Resilience in adults with colorectal cancer: refining a conceptual model using a descriptive qualitative approach

Dan Luo, Manuela Eicher, Kate White

Research output: Contribution to journalArticlepeer-review

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Abstract

Aims: To examine and refine a conceptual model of resilience in adult cancer care based on the perspectives and experiences of resilience in adults with colorectal cancer.

Design: A descriptive qualitative study was performed.

Methods: Twelve participants diagnosed with colorectal cancer that had completed cancer treatment with curative intent were recruited from a tertiary hospital in Australia from July to December 2019. The meaning of individual resilience was explored using in-depth individual interviews. Data were analysed using inductive thematic analysis. Following data analysis, the elements of the conceptual model of resilience were mapped against the themes and subthemes to refine the model.

Results: Five themes were identified as key elements of individual resilience in adults with colorectal cancer: (1) seeking motivations to move forward; (2) striving for normality; (3) adapting and managing self; (4) drawing on external supports; (5) redefining self. A refined conceptual model of individual resilience in adults with colorectal cancer was developed based on the integration of the themes and the elements of the conceptual model of individual resilience.

Conclusions: Our refined conceptual model of individual resilience in adults with colorectal cancer could facilitate nurses’ and other health professionals' understanding of the process of how resilient individuals with colorectal cancer overcome their illness-related adversity. This refined model may be used to further develop and test cancer-specific resilience measures and develop interventions to facilitate resilience in people living with colorectal cancer.

Impact: This research identified five features of resilience in adults with colorectal cancer and refined a conceptual model of resilience in adults with colorectal cancer. The findings could help nurses and other health professionals with identifying individuals who are at risk of adaptation difficulties and contribute to an early referral to psychosocial support services.
Original languageEnglish
Pages (from-to)254-268
Number of pages15
JournalJournal of Advanced Nursing
Volume79
Issue number1
DOIs
Publication statusPublished - Jan 2023
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2022. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • adult
  • colorectal cancer
  • a conceptual model
  • resilience
  • psychological distress
  • qualitative research

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