Mothering on crack cocaine: A grounded theory analysis

Kearney, Margaret H.; Murphy, Sheigla; Rosenbaum, Marsha

doi:10.1016/0277-9536(94)90405-7

Cited by 152 publications

(114 citation statements)

References 7 publications

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“…sorting to: separate quantitative data from qualitative data [Clayton et al, 1999], interview data from observational data [West and Oldfather, 1995], to focus on one type of data, to identify a sub-sample of the primary participant population [Kearney et al, 1994] or so that analysis can be selectively limited to specific themes or topics [Gallo and Knafl, 1998]. The latter is the case in this study.…”

Section: Sorting the Primary Datamentioning

confidence: 99%

Conflict rationalisation: How family members cope with a diagnosis of brain stem death

Long

Sque

Addington‐Hall

2008

Social Science & Medicine

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Brain death, whether it be brain stem death [UK] or whole-brain death [USA] is a prerequisite for heart-beating organ donation. Understanding how brain death is perceived by family members approached about organ donation, its significance to them, and if it is accepted by them, are, therefore important issues to explore as biomedicine expands the range of end of life technologies that blur the demarcation between life and death. To explore the concept of brain stem death and its meaning to family members the following research questions were posed: i) What does the diagnosis of death based on brain stem testing mean to bereaved family members who have been approached and asked to consider donation from a deceased relative, and ii) How do family members understand the concept of brain stem death. To address these research questions a secondary analysis of 28 interviews sorted from two primary datasets was carried out. The primary datasets contained longitudinal and cross-sectional interviews carried out in the UK with family members who had been approached about organ donation and agreed to donate their relatives' organs. Data analysis was guided by Charmaz's Constructionist grounded theory method and resulted in the theory of Paradoxical Death, a process whereby family members and health professionals engage in a series of practical and psychological activities aimed at rationalising real or potential emotional and cognitive conflict resulting from a diagnosis of death that is brain-based, whilst faced with the physical image of a functioning body.Rationalising emotional and cognitive conflict is how family members and health professionals appeared to process this paradoxical death, a death that is contrary to conventional opinion.

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Section: Sorting the Primary Datamentioning

confidence: 99%

Conflict rationalisation: How family members cope with a diagnosis of brain stem death

Long

Sque

Addington‐Hall

2008

Social Science & Medicine

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“…Although many drug abusing women are able to continue caring for their children (Kearney, Murphy, & Rosenbaum, 1994), a family history of drug abuse is frequent in children placed in foster care. We hypothesized that maternal demographic and psychosocial factors, measured at birth and characteristics of the neonate, would be predictive of subsequent disruption in care of infants of substance abusing women.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for disruption in primary caregiving among infants of substance abusing women

Nair

Black

Schuler

et al. 1997

Child Abuse & Neglect

102

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Objective-To identify perinatal factors that are predictive of disruption in primary caregiving among infants of substance abusing women.Method-A randomized longitudinal cohort study. One hundred and fifty two mother/infant dyads were assessed for evidence of disruption of primary caregiving or neglect during the first 18 months of life, defined by mother's inability to provide care. Data analyzed included neonatal characteristics, urine toxicology at delivery, maternal history of drug use, maternal depression, social support, and social and health history.Results-Sixty-six infants (43.4%) had disruption in their primary care during the first 18 months of their life. 86 infants (56.6%) remained in the care of their mothers. Women who were younger, were heroin users, had two or more children, had other children in foster care, and reported depressive symptoms were least likely to provide ongoing primary care for their infant.Conclusions-Although all infants born to substance abusing women are at a high risk for disruption in the continuity of their primary caregiving, maternal demographic and psychosocial factors present at delivery can predict which infants are likely to experience an early disruption in their primary caregiving. Identifying these families can enable health care providers to monitor them more closely and, when appropriate, encourage support from the extended family. © 1997

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“…Isolation from friends and family and chronic life stress were other themes identified in the interviews that affected the women's ability to care for their children. Single parenting and poverty can additionally burden a woman recovering from addiction (Kearney et al, 1994).…”

Section: Discussion and Nursing Implicationsmentioning

confidence: 99%

“…Kearney et al's (1994) findings suggest that the woman who has sufficient income and social support and lives in a suburban neighborhood does not have the environmental stressors that poor urban families experience. The early descriptions of the cocaine-exposed mother's lifestyle were based on small samples and research with methodologic problems (Lester & Tronicky 1994).…”

Section: Literature Reviewmentioning

confidence: 92%

Mothers Recovering From Cocaine Addiction: Factors Affecting Parenting Skills

Coyer

2001

J Obstet Gynecol Neonatal Nurs

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= Objective: To identify factors that may influence parenting by mothers who are recovering from cocaine addiction.Design: Exploratory descriptive, with in-depth unstructured interviews. Setting:Interviews were conducted in the woman's home or in a treatment center.Participants: A convenience sample of 11 women recovering from cocaine addiction who were mothers of children 3 years of age and younger.Results: A content analysis was used to analyze the interview data. Two themes, personal/psychologic factors and environmental/contextual factors, and four subthemes emerged. They identify issues that may affect parenting by mothers being treated for cocaine addiction. Subthemes included low self-esteem, difficulty developing a maternal identity, isolation from friends and family, and chronic life stress. Conclusion:This study provides a better understanding of the sources contributing to vulnerability in the parenting role for mothers recovering from cocaine addiction and will assist nurses in providing care for these mothers arrd their children.

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Mothering on crack cocaine: A grounded theory analysis

Cited by 152 publications

References 7 publications

Conflict rationalisation: How family members cope with a diagnosis of brain stem death

Conflict rationalisation: How family members cope with a diagnosis of brain stem death

Risk factors for disruption in primary caregiving among infants of substance abusing women

Mothers Recovering From Cocaine Addiction: Factors Affecting Parenting Skills

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