Teenu Xavier is a postdoctoral associate, Department of Family, Community and Health System Science, University of Florida College of Nursing, Gainesville, Florida.
Beverly M. Hittle is an assistant professor, College of Nursing, University of Cincinnati, Ohio.
Crit Care Nurse. 2024 Dec 1;44(6):52-63. doi: 10.4037/ccn2024753.
The intensive care unit environment exposes nurses to high-stress situations that potentially affect their mental and physical health. Resilience is a protective factor that can enhance the well-being of intensive care unit nurses.
To investigate the current evidence regarding resilience in intensive care unit nurses and identify factors that promote resilience.
A comprehensive literature search was undertaken for primary research conducted between January 1990 and December 2022. The updated framework of Whittemore and Knafl was used as a guide. Studies were critically appraised for methodological quality by using the Johns Hopkins Nursing evidence-based practice appraisal tool.
Twelve studies were included; most used quantitative methods to measure resilience. The findings indicate that intensive care unit nurses exhibit various levels of resilience, the literature contains inconsistencies about factors affecting resilience, and resilience protects nurses against negative psychological outcomes.
Nurses' resilience levels should be regularly assessed to identify areas for improvement and gauge the impact of resilience interventions. By continuously monitoring and adapting support strategies on the basis of resilience changes over time, organizations can meet the needs of intensive care unit nurses.
More research is needed to comprehend the factors that impact resilience and devise interventions to boost resilience in intensive care nurses.
重症监护病房的环境使护士面临高压力的情况，这可能会影响他们的身心健康。韧性是一种保护因素，可以提高重症监护病房护士的幸福感。
调查重症监护病房护士韧性的现有证据，并确定促进韧性的因素。
对 1990 年 1 月至 2022 年 12 月期间进行的原始研究进行了全面的文献检索。使用 Whittemore 和 Knafl 的更新框架作为指导。使用约翰霍普金斯护理循证实践评估工具对研究进行了方法学质量的批判性评估。
共纳入 12 项研究；大多数研究使用定量方法来衡量韧性。研究结果表明，重症监护病房护士表现出不同程度的韧性，文献中关于影响韧性的因素存在不一致，韧性可以保护护士免受负面心理结果的影响。
应定期评估护士的韧性水平，以确定需要改进的领域，并评估韧性干预措施的效果。通过根据韧性随时间的变化持续监测和调整支持策略，组织可以满足重症监护病房护士的需求。
需要进一步研究以了解影响韧性的因素，并制定提高重症监护病房护士韧性的干预措施。
