Optimisation de la santé des familles de mères atteintes de maladie mentale sévère : recherche d'intervention

Authors: Bouchard, Suzanne
Advisor: Dallaire, Clémence
Abstract: Today, more than half of the women with Severe Mental Illness (SMI) have children (Mason et al., 2007; Diaz-Caneja & Johnson, 2004; Howard et al., 2003). Often, society is reluctant to let these women who face challenges such as poverty, stigmatization or loneliness exercise motherhood. Their children also face multiple constraints. Few studies have focuses on the subjective experience of these families/children (Knutsson-Medin et al., 2007). If nurses’ education and expertise uniquely qualifies them to offer family centered interventions (Korhonen, et al., 2010; Mason & Subedi, 2006), few of those are described in the literature. This study's aim was to conceptualize and test a nursing intervention centered on the family of mothers with SMI. The objective of the intervention was to optimize the family's health. The scientific literature on mothers with SMI, children of these mothers and currently pilot-tested interventions targeting these groups was used to conceptualize the intervention. Interviews with mothers with SMI, adult children of mothers with SMI and nurses working with these groups also contributed to the design of the intervention. The McGill model of health promotion guided the nursing perspective. The theories of recovery and family resilience also contributed to the development of the intervention theory and of an advanced nursing practice intervention centered on the uniqueness of each family. The intervention prototype was tested on two families for a period of six months. Concomitantly, nine meetings with a group of nursing experts were conducted. These meetings pointed to the need for nurses assisting these families to receive training and support. The findings of the pilot-testing of the intervention supported its feasibility, acceptability and usefulness for families of mothers with SMI. Keywords: women with Severe Mental Illness, young carers, health optimization, family, nursing intervention, intervention research.
Document Type: Thèse de doctorat
Issue Date: 2015
Open Access Date: 23 April 2018
Permalink: http://hdl.handle.net/20.500.11794/25702
Grantor: Université Laval
Collection:Thèses et mémoires

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