This study utilized a Convergent Mixed Methods design to identify different expressions of resilience in response to a health/familial problem. The research aimed to determine which specific expressions of resilience were significantly associated with higher levels of resilience. The findings revealed two significant effects related to social support and persistence as expressions of resilience. The High Resilience group exhibited a higher proportion of individuals mentioning persistence and social support in their coping strategies. The study concluded that social support seeking is a major coping strategy among individuals with high resilience and suggested that healthcare providers, particularly nurses, should recommend and provide resources for clients to seek social support. Furthermore, the role of persistence highlights the importance of encouraging clients to set achievable goals, develop a plan, and monitor their progress to remain motivated in resolving their difficult health-related problem.

The current research extensively explores approaches for the treatment of Neonatal Opioid Withdrawal Syndrome (NOWS), yielding evidence of both complementary and contradictory methods. The purpose of this paper is to review and consolidate the current literature into comprehensive recommendations for treatment interventions and patient assessment. An optimal approach involves the interlacement of non-pharmacological care, pharmacological therapy, and the proper evaluation of progress. Though these topics differ greatly in implementation regimens and a facility’s ability to comply, each aspect of care can heavily impact recovery, and all must be discussed. Following the literary discussion, a new assessment instrument and multiple streamlined recommendations for the aforementioned topics will be introduced. The proposed instrument synthesizes information from 18 scoring methods to find a balance between neonatal comfort and clinical efficacy. It is the hope of this research that there will be improvements in individualized NOWS care based on the findings in regards to both comfort control and holistic, representative symptom observation.