Biomedical subjects
Peter Callery
Publications and source records attributed to Peter Callery.
Balancing personal and family trajectories: an international study of dual-earner couples with pre-school children.
In general, the nursing literature neglects healthy families and depictions of families are dominated by systems and developmental theory. The preponderance of dual-earner families has changed the meaning of family, however, nurses have given minimal attention to how women and men attend to work and home. Balancing personal and family trajectories is a substantive theory that accounts for how Canadian and English couples with pre-school children managed work and family life. The theory describes their efforts to maximize personal and family development, by using processes that attempted to support and sustain individual and family health, happiness, and fulfillment.
The adaptation of written self-management plans for children with asthma.
BACKGROUND: Self-management plans are an important element of asthma care. Although asthma is common in children, there is limited guidance for adaptation of self-management plans for children. AIMS: . A study was conducted in order to develop a set of criteria for adaptation of asthma self-management plans for school aged children; and to use these criteria to review self-management plans used in United Kingdom (UK) centres. METHODS: Self-management plans were obtained by telephone survey (response rate: 81%) of 47 selected UK paediatric, respiratory and community centres during the period between March and October 2001. The content of self-management plans was analysed according to criteria developed from a review of the literature, including objectives, opportunities for individualization, and the implied roles of parent and child in asthma management. Agreement was achieved between the authors and a third independent rater. RESULTS: The majority of centres (31 of 47) used or planned to use adapted self-management plans while the remainder used the standard National Asthma Campaign self-management plan. There were wide variations in self-management plans, including variation in the person to whom plans were addressed, criteria for treatment and the objectives stated for self-management. Few opportunities were provided for individualization of self-management. LIMITATIONS: The study was limited to the documents used in self-management in selected centres. CONCLUSION: The results suggest that many practitioners believe that self-management education requires adaptation for children. There is little consistency in the adaptation of self-management plans for children. Principles for devising adapted self-management plans are proposed.
Parents' accounts of their children's respiratory symptoms showed a range of interpretations.
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Qualitative study of young people's and parents' beliefs about childhood asthma.
BACKGROUND: Asthma continues to be a common childhood chronic illness managed principally in primary care. Self-management requires co-ordinated efforts of young people, carers and health professionals. Non-compliance occurs even when parents are supervising care, suggesting that decisions are made on the basis of beliefs that contrast with professional advice. Health professionals therefore need to understand the views of parents (or other carers) and patients to promote good self-management. Little attention has been given to carers' and young people's perspectives on asthma. AIM: To gain insights into the beliefs of a group of 25 young people aged nine to 16 years old and their carers about asthma and its management. DESIGN OF STUDY: Qualitative study using conversational-style interviews. SETTING: Generally deprived urban areas of Greater Manchester. METHOD: Interviews were conducted with 25 young people with asthma and separately with their carers. The interviews were analysed using the principles and procedures of grounded theory. RESULTS: Carers reported assessing asthma symptoms through observed effects on the child and other family members, including emotions and behaviours that disrupted family life. Young people emphasised the effect of asthma on their everyday lives and in particular the extent to which they appeared different to their peers. Some young people reported continuing symptoms and restrictions of activity that differed widely from the reports of their carers. CONCLUSION: Differences between young people's and carers' criteria for assessment suggest explanations for some 'non-compliant' behaviour. Carers' assessment of asthma severity through the absence of acute attacks is consistent with managing asthma as intermittent acute episodes. Professionals should take account of differences between young people's, carers' and professionals' perceptions of asthma.
Mothers of infants in neonatal nurseries had challenges in establishing feelings of being a good mother.
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Family-centred care and fish out of water.
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