Determinants of resilience among people who sustained spinal cord injury from the 2015 earthquake in Nepal

Bhattarai, Muna; Maneewat, Khomapak; Sae-Sia, Wipa

doi:10.1038/sc.2017.93

Cited by 12 publications

(13 citation statements)

References 24 publications

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“…Strong social support encompasses protective, compensatory, and challenge-related coping-concept strategies (Ahern et al, 2006; Bhattarai et al, 2018; Edward, 2013; Machida et al, 2013; Monden et al, 2014; Shin et al, 2012; Spratling & Weaver, 2012). The ability to adapt to injury and resultant changes (Ahern et al, 2006; Bhattarai et al, 2018; Edward, 2013; Hunter & Chandler, 1999; Jones et al, 2019; Kornhaber et al, 2018; Machida et al, 2013; McDonald et al, 2019; Monden et al, 2014; Spratling & Weaver, 2012), and the act of serving as a role model or inspiring others (Monden et al, 2014), are key challenge-related coping-concepts strategies. Salient protective coping-concept strategies include spirituality (Bhattarai et al, 2018; Jones et al, 2019; Monden et al, 2014); psychological strength (Monden et al, 2014; Tusaie & Dyer, 2004); and perspective (Garmezy, 1993; Monden et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

Developing the Resilience Framework for Nursing and Healthcare

Morse

Kent-Marvick

Barry

et al. 2021

Global Qualitative Nursing Research

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Despite four decades of resilience research, resilience remains a poor fit for practice as a scientific construct. Using the literature, we explored the concepts attributed to the development of resilience, identifying those that mitigate symptoms of distress caused by adversity and facilitate coping in seven classes of illness: transplants, cancer, mental illness, episodic illness, chronic and painful illness, unexpected events, and illness within a dyadic relationship. We identified protective, compensatory, and challenge-related coping-concept strategies that healthcare workers and patients use during the adversity experience. Healthcare-worker assessment and selection of appropriate coping concepts enable the individual to control their distress, resulting in attainment of equanimity and the state of resilience, permitting the resilient individual to work toward recovery, recalibration, and readjustment. We inductively developed and linked these conceptual components into a dynamic framework, The Resilience Framework for Nursing and Healthcare, making it widely applicable for healthcare across a variety of patients.

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Section: Resultsmentioning

confidence: 99%

Developing the Resilience Framework for Nursing and Healthcare

Morse

Kent-Marvick

Barry

et al. 2021

Global Qualitative Nursing Research

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“…Sixteen participants (19.5%) had chronic disease which included hypertension ( n = 7), asthma, gout, and gastrointestinal problems. The reported SCI-related complications were pain ( n = 66), spasticity ( n = 21), pressure injury ( n = 10), and urinary tract infection ( n = 8) [ 32 ]. Table 1 shows the demographics and injury-related characteristics of the participants.…”

Section: Resultsmentioning

confidence: 99%

Psychosocial factors affecting resilience in Nepalese individuals with earthquake-related spinal cord injury: a cross-sectional study

2018

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BackgroundOne of many types of injuries following an earthquake is spinal cord injury (SCI) which is a life-long medically complex injury and high-cost health problem. Despite several negative consequences, some persons with SCI are resilient enough to achieve positive adjustment, greater acceptance, and better quality of life. Since resilience is influenced by several factors and can vary by context, it is beneficial to explore factors that affect the resilience of people who sustained spinal cord injury from the 2015 earthquake in Nepal.MethodsA descriptive cross-sectional study included 82 participants from the Spinal Injury Rehabilitation Center and communities in Nepal. Participants completed the Demographic and Injury-related Questionnaire, Connor-Davidson Resilience Scale, Multidimensional Scale of Perceived Social Support, Moorong Self-efficacy Scale, Intrinsic Spirituality Scale, and Patient Health Questionnaire-9. Pearson’s correlation and point biserial correlation analyses were performed to examine associations between resilience and independent variables. A hierarchical regression analysis was used to identify the influence of certain factors.ResultsFindings indicated significant associations between resilience and social support (r = 0.42, p < 0.001), self-efficacy (r = 0.53, p < 0.001), depressive mood (r = − 0.50, p < 0.001) and demographic variables which included sex (r = 0.47, p < 0.001), employment (r = 0.27, p = 0.016), and current living location (r = 0.24, p = 0.029). There was a non-significant association between resilience and spirituality (r = − 0.12, p > 0.05). In hierarchical regression analysis, an overall regression model explained 46% of the variance in resilience. Self-efficacy (β = 0.28, p = 0.007) and depressive mood (β = − 0.24, p = 0.016) significantly determined resilience after controlling the effect of demographic variables. Among the demographic factors, being male significantly explained the variance in resilience (β = 0.31, p = 0.001).ConclusionsMultiple psychosocial and demographic factors were associated with resilience in people who sustained an earthquake-related SCI. Mental health professionals should demonstrate concern and consider such factors in allocating care in this group. Development of intervention research concerning resilience is recommended to strengthen resilience in order to improve rehabilitation outcomes and enhance reintegration of individuals with SCI into their communities.

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“…Initially we would like to thank Bhattarai et al [1] for sharing their interesting findings about the determinants of resilience among people with spinal cord injury. Although their study provided valuable information about purposeful care delivery to people with spinal cord injury who are at risk for mental health problems, there are some concerns over outcome measurement and findings in the study.…”

mentioning

confidence: 99%

“…Finally, as the study of Bhattarai et al [1] provides valuable information about resiliency determinants among clients with spinal cord injuries; it is suggested that the above-mentioned points be considered in future studies in order to enhance more evidence-based results.…”

mentioning

confidence: 99%