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


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Abstract
Aim: To synthesize the qualitative research evidence that explored how survivorsof adult spinal cord injury experience and make sense of resilience.Background: Spinal cord injury is often a sudden and unexpected life-changingevent requiring complex and long-term rehabilitation. The development of resilienceis essential in determining how spinal cord injury survivors negotiate this injury andrehabilitation.Design: A qualitative systematic review and thematic synthesis of the researchevidence.Data sources: CINAHL, PubMed, Embase, Scopus and PsycINFO were searched, norestriction dates were used.Review methods: Methodological quality was assessed using the Critical AppraisalSkills Programme checklist. Thematic synthesis focused on how survivors of adultspinal cord injury experience and make sense of resilience.Results: Six qualitative research articles reported the experiences of 84 spinal cordinjury survivors. Themes identified were: uncertainty and regaining independence;prior experiences of resilience; adopting resilient thinking; and strengthening resiliencethrough supports.Conclusion: Recovery and rehabilitation following spinal cord survivors is influencedby the individual’s capacity for resilience. Resilience may be influenced by previouslife experiences and enhanced by supportive nursing staff encouraging self-efficacy.Survivors identified the need for active involvement in decision-making about theircare to enable a sense of regaining control of their lives. This has the potential tohave a significant impact on their self-efficacy and in turn health outcomes.
Item Type: | Article |
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Authors/Creators: | Kornhaber, R and McLean, L and Betihavas, V and Cleary, M |
Keywords: | nursing, qualitative, rehabilitation, resilience, social support, spinal cord injuries, systematic review |
Journal or Publication Title: | Journal of Advanced Nursing |
Publisher: | Blackwell Publishing Ltd |
ISSN: | 0309-2402 |
DOI / ID Number: | https://doi.org/10.1111/jan.13396 |
Copyright Information: | © 2017 John Wiley & Sons Ltd |
Related URLs: | |
Item Statistics: | View statistics for this item |
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