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Kinnie KR, Vance DE, Patrician PA, Billings R, Aroke EN. Chronic Pain Resilience Across Clinical Populations: A Concept Analysis. Pain Manag Nurs 2024:S1524-9042(24)00140-1. [PMID: 38849234 DOI: 10.1016/j.pmn.2024.03.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 03/10/2024] [Accepted: 03/31/2024] [Indexed: 06/09/2024]
Abstract
BACKGROUND Chronic pain resilience is a concept that is frequently used in research but lacks theoretical clarity. Understanding chronic pain resilience is germane to developing interventions to improve it and the overall quality of life among individuals with chronic pain. AIMS To uncover and clarify the unique characteristics of the concept of chronic pain resilience. DESIGN A concept analysis using Rodgers' evolutionary method. METHODS Full-text articles published after 2000 in English were used to inform the concept analysis. Scopus, PubMed, PsychINFO, Embase, and CINAHL Plus with Full Text were utilized for literature searches. Rodgers' evolutionary approach was used to clarify the attributes, antecedents, and consequences. RESULTS The search yielded 31 articles that were used in the analysis. The key attributes of chronic pain resilience included engagement in meaningful activities despite pain, maintaining positive psychological homeostasis, buffering against negative mental outcomes, seeking support, and self-empowerment. After considering surrogate terms, antecedents, attributes, and consequences, chronic pain resilience may be defined as the development of the capacity to successfully adapt to chronic pain. This adaptation results in a move toward optimal social, physical, mental, and behavioral functioning by balancing negative and positive psychosocial factors, despite the additional challenges brought about by living with chronic pain.
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Affiliation(s)
- Kiari R Kinnie
- School of Nursing, University of Alabama at Birmingham, Birmingham, AL.
| | - David E Vance
- School of Nursing, University of Alabama at Birmingham, Birmingham, AL
| | | | - Rebecca Billings
- UAB Libraries, University of Alabama at Birmingham, Birmingham, AL
| | - Edwin N Aroke
- School of Nursing, University of Alabama at Birmingham, Birmingham, AL
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2
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Yang Y, He F, Li D, Zhao Y, Wang Y, Zhang H, Qiao C, Cui Y, Lin L, Guan H. Effect of family resilience on subjective well-being in patients with advanced cancer: the chain mediating role of perceived social support and psychological resilience. Front Psychol 2024; 14:1222792. [PMID: 38638678 PMCID: PMC11024269 DOI: 10.3389/fpsyg.2023.1222792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 12/04/2023] [Indexed: 04/20/2024] Open
Abstract
Purposes Domestic and international research has found that patients with advanced cancer prioritize increasing their quality of life above extending their lives with simple or intensive treatments. The current study investigates the pathways to improve patients' sense of well-being from the family, social, and individual levels, that is to say, it investigates the mediating roles of comprehending social support as well as psychological resilience in the relationship between family resilience and subjective well-being, and it also provides references for future intervention. Method The Family Resilience Questionnaire (FRQ), General Well-being Schedule (GWB), Perceived Social Support Scale (PSSS), and the Chinese version of the Cornor-Davidson Resilience Scale 10-item (CD-RISC) were all completed by 338 patients with advanced cancer who took part in the study. Results The study's findings demonstrated a significant and positive correlation between family resilience, subjective well-being, perceived social support, and psychological resilience. Additionally, there was a significant direct effect of family resilience on subjective well-being as well as a mediating and chain mediating effect between perceived social support and psychological resilience. The findings of this study will be very helpful in the future when it comes to enhancing the quality of life for patients with advanced cancer through intervention. Conclusion Subjective well-being can be influenced directly by the family resilience of advanced cancer patients, or indirectly through the psychological resilience and perceived social support.
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Affiliation(s)
- Yating Yang
- School of Public Administration (School of Emergency Management), Northwest University, Xi’an, Shaanxi, China
| | - Fei He
- School of Public Administration (School of Emergency Management), Northwest University, Xi’an, Shaanxi, China
| | - Dongfang Li
- School of Public Administration (School of Emergency Management), Northwest University, Xi’an, Shaanxi, China
| | - Yuanyuan Zhao
- School of Public Administration (School of Emergency Management), Northwest University, Xi’an, Shaanxi, China
| | - Ya Wang
- School of Public Administration (School of Emergency Management), Northwest University, Xi’an, Shaanxi, China
| | - Haoran Zhang
- School of Public Administration (School of Emergency Management), Northwest University, Xi’an, Shaanxi, China
| | - Chan Qiao
- School of Public Administration (School of Emergency Management), Northwest University, Xi’an, Shaanxi, China
| | - Yingfang Cui
- School of Public Administration (School of Emergency Management), Northwest University, Xi’an, Shaanxi, China
| | - Leyun Lin
- Viterbi School of Engineering, University of Southern California, Los Angeles, CA, United States
| | - Hao Guan
- Department of Burns and Cutaneous Surgery, Xijing Hospital, Xi’an, China
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Zhang J, Zheng S, Hu Z, Wang J. Effects of mindfulness on depression in college students: mediating role of psychological resilience and moderating role of gender. BMC Psychol 2024; 12:27. [PMID: 38229195 PMCID: PMC10790462 DOI: 10.1186/s40359-023-01468-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 11/27/2023] [Indexed: 01/18/2024] Open
Abstract
OBJECTIVE A questionnaire was administered to 936 college students to investigate the mediating effect of psychological resilience in the association between mindfulness and college student depression, as well as the moderating role of gender. METHODS For this study, data was collected between 20 April and 1 May 2023 at three universities in Jiangxi Province using a random sampling method. 963 Chinese university students were surveyed using the Adolescent Mindfulness Scale, the Psychological Resilience Scale, and the Depression Self-Rating Scale.SPSS24.0 software was used for correlation analysis and linear regression analysis, and PROCESS v3.4 model 7 was used to analyze this mediated model with moderating effects. RESULTS In the mediated effects model, the direct effect of mindfulness on college depression levels was significant (95% CI -0.43, -0.31); the indirect effect of mindfulness on college depression through psychological resilience was also significant (95% CI -0.34, -0.23); the interaction effect of mindfulness and gender was also found to be significant (95% CI 0.03, 0.16) in the mediated model with moderation. CONCLUSION Mindfulness not only affect depression directly, but also indirectly through the mediating effect of psychological resilience. At the same time, the prediction of psychological resilience by mindfulness was also moderated by gender, with girls' psychological resilience being more affected by the level of mindfulness compared to boys.
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Affiliation(s)
- Junliang Zhang
- Science and Technology College, Nanchang Hangkong University, Jiujiang, China.
| | - Shuang Zheng
- Science and Technology College, Nanchang Hangkong University, Jiujiang, China
| | - Zhongzheng Hu
- Science and Technology College, Nanchang Hangkong University, Jiujiang, China
| | - Jingming Wang
- Science and Technology College, Nanchang Hangkong University, Jiujiang, China
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Martín Pérez SE, Martín Pérez IM, Álvarez Sánchez A, Acosta Pérez P, Rodríguez Alayón E. Social support in low-income women with Fibromyalgia Syndrome from a sub-urban and peri-urban areas of Tenerife (Canary Islands, Spain): a mixed method study. J Patient Rep Outcomes 2023; 7:135. [PMID: 38129366 PMCID: PMC10739654 DOI: 10.1186/s41687-023-00661-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 11/15/2023] [Indexed: 12/23/2023] Open
Abstract
BACKGROUND Women with Fibromyalgia Syndrome (FMS) can benefit form adequate social support to fight the consequences of their illness, but the extent to which this is available to those with low incomes who live in depressed areas of Tenerife (Canary Islands, Spain) is currently unknown. The purpose of this study was to explore social support in low-incomes women with FMS in sub-urban and peri-urban areas of Tenerife. METHODOLOGY A sequential exploratory mixed method study was carried out from January 20, 2023, to June 10, 2023, at the Fibromyalgia and Chronic Fatigue Association of Tenerife (AFITEN) using non-probability convenience sampling. Social support was analyzed quantitatively through MOS-SSS survey and Duke-UNC-11 questionnaire, while qualitative data were obtained through semi-structured interviews to identify social support providers and analyze their satisfactions levels. RESULTS A total of 49 women, with a mean age of 57.80 years-old (SD = 13.25) were finally included in this study. MOSS-SSS and Duke-UNC-11 both indicated lower social support levels at 68.6 (SD =16.3) and 38.0 (SD = 9.74), respectively. The qualitative analysis revealed that partners and friends provided the most significant support with the highest satisfaction scores. CONCLUSIONS The socioeconomic status of low-income women with FMS living in sub-urban and peri-urban areas of Tenerife (Canary Islands, Spain) influences on their social support, with the affective support and confidentiality being the most affected dimensions.
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Affiliation(s)
- Sebastian Eustaquio Martín Pérez
- Musculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Canarias, Santa Cruz de Tenerife, 38300, Spain.
- Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, 28670, Spain.
- Escuela de Doctorado y Estudios de Posgrado, Universidad de La Laguna, Santa Cruz de Tenerife, 38203, Spain.
| | - Isidro Miguel Martín Pérez
- Escuela de Doctorado y Estudios de Posgrado, Universidad de La Laguna, Santa Cruz de Tenerife, 38203, Spain.
- Departamento de Farmacología y Medicina Física, Área de Radiología y Medicina Física, Facultad de Ciencias de la Salud, Universidad de La Laguna, Santa Cruz de Tenerife, 38200, Spain.
| | - Ania Álvarez Sánchez
- Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, 28670, Spain
| | - Paula Acosta Pérez
- Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, 28670, Spain
| | - Eliana Rodríguez Alayón
- Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, 28670, Spain
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Abulaiti B, Zhang X, Guan T, Wang M, Jia S, Wang A. The dyadic care experiences of elderly individuals with disabilities and caregivers in the home setting from the perspective of family resilience: A qualitative study. Front Psychiatry 2022; 13:963101. [PMID: 36311531 PMCID: PMC9606749 DOI: 10.3389/fpsyt.2022.963101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 09/21/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND China is one of the most rapidly aging countries in Asia, and nearly 90% of elderly individuals with disabilities choose to receive traditional, family-based, long-term care. A majority of family caregivers have insufficient care capacity and experience physical and emotional distress, which in turn affects the elderly. OBJECTIVE To describe the dyadic care experiences of elderly individuals with disabilities and their caregivers from the perspective of family resilience. METHODS A phenomenological research method was used. Semi-structured, in-depth, face-to-face interviews with 9 dyads of elderly people with disabilities and their families were conducted from August 2020 to February 2021. The Colaizzi method was used to analyze, summarize, and refine the interview data. RESULTS The dyadic care experiences of elderly individuals with disabilities and their caregivers can be summarized in terms of two themes. Theme 1 is dyadic pressure, which includes the following subthemes: (1) substantial objective burden; (2) dual negative experiences, i.e., the perceived low value of elderly individuals and low positive gains by caregivers; and (3) dyadic emotional transmission. Theme 2 is dyadic cooperative coping, which includes the following subthemes: (1) adjustment of family beliefs, including by giving meaning to stress, maintaining a positive outlook toward the future and ensuring spiritual sustentation; (2) changes in family patterns, including flexible adjustment of family patterns and multichannel utilization of social resources; and (3) improvement of family communication, including effective information transmission, rational emotional expression and emotional connection, and cooperation to solve and prevent problems. CONCLUSION Elderly individuals with disabilities and their family caregivers face multiple physical, psychological, and social difficulties and demands during daily care, in which context negative experiences exert influence on this dyad. They collaborate to exhibit family resilience via the adaptation and improvement of family beliefs, family patterns and family communication. The family as a unit expends a great deal of effort to adapt to conditions of stress in the context of caring and shows family resilience, which is closely related to the family's cultural background and community situation. Dyadic resilience-based interventions can be developed based on core elements found by this study.
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Affiliation(s)
| | | | - Tingyu Guan
- School of Nursing, Fudan University, Shanghai, China
| | - Meng Wang
- School of Nursing, Fudan University, Shanghai, China
| | - Shoumei Jia
- School of Nursing, Fudan University, Shanghai, China
| | - Anni Wang
- School of Nursing, Fudan University, Shanghai, China
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Haider T, Dunstan D, Bhullar N. Improving psychologists' adherence to evidence‐based practice guidelines for treating musculoskeletal injuries: A feasibility study. AUSTRALIAN PSYCHOLOGIST 2020. [DOI: 10.1111/ap.12395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Tahira Haider
- School of Psychology & Behavioural Science, Faculty of Medicine and Health, University of New England, Armidale, New South Wales, Australia
| | - Debra Dunstan
- School of Psychology & Behavioural Science, Faculty of Medicine and Health, University of New England, Armidale, New South Wales, Australia
| | - Navjot Bhullar
- School of Psychology & Behavioural Science, Faculty of Medicine and Health, University of New England, Armidale, New South Wales, Australia
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Kingston G, Pain T, Murphy K, Bennett M, Watson M. Perceptions of acute hospital occupational therapy services: developing a new model of care for occupational therapy on acute medical wards. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2019. [DOI: 10.12968/ijtr.2017.0047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background/Aims This study was conducted at a regional tertiary referral facility in Australia. It was part of a project to implement a new model of care for occupational therapy services on medical wards. Before the new model was implemented, focus groups were conducted to explore the perceived role of the occupational therapist on the acute medical ward, identify potential barriers to changing the service and garner support for the change in service. Methods Three focus groups were held. The groups consisted of nursing, physiotherapy and speech pathology staff who worked on acute medical wards. Participants were asked for their perception of the role of occupational therapy on the acute medical ward. Audio-recordings of the groups were transcribed and analysed. Results Qualitative content analysis highlighted the following themes: assessment of patient function; ‘safe discharge’; more than assessment; equipment and home modifications; collaboration and communication; delegating tasks to assistants; and specialist intervention strategies. Conclusions Multidisciplinary team members' overriding perception is that occupational therapists in acute care settings provide assessment of patient function for the specific purpose of safe discharge. Some participants recalled that occupational therapists had a greater role in ensuring patients returned to their chosen function through rehabilitation and home visits, suggesting support for a change to our proposed post-acute model of care. Concerns highlighted by focus group members regarding increased workload for multidisciplinary team members and loss of communication need to be addressed to ensure the change in service is successful.
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Affiliation(s)
- Gail Kingston
- The Townsville Hospital and Health Service, Queensland Health, Townsville, Australia
| | - Tilley Pain
- The Townsville Hospital and Health Service, Queensland Health, Townsville, Australia
| | - Kym Murphy
- Care Coordination Team, Sir Charles Gairdner Hospital, Perth, Australia
| | - Michelle Bennett
- Community Based Rehabilitation and Aged Care Services, Canberra Hospital and Health Service, ACT Health, Canberra, Australia
| | - Michelle Watson
- The Townsville Hospital and Health Service, Queensland Health, Townsville, Australia
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Gauvin-Lepage J. Traumatic Brain Injury in Adolescence and the Family Resilience Process: A Case Study. SAGE Open Nurs 2019; 5:2377960819848231. [PMID: 33415241 PMCID: PMC7774431 DOI: 10.1177/2377960819848231] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Revised: 04/01/2019] [Accepted: 04/13/2019] [Indexed: 11/25/2022] Open
Abstract
Introduction The aim of this study was to better understand the family resilience process following
a severe traumatic brain injury during adolescence. Case Presentation Inspired by the humanistic model of nursing care as a disciplinary perspective, this
study used a qualitative and inductive case study design. Management and Outcome The data analysis yielded six themes as well as four subthemes that illustrate this
family’s resilience process. The most important factors that emerged are (a) family
characteristics (i.e., a fighter personality, cultural and spiritual
beliefs, presence of hope, keeping a sense of humor), (b) support of family members, (c)
support of friends, (d) practicing sports and leisure activities, (e) back-to-school
support, and (f) feeling helpful to the adolescent. Discussion This study provides interesting avenues with regard to the implementation of strategies
to foster the resilience process in families during particularly difficult situations in
their lives, such as a traumatic brain injury during adolescence.
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Affiliation(s)
- Jérôme Gauvin-Lepage
- University of Montreal, Montreal, Quebec, Canada.,Research Center of the Sainte-Justine University Hospital, Montreal, Quebec, Canada
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Foster K, Mitchell R, Young A, Van C, Curtis K. Resilience-promoting factors for parents of severely injured children during the acute hospitalisation period: A qualitative inquiry. Injury 2019; 50:1075-1081. [PMID: 30573290 DOI: 10.1016/j.injury.2018.12.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2018] [Revised: 11/22/2018] [Accepted: 12/04/2018] [Indexed: 02/02/2023]
Abstract
BACKGROUND Paediatric injury impacts the entire family. Many parents experience stress and anxiety following paediatric injury, but little is known about factors that support parents' wellbeing and how they successfully manage the adversity of child injury during acute hospitalisation. AIM To explore parent experiences and resilience-promoting factors that facilitate the wellbeing of parents with severely injured children during the acute hospitalisation period. METHODS A qualitative inquiry conducted across four major Australian paediatric trauma services. Semi-structured interviews were conducted with a purposive sample of 40 parents of 30 severely injured children aged 0-12 years during the acute post-injury hospitalisation period. Interviews explored parents' experiences and how parents had managed the stress of their child's injury during the acute hospitalisation period. Data were analysed using directed content analysis. RESULTS Parents identified a range of individual characteristics and resources, and those of their children and families, communities, and the hospital environment, which facilitated their wellbeing during the initial post-injury period. Three themes were derived from analysis: Drawing on inner strengths; Having positive and supportive relationships; Being in a safe place with the right help. CONCLUSION Resilience-promoting factors for parents of injured children can be used to inform development of brief online intervention modules to enhance parent resilience. Routine screening and targeted psychological first aid for parental distress are recommended.
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Affiliation(s)
- Kim Foster
- Australian Catholic University, School of Nursing, Midwifery & Paramedicine, 115 Victoria Parade, Fitzroy, Victoria, 3065, Australia; Northwestern Mental Health, Melbourne Health, Grattan Street, Parkville, Victoria, 3050, Australia.
| | - Rebecca Mitchell
- Australian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Road, Macquarie University NSW 2109, Australia
| | - Alexandra Young
- Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Health and Medicine, The University of Sydney, 88 Mallett Street, Camperdown NSW 2006, Australia
| | - Connie Van
- Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Health and Medicine, The University of Sydney, 88 Mallett Street, Camperdown NSW 2006, Australia
| | - Kate Curtis
- Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Health and Medicine, The University of Sydney, 88 Mallett Street, Camperdown NSW 2006, Australia; Australian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Road, Macquarie University NSW 2109, Australia; Illawarra Shoalhaven Local Health District, Wollongong Hospital, Loftus Street, Wollongong NSW 2500, Australia; Illawarra Health and Medical Research Institute, Building 32, University of Wollongong, Northfields Avenue, Wollongong NSW 2522, Australia; The George Institute for Global Health, Level 5, 1 King Street, Newtown NSW 2042, Australia
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Strengths and resources used by Australian and Danish adult patients and their family caregivers during treatment for cancer. Eur J Oncol Nurs 2017; 29:53-59. [DOI: 10.1016/j.ejon.2017.05.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Revised: 05/17/2017] [Accepted: 05/20/2017] [Indexed: 11/24/2022]
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Alschuler KN, Kratz AL, Ehde DM. Resilience and vulnerability in individuals with chronic pain and physical disability. Rehabil Psychol 2017; 61:7-18. [PMID: 26881303 DOI: 10.1037/rep0000055] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To examine the independent contributions of vulnerability and resilience factors to pain interference, self-efficacy for managing pain, global mental health, and global physical health. RESEARCH METHOD/DESIGN Secondary analysis of baseline data from individuals with a spinal cord injury (n = 73), amputation (n = 33), or multiple sclerosis (n = 82) and chronic pain who participated in a randomized controlled trial comparing 2 chronic pain interventions. Participants completed a comprehensive battery of pain-related outcomes that assessed for both psychosocial assets and maladaptive cognitions and behaviors. RESULTS Results suggested that vulnerability and resilience factors together account for a considerable amount of variance in the physical outcomes, but that neither set of factors was able to make a substantial contribution above and beyond the other. In contrast, for mental health related outcomes, results indicated that resilience factors did make a meaningful contribution above and beyond vulnerability factors, suggesting the important contribution of resilience factors to the psychological experience of chronic pain. CONCLUSIONS The present study suggested a valuable contribution of both resilience and vulnerability factors to pain outcomes, with the additional caveat that resilience factors uniquely impact specific outcomes-particularly those that are more psychosocially focused-above and beyond vulnerability factors. Taken together, this highlights the importance of considering resilience factors in addition to vulnerability factors for individuals with chronic pain. Additional research is needed to explore other factors that could be considered representative of the resilience construct and more attention should be focused on evaluating the effects of interventions that seek to build an individual's assets.
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Affiliation(s)
- Kevin N Alschuler
- Department of Rehabilitation Medicine, University of Washington School of Medicine
| | - Anna L Kratz
- Department of Physical Medicine & Rehabilitation, University of Michigan Medical School
| | - Dawn M Ehde
- Department of Rehabilitation Medicine, University of Washington School of Medicine
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Wadley AL, Mitchell D, Kamerman PR. Resilience does not explain the dissociation between chronic pain and physical activity in South Africans living with HIV. PeerJ 2016; 4:e2464. [PMID: 27672513 PMCID: PMC5028784 DOI: 10.7717/peerj.2464] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2016] [Accepted: 08/19/2016] [Indexed: 01/20/2023] Open
Abstract
Pain burden is high in people living with HIV (PLWH), but the effect of this pain on functionality is equivocal. Resilience, the ability to cope with adversity, may promote adaptation to pain, so we hypothesised that higher resilience would correlate with less pain-related impairment of activity. We recruited 197 black South African PLWH, 99 with chronic pain (CP) and 98 patients without. We measured pain intensity and interference using the Brief Pain Inventory, and resilience using the Resilience Scale. Participants were generally highly resilient. Greater resilience correlated with better health-related quality of life, but not with pain intensity or interference. We also measured physical activity objectively, by actigraphy, in a subset of patients (37 with chronic pain and 31 without chronic pain), who wore accelerometers for two weeks. There was no difference in duration or intensity of activity between those with and without pain, and activity was not associated with resilience. In this sample, pain was not associated with altered physical activity. Resilience did not explain differences in pain intensity or pain interference but was associated with improved quality of life. Financial stresses and the fear of HIV stigma may have driven patients to conceal pain and to suppress its expected impairment of activity.
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Affiliation(s)
- Antonia L Wadley
- Brain Function Research Group, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa
| | - Duncan Mitchell
- Brain Function Research Group, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa
| | - Peter R Kamerman
- Brain Function Research Group, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg , South Africa
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Kingston G, Williams G, Judd J, Gray M. The functional impact of a traumatic hand injury: a comparison of rural/remote and metropolitan/regional populations. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2016. [DOI: 10.12968/ijtr.2016.23.9.406] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background/Aims: The aim of this research was to explore the commonalities and differences in the issues associated with the functional recovery and rehabilitation of a traumatic hand injury experienced by people in rural/remote and metropolitan/regional areas of North Queensland, Australia. Methods: Responses to a previously mailed survey exploring the functional impact on a rural/remote population and a metropolitan/regional population were used for analysis and comparison. Findings: Both populations reported a loss of movement, pain and stiffness, and a significantly greater percentage of metropolitan/regional respondents reported a loss of strength. Leisure and work tasks were affected for both groups as a result of their impairment. Rural and remote respondents would have liked more appointments but found that it was expensive to get to them. There was a significant reduction for both populations of respondents reporting their occupation as labourers after having a hand injury. There was also a significant increase in those who reported undertaking home duties, were pensioners or unemployed. Conclusion: A traumatic hand injury can have a moderate to extreme impact on work and leisure, regardless of residential location. Contextual factors related to living in rural and remote areas can be both a barrier and a facilitator to participation in functional activities. A review of service provision in rural/remote areas to address concerns regarding the expense of attending appointments and the minimal number of appointments required for rural and remote residents following a traumatic hand injury is recommended. Distance technology such as telehealth can increase flexibility of treatment and reduce the requirement to travel. The ongoing development and implementation of this technology is important to facilitate equitable health care between rural/remote and metropolitan/regional populations.
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Affiliation(s)
- Gail Kingston
- Adjunct lecturer, Occupational Therapy, College of Health Sciences. James Cook University; Occupational therapist, The Townsville Hospital, Queensland, Australia
| | - Gary Williams
- Lecturer, School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Queensland, Australia
| | - Jenni Judd
- Adjunct principal research fellow, College of Medicine and Dentistry, James Cook University and Anton Breinl Research Centre for Health Systems Strengthening, James Cook University, Queensland, Australia; adjunct associate professor, School of Public Health and Social Work, Queensland University of Technology, Queensland, Australia
| | - Marion Gray
- Postdoc fellow, Washington, DC, USA; Professor, discipline and program leader, Occupational Therapy, School of Health and Sport Sciences, University of Sunshine Coast, Queensland, Australia
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Pain T, Kingston G, Askern J, Smith R, Phillips S, Bell L. How are allied health notes used for inpatient care and clinical decision-making? A qualitative exploration of the views of doctors, nurses and allied health professionals. Health Inf Manag 2016; 46:23-31. [PMID: 27574187 DOI: 10.1177/1833358316664451] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Inpatient care is dependent upon the effective transfer of clinical information across multiple professions. However, documented patient clinical information generated by different professions is not always successfully transferred between them. One obstacle to successful information transfer may be the reader's perception of the information, which is framed in a particular professional context, rather than the information per se. OBJECTIVE The aim of this research was to investigate how different health professionals perceive allied health documentation and to investigate how clinicians of all experience levels across medicine, nursing and allied health perceive and use allied health notes to inform their decision-making and treatment of patients. METHOD The study used a qualitative approach. A total of 53 speech pathologists, nurses, doctors, occupational therapists, dieticians and social workers (8 males; 43 females) from an Australian regional tertiary hospital participated in eleven single discipline focus groups, conducted over 4 months in 2012. Discussions were recorded and transcribed verbatim and coded into themes by content analysis. FINDINGS Six themes contributing to the efficacy of clinical information transference emerged from the data: day-to-day care, patient function, discharge and discharge planning, impact of busy workloads, format and structure of allied health documentation and a holistic approach to patient care. DISCUSSION Other professions read and used allied health notes albeit with differences in focus and need. Readers searched for specific pieces of information to answer their own questions and professional needs, in a process akin to purposive sampling. Staff used allied health notes to explore specific aspects of patient function but did not obtain a holistic picture. CONCLUSION Improving both the relationship between the various health professions and interpretation of other professions' documented clinical information may reduce the frequency of communication errors, thereby improving patient care.
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Affiliation(s)
- Tilley Pain
- 1 Queensland Health, The Townsville Hospital, Townsville, Queensland, Australia.,2 College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia
| | - Gail Kingston
- 1 Queensland Health, The Townsville Hospital, Townsville, Queensland, Australia.,2 College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia
| | - Janet Askern
- 1 Queensland Health, The Townsville Hospital, Townsville, Queensland, Australia
| | - Rebecca Smith
- 1 Queensland Health, The Townsville Hospital, Townsville, Queensland, Australia
| | - Sandra Phillips
- 1 Queensland Health, The Townsville Hospital, Townsville, Queensland, Australia
| | - Leanne Bell
- 1 Queensland Health, The Townsville Hospital, Townsville, Queensland, Australia
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15
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Solano JPC, Bracher ESB, Faisal-Cury A, Ashmawi HA, Carmona MJC, Lotufo F, Vieira JE. Factor structure and psychometric properties of the Connor-Davidson resilience scale among Brazilian adult patients. SAO PAULO MED J 2016; 134:400-6. [PMID: 27191249 PMCID: PMC10871851 DOI: 10.1590/1516-3180.2015.02290512] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2015] [Revised: 11/14/2015] [Accepted: 12/05/2015] [Indexed: 11/22/2022] Open
Abstract
CONTEXT AND OBJECTIVE Personal resilience is associated with several mental health outcomes. The Connor-Davidson resilience scale (CD-RISC) is a widely used self-report measurement of resilience. This study aimed to investigate the reliability and validity of a Brazilian Portuguese version of the CD-RISC. DESIGN AND SETTING Cross-sectional validation study carried out in the outpatient clinics of a public university hospital. METHODS The cross-cultural adaptation followed established guidelines and involved interviews with 65 adults in psychiatric and non-psychiatric outpatient clinics at a teaching hospital. Validation was assessed through concurrent application of the Lipp Brazilian Stress Symptom Inventory (ISSL), Self-Report Questionnaire (SRQ), Sheehan Disability Scales (SDS) and Chronic Pain Grade (CPG) to 575 patients at the same setting. Temporal stability was verified through a second application to 123 participants. RESULTS Factor analysis identified four factors, named tenacity, adaptability-tolerance, reliance on support from outside and intuition. The alpha coefficient of 0.93 and intraclass correlation coefficient of 0.84 indicated good internal consistency and temporal stability. Significant correlations between this version of the CD-RISC and the ISSL, SRQ, SDS and CPG were noted. The patients at the outpatient clinic for borderline personality had resilience scores that were significantly lower than those of the patients at the general anxiety or post-traumatic stress outpatient clinics. CONCLUSION This Brazilian Portuguese version of the Connor-Davidson resilience scale exhibited adequate reliability and validity among a sample of Brazilian adult patients.
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Affiliation(s)
- João Paulo Consentino Solano
- MD, MSc. Doctoral Student and Attending Psychiatrist in the Pain Control Group, Department of Anesthesiology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
| | | | - Alexandre Faisal-Cury
- MD, PhD. Medical Researcher, Department of Preventive Medicine, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
| | - Hazem Adel Ashmawi
- MD, PhD. Head of Pain Control Team, Department of Anesthesiology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
| | - Maria José Carvalho Carmona
- MD, PhD. Associate Professor, Department of Anesthesiology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
| | - Francisco Lotufo
- MD, PhD. Head of Department of Psychiatry, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
| | - Joaquim Edson Vieira
- MD, PhD. Associate Professor, Department of Anesthesiology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
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16
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Caldeira S, Timmins F. Resilience: synthesis of concept analyses and contribution to nursing classifications. Int Nurs Rev 2016; 63:191-9. [PMID: 27029400 DOI: 10.1111/inr.12268] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM To synthetize elements of research on concept analyses of resilience; and to propose a definition of resilience to NANDA International (NANDA-I) and International Classification for Nursing Practice (ICNP(®) ). BACKGROUND Nursing classifications represent nursing knowledge that is clinically relevant and in continuous development. INTRODUCTION Nursing is considered holistic and there is always the need to consider human responses to health and life processes. Continuously there are new and emerging concepts concerning humans and health that should be considered within the organization and delivery of health care as resilience. METHODS In March 2015, the authors performed a synthesis of the findings of research concept analysis research derived from a systematic literature search of electronic databases (PsycINFO, CINAHL and PubMed). Search terms used in the title were: 'resilience' AND 'analysis' AND 'concept'. Papers written in Portuguese or English were included. FINDINGS A total of 27 papers were identified and eight papers were included. Of these, seven papers used Walker & Avant's () model and one used Rodger's () model. Resilience emerged as a fundamental concept across the lifespan that is closely related to health and well-being. DISCUSSION Resilience is a phenomenon of interest for nurses. Similar attributes, antecedents, consequents and definitions were synthesized into a new proposal of a definition of resilience. While some diagnoses related to resilience are classified in NANDA-I, the concept is not included in ICNP(®) . CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY The inclusion of the concept into ICNP(®) and the update in NANDA-I is a contribution for nursing knowledge through education and for clinical practice, as this could promote the effectiveness of interventions in several contexts.
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Affiliation(s)
- S Caldeira
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.,Centre for Interdisciplinary Research in Health at the Catholic University of Portugal - Institute of Health Sciences, Lisbon, Portugal
| | - F Timmins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
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17
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Nourian M, Shahbolaghi FM, Tabrizi KN, Rassouli M, Biglarrian A. The lived experiences of resilience in Iranian adolescents living in residential care facilities: A hermeneutic phenomenological study. Int J Qual Stud Health Well-being 2016; 11:30485. [PMID: 26942909 PMCID: PMC4778383 DOI: 10.3402/qhw.v11.30485] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/29/2016] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Resilience is one of the main factors affecting human health, and perceiving its meaning for high-risk adolescents is of particular importance in initiating preventive measures and providing resilience care. OBJECTIVES This qualitative study was conducted to explain the meaning of resilience in the lived experiences of Iranian adolescents living in governmental residential care facilities. MATERIALS AND METHODS This study was conducted using the hermeneutic phenomenological method. Semi-structured interviews were conducted with eight adolescents aged 13-17 living in governmental residential care facilities of Tehran province affiliated to the Welfare Organization of Iran who articulated their experiences of resilience. Sampling lasted from May 2014 to July 2015 and continued until new themes were no longer emerging. The researchers analyzed the verbatim transcripts using Van Manen's six-step method of phenomenology. RESULTS The themes obtained in this study included "going through life's hardships," "aspiring for achievement," "self-protection," "self-reliance," and "spirituality." CONCLUSION Our study indicates that the meaning of resilience coexists with self-reliance in adolescents' lived experiences. Adolescents look forward to a better future. They always trust God in the face of difficulties and experience resilience by keeping themselves physically and mentally away from difficulties. Adverse and bitter experiences of the past positively affected their positive view on life and its difficulties and also their resilience. The five themes that emerged from the findings describe the results in detail. The findings of this study enable nurses, health administrators, and healthcare providers working with adolescents to help this vulnerable group cope better with their stressful life conditions and improve their health through increasing their capacity for resilience.
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Affiliation(s)
- Manijeh Nourian
- Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Farahnaz Mohammadi Shahbolaghi
- Social Determinants of Health Research Center, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran;
| | - Kian Nourozi Tabrizi
- Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Maryam Rassouli
- School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Akbar Biglarrian
- Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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18
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Costello E, Bogue JE, Sarma K, McGuire BE. Chronic Pain in Irish Prison Officers: Profile and Predictors of Pain-Related Disability and Depression. PAIN MEDICINE 2015; 16:2292-301. [PMID: 26620036 DOI: 10.1111/pme.12822] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE International research has consistently found increased risk for physical health and psychological difficulties among prison officers including elevated risk of assault resulting in acute pain. This study represented an exploratory examination of the experience of chronic pain conditions among Irish prison officers with particular reference to the psychosocial predictors of pain severity, pain interference, and depression. DESIGN A questionnaire battery was completed by 152 Irish prison officers. The questionnaires measured pain severity and interference, anxiety, depression, social support, coping strategies, and resilience. RESULTS Results showed that 48% of participants reported chronic pain based on the International Association for the Study of Pain definition. Psychological distress was high among respondents reporting chronic pain, with 38% of participants meeting the criteria for "probable depression" while 51% met the criteria for "probable anxiety disorder." In regression analyses, depression emerged as a significant predictor of both pain severity and pain interference while anxiety and pain interference emerged as significant predictors of depression. CONCLUSION Chronic pain appears to be prevalent in prison officers and is associated with both physical and psychological impairment. Health care staff in correctional facilities should be aware that these health difficulties are prevalent in the prison work environment.
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Affiliation(s)
- Elaine Costello
- Clinical Psychology Programme, School of Psychology, National University of Ireland, Galway, Ireland
| | - John E Bogue
- Clinical Psychology Programme, School of Psychology, National University of Ireland, Galway, Ireland
| | - Kiran Sarma
- Clinical Psychology Programme, School of Psychology, National University of Ireland, Galway, Ireland
| | - Brian E McGuire
- Clinical Psychology Programme, School of Psychology, National University of Ireland, Galway, Ireland.,Centre for Pain Research, National University of Ireland, Galway, Ireland
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19
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Factors associated with family resilience during pregnancy among inner-city women. Midwifery 2015; 31:957-64. [DOI: 10.1016/j.midw.2015.05.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Revised: 05/22/2015] [Accepted: 05/25/2015] [Indexed: 11/20/2022]
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20
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Gauvin-Lepage J, Lefebvre H, Malo D. Resilience in Families With Adolescents Suffering From Traumatic Brain Injuries. Rehabil Nurs 2015; 40:368-77. [PMID: 25772208 DOI: 10.1002/rnj.204] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2015] [Indexed: 11/08/2022]
Abstract
PURPOSE This study aims to coconstruct the building blocks for an intervention program to support family resilience in conjunction with families with an adolescent suffering from traumatic brain injury and rehabilitation professionals. DESIGN This is a qualitative and inductive study, supported by a collaborative research approach. METHODS Based on the complex intervention design and validation model, the investigator follows a three-stage data collection process: (1) identifying the building blocks of the intervention program in the eyes of families and rehabilitation professionals, (2) prioritizing, and (3) validating the building blocks with the same participants. FINDINGS After analyzing the data, the investigator identifies five encompassing themes as the building blocks of the intervention program. CONCLUSIONS/CLINICAL RELEVANCE This study offers promising avenues for practitioners and researchers in nursing and other fields with respect to the implementation of concrete strategies to support the resilience process of families facing particularly difficult times in their lives.
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Affiliation(s)
- Jérôme Gauvin-Lepage
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada.,Research Centre of the Sainte-Justine University Hospital, Montreal, QC, Canada
| | - Hélène Lefebvre
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada
| | - Denise Malo
- Faculty of Nursing, University of Montreal, Montreal, QC, Canada
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21
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Xia ZY, Kong Y, Yin TT, Shi SH, Huang R, Cheng YH. The impact of acceptance of disability and psychological resilience on post-traumatic stress disorders in burn patients. Int J Nurs Sci 2014. [DOI: 10.1016/j.ijnss.2014.10.018] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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22
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Dysvik E, Kvaløy JT, Furnes B. A mixed-method study exploring suffering and alleviation in participants attending a chronic pain management programme. J Clin Nurs 2013; 23:865-76. [DOI: 10.1111/jocn.12270] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/17/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Elin Dysvik
- Department of Health Studies; Faculty of Social Sciences; University of Stavanger; Stavanger Norway
| | - Jan Terje Kvaløy
- Department of Mathematics and Natural Science; Faculty of Technology and Science; University of Stavanger; Stavanger Norway
| | - Bodil Furnes
- Department of Health Studies; Faculty of Social Sciences; University of Stavanger; Stavanger Norway
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