Browsing by Author "Gosling, Tamera"
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Item Differential Pathways of Psychological Distress in Spouses Versus Parents of People with Severe Traumatic Brain Injury (TBI): Multigroup Analysis(2009-10-15) Gillett, Lauren; Gosling, Tamera; Mok, Magdalena; Morey, Peter; Simpson, Grahame K.; Anderson, MalcolmPrimary objective: A contemporary model of psychological stress based on an amalgamation of Conservation of Resources theory and the McMaster Model of Family Functioning was devised to compare the effects of neurobehavioural impairments on family functioning and psychological distress in spouses and parents caring for relatives with TBI.
Method: Participants were 64 spouses and 58 parents. They completed the Neurobehavioral Problem Checklist, Family Assessment Device and the Brief Symptom Inventory. Structural equation modelling (SEM) was used to test the model for the combined (spouses and parents) sample. Multi-group analysis was then employed for examining differences in structural weights for spouses and parents.
Main results: SEM supported the model for the combined sample. Multi-group analysis showed for spouses cognitive and behavioural impairments significantly disrupted family functioning, which in turn increased psychological distress. In contrast, cognitive and behavioural impairments did not significantly disrupt family functioning in parents. For parents, however, cognitive impairments increased psychological distress. Furthermore, parents who reported disrupted family functioning also experienced higher levels of psychological distress. The effect of cognitive impairments was statistically more influential on the level of distress in parents when compared to spouses.
Conclusions: Understanding these differences can assist in better targeting family support interventions.
Read More: http://informahealthcare.com/doi/abs/10.3109/02699050903302336Item Promoting Health and Wellness in Australian Church Communities: The Parish Nurses' Lived Experience(2003-01-01) Gosling, TameraParish nursing, has emerged in Australia over the last decade with an aim to provide holistic health care to people in church community settings through health education, counselling, referral, support and co-ordination of volunteers. Great value has been placed on the health promotional feature of the parish nurses’ role; however, to this time the experience of promoting health for the parish nurse has remained relatively unexplored. This research presents the results of a qualitative study to explore, identify and describe the lived experience of Australian parish nurses promoting health and wellness in Christian church communities. A phenomenological approach was used to analyse interview transcripts of nine parish nurses, resulting in the formation of seven themes describing their lived experience: realising the unique identity of parish nursing; valuing a holistic approach to health promotion; recognising the church setting as shaping health promotion; experiencing personal fulfilment; recognising challenges; and looking toward the future. An understanding of this experience enables reflection on the meanings of health promotion in this field and offers a base on which parish nurses may further explore best practice. The findings of this study can contribute to the body of knowledge used by parish nurses, educators and health promoters to further enhance developing models of practice within this emerging specialty.