Burnout and resilience in critical care nurses: A grounded theory of Managing Exposure

What the COVID-19 pandemic tells us about the need to develop resilience in the nursing workforce

“…Before the COVID-19 pandemic there was already concern about nurses' mental health and well-being in relation to depression, anxiety, anger, irritability and burnout (Tahghighi et al 2017, Guo et al 2018. Critical care nurses, for example, are at risk of burnout if they have reduced resilience (Jackson et al 2018) and are at a high risk of developing PTSD (Mealer et al 2012), which is a particular concern for nurse leaders during the COVID-19 pandemic. This shows the need for clear and definitive leadership to determine staffing levels, organise staff rotas that include extra time for rest and recuperation, and ensure adequate provision of equipment (Ross et al 2020, WHO 2020c Organisational resilience Building resilience in the nursing workforce has long been considered important (Gray 2012), but recently there has been a shift to supporting organisational resilience (HEE 2019).…”

The Contrary Impact of Resilience on the Complicated Nursing Work Environment: A Literature Review

“…In this review, many resiliency strategies or skills were found and recommended by researchers to increase resilience and control stress and anxiety among nurses. There was an agreement over group of strategies and recommendations that are congruent with [31] suggested recommendations to build resilience among nurses. Jackson and her colleagues summarized four main strategies to improve resilience among nurses including: protecting: building emotional barriers to prevent the negative impacts of stressors and stressful situations; processing: to relief the impact of stressors and stressful situations; decontaminating: to remove the influence of stressors and stressful situations; and distancing: to be physically away from stressors and stressful situations.…”

“…In spite of the some variation in the recommended strategies to build resilience, there is a consensus over other strategies that are congruent with the outcomes of a grounded theory conducted by [31]. [31] summarized four main strategies to improve resilience among nurses including protecting: building emotional barriers to prevent the negative impacts of stressors and stressful situations, processing: to relief the impact of stressors and stressful situations, decontaminating: to remove the influence of stressors and stressful situations, and distancing: to be physically away from stressors and stressful situations.…”

“…Nurses needs to reflect on the situation and share the experience with colleague to eliminate its impact and build a defense wall for future. (Jackson et al, 2018).…”

Resilience in critical care nurses – is it desirable?

“…To address the bottom‐up viewpoint, Jackson et al . 's () grounded theory about resilience in critical care nurses, along with other literature about resiliency, could be used by practitioners, managers and educators in critical care while planning and implementing resiliency initiatives (Arrogante and Aparicio‐Zaldivar, ; Mealer, ; Mealer et al, ). Critical care nurses may feel that the top‐down aspects of resolving the complex health care supply and demand problems fall outside their scope of practice.…”