A simultaneous concept analysis of resilience, coping, posttraumatic growth, and thriving

Nurs Forum. 2022 Sep;57(5):905-919. doi: 10.1111/nuf.12754. Epub 2022 May 28.

Abstract

Background: Research has shifted in recent decades from a focus on negative effects of adversity, trauma, and stress to protective factors and positive outcomes. Resilience and related concepts (coping, posttraumatic growth, thriving, and preparedness) reflect this shift. However, the current state of literature reflects conceptualization challenges in relation to these terms, which blur their differentiation.

Aim: We aim to examine how resilience and related terms are conceptualized in health-related literature.

Design: We used a simultaneous concept analysis to independently explore and further inform the conceptual development of resilience, coping, PTG, and thriving.

Data source: We searched PsycINFO and PubMed for literature between 1999 and 2019 for each of our concepts.

Review methods: For each of these concepts, we propose a definition, antecedents, attributes, an example, consequences, and related concepts. Next, we concurrently examined the concepts, compared and contrasted findings across them, and clarified similarities as well as differences between them.

Results: Many concepts' definitions lack specificity, clear boundaries, and consistency across the literature. Resilience literature fails to differentiate between attributes and antecedents of resilience. There was overlap regarding conceptualization between resilience and coping, and resilience and thriving.

Conclusions: Several concepts' definitional literature diverged between a return to baseline functioning and surpassing baseline.

Keywords: coping; posttraumatic growth; resilience; simultaneous concept analysis.

MeSH terms

  • Adaptation, Psychological
  • Humans
  • Posttraumatic Growth, Psychological*
  • Resilience, Psychological*