Division of Nursing Administration, Singapore General Hospital, Singapore.
Faculty of Applied and Professional Studies, Nipissing University, Canada.
Appl Nurs Res. 2018 Oct;43:105-113. doi: 10.1016/j.apnr.2018.07.007. Epub 2018 Jul 26.
Building resilience among nurses is one of the ways to support and retain nurses in the profession. Prior literature which evaluated influence of resilience on psychological outcomes, were conducted in relatively homogeneous populations. It is of interest to evaluate whether relationships between resilience and psychological outcomes remain consistent across nations and among different nursing populations.
To evaluate a theoretical model of the impact of resilience on burnout (BO), secondary traumatic stress (STS) and compassion satisfaction (CS) by comparing results between nurses in Canada and Singapore.
A self-reported questionnaire consisting of questions on demographics, resilience (Connor-Davidson Resilience Scale), and psychological adjustment (Professional Quality of Life) was administered via an online survey. One thousand three hundred and thirty-eight nurses working in two Academic Medical Centres in Singapore responded to the online survey. Similar data was also collected from 329 nurses in Canada. Hypotheses were tested using structural equation modeling.
Resilience exerts a significant negative direct impact on STS, and a significant negative direct impact on BO. Additionally, resilience has a positive direct impact on compassion satisfaction. STS exerts a positive direct impact on BO while CS has a negative direct impact on BO.
Current study affirmed significant associations between resilience and professional quality of life. Knowledge on resilience is key in informing design and implementation of resilience-building strategies that include professional development, and strengthening of interpersonal skills. A resilience-based approach will help reduce nurses' BO and STS while caring for their patients, and in turn reduce turnover.
培养护士的韧性是支持和留住护士从事该职业的方法之一。先前评估韧性对心理结果影响的文献是在相对同质的人群中进行的。评估韧性与心理结果之间的关系在不同国家和不同护理人群中是否保持一致，这是很有趣的。
通过比较加拿大和新加坡护士的结果，评估韧性对倦怠（BO）、二次创伤应激（STS）和同情心满足（CS）影响的理论模型。
通过在线调查，对在新加坡两家学术医疗中心工作的 1338 名护士进行了一项自我报告问卷，其中包括人口统计学、韧性（Connor-Davidson 韧性量表）和心理调整（职业生活质量）问题。来自加拿大的 329 名护士也收集了类似的数据。使用结构方程模型检验假设。
韧性对 STS 有显著的负向直接影响，对 BO 有显著的负向直接影响。此外，韧性对同情心满足有正向的直接影响。STS 对 BO 有正向的直接影响，而 CS 对 BO 有负向的直接影响。
本研究证实了韧性与专业生活质量之间存在显著关联。韧性知识对于告知设计和实施包括职业发展和加强人际关系技能的韧性建设策略至关重要。基于韧性的方法将有助于减少护士的 BO 和 STS，同时照顾他们的病人，从而减少离职率。
