An individual's responses to Goldberg's 30-item General Health Questionnaire are usually represented as a single score which provides a measure of the number of psychiatric symptoms reported. No account is taken of the nature of the symptoms. Factor analyses of the GHQ-30 were undertaken in ten randomly selected samples of 600 adults each, and also on 12 age-sex groupings covering the age range 18-98. The results indicate an impressive degree of consistency of the factor structure, and the identification of five distinct factors corresponding to anxiety, feelings of incompetence, depression, difficulty in coping, and social dysfunction.
The rapid introduction of IT systems for clinical practice urges evaluation of already implemented systems examining how and in what circumstances they work to guide effective further development and implementation of IT systems to enhance clinical practice. Evaluation involves more factors than just involving technologies such as changing attitudes, cultures and healthcare practices. Realistic evaluation could provide configurations of context-mechanism-outcomes that explain the underlying relationships to understand why and how a programme or intervention works.
Atopic eczema is a relatively common disease which frequently occurs during childhood. This paper reports the findings of a research study which explored the effects upon family life of caring for a child with severe atopic eczema. Seventy-seven accounts written by mothers of preschool children with this disease were analysed using qualitative latent content analysis. The focus of this paper is on the implications of the disease for the mothers' role and the additional work generated by the disease. The implications of these findings for nursing practice, in particular the work of health visitors and paediatric community nurses, is discussed. Throughout this paper the term 'nurse' is used to describe both nurses and health visitors.
Atopic eczema is a relatively common disease which frequently occurs during childhood. This paper reports the findings of a research study which explored the effects upon family life of caring for a child with severe atopic eczema. Seventy-seven accounts written by mothers of preschool children with this disease were analysed using qualitative latent content analysis. The focus of this paper is on the implications of the disease for the mothers' role and the additional work generated by the disease. The implications of these findings for nursing practice, in particular the work of health visitors and paediatric community nurses, is discussed. Throughout this paper the term 'nurse' is used to describe both nurses and health visitors.
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