Intersections between rural women's resilience and quality of life: a mixed-methods study.
Bruno Neves da Silva, José Luís Guedes Dos Santos, Deise Lisboa Riquinho and 3 others
PMID 35507957WHAT IT FOUND
Rural women in Brazil described spirituality, belonging and community support as protective for resilience and quality of life.
Quantitative testing linked resilience mainly with social functioning.
Key findings
01Only the social functioning quality-of-life domain was significantly associated with resilience among rural women (p=0.046).
02The eight quality-of-life domains together predicted 14.1% of the variance in resilience (R2=0.141; F=1.60; p=0.004).
03Qualitative interviews identified spirituality, social support networks, belonging and enchantment with rural life as protective factors linked to resilience and quality of life.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used a convenience sample from one rural town, so the women may not represent other rural populations. The quantitative sample was small, and the authors state this hindered generalization. Only seven women participated in the qualitative interviews, so the themes cannot be treated as a pattern of effects. The cross-sectional design cannot show that resilience caused better quality of life or that protective factors changed outcomes. Rural women had difficulty understanding the quantitative instruments, and the authors say cultural adaptation is needed.
The easy way to misread this
Do not read this as proof that resilience improves quality of life. The quantitative associations were mostly null, and the study was cross-sectional, so it cannot show cause.