Resiliency: A factor to consider when facilitating the transition from hospital to home in older adults

Esche, Carol Ann; Tanner, Elizabeth K.

doi:10.1016/j.gerinurse.2005.05.007

Cited by 8 publications

(7 citation statements)

References 11 publications

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“…Other studies of resilience in adults have included men with HIV/AIDS, women with chronic illness (Schaefer 1995, Asbring 2001, Motzer et al . 2003), people with cancer (Jacelon 1997), transition from hospital to home (Esche & Tanner 2005) and people experiencing severe trauma and loss (Bonanno 2004).…”

Section: Resultsmentioning

confidence: 99%

“…In the 1970s, when looking at outcomes for people with schizophrenia, researchers noted that those achieving better outcomes had high levels of premorbid functioning and, although not named as such, Luthar et al (2000, p. 544) suggest that 'these aspects of premorbid social competence might be viewed today as prognostic of relatively resilient trajectories'. Other studies of resilience in adults have included men with HIV/AIDS, women with chronic illness (Schaefer 1995, Asbring 2001, Motzer et al 2003, people with cancer (Jacelon 1997), transition from hospital to home (Esche & Tanner 2005) and people experiencing severe trauma and loss (Bonanno 2004).…”

Section: Previous Uses Of the Conceptmentioning

confidence: 99%

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Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review

Jackson

Firtko

Edenborough

2007

Journal of Advanced Nursing

866

689

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Title. Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review Aim. This paper is a report of a literature review to explore the concept of personal resilience as a strategy for responding to workplace adversity and to identify strategies to enhance personal resilience in nurses. Background. Workplace adversity in nursing is associated with excessive workloads, lack of autonomy, bullying and violence and organizational issues such as restructuring, and has been associated with problems retaining nurses in the workforce. However, despite these difficulties many nurses choose to remain in nursing, and survive and even thrive despite a climate of workplace adversity. Data sources.The literature CINAHL, EBSCO, Medline and Pubmed databases were searched from 1996 to 2006 using the keywords 'resilience', 'resilience in nursing', and 'workplace adversity' together with 'nursing'. Papers in English were included. Findings. Resilience is the ability of an individual to positively adjust to adversity, and can be applied to building personal strengths in nurses through strategies such as: building positive and nurturing professional relationships; maintaining positivity; developing emotional insight; achieving life balance and spirituality; and, becoming more reflective. Conclusion. Our findings suggest that nurses can actively participate in the development and strengthening of their own personal resilience to reduce their vulnerability to workplace adversity and thus improve the overall healthcare setting. We recommend that resilience-building be incorporated into nursing education and that professional support should be encouraged through mentorship programmes outside nurses' immediate working environments.

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Section: Resultsmentioning

confidence: 99%

Section: Previous Uses Of the Conceptmentioning

confidence: 99%

Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review

Jackson

Firtko

Edenborough

2007

Journal of Advanced Nursing

866

689

View full text Add to dashboard Cite

show abstract

“…2,3,[10][11][12][13][14] Meleis' middle-range theory of transitions 15 was selected as a guiding framework for conceptualizing the discharge transition and identifying relevant study variables because of the congruence between the concepts of this middle-range theory and the concepts of the specific transition situation of going home after hospitalization. Testing of transitions theory concepts and relationships in the specific situation of hospital discharge will not only develop knowledge to advance clinical practice but will also extend nursing knowledge about the phenomenon of transitions.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Perceived Readiness for Hospital Discharge in Adult Medical-Surgical Patients

Weiss

Piacentine²,

Lokken³

et al. 2007

Clinical Nurse Specialist

230

388

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The purpose of the study was to identify predictors and outcomes of adult medical-surgical patients' perceptions of their readiness for hospital discharge. Design: A correlational, prospective, longitudinal design with path analyses was used to explore relationships among transition theory-related variables. Setting: Midwestern tertiary medical center. Sample: 147 adult medical-surgical patients. Methods: Predictor variables included patient characteristics, hospitalization factors, and nursing practices that were measured prior to hospital discharge using a study enrollment form, the Quality of Discharge Teaching Scale, and the Care Coordination Scale. Discharge readiness was measured using the Readiness for Hospital Discharge Scale administered within 4 hours prior to discharge. Outcomes were measured 3 weeks postdischarge with the Post-Discharge Coping Difficulty Scale and self-reported utilization of health services. Findings: Living alone, discharge teaching (amount of content received and nurses' skill in teaching delivery), and care coordination explained 51% of readiness for discharge score variance. Patient age and discharge readiness explained 16% of variance in postdischarge coping difficulty. Greater readiness for discharge was predictive of fewer readmissions. Conclusions: Quality of the delivery of discharge teaching was the strongest predictor of discharge readiness. Study results provided support for Meleis' transitions theory as a useful model for conceptualizing and investigating the discharge transition. Implications for Practice: The study results have implications for the CNS role in patient and staff education, system building for the postdischarge transition, and measurement of clinical care outcomes.KEY WORDS: discharge, education, outcomes, readiness f e a t u r e a r t i c l e

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“…Esche and Tanner (2005) reported that the elderly who have decreased resilience after discharge are those who live alone, are depressed, are older, and have decreased vision. More research is needed with people discharged to home who live alone.…”

Section: Limitationsmentioning

confidence: 99%

“…Although studies have been conducted about the process of discharge planning (Bowles, Naylor, & Foust, 2002;Bull et al, 2000;Bull, & Roberts, 2001), more research is needed to systematically identify needs and concerns of specific populations and developmental age groups after hospitalization. Esche and Tanner (2005) reported that the elderly who have decreased resilience after discharge are those who live alone, are depressed, are older, and have decreased vision. More research is needed with people discharged to home who live alone.…”

Section: Applicationmentioning

confidence: 99%

Coping Difficulties After Hospitalization

2008

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Abstract:Coping difficulties of 113 adults 3 weeks after hospital discharge were identified using the Post-Discharge Coping Difficulty Scale and a brief focused telephone interview (11-item guide). Overall, low difficulty scores were reported (M = 23.9, SD = 18.2, range = 0 to 100). Qualitative data reveal specific coping difficulties in the categories of stressors, specific difficulties, caring for self, managing the condition, family, advice needed, contact with the health care system, and what they wished they knew before discharge. A core theme of biographical reconstruction emerged.

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Resiliency: A factor to consider when facilitating the transition from hospital to home in older adults

Cited by 8 publications

References 11 publications

Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review

Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review

Perceived Readiness for Hospital Discharge in Adult Medical-Surgical Patients

Coping Difficulties After Hospitalization

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