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Title: Conceptualisation of coping within a nursing paradigm for individuals coping with source isolation : an analysis of the effects of the mediating variables preparatory information, nurse support and control
Author: Gammon, J.
Awarding Body: University of Wales Swansea
Current Institution: Swansea University
Date of Award: 1997
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The overall aim of this study was to investigate what mediating variables influence the process of coping with a stressful event, such as source isolation, and what positive or negative effects they have. The study examined three variables pertinent to nursing:preparatory information, nurse support, and patient control. Lastly, to make a theoretical proposal which conceptualises coping within a nursing paradigm that emphasizes the investigated variables and integrates them into the role of the nurse. The study shows that isolating individuals because of an infection had a greater negative psychological effect than routine hospital admission. This effect however was ameliorated by the provision of preparatory information. The study further demonstrated that the provision of preparatory information with structured nurse support enhanced a patient's ability to cope positively with their isolation by reducing the negative psychological effects. The results showed that the positive effects of the mediating variables were probably due to individuals assuming control as a consequence. The consequence of the four quasi-experiments in this study was the development of a unique theory, pertinent for nurses, relating to the process of coping in health care settings. These quasi-experiments have demonstrated ways in which the psychological and behavioural qualities of coping are affected negatively in an infection, hospitalisation and isolation and positively by precise nurse interventions which are mediating variables that provide individuals with control. Specifically, the study has highlighted the central role and importance of individuals experiencing and assuming control when faced with the uncertainty, losses and demands associated with the procedures of source isolation.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available