Related Experiment Videos

The McGill model of nursing and children with a chronic-condition: "who benefits, and why?"

L N Gottlieb1, N Feeley

  • 1School of Nursing, McGill University, Montreal, Quebec. cylg@musica.mcgill.ca

The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmieres
|January 1, 1996
PubMed

Insights

This study explored how nursing interventions improved psychosocial adjustment in children with chronic illnesses. Engagement with nurses and specific nursing approaches were key factors in positive outcomes for these children.

Area of Science:

  • Pediatric Nursing
  • Child Psychology
  • Chronic Illness Management

Background:

  • Children with chronic illnesses often face psychosocial adjustment challenges.
  • The McGill Model of Nursing offers a holistic approach to patient care.
  • Understanding factors influencing adjustment is crucial for effective interventions.

Purpose of the Study:

  • To investigate the mechanisms behind improved psychosocial adjustment in children with chronic illness undergoing a nursing trial.
  • To identify characteristics differentiating children who improved, remained adjusted, or deteriorated.
  • To explore the role of the McGill Model of Nursing in facilitating positive psychosocial outcomes.

Main Methods:

  • A year-long nursing trial (1990-1991) guided by the McGill Model of Nursing.
  • Analysis of psychosocial adjustment in children aged 4-16 with chronic illness.
  • Profile analysis comparing children who improved (improvers) with those who deteriorated (clinical rangers).

Main Results:

  • Four distinct pathways to psychosocial improvement were identified.
  • Children who improved and those who deteriorated shared similar initial characteristics.
  • Nursing engagement and specific nursing features were associated with improved adjustment.

Conclusions:

  • The McGill Model of Nursing, through nurse engagement and tailored approaches, can significantly enhance psychosocial adjustment in chronically ill children.
  • Identifying specific nursing strategies can optimize care for this vulnerable population.
  • Further research into these pathways can refine nursing practices for pediatric chronic illness.

Related Concept Videos

Aims Of Nursing01:29

Aims Of Nursing

Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
Concepts of Health and Illness01:29

Concepts of Health and Illness

Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Chronic Obstructive Pulmonary Disease-V: Nursing Management01:30

Chronic Obstructive Pulmonary Disease-V: Nursing Management

Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment