背景:弹性作为动态概念已经通过各种纵向研究进行了描述。为了更好地了解护理人员在提供护理过程中的弹性变化,然而,范围审查可以更清晰地描述他们的复原过程,反过来,可用于改善护理人员的福祉。
目的:全面概述照顾者在照顾家庭的同时恢复力的动态变化,以增进对未来研究的理解和潜力。
方法:遵循Arksey和O\'Malley的方法框架,本范围审查使用系统审查的首选报告项目和范围审查的Meta分析扩展(PRISMA-ScR)清单进行.在2012年1月至2022年5月之间,搜索了五个电子数据库以英语发表的研究,然后进行了手动搜索。纵向研究中与韧性和护理人员相关的关键术语被纳入并筛选。使用内容分析对弹性模式的识别轨迹和与弹性过程相关的因素进行了分类。
结果:总计,24项纵向研究符合资格标准。概念上,我们的研究结果证明了医疗保健挑战后的三种变化模式,每一个都有很大的不同。方法上,研究结果揭示了三个子类别的评估工具,可用于在面对重大医疗保健挑战时影响护理人员的复原力。因此,个人特质和环境资源与韧性过程的相互作用将导致其韧性的各种结果,包括稳定性,增长,或下降。
结论:这篇综述描述了弹性过程的变化模式,评估工具,及相关因素,为心理弹性的调查和干预提供动态视角。尽管如此,在韧性的可操作动态变化方面,未来的研究仍存在重大差距。
Resilience as a dynamic concept has already been described through various longitudinal studies. To better understand the changes in the resilience of caregivers over the course of care-providing, however, a scoping
review can provide a clearer picture of their resilience process which, in turn, can be used to improve caregivers\' well-being.
To provide a comprehensive overview of dynamic change in the resilience of caregivers while caring for the family to enhance understanding and potential for future research.
Following the methodological framework of Arksey and O\'Malley, this scoping
review was conducted using the Preferred Reporting Items for Systematic Reviews and the Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist. Five electronic databases were searched for research published in English between January 2012 and May 2022, after which a manual search was performed. Key terms related to resilience and caregivers in longitudinal studies were included and screened for. Identified trajectories of patterns in resilience and factors associated with resilience process were categorized using content analysis.
In total, 24 longitudinal studies met the eligibility criteria. Conceptually, our findings demonstrate three modes of change following healthcare challenges, each of which varies substantially. Methodologically, the results reveal three subcategories of assessment tools that can be used to impact caregivers\' resilience when confronted with significant healthcare challenges. Consequentially, personal traits and environmental resources interacting with the resilience process will then lead to various outcomes in their resilience, including stability, growth, or decline.
This
review describes the change patterns of the resilience process, assessment instruments, and associated factors to offer a dynamic perspective for the investigation and intervention of psychological resilience. Major gaps nonetheless remain for future research regarding an operationalizing dynamic change in resilience.