Paper
Friday, July 23, 2004
Using the Roy Adaptation Model: A Retrospective Exploratory Study Investigating the Adaptive Mode Variables of Physical Energy Level, Self-Esteem, Marital Satisfaction, and Parenthood Motivation as Predictors of Coping Behaviors in Infertile Women
Deborah Klemash Zbegner, DNSc, CRNP, RN-C, Department of Nursing, Department of Nursing, Wilkes University, Wilkes-Barre, PA, USA
| Learning Objective #1: State how the adaptive mode variables of physical energy level, self-esteem, marital satisfaction, and parenthood motivation collectively discriminate group membership of the resolution (childbirth, adoption, and childfree) and nonresolution (in-treatment) outcome groups |
| Learning Objective #2: Relate study findings to future nursing implications for practice, research, and science |
Objective: To determine if the adaptive mode variables collectively predict coping behaviors identified as infertility resolution or non-resolution. Design: A retrospective exploratory study. Sample: The convenience sample (N = 140) consisted of women of childbearing age, diagnosed with primary infertility who experienced treatment for six months or longer, and continued treatment, became pregnant and gave birth, adopted, or remained childfree. Variables: The Roy Adaptation Model provided the framework. The adaptive mode variables were physical energy level, self-esteem, marital satisfaction, and parenthood motivation. The outcome variable was identified by non-resolution: in-treatment, or resolution: childbirth, adoption, or childfree. In addition the contextual variables of age, education, income, and total time in treatment were analyzed. Methods: Participants completed the Physical Energy Level Visual Analog Scale, the Self-Esteem Scale (Rosenberg, 1965), the Index of Marital Satisfaction (Hudson, 1982), the Parenthood Motivation List (Van Balen & Trimbos-Kemper, 1995), and a demographic data form. Statistical analysis involved discriminant analysis, enter multiple regression, and correlations. Findings: The adaptive mode variables did not collectively discriminate group membership. The contextual variables were not strongly related to the adaptive mode variable.Content analysis revealed infertility process, cost, biology, support,and negativity were important categories that crossed all four groups. Conclusions: Further research is needed with replication of the study and qualitative work investigating infertility resolution. Implications: Nursing practice needs early implementation of counseling, education sessions, discussion of parenting options, and screening for depression. Qualitative and intervention studies are needed to support an evidence-based practice.
Back to Maternity Nursing
Back to 15th International Nursing Research Congress
Sigma Theta Tau International
July 22-24, 2004