Family, Learning and Collaborative Nursing: A Collection of Writtings on the McGill Model of Nursing , sous la dir. de Laurie Naomi Gottlieb et Ezer, Hélène, p. 417. Montréal: Université McGill, École des sciences infirmières.

Fiche synthèse

1. Objectifs


Intentions :
« [...] obtain data that would help describe and understand the processes of change that occurred in the families that received the intervention. [...] we interviewed in order to explore: 1) the parents’ description of the changes seen in the child since the onset of the intervention, 2) the parents’ description of changes that had occurred in the family since the onset of the intervention, and 3) the nursing activities/behaviours that the parent found to be helpful or associated with the reported changes. » (p. 372)

2. Méthode


Échantillon/Matériau :
« The final sample was made of 27 families [...]. The mean age of mothers in the sample was 35,5 years, their mean years of education was 11,5. [...] The mean age of the children in the group was 8,9 years. » (p. 372)

Instruments :
- Child Behavior Checklist (CBCL);
- Personal Adjustment and Role Skills Scale (PARS III);
- Self-Perception Profile for Children (Harter);
- Parental Stress Index (PSI);
- Goldberg General Health Questionnaire (GHQ);
- Family Assessment Devise (FAD).

Type de traitement des données :
Analyse statistique, analyse de contenu

3. Résumé


« In order to test the impact of a clinical nursing intervention on children with chronic illness and to evaluate the effectiveness of the McGill Model of Nursing in practice, a randomized control trial of nursing intervention delivered over a period of 12 months was conducted with children with chronic illness. Children being followed for one of a variety of chronic illnesses in the outpatient department of a children’s hospital, were randomly assigned to an intervention (n= 171) or to a control (n= 161) group. The control group continued to receive the care and treatment (which did not include nursing) that was available in the clinic. The intervention group received the additional nursing intervention that consisted of an initial home visit, a minimum monthly follow-up by visit or by telephone, and a termination visit. In keeping with the focus of the nursing model on the family, health promotion, collaboration, learning, and the identification and mobilisation of resources, the nurses working with the intervention group were free to increase the number of contacts with the children and other family members as they saw fit, and to use whatever resources they considered necessary. [...] The findings of the study (Pless, 1994) provided support for the effectiveness of this nursing intervention in enhancing the psychosocial adjustment of children with a chronic illness. » (p. 371)