Hodgson Christine, Taylor-Piliae Ruth, Rainbow Jessica
College of Nursing, The University of Arizona, Tucson, Arizona, USA.
J Adv Nurs. 2023 Nov;79(11):4411-4424. doi: 10.1111/jan.15734. Epub 2023 Jun 22.
To explore the resilience of children, six to thirteen years old, living on a Northern Plains American Indian Reservation using a situation specific nursing theory.
American Indian and Alaska Native children experience mental health inequities compared to their white peers, including substance use, suicide, depression, and anxiety. Resilience is a strength of children that can be leveraged to improve their mental health.
A parallel convergent mixed methods design.
A community advisory board culturally adapted resilience instruments. During two weeks in summer 2022, forty-seven children/caregiver dyads completed surveys about the child's resilience. Descriptive statistics gave the scores of each child's personal, relational, and total resilience. A subset of 20 children participated in a semi-structured interview.
Children scored high on overall resilience, and higher on the relational subscale than the personal subscale. Caregiver survey scores were not significantly correlated with their child's scores and were higher than the children's scores. Qualitative coding revealed six themes of resilience. Integration of data showed a concordance and expansion of the quantitative data across themes.
The children reported high resilience supported by a strong ecosystem of relationships. Resilience, as explained through children's voices, corroborated with findings from the surveys.
Findings will help nurses across sectors of primary, secondary, and tertiary care create resilience-enhancing interventions and prevent mental health crises in this community.
This findings from this study will inform local mental health interventions on the Reservation. The study provides a reproducible design to adapt to other Indigenous communities.
A community advisory board was a partner in every stage of the study. Children and caregivers participated in data collection.
This research provides knowledge that will further social justice efforts within nursing to promote health equity across diverse populations.
运用一种针对特定情况的护理理论，探索居住在北美大平原印第安人保留地的6至13岁儿童的复原力。
与白人同龄人相比，美国印第安人和阿拉斯加原住民儿童面临心理健康方面的不平等，包括药物使用、自杀、抑郁和焦虑。复原力是儿童的一种优势，可以用来改善他们的心理健康。
平行收敛混合方法设计。
一个社区咨询委员会对复原力工具进行了文化适应性调整。在2022年夏天的两周时间里，47对儿童/照顾者二元组完成了关于儿童复原力的调查。描述性统计给出了每个儿童个人、关系和总体复原力的得分。20名儿童的子集参与了半结构化访谈。
儿童在总体复原力方面得分较高，在关系子量表上的得分高于个人子量表。照顾者的调查得分与他们孩子的得分没有显著相关性，且高于孩子的得分。定性编码揭示了复原力的六个主题。数据整合显示了各主题间定量数据的一致性和扩展性。
儿童报告称在强大的关系生态系统支持下具有较高的复原力。通过儿童声音所阐释的复原力与调查结果相佐证。
研究结果将帮助初级、二级和三级护理各部门的护士制定增强复原力的干预措施，并预防该社区的心理健康危机。
本研究结果将为保留地的当地心理健康干预提供信息。该研究提供了一种可复制的设计，以适应其他原住民社区。
一个社区咨询委员会是研究每个阶段的合作伙伴。儿童和照顾者参与了数据收集。
这项研究提供的知识将进一步推动护理领域内的社会正义努力，以促进不同人群的健康公平。
