Current State and Influencing Factors of Nurse Resilience and Perceived Job-Related Stressors

Leng, Min; Xiu, Hong; Yu, Peng; Feng, Juan; Wei, Yuling; Cui, Yanuan; Zhang, Mingming; Zhou, Yun; Wei, Holly

doi:10.3928/00220124-20200216-08

Cited by 29 publications

(24 citation statements)

References 16 publications

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“…J. Zhang et al, 2019) such as self-esteem, fatigue, psychological statuses (depression) (K. Xu et al, 2019), and overall physical and mental health (Ding et al, 2017;Smith & Yang, 2017). Several studies have shown nurses displaying low resilience (Leng et al, 2020;Peng et al, 2017;. In contrast, our study indicates resilience scores of 87.04 ± 22.78, markedly higher than the results of previous studies.…”

Section: Discussioncontrasting

confidence: 56%

Resilience of nurses in isolation wards during the COVID⁃19 pandemic: a cross-sectional study

Chen

Liang

et al. 2020

Psychology, Health & Medicine

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Impact of supportive interventions on resilience and self-assessed psychopathology symptoms of 92 nurses in isolation ward during the COVID-19 pandemic was evaluated. Resilience and psychopathological symptoms of nurses in the isolation ward was assessed by Connor-Davidson Resilience Scale (CD-RISC) and the Symptom Checklist 90 (SCL-90). A total resilience score was 87.04 ± 22.78. The SCL-90 score was 160-to 281 (202.5 ± 40.79). Only 8.70% of the nurses (n = 8) had a total SCL-90 score >160, suggesting positive symptoms. The majority of nurses had 0 to 90 positive self-assessment items (median 14); 19.57% (n = 18) had > 43 positive items. Interpersonal sensitivity, depression, hostility, and paranoid ideation scores were below national averages (p=0.000, 0.040, 0.002, 0.004, respectively). SCL-90 items reflecting diet and sleep conditions were higher(P = 0.009), and somatization, obsessive-compulsive, anxiety, phobic anxiety, and psychoticism domains and scores were similar to national averages (P>0.3). With exception of somatization and other domains, the mean resilience score was negatively associated with the scores of other SCL-90 domains. High resilience promotes physical and mental health, and may be improved by training, psychological interventions and full use of hospital resources ARTICLE HISTORY

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Section: Discussioncontrasting

confidence: 56%

Resilience of nurses in isolation wards during the COVID⁃19 pandemic: a cross-sectional study

Chen

Liang

et al. 2020

Psychology, Health & Medicine

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“…Examining the relationship between nurses' resilience and demographic characteristics, the study showed that the level of education, marital status, gender, work experience and work shifts with resilience did not significantly differ. There was a significant relationship between nurses' resilience and age, years of experience, clinical rank and education (Leng et al 2020). A study by Ren et al (2018) showed that female nurses, with a high level of education and position and no night shifts, had high resilience.…”

Section: Discussionmentioning

confidence: 99%

Relationship of resilience with occupational stress among nurses in coronavirus ward of Khatam Al-Anbia Hospital, Gonbad Kavous, 2020

Khanmohammadi¹,

Hajibeglo²,

Rashidan³

et al. 2020

nin

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Introduction: Occupational stress is one of the predictors of psychological and physical complications among nurses. High working pressure, lack of pharmacotherapy and the rate of transmission of coronavirus are the major causes of stress in nurses in coronavirus wards. Resilience is the process of coping with stressful events. The present study aims to investigate the relationship between resilience and occupational stress among nurses in coronavirus wards. Material and methods: In this descriptive cross-sectional study, 150 nurses working in the coronavirus wards for at least one month were selected and examined using the available sampling method. The data collection instruments were the Demographic Questionnaire, the Connor and Davidson Resilience Questionnaire, and French's Expanded Nursing Stress Scale (ENSS). Results: The mean and standard deviation of occupational stress level of nurses were 147.12 ±27.19 and the mean and standard deviation of resilience rate of nurses were 67.43 ±10.25. Spearman's correlation coefficient test showed a significant and inverse relationship between occupational stress and resilience of nurses (r = -0.187, p = 0.022). Conclusions: The highest stressor for nurses in the coronavirus ward was the uncertainty about treatments, patients and their families. As nurses' resilience increases, so does their occupational stress. Resilience is a modifier of nursing occupational stress. To empower nurses against stress, it is recommended that resilience is taken into account in nursing education.

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“…Nurses were selected based on their high levels of clinical performance and resilience scores based on the Chinese version Conner‐Davidson Mental Resilience Scale 8,9 screened by the hospital. The average resilience score of the nurses selected was 79.34 ± 11.98, while the average rating of nurses' resilience was 61.35 ± 13.12 in the hospital 10 . The inclusion criteria were that nurses (a) had at least 1 year of nursing experience, (b) took care of patients with COVID‐19 in the ICU for at least a month, and (c) and were willing to join the study.…”

Section: Methodsmentioning

confidence: 99%

Mental distress and influencing factors in nurses caring for patients with COVID‐19

Leng

Wei

Shi

et al. 2020

Nursing in Critical Care

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198

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Background Nurses are experiencing tremendous stress during the new coronavirus disease 2019 (COVID‐19) pandemic, especially intensive care nurses. The pandemic of the disease is a tragedy, which may leave a catastrophic psychological imprint on nurses. Understanding nurses' mental distress can help when implementing interventions to mitigate psychological injuries to nurses. Aims and objectives To quantify the severity of nurses' post‐traumatic stress disorder (PTSD) symptoms and stress and explore the influencing factors of their psychological health when caring for patients with COVID‐19. Design A cross‐sectional survey. Methods The PTSD Checklist‐Civilian and the Perceived Stress Scale were administered from 11 to 18 March 2020, to 90 nurses selected from another city to go and help an intensive care unit (ICU) in Wuhan, China. These nurses were selected because of their high levels of clinical performance and resilience status. Results Nurses' average PTSD score was 24.62 ± 6.68, and five (5.6%) of the nurses reported a clinically significant level of PTSD symptoms (>38 points). Nurses' perceived stress averaged 19.33 ± 7, and 20 nurses (22.22%) scored positively >25 points. Nurses' stress and PTSD symptoms were positively correlated (P < .01). Major stress sources included working in an isolated environment, concerns about personal protective equipment shortage and usage, physical and emotional exhaustion, intensive workload, fear of being infected, and insufficient work experiences with COVID‐19. Conclusions This study showed that even relatively highly resilient nurses experienced some degree of mental distress, including PTSD symptoms and perceived stress. Our findings highlight the importance of helping nurses cultivate resilience and reduce stress. Relevance to clinical practice Recommendations for practice include providing adequate training and orientation before assigning nurses to ICU to help, offering disaster‐emergency‐preparedness training to keep nurses prepared, providing caring and authentic nursing leadership, offering ongoing psychological support to frontline nurses.

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Current State and Influencing Factors of Nurse Resilience and Perceived Job-Related Stressors

Cited by 29 publications

References 16 publications

Resilience of nurses in isolation wards during the COVID⁃19 pandemic: a cross-sectional study

Resilience of nurses in isolation wards during the COVID⁃19 pandemic: a cross-sectional study

Relationship of resilience with occupational stress among nurses in coronavirus ward of Khatam Al-Anbia Hospital, Gonbad Kavous, 2020

Mental distress and influencing factors in nurses caring for patients with COVID‐19

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