A Multicenter Cross-Sectional Study on Resilience, Well-Being, and Mindful Self-Care Among Undergraduate Nursing Students in India

Introduction There is an increasing need to foster resilience among nursing students to prepare them for the challenges of the demanding healthcare field. Objective To assess resilience, well-being, and mindful self-care and to examine the factors that contribute to resilience among nursing students. Methods A multicenter, cross-sectional, correlational design was used, with participants recruited from four universities across Eastern, Western, Northern and Southern regions of India through convenience sampling. The participants completed an online survey incorporating the Brief Resilience Scale, World Health Organization Well-Being Index, and Mindful Self-Care Scale. Descriptive statistics were used to summarize the study variables, while independent t-tests and one-way ANOVA examined group differences. Pearson’s correlation was used to assess relationships among variables, and linear regression was used to identify factors associated with resilience. Results A total of 879 nursing students were included in the study. Most of the students demonstrated moderate resilience (63.7%), with 35.4% showing low resilience and 0.9% high resilience. Most reported good well-being (84.2%). The overall mean mindful self-care score was 104.46 ± 30.83 (64.08% of the maximum), with the highest subdomain scores in supportive relationships (67.48%), mindful awareness (67.00%), and general practices (66.87%) and the lowest in mindful relaxation (61.27%) and physical care (59.25%). Both mindful self-care (β = 0.011, p < 0.001) and well-being (β = 0.076, p < 0.001) were associated with resilience, explaining 5.1% of its variance (R 2 = 0.051), which remained significant after adjusting for demographic factors (final model R 2 = 0.060, Adjusted R 2 = 0.050). Conclusion The findings underscore the need for targeted interventions and strategies to strengthen the resilience and mindful selfcare capacities of nursing students. The study suggests that in addition to mindful selfcare and well-being, resilience is influenced by a broader range of determinants beyond those captured in the present study.