Resilience of individuals with chronic illness who reside in low resource communities: a concept analysis

Tara Leigh Moore
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Abstract

Background

Chronic illness diagnosis while living in low resourced communities creates ongoing adversity in the process of adaptation. Resilience is an important phenomenon of study to improve health outcomes. The subject in this particular population has been poorly studied.

Objective

To conceptualize resilience of individuals with chronic illness who reside in low resource communities.

Design

Concept analysis

Data sources

Seminal works and current studies were searched in PubMed (including Medline), Science Direct, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), ProQuest, Google Scholar, OVID, Ebsco, and the Cochrane Database. Qualitative and quantitative studies that investigated individual resilience of adults in the setting of chronic illness who reside in low resource communities were included. Exclusions included children with chronic illness and resilience of communities and populations.

Methods

Walker and Avant's method of concept analysis was utilized. The key elements for conceptualizing resilience in the setting of chronic illness who reside in low resource communities included defining attributes, antecedents and consequences of resilience identified from the literature search.

Results

Analysis revealed three defining attributes: (1) reflection, contemplation, and the will to live despite adversity through hope; (2) personal transcendence through action; and (3) continuous personal transcendence and maintenance. Antecedents and consequences of resilience in the setting of chronic illness who reside in low resource communities were described and outlined.

Conclusions

The conceptualization of resilience in the setting of chronic illness who reside in low resource communities is based on the defining attributes, antecedents, and consequences that resulted in a preliminary conceptual model. The model can be further tested in diverse populations to add to the existing knowledge on the subject, and develop interventions to foster resilience aimed to improve health outcomes and quality of life.

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在慢性疾病和资源匮乏社区中的复原力:概念分析
背景确诊慢性病时,生活在资源匮乏的社区,在适应过程中会产生持续的逆境。复原力是研究改善健康结果的一个重要现象。目标对居住在资源匮乏社区的慢性病患者的复原力进行概念化设计概念分析数据来源在PubMed(包括Medline)、Science Direct、Cumulative Index to Nursing and Allied Health Literature (CINAHL)、ProQuest、Google Scholar、OVID、Ebsco和Cochrane数据库中搜索了过去的著作和当前的研究。本研究纳入了调查居住在资源匮乏社区的成年人在慢性病环境下个人抗病能力的定性和定量研究。方法采用沃克和阿凡特的概念分析方法。分析结果显示了三种定义属性:(1)反思、沉思以及通过希望在逆境中生存的意志;(2)通过行动实现个人超越;以及(3)持续的个人超越和保持。对居住在资源匮乏社区的慢性病患者复原力的前因后果进行了描述和概述。该模型可在不同人群中进行进一步测试,以补充现有的相关知识,并制定干预措施来培养抗逆力,从而改善健康状况和生活质量。
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来源期刊
CiteScore
5.80
自引率
0.00%
发文量
45
审稿时长
81 days
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