Concept Analysis: Family Resilience

Abstract

Background: Although the concept of family resilience has had increased popularity in recent studies, conceptual and methodological issues need to be addressed. Aim: The purpose of this paper is to analyze the current status of the concept of family resilience in research and to suggest future needed directions for research. Methods: The structure of the analysis derives from Rodgers’ evolutionary concept analysis. Data for the analysis were retrieved using six electronic databases through phrasal search with “family resilience” as search terms. 38 were included in the current review. Results: Six dimensions of family resilience were identified: 1) collective confidence; 2) interconnectedness; 3) positive life view; 4) resourcefulness; 5) open communication patterns; and 6) collaborative problem-solving. Three possible antecedents of family resilience were identified: 1) perceived sense of disequilibrium; 2) spirituality/shared belief systems or religious beliefs; and 3) families’ strong will to overcome adversities. Consequences of being resilient include: 1) acceptance of the situation; 2) change in life perspectives; 3) enhanced relationship qualities; 4) reinforcement of resilient properties; and 5) improved health-related outcomes. Conclusion: Although the concept of resilience has been adopted as a useful strength-based perspective to understand family adaptation in the presence of adversity, it still needs further conceptual and methodological refinements. Multiple dimensions, cultural differences and variations of the concept within longitudinal designs should be examined with data gathered from multiple family members in order to improve family resilience research and its application to nursing practice. Implications for future research and intervention are suggested.