Guo Yu-Fang, Cross Wendy, Plummer Virginia, Lam Louisa, Luo Yuan-Hui, Zhang Jing-Ping
Nursing Psychology Research Center of Xiangya Nursing School, Central South University, Changsha, Hunan, China.
School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
J Nurs Manag. 2017 Apr;25(3):223-230. doi: 10.1111/jonm.12457. Epub 2017 Feb 6.
To explore the state of resilience and its predictors among nurses in mainland China.
Resilience is considered as an important ability to influence the prevention of job dissatisfaction and burnout. There are few studies on resilience in Chinese nurses, particularly investigating the predictors of resilience.
A cross-sectional survey was employed and 1061 nurses from six three-level hospitals in Hunan responded to participate in the study. Data were collected using self-reported questionnaires.
Nurses experienced moderate levels of resilience and self-efficacy and tended to use a positive coping style. Multiple linear regression showed that a high level of self-efficacy and education, having a positive coping style rather than a negative coping style, exercising regularly and not using cigarettes predicted a high level of resilience (P < 0.01).
This study shows a moderate level of resilience among nurses and suggests that a high level of self-efficacy and education, as well as having a positive coping style and choosing a healthy lifestyle may increase nurses' resilience.
Hospital administrators and nursing managers need to explore the resilience state among nurses and understand the predictors of resilience. Then, scientific and evidence-based interventions for improving resilience should be adopted.
探讨中国大陆护士的心理弹性状态及其预测因素。
心理弹性被认为是影响预防工作不满意和职业倦怠的一项重要能力。针对中国护士心理弹性的研究较少，尤其是对心理弹性预测因素的调查。
采用横断面调查，湖南省6家三级医院的1061名护士参与了本研究。数据通过自填问卷收集。
护士的心理弹性和自我效能感处于中等水平，且倾向于采用积极的应对方式。多元线性回归显示，高水平的自我效能感、受教育程度、采用积极而非消极的应对方式、定期锻炼和不吸烟可预测高水平的心理弹性（P<0.01）。
本研究显示护士的心理弹性处于中等水平，并表明高水平的自我效能感和受教育程度，以及采用积极的应对方式和选择健康的生活方式可能会增强护士的心理弹性。
医院管理人员和护理管理者需要探究护士的心理弹性状态，并了解心理弹性的预测因素。然后，应采取科学且基于证据的干预措施来提高心理弹性。
