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

Journal article

Kornhaber, Rachel, McLean, Loyola, Betihavas, Vasiliki and Cleary, Michelle. (2018). Resilience and the rehabilitation of adult spinal cord injury survivors : A qualitative systematic review. Journal of Advanced Nursing. 74(1), pp. 23-33. https://doi.org/10.1111/jan.13396
AuthorsKornhaber, Rachel, McLean, Loyola, Betihavas, Vasiliki and Cleary, Michelle
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 individual's 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.

Keywordsnursing; qualitative; rehabilitation; resilience; social support; spinal cord injuries; systematic review
Year2018
JournalJournal of Advanced Nursing
Journal citation74 (1), pp. 23-33
PublisherBlackwell Publishing Ltd
ISSN0309-2402
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.13396
Scopus EID2-s2.0-85027491484
Research or scholarlyResearch
Page range23-33
Publisher's version
File Access Level
Controlled
Output statusPublished
Publication dates
Online17 Aug 2017
Publication process dates
Accepted20 Jul 2017
Deposited15 Jul 2021
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