Psychological Resilience in Frontline Health Care Workers During the Acute Phase of the COVID-19 Pandemic in New York City

Data were collected between April 14 and May 11, 2020, during the peak and initial decline of the acute patient surge. An anonymous, incentivized (25 gift card) survey was emailed to a purposively selected sample of 6, 026 FHCWs at Mount Sinai Hospital, an urban tertiary care hospital in NYC. Importance analyses revealed that positive emotions (interested relative variance explained [RVE = 14. 7%], enthusiastic RVE = 11. 2%), self-efficacy (RVE = 13. 8%), nonengagement in substance use coping (RVE = 9. 9%), higher purpose in life (RVE = 7. 8%), and emotional support (RVE = 6. 9%) and leadership support (RVE = 6. 8%) were most strongly associated with psychological resilience, collectively explaining > 70% of the variance in these scores. To our knowledge, this is the first study to examine factors associated with psychological resilience in FHCWs during the acute phase of the COVID-19 pandemic.