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Evolution of parental stress and coping processes: a framework for critical care practice
L L LaMontagne1, B D Johnson, J T Hepworth
1School of Nursing, Vanderbilt University Medical Center, Nashville, TN 37240-0008, USA.
Journal of Pediatric Nursing
|August 1, 1995
Summary
This study presents a framework to reduce parental stress and improve coping during pediatric critical care. Understanding cognitive appraisal and situational factors helps nurses support families through this challenging experience.
Area of Science:
- Nursing
- Psychology
- Pediatric Critical Care
Background:
- Parental stress is a significant issue during pediatric critical care.
- Existing theories like crisis theory and stress and coping theory offer insights.
Purpose of the Study:
- To integrate crisis theory, stress and coping theory, and research into a framework for understanding and reducing parental stress.
- To identify key determinants of parental adaptation in pediatric critical care.
- To guide nurses in developing effective coping interventions.
Main Methods:
- Conceptual framework development integrating multiple theories.
- Discussion of cognitive appraisal, coping strategies, and person/situation factors.
- Emphasis on the nurse's role in adapting interventions.
Main Results:
- A comprehensive framework for assessing and intervening in parental stress.
- Identification of cognitive appraisal, coping, and contextual factors as crucial for adaptation.
- Highlighting the dynamic nature of parental stress and coping.
Conclusions:
- The proposed framework aids in understanding and managing parental stress in pediatric critical care.
- Nurses can utilize this framework to design tailored interventions.
- Addressing cognitive and situational factors is key to bolstering parental coping.