Analysis of Factors Affecting Psychological Resilience of Emergency Room Nurses Under Public Health Emergencies

Abstract

Resilience is essential for frontline health workers to cope with the unfavorable situations, especially under public health emergencies. Emergency room (ER) nurses are a special cohort of health professionals that may present moderate level of resilience. This study aimed to identify factors that are correlated with resilience in this special cohort to provide directions for intervention and management. ER nurses that have encountered a public health emergency within 3 months were recruited using purposive sampling and snowball technique for the study. Questionnaires, including Connor-Davidson Resilience Scale (CD-RISC), Zung Self-Rating Depression Scale (SDS), and Maslach Burnout Inventory-Human Services Survey (MBI-HSS) were established, followed by an in-depth interview to identify different clusters of themes. Thirteen ER nurses were recruited, and the average CD-RISC score was 66 ± 21. Resilience was negatively correlated with SDS index, and positively correlated with personal accomplishment. Five clusters of themes were identified from in-depth interviews, including physical tolerability, psychological tolerability, tenacity of internal drive, institutional implementation, and external adjustment. This study identified factors associated with resilience in ER nurses under public health emergencies, providing useful information for future directions for intervention.

Composition and influencing factors of professionals’ capacity in public health emergency rescues: a qualitative study

“…Individual capabilities are seen as the cornerstone of the entire emergency response capability system ( 25 ). Participants reported that professionals should respond to public health emergencies with a conscientious and responsible attitude, good mental and physical fitness, and a spirit of saving lives and helping with injuries ( 26 , 27 ). Medicine is an ever-developing discipline, and professionals need to commit to active learning and regular participation in emergency drills and courses related to emergency management.…”

Knowledge, attitude, and practice toward the prevention of occupational exposure in public health emergencies among nurses in Wuhan

“…The procedures used in this study are briefly presented in the flow chart (Figure 1). The questionnaire was designed based on the previously published literature (13,14) and the Emergency Regulations for PUBLIC HEALTH EMERGENCIES (Revised 2022). A small-scale drop-in was conducted after the questionnaire was designed, reaching Cronbach's α of 0.746 and KMO (Kaiser-Meyer-Olkin) of 0.798.…”

Enhancing Emergency Nurses’ Disaster Nursing Ability and Psychological Resilience: A Randomized Controlled Trial

“…In the pretest, the average score of psychological resilience of emergency nurses was 65.66 ± 1.10, which was at the medium level, consistent with the results of other researchers [ 12 ]. Under a public health emergency, the surge of patients inevitably induced increased workload, prolonged procedures, and fatigue, which all challenged the physical tolerability of emergency department nurses, and subsequently difficulties in adapting with the busy schedule and reduced resilience [ 20 ]. The study which was conducted during the COVID-19 pandemic shows that resilience among emergency nurses is indeed low.…”