The University of Texas at Austin School of Nursing, USA.
Texas State University St. David's School of Nursing, USA.
Appl Nurs Res. 2021 Dec;62:151518. doi: 10.1016/j.apnr.2021.151518. Epub 2021 Oct 27.
Nurses practicing in long-term care or rehabilitation settings face unique challenges from prolonged or repeated exposure to stressors, given their extended time with patients. This puts them at risk for compassion fatigue, burnout, and secondary traumatic stress, which can lead to decreased resilience and sleep problems.
The aim of this study was to examine relationships among resilience, professional quality of life, sleep, and demographics in nurses working in long-term care or rehabilitation settings, and to investigate whether demographics, professional quality of life, and sleep quality are significant predictors of nurses' resilience.
In this cross-sectional study, we used the following measures: demographics, the Connor-Davidson Resilience Questionnaire, the Pittsburgh Sleep Quality Index, and the Professional Quality of Life Scale (ProQOL). Data were analyzed with SPSS v25. Data analysis consisted of descriptive statistics, bivariate correlations, and multiple regression.
Participants (N = 120) were mostly female (85%) and registered nurses (90%). Mean scores were 52.13 for resilience and 7.53 for sleep quality. Mean ProQOL subscale scores were 41.78 for compassion satisfaction, 22.28 for compassion fatigue, and 23.92 for secondary traumatic stress. Multiple regression models showed that compassion satisfaction, burnout, and secondary traumatic stress significantly predicted resilience (β = 0.69, β = -0.61, and β = -0.34, respectively, all p < .05).
Resilience is important in nurses' personal and professional lives because it helps to protect nurses from the negative consequences of stressors. Strategies, resources, and workplace support can promote self-care and resilience.
护士在长期护理或康复环境中工作，由于与患者的相处时间延长，会面临因长期或反复暴露于应激源而产生的独特挑战。这使他们容易出现职业耗竭、倦怠和继发性创伤压力，从而导致韧性降低和睡眠问题。
本研究旨在探讨长期护理或康复环境中护士的韧性、职业生活质量、睡眠与人口统计学因素之间的关系，并探讨人口统计学因素、职业生活质量和睡眠质量是否是护士韧性的显著预测因素。
在这项横断面研究中，我们使用了以下措施：人口统计学资料、Connor-Davidson 韧性问卷、匹兹堡睡眠质量指数和职业生活质量量表（ProQOL）。使用 SPSS v25 进行数据分析。数据分析包括描述性统计、双变量相关性和多元回归。
参与者（N=120）主要为女性（85%）和注册护士（90%）。韧性平均得分为 52.13，睡眠质量平均得分为 7.53。ProQOL 子量表的平均得分分别为同情满足感（Compassion Satisfaction）41.78 分、职业耗竭（Compassion Fatigue）22.28 分和继发性创伤压力（Secondary Traumatic Stress）23.92 分。多元回归模型显示，同情满足感、职业耗竭和继发性创伤压力显著预测韧性（β=0.69、β=-0.61 和 β=-0.34，均 p<0.05）。
韧性对护士的个人和职业生活很重要，因为它有助于保护护士免受应激源的负面影响。策略、资源和工作场所支持可以促进自我保健和韧性。
