Strengthening the Indomitable Spirit of Nurses Through Targeted Resilience Education

Abstract

Nurses face complex stressors in their work including routine exposure to human suffering and potentially traumatic events. Consequently, nurses are at risk of moral distress, workplace burnout, and compassion fatigue. The aim of this study was to design, develop, and test a health-promoting resilience education program for nurses. The research questions were as follows: (1) Are resilience scores of nurses affected by resilience education? (2) How do nurses understand resilience in the context of their workplace? (3) What role does resilience play in nurses’ mental health? (4) Is single-session targeted resilience education effective in maintaining resilience scores over time? Nurses in this study are moderately resilient as noted by their pre-education scores on the Resilience Scale (RS) and the Resilience at Work (RS@W) Scale. Resilience scores significantly increased immediately after resilience education and were sustained over time. Nurses have an array of health strategies for maintaining their resilience; these were further enhanced through experiential education. Increased resilience scores resulted in changes in nurses’ behavior and thinking, and new strategies were integrated into the nurses’ “toolbox” of cognitive and behavioral skills. Building and sustaining a strong foundation of resilience and well-being is key for nurses to maintain mental health, cope with work-related stressors, and provide safe competent patient care. Study outcomes offer opportunities to change the narrative from nursing as perilous and risky to one of strength, flourish, and growth. Beyond individual resilience, system-level change is required to support the well-being of healthcare personnel.