Harnessing distress to boost growth in frontline healthcare workers during COVID-19 pandemic: the protective role of resilience, emotion regulation and social support

Fino, Edita; Bonfrate, Ismaela; Fino, Viola; Buracco, Paolo; Russo, Paolo Maria; Mazzetti, Michela

doi:10.1017/s0033291721000519

Cited by 28 publications

(29 citation statements)

References 18 publications

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“…A research carried out on a sample of Vietnamese tourism employees highlighted that core beliefs challenge was positively related to workers’ resilience while cognitive reappraisal played a mediating role in this relationship [ 59 ]. Resilience also plays a crucial moderating role in the relationship between PTSD and PTG: High levels of resilience enhanced PTG beyond the mean level [ 60 ]. In another study carried out on a sample of Chinese front-line nurses, resilience was negatively associated with PTSD [ 61 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies used the Post Traumatic Growth Inventory Scale (PTGI by [ 13 ]) to assess the impact of this variable on HCWs, one study used the Changes in Outlook Questionnaire (CIOQ by [ 77 ]) and one study used a qualitative approach through interviews with the subjects involved. Pandemic-related distress and growth are connected in a complex relationship that depends on intra- and inter-personal factors [ 60 ]. In nurses working in the COVID-19 emergency, an intensification of traumatic stress symptoms has emerged, for example regarding symptoms of avoidance [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…Some factors have been recognized as being associated with PTG: In one study [ 30 ], PTG was influenced by the length of service, self-confidence in frontline work and psychological intervention or training during the epidemic. Workers have often experienced PTG through “deliberate rumination”, a process of seeking value and meaning to their own experience [ 30 , 32 ] or through the tendency to positively reappraise events [ 60 ]. Fear of contagion and awareness of the risk were found to be associated with PTG [ 30 , 37 ] while lack of personal accomplishment was a key negative influence factor [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, resilience seems to play an important role in the development of PTG, as reported in study [ 35 ], which showed that the higher the nurse’s resilience, the easier it is to perceive professional benefits, which results in stronger intent to continue working on the frontline. High levels of resilience enhanced growth beyond mean and clinically relevant levels of PTSD [ 60 ].…”

Section: Resultsmentioning

confidence: 99%

“…Fino et al [60]. Cross-sectional/202 healthcare workers/Italy Analysis of the relationship between post-traumatic stress and PTG, the moderating role of resilience, emotion regulation and social support.…”

Section: Resiliencementioning

confidence: 99%

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Resilience, Coping Strategies and Posttraumatic Growth in the Workplace Following COVID-19: A Narrative Review on the Positive Aspects of Trauma

Finstad

Giorgi

Lulli

et al. 2021

IJERPH

174

116

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The COVID-19 pandemic represents a traumatic event that has profoundly changed working conditions with detrimental consequences for workers’ health, in particular for the healthcare population directly involved in addressing the emergency. Nevertheless, previous research has demonstrated that traumatic experiences can also lead to positive reactions, stimulating resilience and feelings of growth. The aim of this narrative review is to investigate the positive aspects associated with the COVID-19 pandemic and the possible health prevention and promotion strategies by analyzing the available scientific evidence. In particular, we focus on the constructs of resilience, coping strategies and posttraumatic growth (PTG). A literature search was performed on the PubMed, EMBASE, Scopus, Web of Science, Google Scholar and Psycinfo databases. Forty-six articles were included in the literature synthesis. Psychological resilience is a fundamental variable for reducing and preventing the negative psychological effects of the pandemic and is associated with lower levels of depression, anxiety and burnout. At the individual and organizational level, resilience plays a crucial role in enhancing wellbeing in healthcare and non-healthcare workers. Connected to resilience, adaptive coping strategies are essential for managing the emergency and work-related stress. Several positive factors influencing resilience have been highlighted in the development of PTG. At the same time, high levels of resilience and positive coping strategies can enhance personal growth. Considering the possible long-term coexistence and consequences of COVID-19, organizational interventions should aim to improve workers’ adaptive coping skills, resilience and PTG in order to promote wellbeing.

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Section: Resultsmentioning

confidence: 99%