Resilience Promotion
Using Peer Support
in the Hospital Setting
Stephanie Clifford, MSN, ARNP, CPNP-PC
November 22, 2010
Adolescents
Desire to be part of a
peer group
Desire to be normal
Desire to fit in
Desire acceptance of
their condition
Illness During Adolescence
• Significant impact on psychosocial and
social development
• Greater demand for closer social
...
Many Feel Trapped
Resilience Theory
• Focuses on strengths rather than deficits
• Resilience is a process:
– Overcoming the negative effects...
The Solution
Use peer relationships as promotive
factors to encourage resilience during a
very difficult time
WHY?
• Peers provide:
– Empathy
– Support
– Promote/model positive behavior
– Increased psychological well-being
– Increas...
We need to help…
Implementation
Peer support program within the hospital
• Meetings with peers in a group setting
• Meetings with peers on ...
Pros
• Learn new coping techniques
• Learn how to influence social
environments
• Enlarge perspectives of “normal”
• Under...
Pros
• Reduce sense of isolation
• Enhance social identity
• Extend help to others
Cons
• Witness to a peer’s deterioration in
health
• Discovering new and unpleasant
information about one’s illness
• Nega...
Cons
• Decreased self esteem
• Failure to develop other interests
• Feelings of separation from “normal”
society
Goal
• Provide sick, hospitalized adolescents
with peer support to overcome a major
life stressor/transition
References
Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A
framework for understanding healthy development...
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Adolescent Resilience

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I created this to ultimately present to my Child Life department at the hospital I work at in order to raise awareness of the importance of peer support to the sick and hospitalized adolescent. Perhaps there will be further development of this type of program where I work. Hope you enjoy!

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Adolescent Resilience

  1. 1. Resilience Promotion Using Peer Support in the Hospital Setting Stephanie Clifford, MSN, ARNP, CPNP-PC November 22, 2010
  2. 2. Adolescents Desire to be part of a peer group Desire to be normal Desire to fit in Desire acceptance of their condition
  3. 3. Illness During Adolescence • Significant impact on psychosocial and social development • Greater demand for closer social relations • Interferes with development and maintenance of peer relationships
  4. 4. Many Feel Trapped
  5. 5. Resilience Theory • Focuses on strengths rather than deficits • Resilience is a process: – Overcoming the negative effects of risk exposure – Coping successfully with traumatic experiences – Avoiding negative trajectories associated with risk • Requires the presence of promotive factors
  6. 6. The Solution Use peer relationships as promotive factors to encourage resilience during a very difficult time
  7. 7. WHY? • Peers provide: – Empathy – Support – Promote/model positive behavior – Increased psychological well-being – Increased feelings of self worth & esteem -Family members cannot always provide this-
  8. 8. We need to help…
  9. 9. Implementation Peer support program within the hospital • Meetings with peers in a group setting • Meetings with peers on an individual basis • Consists of volunteers and past and present patients
  10. 10. Pros • Learn new coping techniques • Learn how to influence social environments • Enlarge perspectives of “normal” • Understand causes of personal stressors • Confirm positive changes in attitudes
  11. 11. Pros • Reduce sense of isolation • Enhance social identity • Extend help to others
  12. 12. Cons • Witness to a peer’s deterioration in health • Discovering new and unpleasant information about one’s illness • Negative self appraisals while another peer is improving • Feelings of inadequacy
  13. 13. Cons • Decreased self esteem • Failure to develop other interests • Feelings of separation from “normal” society
  14. 14. Goal • Provide sick, hospitalized adolescents with peer support to overcome a major life stressor/transition
  15. 15. References Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26, (1), 399-419. doi: 10.1146/annurev.publhealth.26.021304.144357. Olsson, C. A., Boyce, M. F., Toumbourou, J. W., & Sawyer, S. M. (2005). The role of peer support in facilitating psychosocial adjustment to chronic illness. Clinical Child Psychoilogy and Psychiatry, 10, (78). Hagan, J. F., Shaw, J. S., Duncan, P. M., eds. (2008). Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics Buote, V. M., Pancer, S. M., Pratt, M. W., Adams, G., Birnie-Lefcovitch, S., Polivy, J., & Wintre, M. G., (2007). The importance of friends: Friendship and adjustmnet among first year university students. Jounral of Adolescent Research, 22, (6).

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