Biomedical subjects

G Browne

Publications and source records attributed to G Browne.

76 records · Page 5Linked to original sources

PubMedDate not supplied

Analyses of coping responses and adjustment: stability of conclusions.

This study was conducted to determine the stability of conclusions derived from analyses of different ways of scoring coping responses in relation to the adjustment of subjects who had survived a burn injury. As part of a larger study of adjustment to burn injury, 260 adults who had sustained a burn injury over a 12-year period consented to complete the Billings and Moos Coping Responses Scale (CRS; Moos, Cronkite, Billings, & Finney, 1984) and the Psychosocial Adjustment to Illness Scale (PAIS; Deragotis & Lopez, 1983). A clinician made a global assessment of each subject's adjustment. Three ways of scoring the CRS were used for analyses: Method and Foci of coping (Indices of Coping Responses), as suggested by Moos et al. (1984), new factor analysis, and separate responses. Stepwise multiple regression analysis of each of these with three different outcomes of adjustment (PAIS, global clinical judgment scores, and the PAIS psychological distress component) gave consistent results. The more adjusted burn survivors used more problem-solving coping responses and fewer avoidance responses. The two responses in the individual multiple regression analysis gave a higher correlation than the factor or index descriptors. These two responses correlated well with all three adjustment outcomes, r = .49, .37, and .47. The relationship between coping behavior and adjustment to illness was not sensitive to the different ways of scoring the CRS.

Adaptation, Psychological↗

PubMedDate not supplied

Public health nursing clientele shared with social assistance: proportions, characteristics and policy implications.

This study was designed to determine (1) the extent to which public health nursing visits and social services income programs serve the same population (shared clientele), (2) whether shared and unshared clientele differ in their characteristics, and (3) whether those who use both these services are high users of other health and social services. A computerized record linkage showed that 17% of individual public health nursing clients were shared with social services. Shared clientele had more social, perinatal, emotional and mental health problems. It is these characteristics, rather than the simultaneous use of both services, that were associated with more public health nursing visits, days in care, and use of all other health providers. The trend away from in-home nursing visits may create a situation of unmet need. While health and social resources are expended on persons with children with greater risk circumstances, the question remains about the efficacy and efficiency of this mix of service for parents and children receiving social assistance.

Adolescent↗

PubMedDate not supplied

The prevalence of multicultural groups receiving in-home service from three community agencies in southern Ontario: implications for cultural sensitivity training.

This survey assessed the ethnocultural proportion of clients (largely seniors) receiving services from three home care health agencies in Southern Ontario. Providers from the three agencies were asked to recall clients served in the previous two weeks and to describe them in terms of race, language, sex, age and disability status. White, English-speaking clients comprised 88.3% of the sample (N = 931). The remaining 11.7% of clients were white, non-English-speaking (7.8%), visible minority (2.8%), francophone (0.77%), indigenous (0.22%) and Hispanic (0.11%). Sixty-three percent of clients were women and 34% men. The majority (66.6%) of clients were over 65 years. The 11.7% of clients who were identified as multicultural in three home care agencies are an under-representation of the multicultural mix of population in the Southern Ontario region, which is 24%. Some recommendations have been offered for a system for ethnocultural data collection for the region and provision of cultural sensitivity training programs to enhance staff knowledge and skills.

Adolescent↗

PubMedDate not supplied

Parental stress in families of young people with an intellectual disability: the nurses role.

This study examines stress in the parents of adolescents and young adults with an intellectual disability and compares it with stress reported by parents with offspring without an intellectual disability. An initial qualitative pilot study lead the authors to Baine et al's Stress Scale. The Baine et al scale is relatively new and addresses aspects of stress not previously investigated among the parents of people with an intellectual disability, namely, stress from the difficult relationship with health professionals and service providers and negative community attitudes to people with an intellectual disability. Because of the relevance to nurses, particular interest is paid to stress from the relationship parents have with health professionals and service providers. The study found significantly greater stress in the parents of young people with an intellectual disability in all aspects of stress examined, including stress from the individual with the disability, internal family stress, stress from the financial strain of having a family member with a disability, stress from community attitudes and stress perceived from the relationship with health professionals and service providers. These findings are distressing in the light of government and service agency policies of community care and independent living. This paper makes recommendations relevant to nurses and identifies difficulties for parents of young people with an intellectual disability in the implementation of current government policy.

Adolescent↗