Evidence map›Paper›PMID 32438191›Full record

ArticleJournal of pediatric nursing

Adaptive Leadership in Parents Caring for their Children Born with Life-Threatening Conditions.

Anne C McKechnie, Kathy A Johnson, Maureen J Baker, Sharron L Docherty, Steven R Leuthner, Suzanne Thoyre

Abstract read
In one paragraph

Article in Journal of pediatric nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anne C McKechnieChild and Family Health Cooperative, School of Nursing, University of Minnesota, Minneapolis, MN, United States of America. Electronic address: acmckech@umn.edu.
Kathy A JohnsonCollege of Nursing, Chamberlain University, Downers Grove, IL, United States of America.
Maureen J BakerMSN Division, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America.
Sharron L DochertySchool of Nursing, Duke University, Durham, NC, United States of America.
Steven R LeuthnerDivision of Neonatology, Department of Pediatrics and Bioethics, Medical College of Wisconsin, Milwaukee, WI, United States of America.
Suzanne ThoyrePhD Division, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America.

Funding

INTERVENTIONS FOR PREVENTING &MANAGING CHRONIC ILLNESST32NR007091 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Cheryl L Giscombe, Cathi Barbra Propper · 1996 to 2026
$11.8M
Scholarship and Mentoring CoreP30NR014139 · NINR · DUKE UNIVERSITY · PI BAILEY, DONALD E · 2012 to 2016
$2.3M
Parenting after a Prenatal Diagnosis: Expecting the UnexpectedF31NR011563 · NINR · UNIVERSITY OF WISCONSIN-MADISON · PI MCKECHNIE, ANNE CHEVALIER · 2010 to 2013
$68k
NINR NIH HHS F31 NR011563NINR NIH HHS P30 NR014139NINR NIH HHS T32 NR007091
6 · The paper itself

Abstract

purposeThe purpose of this study was to chronicle the adaptive challenges and adaptive work, including emerging leadership behaviors, recounted over time by the parents of very young children diagnosed before birth with life threatening conditions. DESIGN AND

methodsA descriptive, follow-up study design was used for the current study. Following the original grounded dimensional analysis study completed in 2012, the corpus for this analysis was collected in 2014. In-depth, audio-recorded interviews were conducted with 15 families (8 couples, 7 mothers). The 15 children, born with cardiac, abdominal, and cerebrospinal anomalies, were 14 - 37 months or deceased at follow-up. A directed content analysis of transcribed verbatim interviews was structured by the Adaptive Leadership framework.

resultsParents described behaviors that indicated a non-linear development towards adaptive leadership as they accomplished the adaptive work within intra- and interpersonal domains that was necessary to address challenges over time. Not all parents described abilities and/or a willingness to mobilize others to do adaptive work, suggesting that adaptive leadership remained an unrealized potential.

conclusionsUnderstood as a complex adaptive system, parents of medically at-risk children hold potential for development towards adaptive leadership and collaborative partnership within the family and with healthcare providers. PRACTICE IMPLICATIONS: Due to improved survival rates, parents face ongoing challenges related to their children's unpredictable and often chronic health needs. Study findings illustrate parents' adaptive work and leadership behaviors, which can inform nursing assessments, as well as the type and timing for intervention.

Indexed as

LeadershipParentsChildChild, PreschoolFemaleFollow-Up StudiesHumansMothersParturitionPregnancyCaregivingChildhood illnessFamily careMental healthNurse-patient interactionParenting

Identifiers

PMID32438191
PMCPMC7362670

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.