Aburn Gemma, Gott Merryn, Hoare Karen
Paediatric Palliative Care, Starship Children's Health, Auckland, New Zealand.
School of Nursing, University of Auckland, New Zealand.
J Adv Nurs. 2016 May;72(5):980-1000. doi: 10.1111/jan.12888. Epub 2016 Jan 7.
To use systematic methods to examine how resilience is defined in empirical research.
Resilience is a term that is increasingly being used to describe and explain the complexities of individual and group responses to traumatic and challenging situations. It is now frequently mentioned in relation to many areas of nursing practice, including research. Given the increasing use of the term, it is timely to examine how resilience has been defined in empirical research.
An integrative review of the empirical literature (2000-2015).
Three health-related databases were searched: Medline, PsycINFO and the Cumulative Index for Nursing and Allied Health (CINAHL). Reference and citation tracking was performed on all articles included in the review.
The methods described by Whittemore and Knafl were used to guide this review. Two reviewers were involved in screening articles for inclusion and in the data extraction process. Data were synthesized using the constant comparative method of analysis.
One hundred articles were included in the final data analysis. The most significant finding of the review was that there is no universal definition of resilience. There were, however, some common themes identified: rising above, adaptation and adjustment, dynamic process, 'ordinary magic' and mental illness as a marker of resilience.
Despite the increasing use of the term 'resilience', this review has identified that there is no universal definition of resilience adopted in the research literature. Further research is required to explore this construct in the context of nursing.
运用系统方法研究实证研究中复原力是如何定义的。
复原力这一术语越来越多地被用于描述和解释个人及群体对创伤性和挑战性情境的反应的复杂性。目前在包括研究在内的许多护理实践领域中经常被提及。鉴于该术语的使用日益增多,审视实证研究中复原力是如何被定义的很有必要。
对实证文献(2000 - 2015年)进行综合综述。
检索了三个与健康相关的数据库:医学索引数据库(Medline)、心理学文摘数据库(PsycINFO)和护理及相关健康累积索引数据库(CINAHL)。对综述中纳入的所有文章进行参考文献和引文追踪。
采用惠特莫尔和克纳夫描述的方法来指导本综述。两名评审员参与筛选纳入文章及数据提取过程。使用恒定比较分析法对数据进行综合。
最终数据分析纳入了100篇文章。该综述最显著的发现是复原力没有通用的定义。然而,确定了一些共同主题:超越、适应与调整、动态过程、“平凡的魔力”以及将精神疾病作为复原力的一个标志。
尽管“复原力”一词的使用日益增多,但本综述发现研究文献中没有采用复原力的通用定义。需要进一步研究以在护理背景下探讨这一概念。