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Resilience and the rehabilitation of adult spinal cord injury survivors: A qualitative systematic review

Citation

Kornhaber, R and McLean, L and Betihavas, V and Cleary, M, Resilience and the rehabilitation of adult spinal cord injury survivors: A qualitative systematic review, Journal of Advanced Nursing, 74 pp. 23-33. ISSN 0309-2402 (2018) [Refereed Article]

Copyright Statement

© 2017 John Wiley & Sons Ltd

DOI: doi:10.1111/jan.13396

Abstract

Aim: To synthesize the qualitative research evidence that explored how survivors of adult spinal cord injury experience and make sense of resilience.

Background: Spinal cord injury is often a sudden and unexpected life-changing event requiring complex and long-term rehabilitation. The development of resilience is essential in determining how spinal cord injury survivors negotiate this injury and rehabilitation.

Design: A qualitative systematic review and thematic synthesis of the research evidence.

Data sources: CINAHL, PubMed, Embase, Scopus and PsycINFO were searched, no restriction dates were used.

Review methods: Methodological quality was assessed using the Critical Appraisal Skills Programme checklist. Thematic synthesis focused on how survivors of adult spinal cord injury experience and make sense of resilience.

Results: Six qualitative research articles reported the experiences of 84 spinal cord injury survivors. Themes identified were: uncertainty and regaining independence; prior experiences of resilience; adopting resilient thinking; and strengthening resilience through supports.

Conclusion: Recovery and rehabilitation following spinal cord survivors is influenced by the individualís capacity for resilience. Resilience may be influenced by previous life experiences and enhanced by supportive nursing staff encouraging self-efficacy. Survivors identified the need for active involvement in decision-making about their care to enable a sense of regaining control of their lives. This has the potential to have a significant impact on their self-efficacy and in turn health outcomes.

Item Details

Item Type:Refereed Article
Keywords:nursing, qualitative, rehabilitation, resilience, social support, spinal cord injuries, systematic review
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Mental Health
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Mental Health
Author:Kornhaber, R (Dr Rachel Kornhaber)
Author:Cleary, M (Professor Michelle Cleary)
ID Code:123222
Year Published:2018
Web of Science® Times Cited:2
Deposited By:Health Sciences
Deposited On:2017-12-21
Last Modified:2018-04-20
Downloads:0

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