Hunsberger, Mabel.2006-07-282006-07-2820002000http://hdl.handle.net/10012/559Objective: Primary: To determine if introducing the Nursing Mutual Participation Model of Care (NMPMC) to nurses and parents, compared to only nurses, will reduce parent anxiety at the time of their child's discharge following hospitalization. Secondary: To measure NMPMC's effect on mutual participation (MP) between parents and nurses; to determine if a relationship exists between parent anxiety and MP. Methods: Parents of children 3 months to 12 years of age were randomized within 16 hours of admission to the hospital for an acute medical or surgical episode to receive usual hospital information (control) or usual information plus NMPMC information (treatment). Prior to randomization, all nurses on the unit were introduced to the NMPMC through videos, workshops, and written material. Nurses completed questionnaires on mutual participation at the beginning and end of the trial. Parents completed the Spielberger Trait and State Inventory at 1-16 hours after admission, the State Inventory at 16-24 hours, and the State Inventory and a MP questionnaire at discharge. Results: Results: Trait and state anxiety scores at admission and at 16-24 hours were similar in the 46 treatment and 45 control parents. At discharge, anxiety was significantly lower in treatment parents (M=29.0; sd=8.8) compared to controls (M=33.0; sd=8.9). Treatment parents reported significantly higher comfort levels in MP activities. However, anxiety scores were not correlated with MP scores at 16-24 hours or at discharge. Although nurses reported a moderate amount of change in their practice, no significant change in MP was found between their time 1 and time 2 measures. Nurses rated themselves significantly higher in the consistency MP subscale than did the control group of parents. Conclusions: If nurses are introduced to the NMPMC and if parents are given the NMPMC information, parents will experience less anxiety at discharge, and have a higher level of comfort in MP activities compared to parents given usual hospital information. Further, parent anxiety and mutual participation, as measured in this study, are not related; nurses themselves rate themselves at a higher level of performance in MP behavior compared to parents who have not been introduced to the NMPMC.application/pdf6325501 bytesapplication/pdfenCopyright: 2000, Hunsberger, Mabel.. All rights reserved.Harvested from Collections CanadaDoctoral Thesis