DOI: https://doi.org/10.14710/nmjn.v14i3.54943

Parental Resilience Determinants in Children with Cancer in Indonesia: A Path Analysis

*Dwi Novrianda orcid scopus  -  Department of Pediatrics and Maternity Nursing, Faculty of Nursing, Universitas Andalas, Indonesia
Mohd. Jamil  -  Department of Psychiatric and Community Nursing, Faculty of Nursing, Universitas Andalas, Indonesia
Rauza Sukma Rita  -  Department of Biochemistry, Faculty of Medicine, Universitas Andalas, Indonesia
Open Access Copyright (c) 2025 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Determining parental resilience in children with cancer is essential to ensuring parents' involvement in caring for their children in hospitals. Existing quantitative research evaluates factors influencing resilience in mothers but has not fully explored the determinants of resilience in both parents of children with cancer. Studying parents more broadly is crucial, as contemporary caregiving roles increasingly involve both mothers and fathers, offering a more comprehensive understanding of family dynamics.

Purpose: This study aims to analyze the determinants of parental resilience in children with cancer.

Methods: Correlational research using a cross-sectional study design was conducted in the pediatric ward of a tertiary hospital in Indonesia. A total of 102 parents of children with cancer were recruited using consecutive sampling. Data collection instruments included a demographic questionnaire, the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), the Herth Hope Index (HHI), the Personality Assessment Questionnaire (PAQ), the Parenting Stress Index (PSI), and the Survey of Family Environment (SFE). Quantitative data were analyzed using path analysis.

Results: The average scores were as follows: resilience 27.20 (SD = 5.79), personality 102.44 (SD = 19.11), hope 24.80 (SD = 6.04), parenting stress 39.22 (SD = 10.15), coping 39.84 (SD = 9.81), and family environment 84.57 (SD = 21.87). Resilience was directly influenced by hope (p = 0.000), family environment (p = 0.001), and coping (p = 0.051). Personality indirectly influenced resilience (p = 0.004). Path analysis revealed a Chi-Square value of 0.000 and a Root Mean Square Error of Approximation (RMSEA) of 0.286. The Normed Fit Index (NFI), Comparative Fit Index (CFI), Incremental Fit Index (IFI), and Goodness-of-Fit Index (GFI) were all close to 1, indicating a nearly good model fit.

Conclusion: Parental resilience is determined by hope, family environment, and coping. Therefore, resilience can be promoted by enhancing hope, strengthening the family environment, and encouraging the use of adaptive coping strategies.

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Keywords: Coping strategies; family environment; hopes; parenting stress; personality

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