Interventions to foster resilience in nursing staff: A systematic review and meta-analyses of pre-pandemic evidence

Kunzler, Angela; Chmitorz, Andrea; Röthke, Nikolaus; Staginnus, Marlene; Schäfer, Sarah; Stoffers‐Winterling, Jutta; Lieb, Klaus

doi:10.1016/j.ijnurstu.2022.104312

Cited by 36 publications

(28 citation statements)

References 102 publications

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“…Moreover, hospitals should consider providing appropriate training to strengthen mindfulness and relaxation, emotional regulation, problem solving, and resourcefulness among the nursing staff. These skills are beneficial to developing good interpersonal resilience, which should help enhance well-being in nurses (Kunzler et al, 2022; Labrague, 2021).…”

Section: Discussionmentioning

confidence: 99%

Correlation Among Workplace Burnout, Resilience, and Well-Being in Nursing Staff: A Cross-Sectional Study in Taiwan

TZENG,

SU,

CHEN

2023

Journal of Nursing Research

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Background Because nurses often work in medical environments characterized by high workloads and high levels of stress and pressure, they are particularly vulnerable to workplace burnout and their well-being may suffer. Related studies on burnout, resilience, and well-being have focused primarily on teachers, social workers, and students, with few studies addressing the situation faced by nursing staff. It is important to understand the factors affecting the well-being of nursing staff. Purpose This study explores the status quo and correlations among nursing-staff demographic characteristics, workplace burnout, well-being-related resilience, and the predictive factors of well-being in nurses. Methods A cross-sectional, descriptive, correlational research design and purposive sampling were used in this study. Nursing staff who had worked for more than 6 months at a medical center in central Taiwan were recruited as participants, with data from 289 participants collected. A structured questionnaire was used to collect data on demographic characteristics, workplace burnout, resilience, and well-being. Results The average scores for workplace burnout, resilience, and well-being were 40.40/(0- to 100-point scale), 26.79/(10- to 50-point scale), and 43.25/(24- to 96-point scale), respectively. The result of the regression analysis explained about 51.6% of the variance in well-being. Furthermore, resilience (28.4%), self-perceived health (14.3%), workplace burnout (4.5%), exercise frequency (1.8%), job title (1.2%), interpersonal pressure relief resilience (0.9%), and marital status (0.5%) were other important predictive factors of well-being in the participants. Conclusions/Implications for Practice Medical institutions should provide appropriate resilience-enhancing countermeasures to reduce workplace burnout as well as pay greater attention to the exercise frequency, self-perceived health, job title, and marital status of their nurses to help them achieve physical, mental, and overall well-being.

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Section: Discussionmentioning

confidence: 99%

Correlation Among Workplace Burnout, Resilience, and Well-Being in Nursing Staff: A Cross-Sectional Study in Taiwan

TZENG,

SU,

CHEN

2023

Journal of Nursing Research

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“…A mixture of mindfulness, yoga, cognitive reframing exercises, and problem solving exercises formed the basis of resilience interventions. Teaching on how to improve knowledge and response to stress were also signi cant factors (25,26). A meta-analysis of resilience training interventions aiming to in uence nurse resilience demonstrated that resilience training increased resilience scores but variations in assessment tools and a variety of outcome measures negated any generalisation of effect.…”

Section: Introductionmentioning

confidence: 99%

“…(26) Kunzler et al extracted studies focusing on nurses from a Cochrane review of psychological intervention to build resilience in health care professionals. (14,25). They found some evidence of positive short term effects of resilience training and interventions on nurse resilience and mental health outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…They found some evidence of positive short term effects of resilience training and interventions on nurse resilience and mental health outcomes. However as with other reviews in the broader health care literature, the heterogeneity of measurement tools and outcomes assessed made it di cult to decide what elements of an intervention are most effective (7,14,(25)(26)(27) This review is unique as it aims to determine the effectiveness of interventions aimed at promoting resilience in registered nurses based on pre and post intervention resilience scores from valid and reliable resilience scales.…”

Section: Introductionmentioning

confidence: 99%

“…Reviews measuring the effectiveness of resilience based interventions have tended to focus on health care workers in general with each recommending that interventions be tailored to speci c context and populations (7,14,23,24). Only two reviews were found relating to the effectiveness of interventions speci c to nursing (25,26). A mixture of mindfulness, yoga, cognitive reframing exercises, and problem solving exercises formed the basis of resilience interventions.…”

Section: Introductionmentioning

confidence: 99%

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Study Title Efficacy of Interventions aiming to Increase Nurse Resilience: A Rapid Review of the Literature

Mallon

Mitchell

Lecturer

et al. 2022

Preprint

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BACKGOUND The COVID 19 pandemic has exposed and further exacerbated systemic weaknesses in the health and social care system, placing an inordinate pressure on nurses. The importance of effective resilience building interventions as a strategy to enable recovery and growth in these times of uncertainty have been advocated. The aim of this rapid review was to inform the development of a resource to support the resilience of care home nurses by extracting empirical evidence as to the efficacy of resilience building interventions undertaken with nurses METHODS We undertook a rapid review using quantitative studies published in peer reviewed journals that reported resilience scores using a valid and reliable scale before and after an intervention aimed at supporting nurse resilience. The databases; Cumulative Index to Nursing and Allied Health Literature, Medline and PsychInfo. and the Cochrane Library were searched. The searches were restricted to studies published between January 2011 and October 2021 in the English language. Only studies that that reported using a validated tool to measure resilience before and after the interventions were included. RESULTS Fifteen studies were included in this rapid review with over half of the studies taking place in the USA. No studies reported on an intervention to support resilience with care home nurses. The interventions focused primarily on hospital-based nurses in general and specialist contexts. The interventions varied in duration content and mode of delivery, with interventions incorporating mindfulness techniques, cognitive reframing and holistic approaches to building and sustaining resilience. Thirteen of the fifteen studies selected demonstrated an increase in resilience scores as measured by validated and reliable scales. Those studies incorporating ‘on the job,’ easily accessible practices that promote self-awareness and increase sense of control reported significant differences in pre and post intervention resilience scores. CONCLUSION Nurses continue to face significant challenges, their capacity to face these challenges can be nurtured through interventions focused on strengthening individual resources. The content, duration, and mode of delivery of interventions to support resilience should be tailored to specific populations and responsive to their unique contexts.

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Psychological resilience and cortisol levels in adults: A systematic review

Aizpurua‐Perez,

Arregi,

Labaka

et al. 2023

American J Hum Biol

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Resilience or the capacity to “bend but not break” refers to the ability to maintain or regain psychobiological equilibrium during or after exposure to stressful life events. Specifically, resilience has been proposed as a potential resource for staving off pathological states that often emerge after exposure to repeated stress and that are related to alterations in circulating cortisol.The aim of this systematic review of the literature was to gather evidence related to the relationship between psychological resilience and cortisol levels in adult humans.An extensive systematic search was carried out following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) method in the PubMed and Web of Science databases. In total, 1256 articles were identified and, of these, 35 peer‐reviewed articles were included in the systematic review.We categorized findings according to (1) the short and long‐term secretion period covered by the cortisol matrices selected by studies and also according to (2) the differentiated diurnal, phasic (acute), and tonic (basal) components of the HPA output to which they refer and their relationships with resilience. Reported relationships between psychological resilience and distinct cortisol output parameters varied widely across studies, finding positive, negative, and null associations between the two variables. Notably, several of the studies that found no relationship between resilience and cortisol used a single morning saliva or plasma sample as their assessment of HPA axis activity.Despite limitations such as the great variability of the instruments and methods used by the studies to measure both resilience and cortisol, together with their high heterogeneity and small sample sizes, the evidence found in this systematic review points to the potential of resilience as a modifiable key factor to modulate the physiological response to stress. Therefore, further exploration of the interaction between the two variables is necessary for the eventual development of future interventions aimed at promoting resilience as an essential component of health prevention.

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Interventions to foster resilience in nursing staff: A systematic review and meta-analyses of pre-pandemic evidence

Cited by 36 publications

References 102 publications

Correlation Among Workplace Burnout, Resilience, and Well-Being in Nursing Staff: A Cross-Sectional Study in Taiwan

Correlation Among Workplace Burnout, Resilience, and Well-Being in Nursing Staff: A Cross-Sectional Study in Taiwan

Study Title Efficacy of Interventions aiming to Increase Nurse Resilience: A Rapid Review of the Literature

Psychological resilience and cortisol levels in adults: A systematic review

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