RNQualitativeGeriatric nursing (New York, N.Y.)2025

Experiences of inner strength in persons newly diagnosed with mild cognitive impairment: A qualitative study.

Brianna Morgan, Lauren Massimo, Sharon Ravitch and 4 others

PMID 39914227

WHAT IT FOUND

Nine people newly diagnosed with mild cognitive impairment described drawing on past resilience and family values to adjust.

They moved between distracting themselves from the diagnosis and facing it directly. Most used practical tools like lists and relied on spouses, though asking for help remained difficult.

Key findings

01Participants attributed their inner strength to past life experiences and upbringing, viewing these histories as a foundation for adjusting to the new diagnosis.

02Adjustment involved a dynamic process of vacillating between seeking relief through distraction or avoidance and dwelling in the challenge to reflect and accept the reality of the condition.

03Inner strength was individualized, with some participants relying on perseverance and others on optimism, while all struggled with the shift from being a caregiver to needing help.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample was small (9 participants) and homogeneous, consisting mostly of white, highly educated, financially stable individuals in long-term heterosexual marriages. Findings may reflect specific cultural values (e.g., Judeo-Christian emphasis on perseverance) that do not generalize to other populations. The study design focused on newly diagnosed individuals within 12 months, so it does not address longer-term adjustment or progression to dementia.

Declared interests

The authors declared no conflicts of interest. The study was supported by non-U.S. government funding.

The easy way to misread this

Do not interpret the themes as evidence that this specific approach improves clinical outcomes or prevents dementia. This is a qualitative description of how a small, highly educated group experienced their diagnosis, not a test of an intervention's efficacy.

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