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July 31, 2018Journal of Nursing Management133 citationsOpen Access

Resilience in nursing: The role of internal and external factors

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GMGeorgios ManomenidisEPEfharis PanagopoulouAMAnthony Montgomery

Key Points

  • To examine and compare the impact of individual characteristics, external factors, and coping strategies on nurses' resilience.
  • Conducted a descriptive cross-sectional study with data from 1,012 nurses in northern Greece.
  • Utilized validated self-report instruments to measure resilience, anxiety, and depression.
  • Assessed coping strategies using the Mental Preparation Strategies Scale.
  • Resilience was significantly associated with educational level (b = 0.094, 95% CI 0.038, 0.162).
  • Higher resilience correlated with lower anxiety (b = -0.449, 95% CI -0.526, -0.372).
  • More frequent use of mental preparation strategies before shifts was linked to increased resilience (b = 0.101, 95% CI 0.016, 0.061).

Abstract

Recent evidence shows that resilience can buffer the negative impact of workplace stressors on nurses and is linked to favourable patient outcomes. However, the comparative effectiveness of different contributing factors to nurses' resilience has not yet been examined. Our objective was to examine and compare the impact of individual characteristics, external factors and coping strategies on nurses' resilience. A descriptive cross-sectional study was conducted. Data were collected from 1, 012 Greek nurses working in eight hospitals in northern Greece. Resilience, anxiety and depression, were measured using existing validated self- report instruments. In terms of coping strategies, this study used the "Mental Preparation Strategies Scale" to assess the mental preparation strategies employed by nurses before the beginning of their shift. Educational level, anxiety and the overall use of mental preparation strategies were the main predictors of nurse's resilience (F = 52. 781, p = 0. 000, R2 = 0. 139, Adjusted R2 = 0. 137). Resilient nurses were better educated (b = 0. 094. 95% confidence interval CI 0. 038, 0. 162), had lower anxiety (b = -0. 449, 95% CI -0. 526, -0. 372) and used more often mental preparation strategies before the beginning of their shift (b = 0. 101, 95% CI 0. 016, 0. 061). Findings provide information about which subgroups of nurses are more vulnerable in terms of resilience, i. e. less educated nurses, or nurses working in internal medicine wards.

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Cite This Study

Manomenidis et al. (2018) studied this question.

synapsesocial.com/papers/69d895e5d2f7327e70ae3896https://doi.org/10.1111/jonm.12662
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