Effects of Uncertainty and Personal Control on Women's Appraisal of Pregnancy Risk

2.50
Hdl Handle:
http://hdl.handle.net/10755/158612
Type:
Presentation
Title:
Effects of Uncertainty and Personal Control on Women's Appraisal of Pregnancy Risk
Abstract:
Effects of Uncertainty and Personal Control on Women's Appraisal of Pregnancy Risk
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Gray, Bobbe
P.I. Institution Name:Wright State University
Title:Assistant Professor
Contact Address:College of Nursing & Health, 3640 Colonel Glenn Highway, Dayton, OH, 45435, USA
Contact Telephone:937.775.3131
Lazarus and Folkman's (1984) Stress, Appraisal and Coping Theory was used to examine women's subjective appraisals of their pregnancy risk status during a high-risk pregnancy. Appraisal of pregnancy risk status was defined as a stress appraisal as it focuses on the perceived threat to the mother-fetal unit's health. Health uncertainty and women's perceived personal control over their current health were viewed as antecedents to the appraisal process. A sample of 176 high-risk expectant women was recruited from a perinatal intensive care, a high-risk antepartum step-down unit, and a high-risk outpatient clinic. Women completed a visual analog scale indicating their personal appraisal of the risk for serious pregnancy-related health problems for themselves and their fetus's (Gray, 2001). In addition, women completed the Uncertainty in Illness Scale (Mishel, 1990), Perceived Health Competency Scale (Smith, Wallston, & Smith, 1995), and Multidimensional Health Locus of Control Scale-Form C (Wallston, Stein, & Smith, 1994). Only internal locus of control scores were used for data analysis. Pearson Product Moment correlations were used to test the hypothesis that higher subjective risk appraisal scores would be related to greater uncertainty and less personal control over the mother's and/or the fetus's health during the pregnancy. Higher total risk (mother plus fetus) was significantly related to higher uncertainty and less perceived health competency but not to internal locus of control. Mothers' risk was significantly related to higher uncertainty and internal locus of control as well as less perceived health competency. Fetus' risk was significantly related to only higher uncertainty. These results highlight the impact of uncertainty and personal control issues on expectant women's health appraisals during a high-risk pregnancy. Nurses need to focus attention on understanding women's uncertainty level and need for personal control when planning interventions with expectant clients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffects of Uncertainty and Personal Control on Women's Appraisal of Pregnancy Risken_GB
dc.identifier.urihttp://hdl.handle.net/10755/158612-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effects of Uncertainty and Personal Control on Women's Appraisal of Pregnancy Risk</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gray, Bobbe</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Wright State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing &amp; Health, 3640 Colonel Glenn Highway, Dayton, OH, 45435, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">937.775.3131</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bobbe.gray@wright.edu</td></tr><tr><td colspan="2" class="item-abstract">Lazarus and Folkman's (1984) Stress, Appraisal and Coping Theory was used to examine women's subjective appraisals of their pregnancy risk status during a high-risk pregnancy. Appraisal of pregnancy risk status was defined as a stress appraisal as it focuses on the perceived threat to the mother-fetal unit's health. Health uncertainty and women's perceived personal control over their current health were viewed as antecedents to the appraisal process. A sample of 176 high-risk expectant women was recruited from a perinatal intensive care, a high-risk antepartum step-down unit, and a high-risk outpatient clinic. Women completed a visual analog scale indicating their personal appraisal of the risk for serious pregnancy-related health problems for themselves and their fetus's (Gray, 2001). In addition, women completed the Uncertainty in Illness Scale (Mishel, 1990), Perceived Health Competency Scale (Smith, Wallston, &amp; Smith, 1995), and Multidimensional Health Locus of Control Scale-Form C (Wallston, Stein, &amp; Smith, 1994). Only internal locus of control scores were used for data analysis. Pearson Product Moment correlations were used to test the hypothesis that higher subjective risk appraisal scores would be related to greater uncertainty and less personal control over the mother's and/or the fetus's health during the pregnancy. Higher total risk (mother plus fetus) was significantly related to higher uncertainty and less perceived health competency but not to internal locus of control. Mothers' risk was significantly related to higher uncertainty and internal locus of control as well as less perceived health competency. Fetus' risk was significantly related to only higher uncertainty. These results highlight the impact of uncertainty and personal control issues on expectant women's health appraisals during a high-risk pregnancy. Nurses need to focus attention on understanding women's uncertainty level and need for personal control when planning interventions with expectant clients.</td></tr></table>en_GB
dc.date.available2011-10-26T21:13:35Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:13:35Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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